Physical functioning limitations and physical activity of people experiencing homelessness: A scoping review

Background: Adults who are experiencing homelessness suffer higher levels of premature mortality and age-related medical conditions compared to the general population, but little is known about physical factors that influence their health experience. The aim of this scoping review was to evaluate what is known about physical functional limitations and physical activity levels and how they are measured in adults experiencing homelessness. Methods: This review was conducted in accordance with the Joanna Briggs Institute’s methodology for scoping reviews. Suitable quantitative and qualitative articles were searched using PubMed, CINAHL, EMBASE, PsychInfo, Web of Science and SCOPUS databases using a combination of keywords and a gray literature search was performed. Two reviewers independently screened articles for inclusion. Inclusion criteria were studies that examined physical functional limitations and/or physical activity among homeless adults (with/without co-occurring mental illness, infectious disease, substance use disorder), as a primary or secondary outcome measure. Results: We identified 15 studies for inclusion including 2,018 participants. Studies were primarily quantitative (n=13) and there were 2 qualitative studies. The following outcomes related to physical functioning were reported; mobility levels (n=3), frailty (n=1), flexibility (n=2), strength (n=1), physical symptom burden (n=3), and exercise capacity (n=3). Eight studies reported outcomes related to physical activity. The majority of studies reported high levels of functional limitations among participants and low physical activity levels although a spectrum of abilities was noted. Conclusion: This review showed that many adults who are homeless appear to show a high burden of physical functional limitations and low physical activity levels but more objective and consistent measures should be applied to examine these factors in future studies. This will help address and plan future care, physical rehabilitation and housing needs for this vulnerable cohort. This scoping review will help direct research and future systematic reviews in this emerging area.

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Physical functioning limitations and physical activity of people experiencing homelessness: A scoping review

HRB Open Research ◽

10.12688/hrbopenres.13011.1 ◽

2020 ◽

Vol 3 ◽

pp. 14

Author(s):

Sinéad Kiernan ◽

David Mockler ◽

Clíona Ní Cheallaigh ◽

Julie Broderick

Keyword(s):

Physical Activity ◽

Scoping Review ◽

Functional Limitations ◽

Grey Literature ◽

Secondary Outcome ◽

Physical Factors ◽

Secondary Outcome Measure ◽

Activity Levels ◽

Scoping Reviews ◽

Physical Activity Levels

Background: Adults who are experiencing homelessness suffer higher levels of premature mortality and age-related medical conditions compared to the general population, but little is known about physical factors that influence their health experience. This review aimed to evaluate what is known about physical functional limitations and physical activity levels, and how these constructs are measured in adults experiencing homelessness. Methods: This review was conducted in accordance with the Joanna Briggs Institute’s methodology for scoping reviews. Suitable quantitative and qualitative articles were searched using PubMed, CINAHL, EMBASE, PsychInfo, Web of Science and SCOPUS databases using a combination of keywords and medical subject headings and a grey literature search was also performed. Two reviewers independently screened articles for inclusion. Inclusion criteria were studies that examined physical functional limitations and/or physical activity among homeless adults (with/without co-occurring mental illness, infectious disease, substance use disorder), as a primary or secondary outcome measure. Results: We identified 15 studies for inclusion including 2,018 participants. Studies were primarily quantitative (n=11) and there were 4 qualitative studies. The following physical focused measures were evaluated across studies; mobility levels (n=2), frailty (n=1), flexibility (n=2), strength (n=1), physical symptom burden (n=3), physical activity levels (n=6) and exercise capacity (n=3). The majority of studies reported high levels of functional limitations among participants and low physical activity levels although a spectrum of abilities was noted. Conclusion: This review showed that many adults who are homeless appear to show a high burden of physical functional limitations and low physical activity levels but more objective and consistent measures should be applied to examine these factors in future studies. This will help address and plan future care, physical rehabilitation and housing needs for this vulnerable cohort. This scoping review will help direct research and future systematic reviews in this emerging area.

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Physical Activity Levels in College Students With Chronic Ankle Instability

Journal of Athletic Training ◽

10.4085/1062-6050-50.3.05 ◽

2015 ◽

Vol 50 (7) ◽

pp. 742-747 ◽

Cited By ~ 84

Author(s):

Tricia Hubbard-Turner ◽

Michael J. Turner

Keyword(s):

Physical Activity ◽

International Physical Activity Questionnaire ◽

Ankle Instability ◽

Functional Limitations ◽

Step Count ◽

Activity Levels ◽

Daily Step ◽

Physical Activity Levels ◽

Group Sex ◽

Activity Questionnaire

Context Ankle sprains are the most common orthopaedic pathologic condition, and more concerning is the high percentage of persons who develop chronic ankle instability (CAI). Researchers have reported that patients with CAI are restricted occupationally, have more functional limitations, and have a poorer health-related quality of life. We do not know if these limitations decrease physical activity levels. Objective To assess total weekly steps taken between persons with CAI and persons with healthy ankles. Design Case-control study. Setting University research laboratory. Patients or Other Participants A total of 20 participants with unilateral CAI (9 men, 11 women; age = 21.2 ± 1.9 years, height = 174.3 ± 6.9 cm, mass = 71.9 ± 11.7 kg) and 20 healthy participants (9 men, 11 women; age = 20.4 ± 2.1 years, height = 172.1 ± 5.5 cm, mass = 73.1 ± 13.4 kg) volunteered. Main Outcome Measure(s) We provided all participants with a pedometer and instructed them to wear it every day for 7 days and to complete a daily step log. They also completed the Foot and Ankle Ability Measure (FAAM), the FAAM Sport version, and the International Physical Activity Questionnaire. A 2-way analysis of variance (group × sex) was used to determine if differences existed in the total number of weekly steps, ankle laxity, and answers on the International Physical Activity Questionnaire between groups and between sexes. Results We found no group × sex interaction for step count (F range = 0.439–2.108, P = .08). A main effect for group was observed (F1,38 = 10.45, P = .04). The CAI group took fewer steps than the healthy group (P = .04). The average daily step count was 6694.47 ± 1603.35 for the CAI group and 8831.01 ± 1290.01 for the healthy group. The CAI group also scored lower on the FAAM (P = .01) and the FAAM Sport version (P = .01). Conclusions The decreased step count that the participants with CAI demonstrated is concerning. This decreased physical activity may be secondary to the functional limitations reported. If this decrease in physical activity level continues for an extended period, CAI may potentially be a substantial health risk if not treated appropriately.

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70: Long-term improvements in physical activity levels and physical functioning after midurethral sling for female stress urinary incontinence

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2017.12.089 ◽

2018 ◽

Vol 218 (2) ◽

pp. S936

Author(s):

J. Shinnick ◽

C.A. Raker ◽

V. Sung

Keyword(s):

Physical Activity ◽

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Physical Functioning ◽

Midurethral Sling ◽

Female Stress Urinary Incontinence ◽

Activity Levels ◽

Physical Activity Levels

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A scoping review of physical activities for patients with diabetes during COVID-19 pandemic

Journal of Holistic Nursing Science ◽

10.31603/nursing.v8i2.5045 ◽

2021 ◽

Vol 8 (2) ◽

Author(s):

Niken Safitri Dyan Kusumaningrum ◽

Isna Widya Febyastuti

Keyword(s):

Physical Activity ◽

Blood Glucose ◽

Scoping Review ◽

Physical Activities ◽

Activity Levels ◽

Health Issues ◽

Inclusion Criteria ◽

Exclusion Criteria ◽

Physical Activity Levels ◽

Patients With Diabetes

Physical activity plays an important role in controlling blood glucose level and reducing the risk of cardiovascular diseases in patients with diabetes. COVID-19 pandemic causes movement restrictions that can affect physical activity in patients with diabetes. This review aimed to describe the physical activity of patients with diabetes during the COVID-19 pandemic. A scoping review of three journal databases including PubMed, SCOPUS, and ScienceDirect was conducted to locate articles that reported physical activities during the COVID-19 pandemic. Articles are selected according to inclusion and exclusion criteria based on the flowchart of the PRISMA-ScR. There were 11 articles that met the inclusion criteria. The results showed that during the COVID-19 pandemic there was a change in the level, type, and place of physical activity in patients with diabetes. The level of physical activity of patients varies with the majority of research showing a decrease in physical activity levels. While the type and place of physical activity turn into physical activity that can be done at home. This review recommended that facilitation should be implemented to increase the motivation and awareness to perform physical activities. Keywords: physical activities; diabetes; health issues; motivation; awareness

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Device-based physical activity levels among Finnish adolescents with functional limitations

Disability and Health Journal ◽

10.1016/j.dhjo.2018.08.011 ◽

2019 ◽

Vol 12 (1) ◽

pp. 114-120 ◽

Cited By ~ 4

Author(s):

Kwok W. Ng ◽

Pauli Rintala ◽

Pauliina Husu ◽

Jari Villberg ◽

Tommi Vasankari ◽

...

Keyword(s):

Physical Activity ◽

Functional Limitations ◽

Activity Levels ◽

Physical Activity Levels

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Modifiable Physical Factors Associated With Physical Functioning for Patients Receiving Dialysis: A Systematic Review

Journal of Physical Activity and Health ◽

10.1123/jpah.2019-0338 ◽

2020 ◽

Vol 17 (4) ◽

pp. 475-489 ◽

Cited By ~ 3

Author(s):

Brett D. Tarca ◽

Thomas P. Wycherley ◽

Paul Bennett ◽

Anthony Meade ◽

Katia E. Ferrar

Keyword(s):

Physical Activity ◽

Muscle Strength ◽

Sedentary Behavior ◽

Physical Function ◽

International Classification Of Functioning ◽

Cochrane Library ◽

Physical Factors ◽

Activity Levels ◽

Factors Associated ◽

Physical Activity Levels

Background: Patients receiving dialysis have reduced physical function, which is associated with unfavorable clinical outcomes and decreased quality of life. The authors aimed to identify and explore modifiable physical factors associated with physical function for patients receiving dialysis. Methods: Searches were performed in MEDLINE, Embase, Ovid Emcare, and The Cochrane Library in October 2018. Etiological studies involving dialysis populations that report association or predictive statistics between a modifiable physical factor and physical function were eligible for inclusion. Predictor variables were (1) modifiable via exercise and (2) considered an impairment in the International Classification of Functioning, Disability and Health. Results: Of 5384 titles screened, 23 studies were included. Thirteen studies focused on physical activity levels and muscle strength and the relationship with physical function while 2 studies investigated sedentary behavior. Twenty-one studies focused on hemodialysis populations. Studies related to physical activity levels displayed a moderately strong relationship with physical function, whereas muscle strength displayed a predominantly weak to moderate relationship. Conclusions: Physical activity levels, sedentary behavior levels, and muscle strength are related to physical function status for patients receiving dialysis. There is a need for robust longitudinal data to confirm the results of this investigation and for more focus on populations receiving peritoneal dialysis.

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Long-term Physical Activity Levels and Physical Functioning Outcomes After Midurethral Sling

Female Pelvic Medicine & Reconstructive Surgery ◽

10.1097/spv.0000000000000728 ◽

2019 ◽

Vol Publish Ahead of Print ◽

Author(s):

Julia K. Shinnick ◽

Christina A. Raker ◽

Vivian W. Sung

Keyword(s):

Physical Activity ◽

Physical Functioning ◽

Midurethral Sling ◽

Activity Levels ◽

Physical Activity Levels

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Effect of a personalised mHealth home-based training application on physical activity levels during and after centre-based cardiac rehabilitation: rationale and design of the Cardiac RehApp randomised control trial

BMJ Open Sport & Exercise Medicine ◽

10.1136/bmjsem-2021-001159 ◽

2021 ◽

Vol 7 (3) ◽

pp. e001159

Author(s):

Thijs Vonk ◽

Esmee A Bakker ◽

Erwin S Zegers ◽

Maria T E Hopman ◽

Thijs M H Eijsvogels

Keyword(s):

Physical Activity ◽

Cardiac Rehabilitation ◽

Controlled Trial ◽

Habitual Physical Activity ◽

Added Value ◽

Randomised Control Trial ◽

Secondary Outcome ◽

Activity Levels ◽

Home Based ◽

Physical Activity Levels

Many patients lapse into a physically inactive lifestyle within months after cardiac rehabilitation (CR) programme completion. A mobile-health (mHealth) home-based training application can be used to intensify and/or prolong the CR programme to induce long-lasting improvements of habitual physical activity levels. This study will assess the effect of an additional home-based training module during CR and post-CR on habitual physical activity levels among coronary artery disease patients. A total of 132 patients (>18 years old) will be recruited in an 18-week randomised controlled trial with four arms: (1) 6 weeks centre-based CR (ie, standard care), (2) 6 weeks combined centre-based+mHealth home-based CR, (3) 6 weeks centre-based CR followed by 12 weeks mHealth home-based CR, (4) 6 weeks combined centre-based+mHealth home-based CR followed by 12 weeks mHealth home-based CR. The intervention groups will receive a daily and personalised exercise training using a smartphone application (Virtual Training) in addition to and/or as extension of the centre-based CR programme. The participants will be assessed prior to the centre-based CR programme, after completion of the 6-week CR programme and after the 12 weeks extension. Primary outcome will be objectively measured habitual physical activity levels expressed as moderate to vigorous intensity activities (min/week). Secondary outcome parameters include sedentary behaviour, physical fitness (estimated VO2max), handgrip strength, cardiovascular risk profile, quality of life and cardiac anxiety scores. The findings of the Cardiac RehApp study will provide insight into the added value of a personalised mHealth home-based training application on physical activity levels during and after centre-based CR. Trial registration number: NL72182.091.019.

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