P011 Physical Activity Levels in Daily Life of Patients with Moderate-to-Severe Crohn’s Disease Before and After Infliximab-Induced Remission

Abstract Aims The primary aim of the programme was a minimum of a 5% weight reduction of the initial weight, while the secondary outcomes were a reduction in participants’ body mass index (BMI), waist circumference (WC), blood pressure (BP), AUDIT-C score and an increase in the Mediterranean diet (MD) score and an improvement in physical activity levels. Methods This 'before and after' study was a 10-week weight management (WM) programme and it was developed and delivered in community pharmacies in Patras chosen for convenience, thus consisting the first service of its type in Greece. The sample size was calculated (n = 96) based on the mean BMI for a Greek male and female individual, and the standard deviation (SD) of weight at baseline of 14 kg. Results Nearly every participant enrolled in the 20 participating pharmacies, 97.4% (n = 114/117), achieved the programme’s aim, losing at least 5% of their initial weight. The mean percentage of total weight loss of the 117 participants at the 10th week was 8.97% (SD 2.65), and the t-test showed statistically significant results (P-value < 0.001; 95% CI [8.48, 9.45]). A significant reduction in the waist-to-height ratio (WHtR) was observed in both male (P-value = 0.004) and female (P-value < 0.001) participants. The participants’ BP and AUDIT-C score and physical activity levels significantly improved (P-value < 0.001), as well as their MD score. Conclusion This study provides the first evidence that Greek pharmacists have the potential to play an important role within primary healthcare and that after training they are able to provide public health services for both the public’s benefit and their clinical role enhancement.

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Una unidad didáctica intermitente de acondicionamiento físico solo mejora los niveles de capacidad cardiorrespiratoria de los estudiantes con un perfil no saludable de condición física (An intermittent physical fitness teaching unit only improves cardior

Retos ◽

10.47197/retos.v38i38.73605 ◽

2019 ◽

pp. 8-15

Author(s):

Santiago Guijarro-Romero ◽

Daniel Mayorga-Vega ◽

Carolina Casado-Robles ◽

Jesús Viciana

Keyword(s):

Physical Activity ◽

Physical Education ◽

Physical Fitness ◽

Cardiorespiratory Fitness ◽

Control Group ◽

Activity Levels ◽

Physical Activity Levels ◽

Before And After ◽

Teaching Unit ◽

Experimental Group

El objetivo del presente estudio fue comparar el efecto de una unidad didáctica intermitente de acondicionamiento físico en Educación Física sobre los niveles de actividad física y capacidad cardiorrespiratoria entre estudiantes con un perfil saludable/no saludable de capacidad cardiorrespiratoria. Ochenta estudiantes de 2º-3º curso de Educación Secundaria fueron asignados aleatoriamente al grupo control y grupo experimental. El grupo experimental, dividido en perfiles saludable/no saludable, realizó una unidad didáctica intermitente de acondicionamiento físico para mejorar la capacidad cardiorrespiratoria. El grupo control trabajó un contenido diferente durante el mismo tiempo y con la misma frecuencia, pero sin hacer hincapié en la mejora de la capacidad cardiorrespiratoria. Antes y después de la intervención, la capacidad cardiorrespiratoria se evaluó objetivamente mediante el test de ida y vuelta de 20 metros. Los niveles de actividad física fueron medidos objetivamente a través de un pulsómetro durante las clases de Educación Física. Ambos perfiles tuvieron mayores niveles de actividad física durante las clases de Educación Física que el grupo control (p < .001). Sin embargo, solo los estudiantes con un perfil no saludable mejoraron significativamente sus niveles de capacidad cardiorrespiratoria tras la unidad didáctica (p < .01). Aunque una unidad didáctica intermitente de acondicionamiento físico parece tener un efecto similar en los niveles de actividad física de todos los perfiles de capacidad cardiorrespiratoria de los estudiantes, solo mejora la capacidad cardiorrespiratoria de los estudiantes con un perfil no saludable. Abstract. The purpose of the present study was to compare the effect of a Physical Education-based physical fitness intermittent teaching unit on physical activity levels and cardiorespiratory fitness among students with healthy/unhealthy cardiorespiratory fitness profile. Eighty students from 2º-3º grades of Secondary Education were randomly assigned to the control group and experimental group. The experimental group, divided into healthy/unhealthy profiles, performed a physical fitness intermittent teaching unit to improve the cardiorespiratory fitness. The control group worked a different content during the same time and with the same frequency, but without emphasizing cardiorespiratory fitness improvement. Before and after the teaching unit, students’ cardiorespiratory fitness was objectively measured by the 20-meter shuttle run test. Participants’ physical activity levels were measured objectively using a heart rate monitor during Physical Education lessons. Students from both profiles had higher physical activity levels during Physical Education lessons than the control group (p < .001). However, only students with an unhealthy cardiorespiratory fitness profile statistically improved their cardiorespiratory fitness levels after the teaching unit (p < .01). Although an intermittent physical fitness teaching unit seems to have similar effect on physical activity levels of students from all cardiorespiratory fitness profiles, it only improves the cardiorespiratory fitness of those with an unhealthy one.

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Physical activity levels before and after a diagnosis of breast carcinoma

Cancer ◽

10.1002/cncr.11227 ◽

2003 ◽

Vol 97 (7) ◽

pp. 1746-1757 ◽

Cited By ~ 371

Author(s):

Melinda L. Irwin ◽

Diane Crumley ◽

Anne McTiernan ◽

Leslie Bernstein ◽

Richard Baumgartner ◽

...

Keyword(s):

Physical Activity ◽

Breast Carcinoma ◽

Activity Levels ◽

Physical Activity Levels ◽

Before And After

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Accelerometer–measured physical activity levels before and after total hip arthroplasty: A cohort study

Hong Kong Journal of Orthopaedic Research ◽

10.37515/ortho.8231.2304 ◽

2019 ◽

Vol 2 (3) ◽

pp. 17-20

Author(s):

Chukwuweike U. Gwam ◽

◽

Nequesha S. Mohamed ◽

Iciar M. Dávila Castrodad ◽

Wayne A. Wilkie ◽

...

Keyword(s):

Physical Activity ◽

Cohort Study ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Activity Levels ◽

Total Hip ◽

Physical Activity Levels ◽

Before And After

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Nutrition and physical activity during the transition from adolescence to adulthood: further research is warranted

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2014-0010 ◽

2015 ◽

Vol 27 (1) ◽

pp. 101-104 ◽

Cited By ~ 4

Author(s):

Katharina Diehl ◽

Jennifer Hilger

Keyword(s):

Physical Activity ◽

Structural Change ◽

Structural Changes ◽

Dietary Habits ◽

Daily Life ◽

Activity Levels ◽

Psychological Changes ◽

Life Patterns ◽

Physical Activity Levels ◽

Framework Conditions

Abstract The transition from adolescence to adulthood is associated with many physical, social, and psychological changes. In addition, adolescents also have to deal with structural changes. An example of one such structural change is the transition from school to university or to other vocational establishments. Structural changes can also entail changes in overall framework conditions and daily life patterns and thus also in dietary habits and physical activity levels. The aim of the present paper was to draw attention to the research deficit in this area with the help of the results of our analyses. The results show that significant changes take place as a consequence of the transition from school to a vocational establishment. However, our analyses could not identify the exact catalysts and the time framework of these changes. In this respect, further research is urgently warranted.

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Placement of Outdoor Exercise Equipment and Physical Activity: A Quasi-Experimental Study in Two Parks in Southern California

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17072605 ◽

2020 ◽

Vol 17 (7) ◽

pp. 2605

Author(s):

Mojgan Sami ◽

Megan Smith ◽

Oladele A. Ogunseitan

Keyword(s):

Physical Activity ◽

Orange County ◽

Activity Levels ◽

Post Intervention ◽

Physical Activity Levels ◽

Before And After ◽

Intensity Physical Activity ◽

Control And Prevention ◽

Quasi Experimental ◽

Exercise Equipment

To reduce the burden of chronic disease, the Centers for Disease Control and Prevention (CDC) funded the Orange County Partnerships to Improve Health (OC-PICH) project in Orange County, California. One of the strategies included adding outdoor exercise equipment (OEE) in two parks in Garden Grove and Anaheim. Using a quasi-experimental pre-post design, we evaluated park users’ physical activity levels before and after OEE installation using the System for Observing Play and Recreation in Communities (SOPARC). The OEE was installed along a walking path in Edison Park (Anaheim) and grouped within a single area (a “fitness zone”) in Garden Grove Park. In both parks, there were significantly greater odds of high-intensity physical activity overall after the installation—19% higher odds in Anaheim, and 23% higher odds in Garden Grove. However, the fitness zone area in Garden Grove had substantially higher odds of increased physical activity post-intervention (OR = 5.29, CI: 3.76–7.44, p < 0.001). While the increases in physical activity levels are consistent with past studies that link OEE to higher levels of physical activity among park users, our findings also suggest that the location and placement of equipment within a park may be an important factor to consider when improving park amenities for physical activity.

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Infliximab-induced remission improves physical activity in patients with active Crohn's disease

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.66.11.1566 ◽

2020 ◽

Vol 66 (11) ◽

pp. 1566-1572

Author(s):

Fernando de Azevedo Lucca ◽

Carla Malaguti ◽

Liliana Andrade Chebli ◽

Maycon Moura Reboredo ◽

Bruno Valle Pinheiro ◽

...

Keyword(s):

Physical Activity ◽

Body Composition ◽

Crohn’S Disease ◽

Crohn's Disease ◽

Exercise Capacity ◽

Clinical Remission ◽

Infliximab Therapy ◽

Prospective Longitudinal Study ◽

Before And After ◽

Prospective Longitudinal

SUMMARY AIM: To compare the level of physical activity (PA), exercise capacity, and body composition before and after infliximab-induced clinical remission in patients with Crohn's disease (CD). METHODS: This prospective longitudinal study evaluated 44 adult outpatients with active CD before infliximab administration and 24 weeks after infliximab therapy. The patients were evaluated for PA in daily life, exercise capacity, muscle strength, and body composition. RESULTS: 38 (86.4%) patients achieved infliximab-induced remission at 24 weeks and presented an increment in the number of steps taken of 1092 (7440±2980 vs. 6348±3177, respectively; p=0.006). The inactive time was reduced when compared to the baseline value (454.2±106.3 vs. 427.9±97.8, respectively; p=0.033). There was no difference in the distance walked before and after infliximab therapy, while there was an increase in the fat mass index in responders to infliximab compared to the baseline (19.1±7.6 vs. 14.9±5.8; p=0.001). CONCLUSIONS: Infliximab-induced remission was shown to be effective for increasing physical activity by improving the number of steps and reducing inactive time. The maintenance of clinical remission associated with incentives to regular PA may contribute to making these patients reach an ideal level of PA.

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PHYSICAL ACTIVITY IN DAILY LIFE, EXERCISE CAPACITY AND QUALITY OF LIFE IN PATIENTS WITH CROHN’S DISEASE ON INFLIXIMAB-INDUCED REMISSION: A PRELIMINARY STUDY

Arquivos de Gastroenterologia ◽

10.1590/s0004-2803.201900000-65 ◽

2019 ◽

Vol 56 (4) ◽

pp. 351-356

Author(s):

Andrea Lemos CABALZAR ◽

Felipe Meirelles de AZEVEDO ◽

Fernando de Azevedo LUCCA ◽

Maycon de Moura REBOREDO ◽

Carla MALAGUTI ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Crohn’S Disease ◽

Crohn's Disease ◽

Mood Disorders ◽

Exercise Capacity ◽

Daily Life ◽

Handgrip Strength ◽

Preliminary Study

ABSTRACT BACKGROUND: Physical activity in daily life and exercise capacity have not been assessed in patients with Crohn’s disease to date. OBJECTIVE: To evaluate the physical activity in daily life, exercise capacity, quality of life, and prevalence of mood disorders in patients with moderate-to-severe Crohn’s disease on infliximab-induced remission and the possible associations among variables. METHODS: A cross-sectional preliminary study was conducted. Twenty-six patients with Crohn’s disease and 20 controls were selected. Participants underwent evaluation of physical activity in daily life (triaxial accelerometer), exercise capacity (shuttle walk test), handgrip strength, quality of life, and presence of mood disorders. RESULTS: The number of steps taken (7446±3081 vs 7898±2487), active time (80.6±42 vs 89.7±24.3min), shuttle walk test distance [665 (405) vs 710 (409) m] and handgrip strength [31 (15) vs 29 (20) kgf did not show any difference between the patients with Crohn’s disease and the controls. The time spent lying down [95.8 (68.8) vs 60.9 (74.7) min] was greater and some domains of the quality of life were superior in the patients with Crohn’s disease. No correlation was observed between the physical activity in daily life and quality of life or presence of mood disorders in patients with Crohn’s disease. CONCLUSION: Patients with Crohn’s disease on infliximab-induced remission, despite to more time spent lying down, they have the same level of physical activity in daily life and exercise capacity min compared with the controls.

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The impact of the Luton social prescribing programme on energy expenditure: a quantitative before-and-after study

BMJ Open ◽

10.1136/bmjopen-2018-026862 ◽

2019 ◽

Vol 9 (6) ◽

pp. e026862

Author(s):

Julia Vera Pescheny ◽

Laura H Gunn ◽

Gurch Randhawa ◽

Yannis Pappas

Keyword(s):

Physical Activity ◽

Energy Expenditure ◽

Activity Level ◽

Service Users ◽

Activity Levels ◽

Post Intervention ◽

Social Prescribing ◽

Physical Activity Levels ◽

Before And After ◽

Negative Effect

ObjectivesThe objective of this study was to assess the change in energy expenditure levels of service users after participation in the Luton social prescribing programme.DesignUncontrolled before-and-after study.SettingThis study was set in the East of England (Luton).ParticipantsService users with complete covariate information and baseline measurements (n=146) were included in the analysis.InterventionSocial prescribing, which is an initiative that aims to link patients in primary care with sources of support within the community sector to improve their health, well-being and care experience. Service users were referred to 12 sessions (free of charge), usually provided by third sector organisations.Primary outcome measureEnergy expenditure measured as metabolic equivalent (MET) minutes per week.ResultsUsing a Bayesian zero-inflated negative binomial model to account for a large number of observed zeros in the data, 95% posterior intervals show that energy expenditure from all levels of physical activities increased post intervention (walking 41.7% (40.31%, 43.11%); moderate 5.0% (2.94%, 7.09%); vigorous 107.3% (98.19%, 116.20%) and total 56.3% (54.77%, 57.69%)). The probability of engaging in physical activity post intervention increased, in three of four MET physical activity levels, for those individuals who were inactive at the start of the programme. Age has a negative effect on energy expenditure from any physical activity level. Similarly, working status has a negative effect on energy expenditure in all but one MET physical activity level. No consistent pattern was observed across physical activity levels in the association between gender and energy expenditure.ConclusionThis study shows that social prescribing may have the potential to increase the physical activity levels of service users and promote the uptake of physical activity in inactive patient groups. Results of this study can inform future research in the field, which could be of use for commissioners and policy makers.

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Impact of Park Renovations on Park Use and Park-Based Physical Activity

Journal of Physical Activity and Health ◽

10.1123/jpah.2013-0165 ◽

2015 ◽

Vol 12 (2) ◽

pp. 289-295 ◽

Cited By ~ 55

Author(s):

Deborah A. Cohen ◽

Bing Han ◽

Jennifer Isacoff ◽

Bianca Shulaker ◽

Stephanie Williamson ◽

...

Keyword(s):

Physical Activity ◽

Low Income ◽

Activity Levels ◽

Public Parks ◽

Physically Active ◽

Park Use ◽

Physical Activity Levels ◽

Before And After ◽

Adults And Children ◽

Local Residents

Background:Given the concerns about low rates of physical activity among low-income minority youth, many communitybased organizations are investing in the creation or renovation of public parks to encourage youth to become more physically active. To what degree park renovations accomplish this goal is not known.Methods:We used the System for Observing Play and Recreation in Communities (SOPARC) to measure park users and their physical activity levels before and after 2 parks were renovated. We compared findings with 4 parks: 2 that were unrenovated parks and 2 that were undergoing renovation. We also surveyed park users and local residents about their use of the parks.Results:Compared with parks that had not yet been renovated, the improved parks saw more than a doubling in the number of visitors and a substantial increase in energy expended in the parks. Increased park use was pronounced in adults and children, but was not seen in teens and seniors. Park renovations were associated with a significantly increased perception of park safety.Conclusions:Park improvements can have a significant impact on increasing park use and local physical activity.

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