scholarly journals Promoting the Participation of Children and Adolescents With Disabilities in Sports, Recreation, and Physical Activity

PEDIATRICS ◽  
2021 ◽  
Author(s):  
Paul S. Carbone ◽  
Peter J. Smith ◽  
Charron Lewis ◽  
Claire LeBlanc
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Children And Adolescents ◽  
Health Care Providers ◽  
Office Visit ◽  
Well Being ◽  
Overweight And Obesity ◽  
Clinical Report ◽  
Care Providers ◽  
Barriers To Participation

The benefits of physical activity are likely universal for all children, including children and adolescents with disabilities (CWD). The participation of CWD in physical activity, including adaptive or therapeutic sports and recreation, promotes inclusion, minimizes deconditioning, optimizes physical functioning, improves mental health as well as academic achievement, and enhances overall well-being. Despite these benefits, CWD face barriers to participation and have lower levels of fitness, reduced rates of participation, and a higher prevalence of overweight and obesity compared with typically developing peers. Pediatricians and caregivers may overestimate the risks or overlook the benefits of physical activity in CWD, which further limits participation. Preparticipation evaluations often include assessment of health status, functional capacity, individual activity preferences, availability of appropriate programs, and safety precautions. Given the complexity, the preparticipation evaluation for CWD may not occur in the context of a single office visit but rather over a period of time with input from the child’s multidisciplinary team (physicians, coaches, physical education teachers, school nurses, adaptive recreation specialists, physical and occupational therapists, and others). Some CWD may desire to participate in organized sports to experience the challenge of competition, and others may prefer recreational activities for enjoyment. To reach the goal of inclusion in appropriate physical activities for all children with disabilities, child, family, financial, and societal barriers to participation need to be identified and addressed. Health care providers can facilitate participation by encouraging physical activity among CWD and their families during visits. Health care providers can create “physical activity prescriptions” for CWD on the basis of the child’s preferred activities, functional status, need for adaptation of the activity and the recreational opportunities available in the community. This clinical report discusses the importance of participation in sports, recreation, and physical activity for CWD and offers practical suggestions to health care providers.

scholarly journals PREVENTION OVERWEIGHT OF POPULATION UNDER QUARANTINE RESTRICTIONS DURING A PANDEMIC

2020 ◽  
Vol 2020 (3) ◽  
pp. 20-26
Author(s):  
Antonina Minenok ◽  
Tetiana Kiiko ◽  
Ihor Donets
Keyword(s):  
Public Health ◽  
Health Care ◽  
Body Mass ◽  
Health Care Providers ◽  
Current System ◽  
Well Being ◽  
Overweight And Obesity ◽  
The Body ◽  
Health Care Market ◽  
Care Providers

The article highlights the negative trends of deteriorating health of the population in our country, which requires a responsible attitude of society and the state to strengthen and preserve the health. It becomes necessary to identify new approaches and develop programs of problems solving in the field of public health, because the current system of health care in Ukraine does not actually provide a preventive component, as it is stated in the Concept of Public Health System Development. It is noted that among a number of dangerous diseases and other important health problems, the problem of overweight remains relevant for all age groups and has no boundaries. One of the causes of overweight and obesity is the disturbance of the energy balance between the calories consumed and the calories expended, that is, excessive consumption of high-calorie foods and low levels of physical activity, especially during a pandemic. Ensuring the health and well-being of people is one of the most important goals of the world community, reflected in the basis of European policy. The achievement of European standards of quality of life and well-being of the population is one of the main tasks defined by the Strategy for Sustainable Development «Ukraine–2020». The main directions of reforms should be to increase the personal responsibility of citizens for their own health, ensuring their free choice of health-care providers of appropriate quality, the provision of targeted assistance to the most vulnerable segments of the population, and the creation of a business-friendly environment in the health-care market. Theoretical studies on the choice of efficient methods for studying overweight suggest that scientists have proposed dozens of different approaches, including both simple measurements and the most modern and expensive. But the the definition of the body mass index (BMI) remains the most convenient. This index is more closely related to the fat content of the human body than other anthropometric body mass-to-height ratios, and is therefore widely used in clinical practice. The dynamics have been investigated and important questions of preventive action on overweight and obesity have been pointed out, the reasons for the increase of the respondent body weight have been indicated, and recommendations have been made for the preservation of individual health in the context of a pandemic.

Stress management for headaches in children and adolescents: A review and practical recommendations for health promotion programs and well-being

2017 ◽  
Vol 22 (1) ◽  
pp. 19-33 ◽  
Author(s):  
Anastasia Bougea ◽  
Nikolaos Spantideas ◽  
George P Chrousos
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Children And Adolescents ◽  
Stress Management ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Well Being ◽  
Care Providers ◽  
Health Promotion Programs ◽  
Headache Management

Stress is considered to be the most common factor reported to trigger headaches in children and adolescents. Although tension-type headache and migraine are the two most common types of headache in children and adolescents, they are often untreated, ignoring their stressful background. We provide a narrative review of the available evidence for health-care professionals involved in stress-related headache management and health promotion programs. An integrative plan is delivered through lifestyle improvement and biopsychosocial modifying stress response techniques. Healthy dietary choices, sleep hygiene, and regular exercise, although limited, are effective for young sufferers. Biopsychosocial therapies such as relaxation, biofeedback, hypnosis, yoga, cognitive behavioral therapy, and acupuncture focus at stress physiological and behavioral relief. Our purpose is to suggest a stress-related headache management to empower children to make healthy choices in order to improve their lifelong well-being and quality of life. We aim to authorize relationship between nurses and other health-care providers with background knowledge around stress management for pediatric headache populations.

scholarly journals The Lifestyle History: A Neglected But Essential Component of the Medical History

2017 ◽  
Vol 12 (5) ◽  
pp. 404-411
Author(s):  
Robyn L. Houlden ◽  
Hope H. Yen ◽  
Arash Mirrahimi
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Alcohol Consumption ◽  
Health Care Providers ◽  
Scientific Evidence ◽  
Well Being ◽  
Care Providers ◽  
Sleep Habits ◽  
Screening Questions ◽  
Practicing Physicians

There is increased recognition that lifestyle factors, including nutrition, physical activity, emotional well-being and stress management, tobacco use, alcohol consumption, and sleep habits, are major determinants of health. There is a need to teach practicing physicians, medical trainees, and other health care providers how to perform a “lifestyle history.” This article proposes 13 screening questions physicians should consider exploring with patients. It provides the rationale and scientific evidence supporting each question and includes key lifestyle counseling points for clinicians to consider.

scholarly journals Depression and Suicidality in Gay Men: Implications for Health Care Providers

2017 ◽  
Vol 11 (4) ◽  
pp. 910-919 ◽  
Author(s):  
Carrie Lee ◽  
John L. Oliffe ◽  
Mary T. Kelly ◽  
Olivier Ferlatte
Keyword(s):  
Health Care ◽  
Gay Men ◽  
Health Care Providers ◽  
Help Seeking ◽  
Adult Population ◽  
Well Being ◽  
Sexual Practices ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Prevalence Of Depression

Gay men are a subgroup vulnerable to depression and suicidality. The prevalence of depression among gay men is three times higher than the general adult population. Because depression is a known risk factor for suicide, gay men are also at high risk for suicidality. Despite the high prevalence of depression and suicidality, health researchers and health care providers have tended to focus on sexual health issues, most often human immunodeficiency virus in gay men. Related to this, gay men’s health has often been defined by sexual practices, and poorly understood are the intersections of gay men’s physical and mental health with social determinants of health including ethnicity, locale, education level, and socioeconomic status. In the current article summated is literature addressing risk factors for depression and suicidality among gay men including family acceptance of their sexual identities, social cohesion and belonging, internalized stigma, and victimization. Barriers to gay men’s help seeking are also discussed in detailing how health care providers might advance the well-being of this underserved subgroup by effectively addressing depression and suicidality.

Creating Comics to Address Well-Being and Resilience During the COVID-19 Pandemic

2021 ◽  
pp. 152483992110654
Author(s):  
Kathryn West ◽  
Karen R. Jackson ◽  
Tobias L. Spears ◽  
Brian Callender
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Case Series ◽  
Narrative Medicine ◽  
Well Being ◽  
Small Scale ◽  
Care Providers ◽  
Graphic Medicine ◽  
Racial Injustice ◽  
Pilot Implementation

In this descriptive case series, we detail the theoretical basis, methodology, and impact of a small-scale pilot implementation of graphic medicine workshops as an innovative approach to well-being and resilience in the age of COVID-19 and increasing awareness of racial injustice. The data provided in this article are anecdotal and based on participation in the workshops. Images created during the workshops are also shared as examples of the types of reflection that graphic medicine can enable. The workshops themselves were designed collaboratively and are based on the theoretical principles of graphic medicine, narrative medicine, and racial and social justice. They were conducted as part of a larger wellness initiative and were offered to health care-focused faculty at our academic medical institution. Our findings suggest that this was a beneficial activity which helped participants to reflect and reconsider their experiences with the COVID-19 pandemic and surging awareness of racial injustice. Reflections also showed that drawings were correlated with ProQOL scores and may, in larger numbers, also help to mitigate or bring attention to issues of burnout in frontline providers. Drawings shared show the tremendous impact of COVID-19 and the simultaneous chaos and emptiness of practicing during dual pandemics. Our workshops engaged about 20 frontline health care providers and other health care faculty and highlight the utility of graphic medicine as a tool for building resilience and encouraging self-reflection. Further study is necessary, as is more rigorous analysis of the relationship between the graphics created and the ability to recognize and mitigate burnout.

scholarly journals The Issue of Aversion in Lifestyle Treatments

2016 ◽  
Vol 11 (2) ◽  
pp. 119-121 ◽  
Author(s):  
Katherine R. Arlinghaus ◽  
John P. Foreyt ◽  
Craig A. Johnston
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Health Care Providers ◽  
Bone Health ◽  
Self Efficacy ◽  
Vigorous Physical Activity ◽  
Care Providers ◽  
Behavior Adjustment

Increasing evidence suggests that vigorous physical activity (PA) is more beneficial than moderate PA for reducing adiposity and improving bone health in youth. However, beginning a vigorous PA program is not an easy behavior adjustment and the change is likely to be aversive for some individuals. In order to benefit from vigorous PA, health care providers need to help individuals increase self-efficacy.

Disparities in Pediatric Oncology: The 21st Century Opportunity to Improve Outcomes for Children and Adolescents With Cancer

2021 ◽  
pp. e315-e326
Author(s):  
Paula Aristizabal ◽  
Lena E. Winestone ◽  
Puja Umaretiya ◽  
Kira Bona
Keyword(s):  
United States ◽  
Health Care ◽  
Children And Adolescents ◽  
Health Care Providers ◽  
21St Century ◽  
Low Socioeconomic Status ◽  
Pediatric Cancer ◽  
The United States ◽  
Cancer Disparities ◽  
Care Providers

Adult cancer disparities have been documented for decades and continue to persist despite clinical advancements in cancer prevention, detection, and treatment. Pediatric cancer survival has improved significantly in the United States for the past 5 decades to over 80%; however, disparate outcomes among children and adolescents with cancer still affect many populations in the United States and globally, including racial and ethnic minorities, populations with low socioeconomic status, and residents of underserved areas. To achieve equitable outcomes for all children and adolescents with cancer, it is imperative that concerted multilevel approaches be carried out to understand and address health disparities and to ensure access to high-quality cancer care. Addressing social determinants of health, such as removing barriers to health care access and ensuring access to social supports, can reduce pediatric cancer disparities. Nevertheless, public health policy, health system interventions, and innovative delivery of evidence-based services are critically needed. Partnerships among patients, caregivers, and health care providers, and among health care, academic, and governmental institutions, have a pivotal role in reducing cancer disparities and improving outcomes in the 21st century.

Level of physical activity and its correlates among health care workers in Ethiopia, 2019

2019 ◽  
Author(s):  
Tigist Demssew Adane ◽  
Birhan Gebresillassie Gebregiorgis ◽  
Elda Mekonnen Nigussie ◽  
Abate Dargie Wubetu
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Health Professionals ◽  
Associated Factors ◽  
P Value ◽  
Care Providers ◽  
Care Workers ◽  
Study Participants

Abstract Background These days, engaging at sufficient regular physical activity strongly recommended for good health and physical functioning. Physical activity can increase the self-confidence of the health professionals and they would become fit for daily activities with patients. Knowing the level of physical activity can help health care professionals to plan for physical activity programs. This study aimed to measure the level of physical activity and associated factors among adult health professionals at Tirunesh Beijing general hospital.Objective The aim of this study was to assess the level of physical activity and associated factors among health care workers in Ethiopia, 2019.Methods Institution based cross-sectional study conducted level of physical activity and associated factors among health care workers in Ethiopia, 2019. Two hundred nighty seven adult health professionals were participated, which was a 97.4% response rate. The global physical activity questionnaire used to measure the level of physical activity. Descriptive statistics and binary logistic regression analyses was done to affirm the variables characteristics. A predictor variable with a p-value of less than 0.2 exported to multivariate analysis. During multivariate analysis, statistical significance declared at a p-value of < 0.05.Results In general, the majority of the study participants, 89.2% (95% CI: 85.9-92.6) were achieved recommended levels of physical activity. Regarding the intensity of the physical activity, the overall mean time score was 518.4 mints per week or 2352.6 MET/week. For moderate-intensity physical activity, 83.5% of the study participants were physically active, (≥150 minutes/week). In the case of vigorous activity, about 32.7% of the study participants were physically active and engaged in vigorous physical activity (≥75 minutes /week). The study participants, who had self-motivation for physical activity, had a BMI of less than 25 kg/m2 and aged < 40 years were physically active.Conclusions Health care providers’ habit of physical activity improved as compared with the previous studies. However, the current level of physical activity of health professionals is not adequate. Health care providers’ age, body mass index and self-motivation attribute to physical activity. The level of physical activity can increase by enhancing staff motivation towards physical activity.

Sign in / Sign up

Export Citation Format

Share Document