A secondary exploratory analysis of Physical Activity in COPD Patients Comparing Conventional and Web Based Pulmonary Rehabilitation: Is the Level of Supervision Important? (Preprint)

2021 ◽  
Author(s):  
Emma Chaplin
Keyword(s):  
Physical Activity ◽  
Pulmonary Rehabilitation ◽  
World Health Organisation ◽  
World Health ◽  
Moderate Intensity ◽  
Moderate Activity ◽  
Post Intervention ◽  
Web Based ◽  
Significant Difference ◽  
The Web

BACKGROUND Pulmonary Rehabilitation (PR) increases exercise capacity, with less clear evidence for Physical Activity (PA).The World Health Organisation (WHO) recommends at least 150-300 minutes of moderate intensity or 75-150 of vigorous intensity aerobic physical activity per week to reduce the risks of chronic disease. OBJECTIVE The objective of this study was to assess the effectiveness of conventional PR versus web-based PR with respect to changes in PA. METHODS Patients with COPD were randomised to either conventional PR classes (n=51) or a web-based PR programme (n=52) for 7 weeks in a feasibility study. Accelerometers (Sensewear®) were worn pre and post intervention, PA was measured as steps/day and mean bouts of moderate activity for ≥2, ≥5, ≥10 and ≥20 mins. Measures were derived for patients with ≥8 hrs of data/day for ≥4 days using R language statistical software. Variables were explored to examine relationships with bouts of activity. RESULTS Baseline characteristics did not differ significantly between groups. Complete PA data was available for web (n=20) and conventional (n=34) groups. The web group demonstrated a non-significant increase in steps/24hr which comprised mainly of short bouts of MVPA when compared with conventional PR (P=.2). The conventional group increased 20 min bouts of PA by 49.1% although this was not statistically significant (P=.07). At baseline, age (r =-0.21, P=.043), BMI (r=-0.311, P=.004) and FEV1% predicted (r=-0.248, P=.048) were significantly correlated with 10 min bouts of PA, however post intervention this was not observed. CONCLUSIONS The analysis detected a non-statistically significant difference in the pattern of PA between conventional and web-based PR groups, conventional PR being associated with an increase in 20 min bouts whilst the web group demonstrated an increase in steps/24hr. There appears to be a differing response emerging between the two interventions. CLINICALTRIAL ISRCTN03142263

scholarly journals Development of a Tool to Increase Physical Activity among People at Risk for Diabetes in Low-Resourced Communities in Cape Town

2020 ◽  
Vol 17 (3) ◽  
pp. 865 ◽  
Author(s):  
Jillian Hill ◽  
Camille Lavigne Delville ◽  
Anne-Marie Auorousseau ◽  
Deborah Jonathan ◽  
Nasheeta Peer ◽  
...  
Keyword(s):  
Physical Activity ◽  
At Risk ◽  
South African ◽  
Cape Town ◽  
World Health Organisation ◽  
World Health ◽  
Moderate Intensity ◽  
Baseline Survey ◽  
Haemoglobin A1c ◽  
Mixed Ancestry

Targeted lifestyle interventions, including physical activity (PA), have been proven to prevent or delay the onset of diabetes. South Africa’s unique context, complex environment and varied cultures and ethnicities require tailored interventions. Our objective was to develop a context-appropriate tool for the South African Diabetes Prevention Programme’s PA lifestyle component in order to enable people at risk of developing diabetes to adopt PA. We used mixed methods to inform the development of the tool. Descriptive analyses of baseline survey data included socio-demographics, anthropometrics, blood pressure and biochemical measurements, reported medical history, PA behaviours, and built environment information. Focus group discussions assisted in understanding perceived challenges, barriers and facilitators/opportunities to PA. A literature search on successful South African PA interventions was done, and PA experts in Cape Town were consulted. Quantitative data were analysed using the software R, version 3.4.4 and qualitative data were thematically analysed. Participants (n = 316) recruited were mostly black (54.4%) and of mixed-ancestry (44.6%); they were mainly female (80.1%), obese (75.2%), and had an haemoglobin A1c (HbA1c) above 5.7% (65.5%), with 30% having hypertension and 87% (self-reported) meeting the World Health Organisation (WHO) PA recommendation. Main barriers to PA practice were safety, cost and accessibility of sports facilities, and laziness. We included practising moderate-intensity aerobic and resistance exercises and take-home self-help materials as recommended. By combining results, we produced a targeted, practical and promotional PA booklet.

scholarly journals Web content and social media analysis on children's lifestyles even during the Covid-19 pandemic

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
P Nardone ◽  
L Sampaolo ◽  
C Cattaneo ◽  
M Buoncristiano ◽  
CV Carletti ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Media ◽  
Health Literacy ◽  
Eating Habits ◽  
World Health Organisation ◽  
Media Analysis ◽  
World Health ◽  
Web Content ◽  
Ministry Of Health ◽  
The Web

Abstract Background One of the main aims of the project ‘Peer education as a tool to reach and involve families and schools in the promotion of healthy lifestyles of children' - funded by the Italian Ministry of Health - is the web & social media (SM) content analysis relating to children's eating habits, physical activity and sedentary behaviours. By discovering which influencers deal with health topics, when, how, and through which channels they do it, countermeasures can be planned, if needed, foreseeing better users' health literacy. This ‘web and social listening' and its analysis are even more relevant now at the pandemic, as the parents' use of the web and SM has increased. Methods Four areas of interest were selected: nutrition, physical activity, sedentary lifestyle and overweight. For each, keywords were defined to search for relevant content (mention). The data were collected between May and December 2020. Results The mentions collected were 38.146. Of these, 29.666 were used to contruct the panel of 3.100 citations subjected to qualitative analysis. The main Preliminary Results: - Source type: social media 48%, web 52%. 45% of SM content were from Twitter, Instagram (40%), Facebook (14%) and YouTube (0.3%). Facebook accounts had the largest audience Audience profile: 62% women and 38% men; 51% of these were 45-54 and 30% 35-44 years old The most relevant words were: physical activity, children, children's snack, correct nutrition References to the topic ‘COVID-19' in the mentions collected concerned 14% of the analysed content The main organisations, by volume of citations, were: World Health Organisation (12%); National Institute of Health (6%); Italian Food Union (6%); Istat (5.5%); Doxa (5%); OKkio alla Salute (5%); Ministry of Health (4%); Coldiretti (4%); UNICEF (3%). Conclusions The results will contribute to producing indications for health promotion and increasing Internet users' health literacy. Key messages Women are the main users of the topics investigated. Children and adolescents’ health was the central theme in the mentions collected relating to Covid-19.

scholarly journals Effectiveness of web-based and mobile health interventions designed to enhance adherence to physical activity for people with inflammatory arthritis: a systematic review

2021 ◽  
Author(s):  
Mandeep Sekhon ◽  
Claire White ◽  
Emma Godfrey ◽  
Aliya Amirova ◽  
Åsa Revenäs ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Inflammatory Arthritis ◽  
Risk Of Bias ◽  
Health Interventions ◽  
Behaviour Change Techniques ◽  
Post Intervention ◽  
Web Based ◽  
Intervention Content ◽  
Secondary Outcomes

Abstract Objective The aim of this systematic review was to assess the evidence from randomised controlled trials (RCT) and cohort studies for the effectiveness of digital interventions designed to enhance adherence to physical activity (PA) for people with inflammatory arthritis (IA) and describe the intervention content using established coding criteria. Methods Six electronic databases were searched for published and unpublished studies. Independent data extraction and quality assessment (Cochrane risk of bias II or ROBIN I) were conducted by two reviewers. The primary outcome was self-reported adherence to PA post-intervention. Secondary outcomes included self-reported adherence to PA at other timepoints, level of PA or engagement with intervention at any follow-up timepoint. Intervention content was assessed using the Consensus on Exercise Reporting Template and the Behaviour Change Techniques taxonomy version 1. Results From 11,136 reports, four moderate risk of bias studies (three RCTs, one cohort study) including 1,160 participants with rheumatoid arthritis or juvenile inflammatory arthritis were identified. Due to heterogeneity of outcomes, a narrative synthesis was conducted. Only one RCT reported a small between group difference in adherence to PA [mean difference (95% confidence intervals) -0.46 (-0.82. -0.09)] in favour of the intervention. There were no between group differences in any secondary outcomes. Interventions included between 3–11 behaviour change techniques but provided minimal exercise prescription information. Conclusion There is currently limited moderate quality evidence available to confidently evaluate the effect of web-based and mobile health interventions on adherence to PA or level of PA post intervention in people with IA.

scholarly journals Multi-Component Physical Activity Interventions in the UK Must Consider Determinants of Activity to Increase Effectiveness

2021 ◽  
Vol 6 (3) ◽  
pp. 56
Author(s):  
Mark A. Faghy ◽  
Kirsty E. Armstrong-Booth ◽  
Vicki Staples ◽  
Micheal J. Duncan ◽  
Clare M. P. Roscoe
Keyword(s):  
Physical Activity ◽  
Theoretical Basis ◽  
School Setting ◽  
School Age Children ◽  
Moderate Activity ◽  
Activity Levels ◽  
Daily Consumption ◽  
Post Intervention ◽  
Light Activity ◽  
The Uk

Interventions to increase physical activity in children have adopted broad approaches and achieved varying success. There is a need to adopt approaches underpinned with a theoretical basis. Accordingly, the aim here was to implement and evaluate a 12-week intervention designed using the concepts of the COM-B model to determine the effect this has on physical activity levels. One hundred and forty-seven school-age children (mean age 8.9 ± 1.3 years) took part in a 12-week program delivered in a school setting. Topics included physical activity, healthy eating, sleep quality and reducing screen time/sedentary activities when not in school. A sample of participants wore a wrist-worn accelerometer for seven days pre-and post-intervention (N = 11). The physical activity frequency was unchanged (2.9 ± 1.0 AU) when compared with post-intervention values (3.1 ± 0.8 AU, mean increase 6.8 ± 3.7%, p > 0.05). Changes were observed in the daily consumption of fruit and vegetables (pre-intervention 44.6% vs. post-intervention 60.2%, p < 0.05). Sedentary time, light activity, moderate activity and vigorous activity were unchanged post-intervention (p > 0.05). There is a need to adopt a broader approach that incorporates a theoretical basis and considers the complex ways by which physical activity behaviours are influenced.

scholarly journals Understanding Leisure Centre-Based Physical Activity after Physical Activity Referral: Evidence from Scheme Participants and Completers in Northumberland UK

2021 ◽  
Vol 18 (6) ◽  
pp. 2957
Author(s):  
Jordan Bell ◽  
Lis Neubeck ◽  
Kai Jin ◽  
Paul Kelly ◽  
Coral L. Hanson
Keyword(s):  
Physical Activity ◽  
Administrative Data ◽  
World Health Organisation ◽  
Ordinal Regression ◽  
World Health ◽  
Activity Levels ◽  
The World ◽  
The Uk

Physical activity referral schemes (PARS) are a popular physical activity (PA) intervention in the UK. Little is known about the type, intensity and duration of PA undertaken during and post PARS. We calculated weekly leisure centre-based moderate/vigorous PA for PARS participants (n = 448) and PARS completers (n = 746) in Northumberland, UK, between March 2019–February 2020 using administrative data. We categorised activity levels (<30 min/week, 30–149 min/week and ≥150 min/week) and used ordinal regression to examine predictors for activity category achieved. PARS participants took part in a median of 57.0 min (IQR 26.0–90.0) and PARS completers a median of 68.0 min (IQR 42.0–100.0) moderate/vigorous leisure centre-based PA per week. Being a PARS completer (OR: 2.14, 95% CI: 1.61–2.82) was a positive predictor of achieving a higher level of physical activity category compared to PARS participants. Female PARS participants were less likely (OR: 0.65, 95% CI: 0.43–0.97) to achieve ≥30 min of moderate/vigorous LCPA per week compared to male PARS participants. PARS participants achieved 38.0% and PARS completers 45.3% of the World Health Organisation recommended ≥150 min of moderate/vigorous weekly PA through leisure centre use. Strategies integrated within PARS to promote PA outside of leisure centre-based activity may help participants achieve PA guidelines.

scholarly journals Paper-Based Versus Web-Based Versions of Self-Administered Questionnaires, Including Food-Frequency Questionnaires: Prospective Cohort Study

10.2196/11997 ◽  
2019 ◽  
Vol 5 (4) ◽  
pp. e11997 ◽  
Author(s):  
Itziar Zazpe ◽  
Susana Santiago ◽  
Carmen De la Fuente-Arrillaga ◽  
Jorge M Nuñez-Córdoba ◽  
Maira Bes-Rastrollo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cohort Study ◽  
Alcohol Consumption ◽  
Healthy Eating ◽  
Prospective Cohort ◽  
Leisure Time ◽  
Eating Attitudes ◽  
Web Based ◽  
Food Frequency ◽  
The Web

Background Web-based questionnaires allow collecting data quickly, with minimal costs from large sample groups and through Web-based self-administered forms. Until recently, there has been a lack of evidence from large-scale epidemiological studies and nutrition surveys that have evaluated the comparison between traditional and new technologies to measure dietary intake. Objective This study aimed to compare results from the general baseline questionnaire (Q_0) and the 10-year follow-up questionnaire (Q_10) in the Seguimiento Universidad de Navarra (SUN) prospective cohort, obtained from different subjects, some of whom used a paper-based version, and others used a Web-based version. Both baseline and 10-year assessments included a validated 136-item semiquantitative food-frequency questionnaire (FFQ), used to collect dietary intake. Methods The SUN project is a prospective cohort study (with continuous open recruitment and many participants who were recently recruited). All participants were university graduates. Participants who completed the validated FFQ at baseline (FFQ_0, n=22,564) were selected. The variables analyzed were classified into 6 groups of questions: (1) FFQ (136 items), (2) healthy eating attitudes (10 items), (3) alcohol consumption (3 items), (4) physical activity during leisure time (17 items), (5) other activities (24 items), and (6) personality traits (3 items). Multiple linear and logistic regression models were used to assess the adjusted differences between the mean number of missing values and the risk of having apparently incorrect values for FFQ items or mismatches and inconsistencies in dietary variables. Results Only 1.5% (339/22564) and 60.71% (6765/11144) participants reported their information using the Web-based version for Q_0 and Q_10, respectively, and 51.40 % (11598/22564) and 100.00% (11144/11144) of participants who completed the Q_0 and Q_10, respectively, had the option of choosing the Web-based version. Sociodemographic, lifestyle, health characteristics, food consumption, and energy and nutrient intakes were similar among participants, according to the type of questionnaire used in Q_10. Less than 0.5% of values were missing for items related to healthy eating attitudes, alcohol consumption, and personality traits in the Web-based questionnaires. The proportion of missing data in FFQ, leisure time physical activity, and other activities was higher in paper-based questionnaires than Web-based questionnaires. In Web-based questionnaires, a high degree of internal consistency was found when comparing answers that should not be contradictory, such as the frequency of fruit as dessert versus total fruit consumption and the frequency of fried food consumptions versus oil consumption. Conclusions Incorporating a Web-based version for a baseline and 10-year questionnaire has not implicated a loss of data quality in this cohort of highly educated adults. Younger participants showed greater preference for Web-based questionnaires. Web-based questionnaires were filled out to a greater extent and with less missing items than paper-based questionnaires. Further research is needed to optimize data collection and response rate in Web-based questionnaires.

scholarly journals Impact of Educational Weaning Knowledge and Practices of Parents and Guardians of Children under Two Years Old at the David Rose Health Centre

2019 ◽  
pp. 21-22
Author(s):  
Padmini Bissessar ◽  
Kenesha Adams ◽  
Gina Chin ◽  
Sheena Chin ◽  
Paul Garraway ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Repeated Measures ◽  
Health Centre ◽  
World Health Organisation ◽  
Educational Interventions ◽  
World Health ◽  
Post Intervention ◽  
Prospective Longitudinal Study ◽  
Repeated Measures Design ◽  
Prospective Longitudinal

Objectives: To assess the knowledge of weaning, of parents and guardians, of children under two-years-old, attending David Rose Health Centre. To assess whether there is an association between selected demographic variables, and the weaning knowledge. To educate the parents and guardians on the World Health Organisation recommended weaning practices. To assess the change in knowledge of weaning after the delivery of an educational intervention. Design and Methods: A prospective longitudinal study with repeated measures design obtained 120 participants using a convenient, non-probability sampling method. Data was collected using a pre-intervention and post-intervention questionnaire. The data was processed using the SPSS Version 24 Software Program and analysed with a scoring system developed by the researchers using the PAHO/WHO “Guiding Principles for Complementary Feeding of the Breastfed Child”. Results: Both educational interventions increased the participants knowledge from good to almost 100%. Conclusions: Most parents and guardians had good baseline knowledge. However, there were certain aspects where they lacked or had inaccurate knowledge. Overall, their knowledge improved regardless of the type of educational intervention they were exposed to. Recommendations: Future studies should be held in classroom settings, with more time allowed to assess change of knowledge.

Abstract 53: Changes in Physical Activity and Risk of Stroke in the California Teachers Study

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Joshua Z Willey ◽  
Jenna Voutsinas ◽  
Ayesha Sherzai ◽  
Sophia S Wang ◽  
Leslie Bernstein ◽  
...  
Keyword(s):  
Physical Activity ◽  
Lower Risk ◽  
Leisure Time Physical Activity ◽  
Life Time ◽  
Moderate Intensity ◽  
Moderate Activity ◽  
Cox Models ◽  
Moderate Intensity Physical Activity ◽  
Strenuous Activity ◽  
Intensity Physical Activity

Introduction: Leisure time physical activity (LTPA) has been consistently associated with a lower risk of stroke across several populations. Less is known however about how changes over the life-time in physical activity may influence the risk of stroke. We examined the association of changes in engaging in moderate and strenuous physical activity with risk of stroke in the California Teachers Study. Methods: The California Teachers Study is a prospective cohort study established in 1995. Baseline LTPA was obtained using a questionnaire outlining time spent in moderate (brisk walking for example) and strenuous (swimming and running for example); the same questionnaire was repeated in 2005-6. We defined the exposure as engaging in any activity for at least 15 minutes per week (any) in the second questionnaire when not engaging in any on the first questionnaire, with the reference being no change or a decline in activity between both. Multi-variable Cox models were constructed to examine the association of the change in LTPA with risk of stroke. Separate models were created for moderate and strenuous activity. Results: There were a total of 61,256 participants with two LTPA questionnaires available separated by 10 years. A total of 3,111 participants increased their level of moderate activity, 11,744 remained active in both, 2,760 declined from the first to the second questionnaire, while 2,508 reported no activity in both. There were 987 (709 ischemic, 221 hemorrhagic, 247 deaths) strokes after the second questionnaires (mean follow up 6.5 years). In multi-variable models increasing any moderate intensity from none from the two questionnaires, versus no change or decline in activity, was associated with a lower risk of all stroke (adjusted HR 0.83, 95% CI 0.72-0.95). We found no associations of changes in strenuous LTPA with risk of stroke (adjusted HR 0.99, 95% CI 0.83-1.17). The associations were statistically significant for ischemic stroke (adjusted HR 0.75, 95% CI 0.64-0.89) but not hemorrhagic stroke (adjusted HR 0.94, 95% CI 0.72-1.25). Conclusion: Improving or maintaining moderate intensity physical activity is associated with a lower risk of stroke, while changes in strenuous activity is not.

Effectiveness of an Educational Intervention to Participation in Physical Activity: A quasi-experimental model-based study

2020 ◽  
Author(s):  
Saeideh Shahsavari ◽  
Sakineh dadipoor ◽  
Mohtasham Ghaffari ◽  
Ali Safari-Moradabadi
Keyword(s):  
Physical Activity ◽  
Educational Intervention ◽  
Stages Of Change ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
Post Intervention ◽  
Chi Square ◽  
Significant Difference ◽  
Quasi Experimental

Abstract Background: The aim of the present study was to assess readiness to become or stay physically active according to the Stages of Change Model.Methods: The present quasi-experimental study was conducted on 100 women working in the healthcare centres of Bandar Abbas, Iran. The sampling method is clustering in type. The subjects were assigned into two groups of intervention and control. The collected data were analysed by SPSS-16 software using descriptive and inferential statistics, including independent-sample t-test, paired-sample t-test and Chi-square test.Results: Before the educational intervention, 19 subjects (0.38%) from the intervention group showed to have regular physical activity (4-5 stages). This number changed to 29 (0.58%) and 25 (0.50%) after three months and six months of intervention. A statistically significant difference was found before the intervention and 3 and 6 months afterwards (P˂.001). In the control group, no statistically significant difference was found between the pre-intervention and post-intervention (three months (P=.351) and six months (P=.687).Conclusion: The educational intervention based on the stages of behaviour change model showed to be effective in promoting the physical activity of employed women. These findings may benefit health education researchers and practitioners who tend to develop innovative theory-based interventions and strategies to increase the level of physical activity in women.

scholarly journals Association between leisure-time physical activity and the risk of chronic diseases

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Dedele ◽  
A Miskinyte
Keyword(s):  
Physical Activity ◽  
Chronic Diseases ◽  
High Intensity ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Adult Population ◽  
World Health ◽  
Health Study ◽  
Moderate Intensity ◽  
The Impact

Abstract Background According to the World Health Organization, non-communicable diseases or chronic diseases, account for 71 percent of all deaths globally, affecting individuals of all age groups and countries. Epidemiological studies have shown an association between a lack of physical activity (PA) and the risk of raised blood pressure, increased body mass index and obesity that can lead to chronic diseases. Methods The aim of the study was to assess the relationship between leisure-time PA and the risk of chronic diseases among adult population. We conducted a cross-sectional study of 470 men and 641 women who participated in “The Impact of Sustainable Mobility, Physical Activity and Environmental Factors on Urban Population Health Study (ISMA)” in Lithuania. Leisure-time PA was self-reported and divided into three levels: low, moderate and high. Logistic regression was used to estimate adjusted odds ratios (ORs) of chronic diseases according to leisure-time PA. Results More than half (55%) of the study population engaged in a moderate intensity PA and 12% of participants engaged in a high intensity leisure-time PA. Men 1.6 times more often than women reported engaging in a high intensity PA in leisure time (p = 0.004). Adults who engaged in low intensity leisure-time PA had almost 3 times (OR = 2.91; 95% confidence interval (CI) 1.62-5.24) higher risk of chronic diseases, whereas those adults who reported moderate intensity leisure-time PA had an OR of 1.63 (95% CI 0.92-2.87) compared to individuals who engaged in a high-level PA. Conclusions Our findings suggest that high levels of leisure-time PA could reduce the risk of chronic diseases and this effect was significantly stronger in men. Key messages Global decline in PA is related to inaction during leisure time and sedentary behaviour at work and at home that has a major health impact worldwide. High levels of leisure-time PA are important factor for chronic disease prevention.

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