Educational Program Promoting Regular Physical Exercise Does Not Improve Muscular Capacity In Osteoarthritis Knee Patients

Aim. To study the effectiveness of personality-oriented educational program in the rehabilitation of young patients with chronic non-calculous cholecystitis. Methods. Examined were 64 people aged 18 to 35 years with a diagnosis of «chronic non-calculous cholecystitis in the remission phase». Conducted was a comprehensive examination and a clinico-psychological evaluation of the levels of personal and reactive anxiety, according to the method of Spielberger-Hanin, psychological diagnosis of types of attitudes to the disease, assessment of the quality of life according to the «ESADA» (Evaluation of the Situation of Adaptation, DysAdaptation). All patients participated in the educational personality-oriented program, which included individual counseling, coming up with a treatment and rehabilitation plan, visiting the «gastro-school». Results. As a result of educating of 64 patients the number of people with high levels of reactive anxiety decreased from 5 (7.8%) to 2 (3.1%), with a moderate level - from 27 (42.2%) to 21 (32.8%) and the number of individuals with low levels of anxiety increased from 32 (50.0%) to 41 (64.1%). The proportion of patients with high levels of personal anxiety decreased significantly: from 57.8 to 29.7% (p 0.001). Noted was an increase in the number of people with moderate and low levels of anxiety: from 32.8 to 43.8% and from 9.8 to 26.6%, respectively (p 0.001). The number of individuals with the type of attitude to the disease of the first block increased, with a clear trend towards an increase in patients with an ergopathic type attitude to the disease by the end of classes: from 6.3 to 25.0% (p 0.001). Among the type of attitide to the disease of the second block the largest positive trend was registered among individuals with anxious (from 23.4 to 12.5%) and hypochondriacal (from 43.8 to 29.7%) types. Before training only 9 (14.1%) patients were compliant with guidelines on therapeutic nutrition, 19 (29.7%) patients maintained the diet, but not on a regular basis; and after the training 41 (64.4%) individuals started maintaining the diet, 23 (35.9%) people - not on a regular basis. Prior to the training 7 (10.9%) patients had regular physical exercise, 18 (28.1%) - occasional physical exercise; upon completion of the training 18 (28.1%) patients engaged in regular physical exercise, 39 (60.9%) - in occasional physical exercise. 4 (6.3%) patients were able to «cope with the stress» prior to training, and 34 (53.1%) patients - upon completion of training. Conclusion. The developed personality-oriented educational program for patients with diseases of the biliary system has proven its effectiveness: the features of the psycho-emotional area have improved, favorable healthy lifestyles habits have developed.

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Comparing the Effects of Cognitive Behaviour Therapy or Regular Physical Exercise On Sleep in the Treatment of Patients with Panic Disorder

10.26226/morressier.5885d718d462b8028d891f5e ◽

2017 ◽

Author(s):

Anders Hovland

Keyword(s):

Panic Disorder ◽

Physical Exercise ◽

Cognitive Behaviour Therapy ◽

Behaviour Therapy ◽

Cognitive Behaviour ◽

Regular Physical Exercise

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The Role of Physical Exercise in Obesity and Diabetes

Swiss Sports & Exercise Medicine ◽

10.34045/ssem/2018/20 ◽

2018 ◽

Vol 66 (3) ◽

Keyword(s):

Type 2 Diabetes ◽

Type 1 Diabetes ◽

Glycemic Control ◽

Physical Exercise ◽

Treatment Guidelines ◽

Treatment Guideline ◽

Obesity And Diabetes ◽

Regular Physical Exercise

The prevalence of obesity is increasing world-wide. Obesity is associated with a plethora of metabolic and clinical constraints, which result in a higher risk for the development of cardiovascular complications and metabolic disease, particularly insulin resistance and type 2 diabetes. Obesity is an acknowledged determinant of glycemic control in patients with type 1 diabetes and accounts for the majority of premature death due to cardiovascular events. Physical exercise is generally recommended in patients with diabetes in order to prevent the development of or reduce existing obesity, as adopted by every international treatment guideline so far. Regular physical exercise has a beneficial impact on body composition, cardiovascular integrity, insulin sensitivity and quality of life. However, only a minority of patients participates in regular physical exercise, due to individual or disease-related barriers. In type 2 diabetes, there is robust evidence for beneficial effects of physical exercise on glycemic control, cardiovascular health and the development of diabetes-related long-term complications. In type 1 diabetes and patients treated with insulin, a higher risk for exercise-related hypoglycemia has to be considered, which requires certain prerequisites and adequate adaptions of insulin dosing. Current treatment guidelines do only incompletely address the development of exercise-related hypoglycemia. However, every patient with diabetes should participate in regular physical exercise in order to support and enable sufficient treatment and optimal glycemic control.

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QUALITY OF LIFE IN WOMEN WITH BREAST CANCER, WHO PRACTICE REGULAR PHYSICAL EXERCISE: AN ANALYSIS OF PHYSIOLOGICAL AND PSYCHOLOGICAL DETERMINANTS

10.21506/j.ponte.2020.1.14 ◽

2020 ◽

Vol 76 (1) ◽

Author(s):

Marta Leyton Roman ◽

Santiago Fresno Alba ◽

Ruth Jimenez Castuera

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Physical Exercise ◽

Psychological Determinants ◽

Regular Physical Exercise

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The poorly conducted orchestra of steroid hormones, oxidative stress and inflammation in frailty needs a maestro: Regular physical exercise

Experimental Gerontology ◽

10.1016/j.exger.2021.111562 ◽

2021 ◽

pp. 111562

Author(s):

Marcelo Paes de Barros ◽

André Luís Lacerda Bachi ◽

Juliana de Melo Batista dos Santos ◽

Rafael Herling Lambertucci ◽

Rafael Ishihara ◽

...

Keyword(s):

Oxidative Stress ◽

Physical Exercise ◽

Steroid Hormones ◽

Regular Physical Exercise

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The effect of physical exercise and caloric restriction on the components of metabolic syndrome

Brazilian Journal of Pharmaceutical Sciences ◽

10.1590/s1984-82502009000300003 ◽

2009 ◽

Vol 45 (3) ◽

pp. 379-399 ◽

Cited By ~ 6

Author(s):

Francisco Leonardo Torres-Leal ◽

Mariana Dutilh de Capitani ◽

Julio Tirapegui

Keyword(s):

Metabolic Syndrome ◽

Physical Exercise ◽

Caloric Restriction ◽

Epidemiologic Studies ◽

Lifestyle Changes ◽

Moderate Intensity ◽

Mass Reduction ◽

Current State ◽

Regular Physical Exercise

Recent studies of the effects of physical exercise and caloric restriction have found several benefits on the metabolic and cardiovascular risk factors related to metabolic syndrome (MS). This review examines the current state of knowledge of the effects of physical exercise on the main pathologies associated with MS: obesity, insulin resistance, type 2 diabetes mellitus (DM2), dyslipidemias and hypertension. Although there are only a few randomized and controlled studies that evaluated the prevention and treatment of MS, strong evidence from controlled studies indicates that lifestyle changes that include regular physical exercise and caloric restriction are effective in preventing and treating DM2 in overweight individuals with reduced glucose tolerance. Likewise, epidemiologic studies suggest that regular physical exercise prevents the development of DM2 and cardiovascular disease. Based on current recommendations, it is important to increase the level of physical exercise at a moderate intensity to achieve good cardiorespiratory and muscular conditions and to promote fat mass reduction, with consequent reductions of risk of developing metabolic syndrome.

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WAS POSTPONING THE TOKYO 2020 OLYMPIC AND PARALYMPIC GAMES A CORRECT DECISION?

Revista Brasileira de Medicina do Esporte ◽

10.1590/1517-8692202026030036 ◽

2020 ◽

Vol 26 (3) ◽

pp. 191-195 ◽

Cited By ~ 1

Author(s):

Renato de Carvalho Guerreiro ◽

Andressa Silva ◽

Henrique de Araújo Andrade ◽

Isadora Grade Biasibetti ◽

Roberto Vital ◽

...

Keyword(s):

Immune System ◽

Physical Exercise ◽

Chronic Diseases ◽

Transmission Rate ◽

Jet Lag ◽

Level Of Evidence ◽

Competition Period ◽

Regular Physical Exercise ◽

Paralympic Games

ABSTRACT In December 2019, Wuhan, in China, attracted international attention due to a pneumonia outbreak caused by the new coronavirus (2019-nCoV). Infection by 2019-nCoV is more likely in elderly people with comorbidities or with associated chronic diseases. Due to the high transmission rate among humans, this disease is rapidly disseminated, which led to several events being canceled, including the Tokyo 2020 Olympic and Paralympic Games. The aim of this article is to discuss the risk factors for Olympic and Paralympic athletes, as well as for spectators, that justify the decision to postpone the Tokyo Games 2020. Regular physical exercise is associated with health and the prevention of chronic diseases. Although athletes generally appear to be healthy and physically fit, this may not be true. The immune system, which protects the organism from invasive microorganisms, can be affected by the duration and quality of sleep, as well as by physical exercise which influences the quality of the immune response. High volumes of high-intensity physical exercise, as well as changes in sleep patterns during the pre-competition period and the impacts of jet lag on athletes traveling for the Tokyo Games in 2020 may lead to immune system suppression, making these groups more vulnerable to infection by 2019-nCoV. Moreover, during the period planned for the games in 2020 the pandemic may be subsiding in some countries and increasing in others, and this was also taken into consideration as a risk factor. Hence, the decision taken to postpone the Tokyo 2020 Olympic and Paralympic Games until 2021 due to the 2019-nCoV was the correct one, and was extremely important to protect the health of Olympic and Paralympic athletes, as well as spectators. Level of evidence V; expert opinion .

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A prospective study for the assessment of thyroid function by pre and post supervised exercise protocol in newly diagnosed patients of subclinical hypothyroidism

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20190451 ◽

2019 ◽

Vol 6 (2) ◽

pp. 253

Author(s):

Dharmendra Jhavar ◽

Naresh K. Patel ◽

V. P. Pandey

Keyword(s):

Physical Exercise ◽

Thyroid Function ◽

Subclinical Hypothyroidism ◽

Thyroid Function Test ◽

Exercise Group ◽

P Value ◽

Newly Diagnosed ◽

Function Test ◽

Thyroid Profile ◽

Regular Physical Exercise

Background: The presence of raised serum TSH with serum free T4 and T3 within the reference range falls in subclinical hypothyroidism. It is a well-known fact that exercise affects the activity of thyroid glands and the production of their hormones. Author studied the effect of regular exercise in patients of newly diagnosed subclinical hypothyroidism. Pre and post-exercise thyroid function tests were evaluated to decide about the necessity to start thyroid replacement therapy or to adopt wait and watch policy.Methods: Study enrolled 100 newly diagnosed subclinical hypothyroidism patients attending this tertiary care hospital and randomised them in two groups, one group was subjected to regular physical exercise of 45-60 minutes daily along with supervised treadmill exercise stage 0 for 45-60 minutes once weekly followed by re-evaluation of thyroid function test after 30 days and second group was re-evaluated for thyroid function test without exercise after 30 days.Results: Thyroid profile parameters were compared and analysed by paired ‘t’ test, statistically significant increase in serum T3 (p value <0.05) and serum T4 (p value <0.05), along with significant reduction in TSH level (p value <0.05) were found in exercise group, while in non-exercise group changes in thyroid profile parameters were statistically not significant. There was significant reduction in mean weight in exercise group (p value <0.05), while in non-exercise group changes in weight were not significant.Conclusions: Present study concluded that regular physical exercise can improve thyroid function in patients of newly diagnosed subclinical hypothyroidism and convert them to euthyroid state.

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