Lifestyle interventions reduce exercise ventilatory variability in healthy individuals: a randomized intervention study

2020 ◽  
Vol 16 (5) ◽  
pp. 439-446
Author(s):  
Renata RT Castro ◽  
Allan Robson Kluser Sales ◽  
Antonio CL Nóbrega
Keyword(s):  
Exercise Intervention ◽  
Intervention Group ◽  
Control Group ◽  
Study Materials ◽  
Diet And Exercise ◽  
Before And After ◽  
Randomized Intervention ◽  
Diet And Exercise Intervention ◽  
Randomized Intervention Study ◽  
The Impact

Aim: Variation of exercise ventilation confers poor prognosis in heart failure. Sedentary men have higher exercise ventilatory variability than athletes. However, the impact of lifestyle intervention on exercise ventilatory variability in sedentary people is unknown and this is the aim of this study. Materials & methods: Prospective controlled single-blinded interventional study that randomly assigned healthy sedentary individuals to diet and exercise (intervention group, n = 12) or no intervention (control group, n = 12) for 12 weeks. Exercise ventilatory variability was accessed before and after intervention. Results: Despite similar values at baseline, there was a 15% reduction in respiratory rate variability (root mean square of the successive differences/n) in intervention group. Conclusion: Diet and exercise training reduced exercise ventilatory variability.

scholarly journals PO-038 Effect of diet and exercise intervention on the treatment of diabetic patients

2018 ◽  
Vol 1 (3) ◽  
Author(s):  
Zunhua Xu ◽  
Bin Huang
Keyword(s):  
Blood Glucose ◽  
Exercise Intervention ◽  
Glycosylated Hemoglobin ◽  
Intervention Group ◽  
Nutrition Intervention ◽  
Control Group ◽  
Diabetic Patients ◽  
Group Exercise ◽  
Diet And Exercise ◽  
Diet And Exercise Intervention

Objective To investigate the effect of nutrition and exercise intervention on lowering blood glucose level in type 2 diabetes patients. Methods In Wuhou district of Chengdu and Tianfu New Area, select TongZi Community health service centers and Er Jiang community health service center in patients with type 2 diabetes health management team, the latest Glycosylated Hemoglobin (HbAlc) ≧ 7.4% of the patients as the research object, 592, randomized methods for nutrition intervention group + exercise intervention group, exercise intervention group and control group, each group of about 200 people. Adopt the self-designed questionnaire to collect the general information of patients, including gender, age, culture level, course of the disease and the complications, etc., using the standard method of measurement, the measurement of the patient's body, including blood pressure, heart rate, biochemical tests Glycosylated Hemoglobin (HbAlc) and so on. Patients were followed for one year. At 3, 6 and 12 months, patients were followed up with questionnaires, physical measurements and HbAlc tests Results The patients with 3, 6 and 12 months the total response rate was 98.2%, 99.2% and 98.6%, compared with the baseline, the two intervention groups Glycosylated Hemoglobin (HbAlc) in different periods of follow-up is falling, 6 months is more noticeable, nutrition intervention group + exercise intervention group decreased by 0.44%, movement intervention group decreased by 0.23%, while the control group increased by 0.08%. It can be seen that proper exercise can increase the sensitivity of body tissues to insulin, thus increasing the use of glucose angiosperms and other tissues in blood and lowering blood glucose. Even for individual patients, exercise combined with diet therapy can even stabilize blood glucose at normal levels. Effective exercise and nutrition intervention is an important measure to treat diabetes. Conclusions   The long-term diet and exercise intervention for diabetic patients is not only beneficial to the health of diabetes, but also can significantly improve the quality of life of patients. Effective exercise and nutrition intervention are important measures to treat diabetes.

scholarly journals Controlled Study of the Impact of a Virtual Program to Reduce Stigma Among University Students Toward People With Mental Disorders

2021 ◽  
Vol 12 ◽  
Author(s):  
Matías E. Rodríguez-Rivas ◽  
Adolfo J. Cangas ◽  
Daniela Fuentes-Olavarría
Keyword(s):  
Mental Disorders ◽  
University Students ◽  
Intervention Group ◽  
Project Based Learning ◽  
Controlled Study ◽  
Control Group ◽  
Global Score ◽  
Stigma Reduction ◽  
Before And After ◽  
The Impact

Stigma toward mental disorders is one of today's most pressing global issues. The Covid-19 pandemic has exacerbated the barriers to social inclusion faced by individuals with mental disorders. Concurrently, stigma reduction interventions, especially those aimed at university students, have been more difficult to implement given social distancing and campus closures. As a result, alternative delivery for programs contributing to stigma reduction is required, such as online implementation. This paper reports the results of a controlled study focused on an online multi-component program on reducing stigma toward mental illness that included project-based learning, clinical simulations with standardized patients and E-Contact with real patients. A total of 40 undergraduate students from the Universidad del Desarrollo in Santiago, Chile, participated in the study. They were randomly divided between an intervention and control group. The intervention group participated in the online multi-component program, while the control group participated in an online educational program on cardiovascular health. We assessed the impact of the program by using the validated Spanish-language versions of the Attribution Questionnaire AQ-27 and the Questionnaire on Student Attitudes toward Schizophrenia with both groups, before and after the intervention. In addition, an ad hoc Likert scale ranging from 0 to 5 was used with the intervention group in order to assess the learning strategies implemented. Following the intervention, the participants belonging to the intervention group displayed significantly lower levels of stereotypes, perception of dangerousness, and global score toward people with schizophrenia (p < 0.001). In addition, participants presented lower levels of dangerousness-fear, avoidance, coercion, lack of solidarity, and global score (p < 0.001). The control group displayed no statistically significant differences in the level of stigma before and after the evaluation, for all of the items assessed. Finally, the overall assessment of each of the components of the program was highly positive. In conclusion, the study shows that online programs can contribute to reducing stigma toward mental disorders. The program assessed in this study had a positive impact on all the dimensions of stigma and all of the components of the program itself were positively evaluated by the participants.

The association of innate and acquired aerobic capacity with resilience in healthy adults: Protocol for an eight-week randomized controlled web-based physical exercise intervention study (Preprint)

2021 ◽  
Author(s):  
David Tobias Ochmann ◽  
Keito F A Philippi ◽  
Peter Zeier ◽  
Magdalena Sandner ◽  
Barlo Hillen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Exercise ◽  
Aerobic Capacity ◽  
Exercise Intervention ◽  
Intervention Group ◽  
Control Group ◽  
Active Lifestyle ◽  
Web Based ◽  
Before And After ◽  
Physically Inactive

BACKGROUND Physical activity ameliorates chronic stress. Latest research suggests a relation between resilience and physical fitness. Beneficial adaptations of the hypothalamic-pituitary-adrenal axis, the sympathetic nervous system, the endocannabinoid system, and the tryptophan pathway, induced by an active lifestyle, are considered to be resilience conducive. However, detailed knowledge on the molecular link between the effects of acute and chronic physical exercise and an improved resilience is missing. OBJECTIVE Therefore, we implement a human exercise intervention trial addressing the main hypotheses: (1) web-based exercise training improves aerobic capacity of physically inactive adults, which (2) is accompanied by improved resilience. In this setting, we will analyze the relation of resilience parameters with innate and acquired aerobic capacity as well as circulating signaling molecules. METHODS 70 healthy physically inactive (<150min/week physical activity) adults (18-45y) will be randomly assigned to an intervention or control group. Participants in the intervention group receive weekly training utilizing progressive endurance and interval running individually adapted to their training performance via web-based physician support. A standardized incremental treadmill exercise test is performed before and after the intervention period of eight weeks to determine innate and acquired aerobic capacity. Before and after the intervention psychological tests and questionnaires that characterize parameters implicated in resilience (including impulse control, working memory, stress coping, emotion regulation) will be applied. Blood, and saliva will be sampled for analysis of lactate, cortisol, endocannabinoids, catecholamines, kynurenic acid, cell-free DNA and further circulating signal transducers. Statistical analysis will provide comprehensive knowledge on the relation of aerobic capacity and resilience, and furthermore, the capacity of peripheral factors to mediate the promoting effects of exercise on resilience. RESULTS The study was registered in October 2019. Enrollment began in September 2019. Out of 161 subjects, who were initially screened via telefon survey, 43 fulfilled the inclusion criteria and were included. Among the 17 participants in the intervention group, and 14 participants in the control group, who completed the study (total 31), no serious adverse event has been reported. Four participants withdrew during the programm (individual reasons), and 8 participants have not yet completed or begun the program due to the Covid-19 pandemic. Enrollment and data analysis are ongoing, and results are expected to be submitted for publication in October 2021. CONCLUSIONS Our study aims to demonstrate that an increase in physical activity with a simultaneous improvement in aerobic capacity is associated with an increase in resilience. This study design allows to investigate the effect of an active lifestyle on circulating molecular marker levels and their relationship to resilience factors. This will offer novel approaches for the diagnosis of depression and the therapy by exercise prescription. CLINICALTRIAL DRKS00018078, registered October 02, 2019, German Clinical Trials Register. Retrospectively registered: First participant September 10, 2019.

Quiet time: a nursing intervention to promote sleep in neurocritical care units

2001 ◽  
Vol 10 (2) ◽  
pp. 74-78 ◽  
Author(s):  
DM Olson ◽  
CO Borel ◽  
DT Laskowitz ◽  
DT Moore ◽  
ES McConnell
Keyword(s):  
Neurocritical Care ◽  
Control Period ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Control Group ◽  
Quiet Time ◽  
Sleep Behavior ◽  
Environmental Stimuli ◽  
Before And After ◽  
The Impact

BACKGROUND: Patients in intensive care units are often sleep deprived, yet little research exists on the impact of nursing care on promoting sleep. OBJECTIVES: To determine if implementing a "quiet time" protocol to reduce external environmental stimuli is associated with increased frequency of sleep among patients in a neurocritical care unit. METHODS: Patients were observed 8 times each day before and after implementation of a protocol in which environmental sounds and lights were decreased from 2 AM to 4 AM and from 2 PM to 4 PM. Data collected at 2:45 AM, 3:30 AM, 2:45 PM, and 3:30 PM on patients with scores of 10 or greater on the Glasgow Coma Scale were analyzed. A total of 2975 observations were made on a total of 239 patients: 1446 observations on 118 patients in the control group and 1529 observations on 121 patients in the intervention group. RESULTS: The percentage of patients observed asleep was significantly higher during the months the quite-time period was implemented than during the control period before the intervention was started. The increase in sleep behavior was associated with decreased sound and light levels achieved during the quiet time. Patients observed during the intervention period were 1.6 times more likely to be asleep during the quiet time than were patients observed during the control period (P &lt; .001). CONCLUSIONS: A concentrated effort by staff to reduce environmental stimuli at discrete preset intervals increases the likelihood of sleep during scheduled quiet time in the neurocritical care unit.

scholarly journals U-EXCEL’S “@ HOME” PROGRAM: STAFF SUPPORTED BALANCE EXERCISE INTERVENTION AND ADHERENCE FOR LIFE CARE RESIDENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S975-S975
Author(s):  
Marilyn R Gugliucci ◽  
Erica Robertson ◽  
Ashley Cronkright ◽  
Sujaay Jagannathan
Keyword(s):  
Social Support ◽  
Repeated Measures ◽  
Exercise Intervention ◽  
Intervention Group ◽  
Living Environment ◽  
Falls Prevention ◽  
Control Group ◽  
Life Care ◽  
Select Group ◽  
The Impact

Abstract Introduction: The University of New England College of Osteopathic Medicine U-ExCEL Program was established in 2006 and specializes in older adult fitness and balance programming. Falls account for $54 billion costs in direct and Indirect costs. Methods: This randomized control single blinded pilot project included an 8 week intervention to measure the impact of supported consistent individual balance programming in individuals’ apartments for a select group of older adults residing in a life care living environment. Twenty residents (75-92 y/o) were recruited, however 12 participants (6 intervention/6 control group) participated in the study. The remaining 8 participants were pulled from the wait list as attrition occurred. Demographic data collection and 6 validated assessments were conducted at baseline and at study completion. The intervention group conducted the Balancing Act (Falls Prevention) Program 3 times/week with social support. The control group only received social support. Data analysis included descriptive statistics, SAS 5.1 was used for non-parametric Mann-Whitney U Test (Wilcoxon Rank Sum Test); a repeated measures ANOVA was also conducted. Results: The effects of the intervention (Balancing Act Program) on Oxygen Saturation (p=0.009), Wong Baker Score (p=0.008), and the Rapid Assessment of Physical Activity (RAPA) 2 (p=0.008) test were statistically significant. The effect of the intervention on all other variables was not statistically significant including validated balance measures. Conclusion: Quantitative measures failed so show significant improvement in balance from the start to the end of the intervention; however improvements were experienced and expressed by the intervention group. Social Support is necessary for adherence.

scholarly journals The intervention of maternal nutrition literacy has the potential to prevent childhood stunting: Randomized control trials

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Sirajuddin Sirajuddin ◽  
Saifuddin Sirajuddin ◽  
Amran Razak ◽  
Ansariadi Ansariadi ◽  
Ridwan M Thaha ◽  
...  
Keyword(s):  
Maternal Nutrition ◽  
Stress Test ◽  
Intervention Group ◽  
Control Group ◽  
Normal Children ◽  
Before And After ◽  
The Status ◽  
Randomized Control ◽  
Families With Children ◽  
The Impact

Background: Stunting is the impaired growth and development of children due to poor nutrition, repeated infection, and inadequate psychological stimulation. This research aims to examine the impact of maternal nutrition literacy (MNL) in increasing the height or score of a stunted child.Design and Methods: This study is a randomized control trial, which uses a sample size of 85 participants, 43 interventions and 42 controls, an 80% stress test and a 95% confidence level. The intervention group of the MNL consists of families with children under the age of five, focused on the mother's ability to perform breastfeeding, hygiene activities, care, and intervention for 3 months.Result: The status of stunting was determined by the different distribution of stunting before and after the intervention in both the intervention and control groups. There was a decrease of about 9.3% of MNL in the intervention group, while in the control group it decreased by just 2.4% (p<0.05).Conclusions: It can be concluded that MNL has an effect in preventing stunting, and it is recommended that preventive measures should focus more on normal children, while stunted children should be provided with breastfeeding as the core of MNL.

Physical activity and prenatal depression: going beyond statistical significance by assessing the impact of reliable and clinical significant change

2020 ◽  
pp. 1-6
Author(s):  
Marina Vargas-Terrones ◽  
Taniya S. Nagpal ◽  
Maria Perales ◽  
Harry Prapavessis ◽  
Michelle F. Mottola ◽  
...  
Keyword(s):  
At Risk ◽  
Exercise Intervention ◽  
Statistical Significance ◽  
Intervention Group ◽  
Prenatal Depression ◽  
Control Group ◽  
Post Intervention ◽  
Point Change ◽  
Significant Change ◽  
The Impact

Abstract Background Previous literature supports exercise as a preventative agent for prenatal depression; however, treatment effects for women at risk for prenatal depression remain unexplored. The purpose of the study was to examine whether exercise can lower depressive symptoms among women who began pregnancy at risk for depression using both a statistical significance and reliable and clinically significant change criteria. Methods This study is a secondary analysis of two randomized controlled trials that followed the same exercise protocol. Pregnant women were allocated to an exercise intervention group (IG) or control group (CG). All participants completed the Center for Epidemiological Depression (CES-D) scale at gestational week 9–16 and 36–38. Women with a baseline score ⩾16 were included. A clinically reliable cut-off was calculated as a 7-point change in scores from pre- to post-intervention. Results Thirty-six women in the IG and 25 women in the CG scored ⩾16 on the CES-D at baseline. At week 36–38 the IG had a statistically significant lower CES-D score (14.4 ± 8.6) than the CG (19.4 ± 11.1; p < 0.05). Twenty-two women in the IG (61%) had a clinically reliable decrease in their post-intervention score compared to eight women in the CG (32%; p < 0.05). Among the women who met the reliable change criteria, 18 (81%) in the IG and 7 (88%) in the CG had a score <16 post-intervention, with no difference between groups (p > 0.05). Conclusions A structured exercise program might be a useful treatment option for women at risk for prenatal depression.

scholarly journals PROMOSI MEDIA FILM BERBAHASA BENGKULU BERPENGARUH TERHADAP PENGETAHUAN DAN MOTIVASI WANITA DALAM DETEKSI DINI KANKER SERVIKS MELALUI IVA TES

2019 ◽  
Vol 6 (2) ◽  
pp. 123-132
Author(s):  
Lusi Andriani ◽  
Sri Yanniarti ◽  
Desi Widiyanti ◽  
Elvi Destariyani
Keyword(s):  
Cervical Cancer ◽  
Comparison Group ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Design Data ◽  
Control Group Design ◽  
Before And After ◽  
Quasi Experimental ◽  
The Impact

The incidence of Cervical cancer about 16/ 100,000 women, 70% of deaths occur in poor and developing countries. It is estimated that approximately 528,000 new cases of cervical cancer and caused 266,000 people to die. The purpose of this study to determine the impact of local language movies on knowledge and motivation Women in the implementation of early detection of cervical cancer by the IVA test. This study uses a quantitative method with a design quasi-experimental pre and post-test with control group design, data were collected using a questionnaire. Samples were 60 women in the Kampung Melayu district area consists of 30 people as the intervention group and 30 in the comparison group. The data analysis used univariate, the bivariate test of T-dependent and T-test Independent, multivariate use MANCOVA. Results showed knowledge before and after intervention increased from 10.73 into 12.80 with p-value(0.000) and Motivation scores increase of 56.57 into 60.40 with p-value (0.002). There are significant differences between the intervention group and the comparison group with p-value(0.002) for the knowledge and p (0.000) for motivation. There was a significant effect of the variable Independent Movie towards Knowledge and Motivation women with pValue 0.00, covariate variable does not affect the knowledge and motivation with p-Value greater than α =0.05. Need to campaign on an ongoing basis to be able to motivate women in carrying out the examination IVA and the media that is used needs to be varied so that women interested and more easily understand the message.

scholarly journals The Impact of Maryam Exercise Towards the Stress Level and Cortisol Serum Level among Primiparous Pregnant Women

2020 ◽  
Vol 3 (5) ◽  
pp. 598-607
Author(s):  
Maya Erisna ◽  
Runjati Runjati ◽  
Apoina Kartini ◽  
Mahalul Azam ◽  
Donny Kristanto Mulyantoro
Keyword(s):  
Pregnant Women ◽  
Positive Impact ◽  
Intervention Group ◽  
Serum Levels ◽  
Control Group ◽  
Significant Difference ◽  
Stress Levels ◽  
Before And After ◽  
The Impact ◽  
Experimental Group

Women are more at risk to stress in pregnancy than during the puerperium. One method of coping with stress is through physical exercise. Maryam Exercise can be used as an alternative to the development of pregnancy exercises in Indonesia because it covers the holistic aspects and easy to do. It is a combination of basic pregnancy exercises, Islamic prayer (Salat) movements and dhikr.  The purpose of this study was to examine the impact of Maryam exercise on the stress levels and cortisol serum levels among primiparous pregnant women. This study used a quasi-experimental study design, pre-test and post-test with non-equivalent control group. In the third trimester of 40 primiparous women  were randomly assigned into two groups such the experimental group (n=20) and the control group (n=20). The experimental group received the Maryam exercise while the control group received the standard antenatal exercise. There was a significant difference in stress levels between the intervention group and the control group before and after receiving the intervention (p <0.05). The cortisol levels also showed the significance difference between the intervention group and the control group before and after receiving the intervention (p <0.05). The findings of this study suggest that Maryam Exercise has a positive impact on stress levels and cortisol serum levels of primiparous pregnant women.

scholarly journals Implementation Intentions as a Strategy to Increase the Notification Rate of Potential Ocular Tissue Donors by Nurses: A Clustered Randomized Trial in Hospital Settings

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Frédéric Douville ◽  
Gaston Godin ◽  
France Légaré ◽  
Marc Germain
Keyword(s):  
Implementation Intentions ◽  
Intervention Group ◽  
Ocular Tissue ◽  
Notification Rate ◽  
Tissue Donors ◽  
Before And After ◽  
Randomized Intervention ◽  
Low Exposure ◽  
And Control ◽  
The Impact

Aim.The purpose of this study is to evaluate the impact, among nurses in hospital settings, of a questionnaire-based implementation intentions intervention on notification of potential ocular tissue donors to donation stakeholders.Methods.This randomized intervention was clustered at the level of hospital departments with two study arms: questionnaire-based implementation intentions intervention and control. In the intervention group, nurses were asked to plan specific actions if faced with a number of barriers when reporting potential ocular donors. The primary outcome was the potential ocular tissue donors’ notification rate before and after the intervention. Analysis was based on a generalized linear model with an identity link and a binomial distribution.Results.We compared outcomes in 26 departments from 5 hospitals, 13 departments per condition. The implementation intentions intervention did not significantly increase the notification rate of ocular tissue donors (intervention: 23.1% versus control: 21.1%;χ2=1.14, 2;P=0.56).Conclusion.A single and brief implementation intentions intervention among nurses did not modify the notification rate of potential ocular tissue donors to donation stakeholders. Low exposure to the intervention was a major challenge in this study. Further studies should carefully consider a multicomponent intervention to increase exposure to this type of intervention.

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