scholarly journals Objectively-determined Physical Activity And Its Association With Mobility Limitations In Older, Chronic Disease Patients

2019 ◽  
Vol 51 (Supplement) ◽  
pp. 210
Author(s):  
Victoria R. DeScenza ◽  
Alexander R. Lucas ◽  
Christina Simpson ◽  
Ciaran M. Fairman ◽  
Jennifer M. Thomas-Ahner ◽  
...  
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Mobility Limitations ◽  
Chronic Disease Patients

scholarly journals High Sedentary Behaviour and Low Physical Activity are Associated with Anxiety and Depression in Myanmar and Vietnam

2019 ◽  
Vol 16 (7) ◽  
pp. 1251 ◽  
Author(s):  
Supa Pengpid ◽  
Karl Peltzer
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Sedentary Behaviour ◽  
Sedentary Time ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
High Physical Activity ◽  
Chronic Disease Patients ◽  
General Physical ◽  
Activity Questionnaire

The study aimed to estimate independent and combined associations of sedentary behaviour and physical activity with anxiety and depression among chronic disease patients in Myanmar and Vietnam. The cross-sectional sample included 3201 chronic disease patients (median age 51 years, interquartile range 25) systematically recruited from primary care facilities in 2015. Sedentary time and physical activity were assessed with the General Physical Activity Questionnaire (GPAQ). Overall, the prevalence of sedentary time per day was 51.3% < 4 h, 31.2% between 4 and 8 h, and 17.5% 8 or more hours a day), and 30.7% engaged in low physical activity, 50.0% moderate, and 23.6% high physical activity. The prevalence of anxiety and depression was 12.7% and 19.9%, respectively. In the final logistic regression model, adjusted for relevant confounders, higher sedentary time (≥8 h) did not increase the odds for anxiety or depression, but moderate to high physical activity decreased the odds for anxiety and depression. Combined regression analysis found that participants with both less than eight hours of sedentary time and moderate or high physical activity had significantly lower odds of having anxiety and depression. Findings suggest an independent and combined association between moderate or high physical activity and low sedentary time with anxiety and/or depression among chronic disease patients in Myanmar and Vietnam.

scholarly journals Relationship between Self-efficacy and Physical Activity, Medication Adherence in Chronic Disease Patients

2017 ◽  
Vol 6 (1) ◽  
pp. 63 ◽  
Author(s):  
AhmadAli Eslami ◽  
SeydeShahrbanoo Daniali ◽  
FiroozeMostafavi Darani ◽  
Mohammad Mazaheri
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Medication Adherence ◽  
Self Efficacy ◽  
Chronic Disease Patients

Chronic Disease Prevention: Tobacco, Physical Activity, and Nutrition for a Healthy Start: A Vital Direction for Health and Health Care

2016 ◽  
Vol 6 (9) ◽  
Author(s):  
William H. Dietz ◽  
◽  
Ross C. Brownson ◽  
Clifford E. Douglas ◽  
John J. Dreyzehner ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Chronic Disease ◽  
Disease Prevention ◽  
Healthy Start ◽  
Chronic Disease Prevention

Designing for Dissemination in Chronic Disease Prevention and Management

2017 ◽  
Author(s):  
Neville Owen ◽  
Ana Goode ◽  
Takemi Sugiyama ◽  
Mohammad Javad Koohsari ◽  
Genevieve Healy ◽  
...  
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Cost Effectiveness ◽  
Health Behavior Change ◽  
The Other ◽  
Research Quality ◽  
Policy Initiatives ◽  
Rigorous Study ◽  
Behavior Change Program

This chapter emphasizes the need for research that is designed and implemented explicitly with dissemination in mind. This is illustrated in relation to environmental and policy initiatives to influence physical activity through active transport, and through the example of initiatives to reduce workplace sitting. The other element of this chapter, the broad-reach intervention-dissemination case study of a health behavior-change program, highlights the need to maintain key elements of research quality in designing for dissemination, to the extent that is practically possible: a rigorous study design; the systematic tracking of implementation and related costs; and, the conduct of dose-response, maintenance and cost-effectiveness analyses. These examples of designing for dissemination illustrate not only the exciting opportunities for real-world dissemination research, but also the resourcefulness and commitment required for success.

scholarly journals Physical activity coaching for adults with mobility limitations: protocol for the ComeBACK pragmatic hybrid effectiveness-implementation type 1 randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e034696
Author(s):  
Leanne Hassett ◽  
Anne Tiedemann ◽  
Rana S Hinman ◽  
Maria Crotty ◽  
Tammy Hoffmann ◽  
...  
Keyword(s):  
Physical Activity ◽  
Well Being ◽  
Text Messages ◽  
Waiting List ◽  
Randomised Control Trial ◽  
Control Group ◽  
Mobility Limitations ◽  
Intervention Package ◽  
Motivational Resources

IntroductionMobility limitation is common and often results from neurological and musculoskeletal health conditions, ageing and/or physical inactivity. In consultation with consumers, clinicians and policymakers, we have developed two affordable and scalable intervention packages designed to enhance physical activity for adults with self-reported mobility limitations. Both are based on behaviour change theories and involve tailored advice from physiotherapists.Methods and analysisThis pragmatic hybrid effectiveness-implementation type 1 randomised control trial (n=600) will be undertaken among adults with self-reported mobility limitations. It aims to estimate the effects on physical activity of: (1) an enhanced 6-month intervention package (one face-to-face physiotherapy assessment, tailored physical activity plan, physical activity phone coaching from a physiotherapist, informational/motivational resources and activity monitors) compared with a less intensive 6-month intervention package (single session of tailored phone advice from a physiotherapist, tailored physical activity plan, unidirectional text messages, informational/motivational resources); (2) the enhanced intervention package compared with no intervention (6-month waiting list control group); and (3) the less intensive intervention package compared with no intervention (waiting list control group). The primary outcome will be average steps per day, measured with the StepWatch Activity Monitor over a 1-week period, 6 months after randomisation. Secondary outcomes include other physical activity measures, measures of health and functioning, individualised mobility goal attainment, mental well-being, quality of life, rate of falls, health utilisation and intervention evaluation. The hybrid effectiveness-implementation design (type 1) will be used to enable the collection of secondary implementation outcomes at the same time as the primary effectiveness outcome. An economic analysis will estimate the cost-effectiveness and cost-utility of the interventions compared with no intervention and to each other.Ethics and disseminationEthical approval has been obtained by Sydney Local Health District, Royal Prince Alfred Zone. Dissemination will be via publications, conferences, newsletters, talks and meetings with health managers.Trial registration numberACTRN12618001983291.

Combined Associations of Muscle-Strengthening Activities and Accelerometer-Assessed Physical Activity on Multimorbidity: Findings From NHANES

2016 ◽  
Vol 31 (4) ◽  
pp. 274-277 ◽  
Author(s):  
Scott J. Dankel ◽  
Jeremy P. Loenneke ◽  
Paul D. Loprinzi
Keyword(s):  
Physical Activity ◽  
Logistic Regression ◽  
Chronic Disease ◽  
Confidence Interval ◽  
National Health ◽  
Cost Effective ◽  
Muscle Strengthening ◽  
Recommended Guidelines ◽  
Nutritional Examination Survey

Purpose. Physical activity (PA) has previously been demonstrated to be inversely related with multimorbidity (having more than one chronic disease); however, it is unknown whether dual participation in both PA and muscle-strengthening activities (MSA) may further reduce the odds of being multimorbid. Therefore, the purpose of our study was to determine the association between multimorbidity and individuals meeting recommended guidelines for both PA and MSA. Design. Nonexperimental. Setting. The 2003–2006 National Health and Nutritional Examination Survey. Subjects. Four thousand five hundred eighty-seven adults aged ≥20 years. Measures. Accelerometry-measured PA, self-reported MSA, and multimorbidity. Analysis. Data were analyzed using multivariable linear and logistic regression. Results. The odds (95% confidence interval) of being multimorbid for those only meeting MSA guidelines, only meeting PA guidelines, and meeting both PA and MSA guidelines (vs. not meeting either), respectively, were .69 (.48, .98; p = .04), .55 (.44, .70; p < .01), and .38 (.27, .53; p < .01). Conclusion. Our findings demonstrate that individuals meeting recommended guidelines for both MSA and PA were less likely to be multimorbid than individuals participating in one or none of these exercise modalities. Determining effective ways to initiate and maintain concurrent adoption of MSA and PA is needed to provide a cost-effective behavioral alternative for reducing the prevalence of multimorbidity.

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