Factors and barriers associated with changes in physical activity after cancer diagnosis.

2017 ◽  
Vol 35 (5_suppl) ◽  
pp. 162-162 ◽  
Author(s):  
Sally A. D. Romero ◽  
Qing Susan Li ◽  
Jun J. Mao
Keyword(s):  
Physical Activity ◽  
Cancer Patients ◽  
Metastatic Disease ◽  
Cancer Diagnosis ◽  
Medical Center ◽  
Academic Medical Center ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Logistic Regression Models

162 Background: Cancer patients experience a variety of symptoms (e.g., pain, fatigue) that can impact their ability to maintain physical activity (PA) levels. The objectives of this study were to examine factors associated with decreased levels of PA following cancer diagnosis and to identify barriers to PA. Methods: We recruited cancer patients from one urban academic medical center and 11 affiliated community hospitals to participate in a cross-sectional study. We conducted chi-square tests and multivariate logistic regression models to examine patient demographics, clinical characteristics and self-reported barriers associated with decrease in PA levels since cancer diagnosis. Results: Among 662 participants, mean age (SD) was 59.9 (11.6) years. The majority were female (65%), White (81%), and overweight/obese (65%). Common cancer types were breast (32%), lung/thoracic (15%), and hematological (15%), 53% had non-metastatic disease, and 53% were > 12 months post-cancer diagnosis. The majority received chemotherapy (88%), radiation (53%), and/or surgery (53%). Since their cancer diagnosis, 499 (75%) participants reported decreasing their PA levels, 16% maintained, and 4% increased their PA levels. In multivariate analyses, decreased PA levels were significantly associated with receiving chemotherapy [Adjusted Odds Ratio (AOR) 3.54, 95% CI 2.06-6.06] and having metastatic disease (AOR 1.64, 95% CI 1.07-2.52). For barriers to PA, the most common were fatigue (78%), pain (71%), difficulty getting motivated (68%) and difficulty remaining disciplined (65%). In bivariate analyses, the presence of symptoms (i.e., pain, nausea, fatigue, treatment side effects, or surgical complications), difficulty getting motivated, difficulty remaining disciplined, and sadness were significantly associated (p < 0.05) with decreasing PA levels. Conclusions: The majority of cancer patients, especially those who received chemotherapy and those with advanced disease, decreased their PA levels since cancer diagnosis. In addition, physical and psychological barriers exist that influence PA levels. Interventions targeting these barriers are needed to promote maintenance of PA levels throughout the cancer continuum.

scholarly journals ASSESSING OF MALNUTRITION IN PATIENTS WITH CANCER BY USING PATIENT-GENERATED SUBJECTIVE GLOBAL ASSESSMENT SHORT FORM (PG-SGA-SF)

2021 ◽  
pp. 131-141
Author(s):  
Maha Almatary ◽  
Fatma Ghait ◽  
Hajer Mohammed ◽  
Ali Ateia Elmabsout
Keyword(s):  
Nutritional Status ◽  
Cancer Patients ◽  
Short Form ◽  
Medical Center ◽  
Life Quality ◽  
Cross Sectional Study ◽  
Negative Consequences ◽  
Chi Square ◽  
Cross Sectional ◽  
The Mean

Introduction: Cancer-related malnutrition has negative consequences are taken too lightly in most oncology wards. The objective of this study is to determine the malnutrition risk (MR)/malnutrition (MN) in cancer patients using PG-SGA short form. Methods: This cross sectional study was conducted with cancer patients in oncology unit at Benghazi medical center on 229 patients in which 107 male and 122 female. The data collected through PG-SGA short form and analyzed by either frequencies or by suing Chi-square for significant differences. Results and discussion: The study enrolled 229 oncology patients. The mean age was 58.34 ± 11.60 years. One hundred and twenty tow (53.7.3%) of the patients were female. The most common three tumor types were breast tumors (27.9%) followed by colorectal cancer (14%) whereas, almost similar report for lung, liver and upper GIT (10.9%). (11.4%) and (11.8%) respectively . The mean BMI of the patients was 26.17 ± 0.3 kg/m2. According to PG-SGA short form of the patients were in moderate risk of nutritional status and overall score of PG-SGA short form was 18. 34± 0.56. Furthermore the prevalence of cancer in this study was significant high in male (P< 0.05) Conclusion: In cancer patients, the risk of malnutrition is significantly high, and this may alter the patient’s life quality and expectancy. Therefore, the nutritional status of the patient that is diagnosed with cancer should be assessed in early stages of the disease. KEYWORDS: malnutrition, cancer, PG-SGA Nutrition Assessments

Characteristics and risk factors associated with stroke subtypes among adult patients admitted to stroke unit of JUMC

2019 ◽  
Vol 15 ◽  
Author(s):  
Bekalu Getachew Gebreegziabher ◽  
Tesema Etefa Birhanu ◽  
Diriba Dereje Olana ◽  
Behailu Terefe Tesfaye
Keyword(s):  
Risk Factors ◽  
Stroke Unit ◽  
Medical Center ◽  
Data Entry ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
Stroke Subtypes

Background: Stroke is a great public health problem in Ethiopia. According to reports, in-hospital stroke mortality was estimated to be 14.7% in Ethiopia. Despite this, in this country researches done on factors associated with stroke sub-types were inadequate. Objective: To assess the Characteristics and risk factors associated with stroke sub-types among patients admitted to JUMC. Methods and materials: A retrospective cross sectional study was conducted from May 2017 to May 2018 in stroke unit of Jimma University Medical Center. A total of 106 medical charts of patients diagnosed with stroke were reviewed. Checklist comprising of relevant variables was used to collect data. SPSS version 21 was employed for data entry and analysis. Chi-square test was used to point-out association and difference among stroke sub-types. The data was presented using text, tables and figures. Result: From a total of 106 patients, 67(63.2%) were men. The mean ± SD of age was 52.67±12.46 years, and no significant association was found. Of all the patients, 59(55.6%) had ischemic strokes and 47(44.4%) had hemorrhagic strokes. The most common risk factor in the patients was alcohol use with a prevalence of 69.9%. Of all the risk factors, only sex, cigarettes smoking and dyslipidemia were significantly associated to sub-types of stroke. Conclusion: Ischemic stroke was the most common subtype of stroke. Sex of patient, cigarette smoking and dyslipidemia are significantly associated with the two stroke subtypes.

Health and nutrition literacy in adults: Links with lifestyle factors and obesity

2020 ◽  
Vol 13 (4) ◽  
pp. 361-370
Author(s):  
Maria Michou ◽  
Demosthenes B. Panagiotakos ◽  
Christos Lionis ◽  
Vassiliki Costarelli
Keyword(s):  
Physical Activity ◽  
Alcohol Consumption ◽  
Linear Regression ◽  
Smoking Status ◽  
Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Lifestyle Factors ◽  
Linear Regression Models ◽  
Chi Square ◽  
Cross Sectional

BACKGROUND: Low Health Literacy (HL) and Nutrition Literacy (NL) are associated with serious negative health outcomes. OBJECTIVES: The aim of this study was to investigate certain lifestyle factors and obesity, in relation to HL and NL. METHODS: This cross-sectional study was conducted in the urban area of the Attica region, in Greece. The sample consisted of 1281 individuals, aged ≥18 years. HL, NL sociodemographic characteristics and lifestyle factors (physical activity, smoking status, alcohol consumption,) were assessed. Mann-Whitney U, the Kruskall Wallis, Pearson chi-square tests and multiple linear regression models were used. RESULTS: Linear regression analysis has shown that smoking, alcohol consumption and physical activity, were associated with HL levels (–1.573 points for ex-smokers in comparison to smokers, p = 0.035, –1.349 points for alcohol consumers in comparison to non-consumers, p = 0.006 and 1.544 points for physically active individuals to non-active, p = 0.001). With respect to NL levels, it was also not associated with any of these factors. Obesity was not associated with HL and NL levels. CONCLUSIONS: Certain lifestyle factors, including physical activity, are predicting factors of HL levels, in Greek adults. The results contribute to the understanding of the relationship between lifestyle factors and HL and should be taken into account when HL policies are designed.

scholarly journals Setting – based prevalence and correlates of central obesity: findings from a cross-sectional study among formal sector employees in Dodoma City, Central Tanzania

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mariam John Munyogwa ◽  
Kaloli Sayi Ntalima ◽  
Secilia Ng’weshemi Kapalata
Keyword(s):  
Central Obesity ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Formal Sector ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Face To Face ◽  
Chi Square Test

Abstract Background Obesity at the workplace has been associated with symptoms of lower self-esteem, increased individual and employer healthcare costs, increased absenteeism and presenteeism and reduced productivity. Therefore, this study was designed to study the prevalence and correlates of central obesity among formal sector employees in Dodoma City. Methods Study design was a cross-sectional survey conducted from March to June, 2019. Participants were employees from formal sector employment defined as those paid regular monthly wage and with either a secured permanent or temporary contract. Simple random sampling was used to select four out of fifteen large buildings hosting various establishments. Respondents were obtained conveniently and interviewed face to face. Central obesity was defined as a waist circumference greater than 102 cm for males and greater than 88 cm for females. Chi-square test was conducted to assess the differences among the groups. Simple and multiple logistic regression models were fitted to identify the correlates of central obesity. Results A total of 392 respondents (98% response rate) agreed and participated in the study. The overall prevalence of central obesity was found to be 41.8% (164/392). The prevalence of central obesity was significantly higher among females (67.4% p < 0.001), respondents aged ≥51 years (60%, p = < 0.001), administrators (55.1% p = < 0.05), respondents with salary of > 1,000,000 Tanzanian Shilling (TSh.) per month (54.4%, p = < 0.05), respondents who eat homemade meals at the workplace (64.2%, p = < 0.05) and respondents with hypertension (62.5%, p = < 0.05). Correlates of central obesity were found to be female sex (AOR = 9.53; 95% CI: 5.49, 16.78), increased age, eating homemade meals at the workplace (AOR = 2.32; 95% CI: 1.04, 4.19) and hypertension (AOR = 3.15; 95% CI: 1.41, 6.91). Conclusions The present study revealed high prevalence of central obesity among formal sector employees in Dodoma City. Scholars and stakeholders are urged to generate more evidences and design appropriate interventions to curb the situation.

Prevalence of Internet Addiction and Its Relationship With Combinations of Physical Activity and Screen-Based Sedentary Behavior Among Adolescents in China

2021 ◽  
pp. 1-8
Author(s):  
Gengyu Han ◽  
Jingshu Zhang ◽  
Shang Ma ◽  
Ruoran Lu ◽  
Jiali Duan ◽  
...  
Keyword(s):  
Physical Activity ◽  
Logistic Regression ◽  
Sedentary Behavior ◽  
Internet Addiction ◽  
Cross Sectional Study ◽  
Mixed Effects ◽  
Chi Square ◽  
Cross Sectional ◽  
Other Information ◽  
Chi Square Test

Background: Given the widespread prevalence and serious nature of Internet addiction (IA), this study aimed to estimate the prevalence of IA and assess the relationships between IA and combinations of physical activity (PA) and screen-based sedentary behavior (SB) among adolescents in China. Methods: This cross-sectional study surveyed 31,954 adolescents in grades 7 to 12 in Beijing. IA, PA, screen-based SB, and other information were obtained from a self-administrated questionnaire. The chi-square test and mixed-effects logistic regression model were applied to estimate the relationship between IA and combinations of PA and screen-based SB. Results: 6.2% of the surveyed adolescents reported IA and the prevalence of low PA/high screen-based SB, high PA/high screen-based SB, low PA/low screen-based SB, and high PA/low screen-based SB were 53.7%, 19.5%, 18.8%, and 8.0%, respectively. Mixed-effects logistic regression analysis showed that adolescents with low PA/high screen-based SB were 1.99 (95% confidence interval, 1.62–2.44, P < .001) times more likely to prefer IA than those with high PA/low screen-based SB. Conclusions: The prevalence of IA among Chinese adolescents is still high. Intervention programs like maintaining sufficient PA and reducing screen-based SB might contribute to reducing their IA.

scholarly journals A Study on Knowledge Towards Brain Death among Residents in Indonesia

2020 ◽  
Vol 56 (2) ◽  
pp. 140
Author(s):  
Asra Al Fauzi ◽  
Christrijogo Sumartono Waloejo ◽  
Abdulloh Machin ◽  
Muhammad Ja'far Shodiq
Keyword(s):  
Brain Death ◽  
Medical Center ◽  
Academic Medical Center ◽  
Cross Sectional Study ◽  
Research Subjects ◽  
Cross Sectional ◽  
Academic Medical ◽  
Center Hospital ◽  
Level 3 ◽  
Level 2

This research was conducted to evaluate the knowledge and diagnosis of brain death among resident in Indonesia. This study used an observational analytic study with a cross-sectional study design using a questionnaire. The research subjects consisted of 132 level 2 (after 2 years of residency) and level 3 (after 4 years of residency) residents, the total sampling for which was taken from the departments of Neurosurgery, Anesthesiology, and Neurology at Dr. Soetomo Academic Medical Center Hospital, Surabaya, Indonesia. Data were taken from November 2018 to January 2019. A total of 132 residents of Neurosurgery, Neurology, and Anesthesiology participated in this study. From the series of studies, residents’ knowledge of the concept of brain death was in the sufficient category (41.7%), residents’ knowledge of the technical diagnosis of brain death was in the good category (40.2%), residents’ knowledge of brain death examination was in the less category (43.2%), and finally, it was found that the resident's knowledge of brain death was in a good category (35.6%). There were also significant differences in knowledge of brain death between Neurosurgery, Neurology, and Anesthesiologist Resident (P <0.001) and knowledge of brain death between level 2 and level 3 residents (P=0.032). In general, the Indonesian resident doctors’ knowledge of brain death is adequate, but knowledge of the clinical examination of brain death is still lacking. Further research must be carried out to promote knowledge of brain death in residents as well as professional doctors/specialists, so that the number of organ transplants, especially in Indonesia, will increase.

scholarly journals Correlation of Physical Activity, Family Income and Consumption of Fruits and Vegetables with the Incidence of Obesity in Adolescents

KINESTETIK ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 283-289
Author(s):  
Firdausi Ramadhani ◽  
Franning Deisi Badu ◽  
Lisa Djafar ◽  
Sunarti Hanapi ◽  
Dwi Tama Pahrun
Keyword(s):  
Physical Activity ◽  
High Schools ◽  
Fruits And Vegetables ◽  
Family Income ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Asia Pacific ◽  
District Health ◽  
Chi Square ◽  
Cross Sectional

Obesity is defined as an increase in energy intake compared to expenditure, resulting in depletion of body fat and eventually wearing weight. The prevalence of obesity has increased sharply in the Asia Pacific region. Many factors cause obesity. Based on data obtained from the Gorontalo District Health Office in 2018, it shows that the incidence of obesity was 8.795 cases (30.9%) consisting of 1.971 men (6.9%) and 6.824 women (24.0%). Objective: To determine several factors related to the incidence of obesity in adolescents in several high schools in Gorontalo District. This type of research uses observational analytic with a cross sectional study design. The population in this study were all students of class X and XI in SMA Negeri 1 Telaga and SMA Negeri 1 Tibawa, Gorontalo Regency as many as 1.341 students. By using the sampling technique of Proportional Stratified Random Sampling as many as 171 samples. With data analysis techniques using thetest Chi Square. The results of the study of physical activity and consumption of fruits and vegetables had no relationship with the incidence of obesity in adolescents in several high schools in Gorontalo District. Meanwhile, family income has a relationship with the incidence of obesity in adolescents in several high schools in Gorontalo Regency in 2019. It is hoped that each school can increase various activities that can reduce obesity problems and can also provide education in the form of health education to students.

scholarly journals Factors Associated With Dementia In The Elderly At Cakung District Health Center In 2020

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Tasya Virrisya Tania ◽  
Fajar Susanti ◽  
Erlin Ifadah ◽  
Apri Sunadi
Keyword(s):  
Physical Activity ◽  
Health Center ◽  
The Elderly ◽  
Cross Sectional Study ◽  
District Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
Study Approach ◽  
Keywords Dementia

Dementia is an acquired intellectual and memory dysfunction caused by brain disease, and is not associated with impaired levels of consciousness. The purpose of this study was to determine the factors associated with dementia in the elderly at the Cakung District Health Center in 2020. This study is a quantitative study with a correlative descriptive research design with a cross sectional study approach. The population consisted of elderly patients who participated in prolanis activities at the Cakung District Health Center. Sampling using total sampling. The sample consisted of 60 respondents. Data analysis using chi square test. The results showed a relationship between age (p = 0.000), physical activity (p = 0.000) and dementia. Physical activity needs to be done by the elderly to inhibit the factors that accelerate the onset of dementia. Counseling and learning about physical activity in the elderly should be a program in providing health services to the elderly, especially to prevent dementia. Keywords : Dementia, Physical Activity 

Associations of Social Network Characteristics With Gait Speed in Older Women From Physical Activity Community Groups

2020 ◽  
pp. 1-8
Author(s):  
Carlos M. Arango-Paternina ◽  
Jhon F. Ramírez-Villada ◽  
Annie A. Tibaduiza-Romero ◽  
Leonardo Rodríguez-Perdomo
Keyword(s):  
Physical Activity ◽  
Social Network ◽  
Gait Speed ◽  
Cross Sectional Study ◽  
Adult Women ◽  
Community Groups ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Speed Test ◽  
The Social

The identification of social network factors associated with gait speed may offer different perspectives for improving community and clinical interventions for older adults. The objective of this study was to explore the associations of the social network of friends with gait speed. This was a cross-sectional study conducted in a sample of 128 older adult women recruited in community groups of physical activity. Clinical screening, social network questions, body composition evaluation, and gait speed test were applied to the participants. Logistic regression models were used to analyze associations between characteristics of the social network of friends and high gait speed. Findings indicated that social isolation was not associated with high gait speed and that popularity and proportion of friends with high gait speed were significantly associated with high gait speed. Findings suggested that there was a relationship between social network factors and the ability to perform high gait speed.

scholarly journals Kecenderungan dehidrasi pada remaja obesitas

2018 ◽  
Vol 7 (1) ◽  
pp. 43-48
Author(s):  
Deny Yudi Fitranti ◽  
Fillah Fithra Dieny ◽  
Binar Panunggal ◽  
Vintantiana Sukmasari ◽  
Gardinia Nugrahani
Keyword(s):  
Physical Activity ◽  
Risk Factor ◽  
Fluid Intake ◽  
Cross Sectional Study ◽  
Hydration Status ◽  
Obese People ◽  
Chi Square ◽  
Cross Sectional ◽  
Obese Adolescents ◽  
Obese Subjects

Background : The content of water in fat cells in obese people is lower than muscle cells so that obese people are more easily dehydrated.Objective : The purpose of this study is to determine the risk factors of dehydration in adolescents.Methods : This study was a cross sectional study which began with screening of 168 students at SMA N 1 and 2 Semarang and found 63 students fulfilled the inclusion criteria. Subjects were selected by consecutive sampling. The dependent variable of this study is hydration status measured by the urine spesific gravity method. The independent variables consisted of obesity status that determined by the BMI/Age Z-score value, fluid intake was assessed using Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), physical activity was assessed using physical activity questionnaire, whereas knowledge regarding fluid was assessed by questionnaire. Data were analyzed using Chi Square test.Results ; There were 52,4% (n=33) subjects who were obese and only 9,5% (n=6) subjects were well-hydrated. The incidence of dehydration in obese adolescents (63,6%) was higher than non obese adolescents (36,7%). Obese subjects was 1.73 times more dehydrated than non obese subjects. Subject with deficiency of fluid intake was 1,85 times more dehydrated than subject with adequate fluid intake. Knowledge regarding fluid and physical activity was not a risk factor for dehydration in adolescents.Conclusion :Obesity and inadequate fluid intake ia risk factor for dehydration in adolescents

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