scholarly journals Health App Use Among US Mobile Phone Users: Analysis of Trends by Chronic Disease Status (Preprint)

2017 ◽  
Author(s):  
Rebecca Robbins ◽  
Paul Krebs ◽  
Ram Jagannathan ◽  
Girardin Jean-Louis ◽  
Dustin T Duncan
Keyword(s):  
Physical Activity ◽  
Logistic Regression ◽  
Mobile Phone ◽  
Chronic Conditions ◽  
Mobile Apps ◽  
The United States ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Apps ◽  
Significant Difference

BACKGROUND Mobile apps hold promise for serving as a lifestyle intervention in public health to promote wellness and attenuate chronic conditions, yet little is known about how individuals with chronic illness use or perceive mobile apps. OBJECTIVE The objective of this study was to explore behaviors and perceptions about mobile phone–based apps for health among individuals with chronic conditions. METHODS Data were collected from a national cross-sectional survey of 1604 mobile phone users in the United States that assessed mHealth use, beliefs, and preferences. This study examined health app use, reason for download, and perceived efficacy by chronic condition. RESULTS Among participants, having between 1 and 5 apps was reported by 38.9% (314/807) of respondents without a condition and by 6.6% (24/364) of respondents with hypertension. Use of health apps was reported 2 times or more per day by 21.3% (172/807) of respondents without a condition, 2.7% (10/364) with hypertension, 13.1% (26/198) with obesity, 12.3% (20/163) with diabetes, 12.0% (32/267) with depression, and 16.6% (53/319) with high cholesterol. Results of the logistic regression did not indicate a significant difference in health app download between individuals with and without chronic conditions (P>.05). Compared with individuals with poor health, health app download was more likely among those with self-reported very good health (odds ratio [OR] 3.80, 95% CI 2.38-6.09, P<.001) and excellent health (OR 4.77, 95% CI 2.70-8.42, P<.001). Similarly, compared with individuals who report never or rarely engaging in physical activity, health app download was more likely among those who report exercise 1 day per week (OR 2.47, 95% CI 1.6-3.83, P<.001), 2 days per week (OR 4.77, 95% CI 3.27-6.94, P<.001), 3 to 4 days per week (OR 5.00, 95% CI 3.52-7.10, P<.001), and 5 to 7 days per week (OR 4.64, 95% CI 3.11-6.92, P<.001). All logistic regression results controlled for age, sex, and race or ethnicity. CONCLUSIONS Results from this study suggest that individuals with poor self-reported health and low rates of physical activity, arguably those who stand to benefit most from health apps, were least likely to report download and use these health tools.

scholarly journals Factors for Lower Walking Speed in Persons with Multiple Sclerosis

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Leandro Alberto Calazans Nogueira ◽  
Luciano Teixeira dos Santos ◽  
Pollyane Galinari Sabino ◽  
Regina Maria Papais Alvarenga ◽  
Luiz Claudio Santos Thuler
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Physical Activity Level ◽  
Walking Speed ◽  
Motor Planning ◽  
Activity Level ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Balance Confidence ◽  
Significant Difference

Objective. The purpose of this study was to analyze factors related to lower walking speed in persons with multiple sclerosis (PwMS).Methods. A cross-sectional survey was conducted. The study participants were 120 consecutive PwMS, who were able to walk, even with device assistance. Demographic and clinical data were collected. Walking speed was measured in 10 m walk test. Possible factors were assessed: disability, fatigue, visual functioning, balance confidence, physical activity level, walking impact, cognitive interference, and motor planning. A forward linear multiple regression analysis examined the correlation with lower speed.Results. Lower walking speed was observed in 85% of the patients. Fatigue (41%), recurrent falls (30%), and balance problems were also present, even with mild disability (averageEDSS=2.68). A good level of physical activity was noted in most of the subjects. Dual-task procedure revealed 11.58% of walking speed reduction. Many participants (69.57%) imagined greater walking speed than motor execution (mean ≥ 28.42%). Physical activity level was the only characteristic that demonstrated no significant difference between the groups (lower versus normal walking speed). Many mobility measures were correlated with walking speed; however, disability, balance confidence, and motor planning were the most significant.Conclusions. Disability, balance confidence, and motor planning were correlated with lower walking speed.

Work-related musculoskeletal symptoms in otorhinolaryngology and their relationship with physical activity. A nationwide survey

2019 ◽  
Vol 133 (8) ◽  
pp. 713-718 ◽  
Author(s):  
D Lobo ◽  
M A Gandarillas ◽  
S Sánchez-Gómez ◽  
R Megía
Keyword(s):  
Physical Activity ◽  
Physical Exercise ◽  
Musculoskeletal Disorders ◽  
Nationwide Survey ◽  
Physical Symptoms ◽  
Musculoskeletal Symptoms ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Work Related ◽  
Significant Difference

AbstractObjectiveThe main objective of this study was to determine the prevalence of work-related musculoskeletal symptoms in otolaryngology and head and neck surgery specialists and trainees in Spain, and to measure the effect that physical exercise could have on muscular discomfort.MethodA cross-sectional survey was administered between September and December 2017 to practising otolaryngologists.ResultsFour hundred and three ENT surgeons responded, with a median age of 44.9 years, and 89.8 per cent reported discomfort or physical symptoms that they attributed to surgical practice. More female surgeons reported musculoskeletal symptoms (92.8 per cent vs 87.1 per cent; p = 0.04). When the level of physical activity was compared with the frequency of physical discomfort, no significant difference was found.ConclusionThis study has shown a high prevalence of musculoskeletal disorders among ENT surgeons in Spain but has failed to demonstrate an important role of physical exercise in the prevention of musculoskeletal disorders.

scholarly journals Comparison of Mobile Health Technology Use for Self-Tracking Between Older Adults and the General Adult Population in Canada: Cross-Sectional Survey

10.2196/24718 ◽  
2020 ◽  
Vol 8 (11) ◽  
pp. e24718
Author(s):  
Mirou Jaana ◽  
Guy Paré
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Technology Use ◽  
Chronic Conditions ◽  
Mobile Apps ◽  
Adult Population ◽  
Smart Devices ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
General Adult Population

Background The burden of population aging and chronic conditions has been reported worldwide. Older adults, especially those with high needs, experience social isolation and have high rates of emergency visits and limited satisfaction with the care they receive. Mobile health (mHealth) technologies present opportunities to address these challenges. To date, limited information is available on Canadian older adults’ attitudes toward and use of mHealth technologies for self-tracking purposes—an area that is increasingly important and relevant during the COVID-19 era. Objective This study presents contributions to an underresearched area on older adults and mHealth technology use. The aim of this study was to compare older adults’ use of mHealth technologies to that of the general adult population in Canada and to investigate the factors that affect their use. Methods A cross-sectional survey on mHealth and digital self-tracking was conducted. A web-based questionnaire was administered to a national sample of 4109 Canadian residents who spoke either English or French. The survey instrument consisted of 3 sections assessing the following items: (1) demographic characteristics, health status, and comorbidities; (2) familiarity with and use of mHealth technologies (ie, mobile apps, consumer smart devices/wearables such as vital signs monitors, bathroom scales, fitness trackers, intelligent clothing); and (3) factors influencing the continued use of mHealth technologies. Results Significant differences were observed between the older adults and the general adult population in the use of smart technologies and internet (P<.001). Approximately 47.4% (323/682) of the older adults in the community reported using smartphones and 49.8% (340/682) indicated using digital tablets. Only 19.6% (91/463) of the older adults using smartphones/digital tablets reported downloading mobile apps, and 12.3% (47/383) of the older adults who heard of smart devices/wearables indicated using them. The majority of the mobile apps downloaded by older adults was health-related; interestingly, their use was sustained over a longer period of time (P=.007) by the older adults compared to that by the general population. Approximately 62.7% (428/682) of the older adults reported tracking their health measures, but the majority did so manually. Older adults with one or more chronic conditions were mostly nontrackers (odds ratio 0.439 and 0.431 for traditional trackers and digital trackers, respectively). No significant differences were observed between the older adults and the general adult population with regard to satisfaction with mHealth technologies and their intention to continue using them. Conclusions Leveraging mHealth technologies in partnership with health care providers and sharing of health/well-being data with health care professionals and family members remain very limited. A culture shift in the provision of care to older adults is deemed necessary to keep up with the development of mHealth technologies and the changing demographics and expectations of patients and their caregivers.

Characterizing Husbandry Risk Factors Associated with Metastatic Soft Tissue Mineralization in Zoo-Housed Komodo Dragons (Varanus komodoensis) in the United States

2021 ◽  
Author(s):  
Dawn Zimmerman ◽  
Jennifer H. Yu ◽  
Willem Schaftenaar ◽  
Laura Debnar ◽  
Drury Reavill ◽  
...  
Keyword(s):  
United States ◽  
Risk Factors ◽  
Soft Tissue ◽  
Multinomial Logistic Regression ◽  
The United States ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference ◽  
History Of ◽  
Univariate Analyses

Metastatic soft tissue mineralization has emerged as a major cause of death in captive Komodo dragons ( Varanus komodoensis ). A cross-sectional survey-based study was performed to evaluate husbandry-related risk factors for metastatic mineralization in zoo-housed Komodo dragons in the United States. Nineteen institutions participated, nine of which (47.4%) had a history of metastatic mineralization within their collections. Husbandry at participating institutions varied in temperature gradients, outdoor exposure, artificial lighting, and diet items offered. Differences in husbandry were tested between institutions with and without a history of mineralization using univariate analyses, and variables resulting in a significance level ≤0.10 were entered into a multinomial logistic regression model. The only variable demonstrating a significant difference during univariate analyses was the number of dragons per enclosure ( p =0.036), while the only significant predictive variable after modeling was humidity approximation. Zoos that approximated rather than measured humidity were 12.0 times as likely to have a history of mineralization in their Komodo dragons (OR 12.0, p =0.045). These variables likely reflect the under- or overestimation of exhibit humidity levels, and the tendency to house males and females together. Based on post-mortem findings for 27 dragon mortalities from these institutions, the presence of mineralization at necropsy was significantly associated with female dragons (OR 18.2, p =0.0044) and yolk coelomitis or embolism (OR 6.76, p =0.046). Although this study did not identify definitive links between husbandry and the prevalence of mineralization at the institutional level, the survey revealed high variation in husbandry conditions, and potential

scholarly journals The Engagement in Physical Activity for Middle-Aged and Older Adults with Multiple Chronic Conditions: Findings from a Community Health Assessment

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Wei-Chen Lee ◽  
Marcia G. Ory
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Chronic Conditions ◽  
Health Assessment ◽  
The United States ◽  
Cross Sectional Study ◽  
Multiple Chronic Conditions ◽  
Middle Aged ◽  
Cross Sectional ◽  
Musculoskeletal Systems

The current aging trends accompanying the increasing prevalence of multiple chronic conditions (MCCs) and decreasing participation in physical activity (PA) have swept the United States. In light of the magnitude of this phenomenon, this study seeks to identify the most common MCC combinations and their relationships with PA level. A cross-sectional study,Brazos Valley Health Assessment, was conducted between October 2009 and July 2010. All data analyses were performed by STATA 12.0. The overall sample which met the inclusion criteria is 2,603. Among people older than 45 years, chronic conditions of cardiovascular, endocrine, and musculoskeletal systems were the most prevalent. Participants with three chronic conditions were less likely to meet the PA standard than those with only two chronic conditions. Younger age, women, rural residence, and unsafe environments were related to the lower PA level. After adjusting for seven covariates, all MCCs combinations adversely affect the level of PA (, ). People with MCCs were among the least active subgroups despite the health benefits of doing exercise. Given the well-documented benefits of physical activity for delaying the onset or progression of MCCs, public health efforts to enhance regular PA in middle-aged and older adults are recommended.

scholarly journals FAKTOR RISIKO KEGEMUKAN PADA WANITA DEWASA INDONESIA

2013 ◽  
Vol 8 (1) ◽  
pp. 1 ◽  
Author(s):  
Rian Diana ◽  
Indah Yuliana ◽  
Ghaida Yasmin ◽  
Hardinsyah Hardinsyah
Keyword(s):  
Physical Activity ◽  
Higher Education ◽  
Risk Factors ◽  
Logistic Regression ◽  
Household Income ◽  
Significant Risk ◽  
Education Level ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Overweight Women

This study was aimed to analyze risk factors of overweight women aged 19—55 years in Indonesia. This study used electronic files data of the National Basic Health Research 2010 from Ministry of Health, which was designed as a cross sectional survey. A total of 57,167 women aged 19—55 years were selected for the analysis. A logistic regression was applied to analyze risk factors of overweight. The result showed that 29.4% of subjects were overweight (including obese). The significant risk factors (p&lt;0.05) of overweight among subjects were marital status (OR for married=2.712; 95%CI:2.559—2.875), household income (OR for high income=1.566; 95%CI:1.504—1.631), living settlement (OR for urban=1.358; 95%CI:1.304—1.413), physical activity (OR for sedentary=1.213; 95%CI:1.153—1.275), energy from carbohydrate (EAC) (OR for EAC≥55%=1.119; 95%CI:1.067—1.173), and energy from sugary sweetened foods (ESF) (OR for ESF≥10%=1.100; 95%CI:1.037—1.166). Education level (OR for higher education=0.817; 95%CI:0.782—0.853) was a protective factors for overweight. This implies the importance of promoting physical activity and healthy diet, especially with sugary sweetened foods and adequate energy from carbohydrate, for preventing and controlling overweight among Indonesian adults especially women.

scholarly journals Health Literacy and Diabetes Knowledge: A Nationwide Survey in a Multi-Ethnic Population

2021 ◽  
Vol 18 (17) ◽  
pp. 9316
Author(s):  
P. V. Asharani ◽  
Jue Hua Lau ◽  
Kumarasan Roystonn ◽  
Fiona Devi ◽  
Wang Peizhi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Literacy ◽  
Chronic Conditions ◽  
Functional Health ◽  
Bivariate Analysis ◽  
Functional Health Literacy ◽  
Unhealthy Lifestyle ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Inadequate Health Literacy

Health literacy is a key determinant of the public health and health climate of the nation. This study examined the functional health literacy of the nation, factors associated with health literacy, and its relationship with diabetes recognition. This cross-sectional survey recruited participants (N = 2895) who were 18 years and above from a population registry through disproportionate stratified sampling. The Brief Health Literacy Screen and other questionnaires were administered through face-to-face interviews, in one of the four national languages (English, Chinese, Malay or Tamil). The majority (80.5%) had adequate functional health literacy and were able to recognise symptoms of diabetes correctly (83.5% overall; 83.7% and 82.2% in those with adequate and inadequate health literacy, respectively). Those with inadequate health literacy had a higher incidence of chronic conditions (p < 0.001) compared to those with adequate health literacy in bivariate analysis. The majority of the sample had sufficient levels of physical activity (83.3%), and more than half reported an unhealthy lifestyle (57.4%). Older age, Chinese ethnicity, those who were employed, with lower education (secondary or below), and were married had significantly higher odds of inadequate health literacy. Health literacy was not associated with lifestyle, physical activity, chronic conditions and diabetes recognition. Health literacy interventions should focus on the disadvantaged social groups for improving their health literacy.

scholarly journals Comparison of Mobile Health Technology Use for Self-Tracking Between Older Adults and the General Adult Population in Canada: Cross-Sectional Survey (Preprint)

2020 ◽  
Author(s):  
Mirou Jaana ◽  
Guy Paré
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Technology Use ◽  
Chronic Conditions ◽  
Mobile Apps ◽  
Adult Population ◽  
Smart Devices ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
General Adult Population

BACKGROUND The burden of population aging and chronic conditions has been reported worldwide. Older adults, especially those with high needs, experience social isolation and have high rates of emergency visits and limited satisfaction with the care they receive. Mobile health (mHealth) technologies present opportunities to address these challenges. To date, limited information is available on Canadian older adults’ attitudes toward and use of mHealth technologies for self-tracking purposes—an area that is increasingly important and relevant during the COVID-19 era. OBJECTIVE This study presents contributions to an underresearched area on older adults and mHealth technology use. The aim of this study was to compare older adults’ use of mHealth technologies to that of the general adult population in Canada and to investigate the factors that affect their use. METHODS A cross-sectional survey on mHealth and digital self-tracking was conducted. A web-based questionnaire was administered to a national sample of 4109 Canadian residents who spoke either English or French. The survey instrument consisted of 3 sections assessing the following items: (1) demographic characteristics, health status, and comorbidities; (2) familiarity with and use of mHealth technologies (ie, mobile apps, consumer smart devices/wearables such as vital signs monitors, bathroom scales, fitness trackers, intelligent clothing); and (3) factors influencing the continued use of mHealth technologies. RESULTS Significant differences were observed between the older adults and the general adult population in the use of smart technologies and internet (<i>P</i>&lt;.001). Approximately 47.4% (323/682) of the older adults in the community reported using smartphones and 49.8% (340/682) indicated using digital tablets. Only 19.6% (91/463) of the older adults using smartphones/digital tablets reported downloading mobile apps, and 12.3% (47/383) of the older adults who heard of smart devices/wearables indicated using them. The majority of the mobile apps downloaded by older adults was health-related; interestingly, their use was sustained over a longer period of time (<i>P</i>=.007) by the older adults compared to that by the general population. Approximately 62.7% (428/682) of the older adults reported tracking their health measures, but the majority did so manually. Older adults with one or more chronic conditions were mostly nontrackers (odds ratio 0.439 and 0.431 for traditional trackers and digital trackers, respectively). No significant differences were observed between the older adults and the general adult population with regard to satisfaction with mHealth technologies and their intention to continue using them. CONCLUSIONS Leveraging mHealth technologies in partnership with health care providers and sharing of health/well-being data with health care professionals and family members remain very limited. A culture shift in the provision of care to older adults is deemed necessary to keep up with the development of mHealth technologies and the changing demographics and expectations of patients and their caregivers.

Perceptions on the effect of physical activity on quality of life, overall survival, and fatigue in palliative cancer patients.

2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 198-198
Author(s):  
Karmugi Balaratnam ◽  
Graham McFarlane ◽  
Peter Selby ◽  
Shabbir Alibbhai ◽  
M. Catherine Brown ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Overall Survival ◽  
Odds Ratio ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference ◽  
Palliative Patients

198 Background: Physical activity is an important lifestyle recommendation for all patients’ wellbeing. With better cancer treatments and palliative patients living longer, maintaining physical activity is becoming an important survivorship goal, even in the palliative setting. We assessed cancer patient’s perception of the effect of physical activity on their quality of life, overall survival, and fatigue. Methods: In a cross-sectional survey across all cancer sites, patient perception of the effect of physical activity on three outcomes: quality of life, overall survival, and fatigue. Palliative status was determined by chart review and primary oncologist assessments. Regression-based estimates of the odds ratios and confidence intervals (CI) described any differences in perception between palliative and non-palliative patients. Results: Of 1283 patients recruited, 1080 completed the entire survey; median (range) age was 58 (18-98) years; 54% were female; 15% were palliative. Palliative patients were less likely than non-palliative patients to believe that physical activity improved overall survival, with an odds ratio of 0.53 (95%CI 0.34-0.83; P = 0.006). Palliative patients were less likely to perceive that physical activity improved fatigue, with odds ratio 0.68 (95%CI: 0.47-0.97; P = 0.04). Although not statistically significant, palliative patients also perceived less of a positive effect of physical activity on quality of life with an odds ratio of 0.65 (95% CI 0.47-0.97; P = 0.12). Results were similar regardless of whether patients were asked to perceive the effect of physical activity on themselves or in the general cancer patient. Conclusions: Palliative patients were more likely to believe that physical activity did not improve their overall survival and fatigue compared to the curative counterparts. Also, there was no significant difference in the perception of the effect of physical activity on the quality of life among the two groups of cancer survivors. Since palliative patients are living longer, future research can focus on implementing exercise recommendations and following up so the actual benefits can be seen.

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