Room to move: Physical activity and exercise barriers in the cancer clinic.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e21601-e21601
Author(s):  
Katharine Quain ◽  
Elizabeth O'Donnell ◽  
Giselle Katiria Perez ◽  
Julia Rabin ◽  
Elyse R. Park ◽  
...  
Keyword(s):  
Physical Activity ◽  
Strength Training ◽  
Aerobic Exercise ◽  
Cancer Diagnosis ◽  
Sports Medicine ◽  
Exercise Interventions ◽  
Aerobic Activity ◽  
Patients With Cancer ◽  
Barriers To Exercise ◽  
Cancer Clinic

e21601 Background: Exercise can improve outcomes and quality of life following cancer diagnosis. The American College of Sports Medicine (ACSM) recommends 150 minutes of moderate aerobic activity for patients with cancer. We sought to evaluate exercise patterns and barriers to exercise among patients presenting for follow-up care. Methods: Patients were recruited from the outpatient cancer clinic and completed a self-administered survey focused on symptoms, lifestyle and needs. Participants reported height, weight, weekly time performing moderate-to-vigorous aerobic activity, time spent strength training and perceived barriers to exercise. Descriptive statistics characterized the sample and patterns of exercise. An independent-samples t-test examined differences in strength training between patients currently on and off treatment; Chi-square examined differences among those meeting or not meeting ACSM activity guidelines. Results: Of 637 patients surveyed, 590 (93%) completed exercise questions (55% female; median age 60-69). The most common cancer diagnoses were breast (26%), hematologic (18%) and gastrointestinal (12%). Over half (57%; n = 352) were overweight (BMI ≥ 25) and 26% (n = 161) were obese (BMI ≥ 30). Patients engaged in moderate-to-vigorous aerobic exercise an average of 110 min/week and in strength training for 30 min/week. 71% did not meet ACSM aerobic exercise guidelines; 62% reported no strength training and 29% reported no exercise. 76% of respondents reported at least one barrier to exercise. Common barriers included other illness (35%), lack of free time (21%), fatigue (8%) and boredom with exercise (8%). Most participants (60%; n = 351) decreased exercise after cancer diagnosis. Participants currently on therapy were significantly less likely to meet ACSM aerobic activity guidelines (p = 0.04) and reported doing less strength training (p < 0.001) than those not on therapy. Over half of participants (53%) expressed interest in receiving more information about exercise and physical activity services. Conclusions: There is potential to improve activity, fitness and cancer outcomes through increasing exercise among patients with cancer. Accessible, engaging exercise interventions are needed.

scholarly journals Interventions to promote work ability by increasing physical activity among workers with physically strenuous jobs: A scoping review

2020 ◽  
pp. 140349482091753
Author(s):  
Satu Mänttäri ◽  
Juha Oksa ◽  
Sirpa Lusa ◽  
Eveliina Korkiakangas ◽  
Anne Punakallio ◽  
...  
Keyword(s):  
Physical Activity ◽  
Strength Training ◽  
Aerobic Exercise ◽  
Scoping Review ◽  
Work Ability ◽  
Physically Active ◽  
Potential Benefits ◽  
Exercise Programmes ◽  
Workplace Outcomes ◽  
Positive Results

Aims: The potential benefits of workplace physical activity (PA) interventions are in improving both health and important workplace outcomes. Despite the differences in PA level between physically strenuous and inactive work, the literature reporting the effectiveness of the interventions does not usually differentiate physically active and inactive jobs. The aim of the current study was therefore to collect and synthesise research evidence on workplace PA interventions to promote work ability specifically among workers in physically strenuous jobs by means of a scoping review. Methods: The databases Medline, Cochrane Central and Scopus were used to identify interventions to promote work ability by increasing PA among workers in physically strenuous jobs. An iterative method was used to obtain an overview of the study elements and to extract details on the study design, sample, intervention, outcomes and effectiveness. Results: A total of 47 studies evaluating eight categories of interventions were found. Out of these, 18 reported significant effects on work ability. Positive results came from a range of different interventions, including aerobic exercise, strength training, combined aerobic exercise and strength training, stretching, yoga, consultation and tailored physical exercise programmes. Conclusions: Few interventions were effective in promoting work ability by increasing PA among workers in physically strenuous jobs. In particular, trials based on the demands of work, multimodal interventions and applying wearable technology are needed.

Population Estimates of Meeting Strength Training and Aerobic Guidelines, by Gender and Cancer Survivorship Status: Findings From the Health Information National Trends Survey (HINTS)

2015 ◽  
Vol 12 (5) ◽  
pp. 675-679 ◽  
Author(s):  
Allison Ottenbacher ◽  
Mandi Yu ◽  
Richard P. Moser ◽  
Siobhan M. Phillips ◽  
Catherine Alfano ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Strength Training ◽  
Health Information ◽  
Population Estimates ◽  
Cancer History ◽  
Aerobic Activity ◽  
History Of ◽  
National Trends ◽  
History Of Cancer

Background:Evidence is building that strength training may reduce complications associated with cancer such as fatigue, muscle wasting, and lymphedema, particularly among breast and prostate cancer survivors. Population estimates are available for rates of aerobic physical activity; however, data on strength training in this population are limited. The objective of this study was to identify rates of meeting public health recommendations for strength training and aerobic activity among cancer survivors and individuals with no cancer history.Methods:Data from the Health Information National Trends Survey (HINTS), Iteration 4 Cycle 1 and Cycle 2 were combined to conduct the analyses. Missing data were imputed, and weighted statistical analyses were conducted in SAS.Results:The proportion of individuals meeting both strength training and aerobic guidelines were low for both cancer survivors and those without a history of cancer. The odds of meeting strength training guidelines were significantly lower for women with a history of any cancer except breast, compared with women with no history of cancer (OR: 0.70, 95% CI: 0.51−0.96).Conclusions:More work needs to be done to understand why women with cancers other than breast, may be less inclined to engage in aerobic physical activity and strength training.

Physical activity levels and barriers to exercise referral among patients with cancer

2017 ◽  
Vol 100 (7) ◽  
pp. 1402-1407 ◽  
Author(s):  
Dorothy Daiyi Yang ◽  
Omar Hausien ◽  
Mohammed Aqeel ◽  
Alexios Klonis ◽  
Jo Foster ◽  
...  
Keyword(s):  
Physical Activity ◽  
Activity Levels ◽  
Patients With Cancer ◽  
Barriers To Exercise ◽  
Physical Activity Levels ◽  
Exercise Referral

scholarly journals The Role of Physical Aerobic Activity in Controlling Exercise-Induced Bronchoconstriction in Children and Adolescents with Asthma

2021 ◽  
Vol 11 (4) ◽  
pp. 484-487
Author(s):  
Walid Abdelbasset ◽  
Abbas Elsayed
Keyword(s):  
Physical Activity ◽  
Aerobic Exercise ◽  
Children And Adolescents ◽  
Life Quality ◽  
Aerobic Exercise Training ◽  
Moderate Intensity ◽  
Aerobic Activity ◽  
Children And Young Adolescents ◽  
Exercise Induced

Asthma, one of the major widespread chronic disorders among children and adolescents, has become more prevalent recently. The common manifestations of this disorder are caused by inflammatory airways that lead to airway restriction and lung hypersensitivity causing dry coughing, wheezing, and shortness of breath, all of which are combined with sleep disturbance, impaired physical activity, and reduced quality of life. The main goal of this brief review was to identify the associated variables that affect the management of asthma disease in children and young adolescents and to identify the role of physical aerobic exercise in the treatment of asthmatic children. The current review was based on prior research published in English databases such as Google Scholar, PubMed, and Embase in scientific articles published between January 2010 and October 2021 with the keywords "asthma," "children," "adolescents," "breathing episodes," "physical activity," and "physical exercise." Regular physical aerobic exercise training with moderate intensity has been shown to improve pulmonary functions, life quality, psychological conditions, and reduce asthma symptoms and EIB in children and adolescents with bronchial asthma.

scholarly journals Aerobic Exercise Interventions for Patients in Opioid Maintenance Treatment: A Systematic Review

2020 ◽  
Vol 14 ◽  
pp. 117822182091888
Author(s):  
Danielle E Jake-Schoffman ◽  
Meredith S Berry ◽  
Marissa L Donahue ◽  
Demetra D Christou ◽  
Jesse Dallery ◽  
...  
Keyword(s):  
Physical Activity ◽  
Aerobic Exercise ◽  
Maintenance Treatment ◽  
Exercise Intervention ◽  
Adjunctive Treatment ◽  
Bibliographic Databases ◽  
Opioid Use ◽  
Opioid Maintenance Treatment ◽  
Exercise Interventions ◽  
Supervised Exercise

Background: Opioid maintenance treatment (OMT) is the standard for treatment of opioid use disorder, but some individuals on OMT experience disrupted sleep, heightened sensitivity to pain, and continued relapse to non-medical opioid use. An adjunctive treatment that has potential to address these shortcomings of OMT is aerobic exercise. Objective: The aim of the present review was to identify and evaluate components of aerobic exercise interventions targeting OMT patients. Methods: For this PROSPERO-registered review (ID CRD42020139626), studies were identified via electronic bibliographic databases, funded research ( NIH RePORTER) and clinical trials databases ( ClinicalTrials.gov), and reference sections of relevant manuscripts. Studies that evaluated the effects of an aerobic exercise intervention using a comparison condition or pretest-posttest design in adult OMT patients were included. Results: Of 2971 unique records, three primary studies and one supplemental manuscript comprised the final sample. All studies were randomized trials involving supervised exercise interventions enrolling small samples of middle-aged OMT patients. Exercise interventions included a variety of aerobic and non-aerobic activities (e.g. flexibility exercises), and none controlled the dose of aerobic exercise. Few studies used objective measures of physical activity or cardiorespiratory fitness and there were no significant effects of adjunctive exercise on substance use outcomes, but tests of the latter were likely underpowered. Conclusions: Though early in the accumulation of evidence, interventions targeting aerobic exercise for OMT patients appear feasible, acceptable to patients, and beneficial. Longer-term studies that employ larger samples, include assessments of behavioral and biological mechanisms of change, more rigorous measurement of physical activity, and controlled doses of aerobic activity are warranted.

scholarly journals Aerobic exercise in severe mental illness: requirements from the perspective of sports medicine

2021 ◽  
Author(s):  
Peter Falkai ◽  
Andrea Schmitt ◽  
Christian P. Rosenbeiger ◽  
Isabel Maurus ◽  
Lisa Hattenkofer ◽  
...  
Keyword(s):  
Mental Illness ◽  
Depressive Symptoms ◽  
Aerobic Exercise ◽  
Severe Mental Illness ◽  
Cardiorespiratory Fitness ◽  
Sports Medicine ◽  
Mental Illnesses ◽  
Moderate Intensity ◽  
Global Functioning ◽  
Exercise Interventions

AbstractMajor depression, bipolar disorder, and schizophrenia are severe mental illnesses. Despite receiving psychopharmacological and psychosocial treatments, about half of patients develop a chronic course with residual cognitive and negative symptoms and have a high risk for cardiovascular disease and reduced life expectancy. Therefore, add-on innovative treatment approaches are needed to improve outcome. Aerobic exercise interventions have been shown to improve global functioning, cognition, and negative and depressive symptoms in these patients. The basic mechanism of these exercise-related changes has been reported to be improved brain plasticity, e.g., increased volume of disease-related brain regions such as the hippocampus. The optimal type, duration, and frequency of exercise have not yet been determined and need to be addressed in supervised physical exercise studies. Because of the low physical activity levels, lack of drive related to negative and depressive symptoms, and high prevalence of cardiovascular comorbidities in patients with severe mental illness, besides aiming to improve symptoms of mental illness, exercise interventions should also aim to increase cardiorespiratory fitness, which they should comprehensively assess by direct measurements of maximal oxygen uptake. Based on the recommendations for developing cardiorespiratory fitness by the American College of Sports Medicine, 150 min moderate-intensity training per week or vigorous-intensity exercise training for 75 min per week are appropriate. Most studies have had relatively short intervention periods, so future studies should focus on long-term adherence to exercise by implementing motivational strategies supported by telemedicine and by identifying and targeting typical barriers to exercise in this patient population.

scholarly journals Effects of Moderate Aerobic Training on Cognitive Performance and Dyslipidemia in Sedentary Older Adults

2020 ◽  
Author(s):  
Ahmad H. Alghadir ◽  
Sami Gabr
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Aerobic Exercise ◽  
Lipid Profile ◽  
Cognitive Performance ◽  
Aerobic Fitness ◽  
Aerobic Training ◽  
Control Group ◽  
Exercise Interventions ◽  
Lipoprotein A

Abstract Background: The present study was designed to evaluate the effects of 24 weeks of moderate aerobic exercise on the levels of lipids and lipoprotein; Lipo(a) markers and its association with cognitive performance in healthy older adults. Methods: A total of 150 healthy subjects (100 males, 50 females; age range; 65-95Yrs) were recruited for this study. Based up on LOTCA test score, subjects were classified randomly into two groups control group (n= 50) and cognitive impairment group (n=100).Cognitive functioning, Leisure-time physical activity (LTPA), lipid profile; total cholesterol, TG, HDL-c, LDL-C, and Lipo(a) were assessed at baseline and post- 24 week aerobic exercise interventions using LOTCA battery, pre validated PA questionnaire, colorimetric and immunoassay techniques respectively. Results. Significant improvements in the cognitive function and modulation in lipid profile and lipoprotein (a) markers were reported in all older subjects following 24 week of moderate exercise. LOTCA-7-sets scores showed a significant correlation with physical activity status and the regulation of lipids and lipo(a) markers. Physically active persons showed a higher cognitive performance along with reduction in the levels of T-Cholest., TG, LDL-C, Lipo(a) , and increase in the levels of HDL-C and aerobic fitness VO2max compared with sedentary participants. Cognitive performance correlated positively with the increase in aerobic fitness, HDL-C, and negatively with T-Cholest.,TG, LDL-C, Lipo(a) respectively. However, a significant increase, in the improvement of motor praxis, vasomotor organization, thinking operations, attention and concentration was reported among older adults. Conclusions: The data concluded that supervised moderate aerobic training for 24 weeks plays a positive significant effect in improving cognitive functions via modulating lipid profile and lipoprotein (a) of older adults.

The effectiveness of physical exercise interventions in the management of neuropsychiatric symptoms in dementia patients: a systematic review

2021 ◽  
pp. 1-14
Author(s):  
Komanthi Kouloutbani ◽  
Fotini Venetsanou ◽  
Alexandra Markati ◽  
Konstantinos E. Karteroliotis ◽  
Antonios Politis
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Physical Exercise ◽  
Strength Training ◽  
Aerobic Exercise ◽  
Training Programs ◽  
Neuropsychiatric Symptoms ◽  
Depression Symptoms ◽  
Daily Routine ◽  
Different Types

ABSTRACT Background: The management of neuropsychiatric symptoms (NPS) in patients with dementia is a major challenge. Since no effective therapy has been found to date and drug treatments are associatedwith significant side effects, there seems to be a pressing need for alternative non-pharmacological interventions. Objectives: The current study aims to investigate and compare the effect of different types of physical exercise on the NPS. Methods: A systematic review of the literature was conducted according to the PRISMA guidelines. Five databases (SCOPUS, PubMed, SPORT Discus, Web of science and ScienceDirect) were searched using the appropriate algorithm. What was sought out was randomized control trials (RCTs) that applied physical activity interventions with specific characteristics (type, frequency, intensity, and duration) in patients with dementia or mild cognitive impairment, studied the effect of exercise on their NPS and compared this effect with a control group that did not follow an exercise program. Results: From 512 articles, 13 studies were included in this review, involving a total of 1,925 patients. The results were analyzed and synthesized according to the type of exercise applied – aerobic exercise, multidimensional interventions and muscular strength training programs. In particular, the results showed that repetitive aerobic exercise three to five times a week had a positive effect on NPS, whereas multidimensional interventions combining different types of exercise did not appear to be as effective. Strength training programs have been found to significantly reduce depression symptoms and behavioral problems in demented patients with mobility problems. Conclusions: There is clear evidence that physical activity and especially aerobic exercise may be effective in the management of NPS. However, it is necessary to apply specific practical recommendations and specially designed programs to incorporate physical exercise into the daily routine of these patients.

scholarly journals A Mixed Methods Comparison of Perceived Benefits and Barriers to Exercise Between Obese and Nonobese Women

2013 ◽  
Vol 10 (4) ◽  
pp. 461-469 ◽  
Author(s):  
Lucia Andrea Leone ◽  
Dianne S. Ward
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Mixed Methods ◽  
Online Survey ◽  
White Women ◽  
Activity Levels ◽  
Obese Women ◽  
Exercise Interventions ◽  
Barriers To Exercise ◽  
The Relationship

Background:Obese women have lower levels of physical activity than nonobese women, but it is unclear what drives these differences.Methods:Mixed methods were used to understand why obese women have lower physical activity levels. Findings from focus groups with obese white women age 50 and older (N = 19) were used to develop psychosocial items for an online survey of white women (N = 195). After examining the relationship between weight group (obese vs. nonobese) and exercise attitudes, associated items (P < .05) were tested for potential mediation of the relationship between weight and physical activity.Results:Obese women were less likely than nonobese women to report that they enjoy exercise (OR = 0.4, 95% CI 0.2−0.8) and were more likely to agree their weight makes exercise difficult (OR = 10.6, 95% CI 4.2−27.1), and they only exercise when trying to lose weight (OR = 3.8, 95% CI 1.6−8.9). Enjoyment and exercise for weight loss were statistically significant mediators of the relationship between weight and physical activity.Conclusions:Exercise interventions for obese women may be improved by focusing on exercise enjoyment and the benefits of exercise that are independent of weight loss.

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