scholarly journals Factors influencing stroke patient adherence to physical activity: a systematic review

Author(s):  
Fairuz Tasnim Dahlan Tabah ◽  
Razif Dasiman

Stroke generally leads to physical problems, most commonly paralysis, cognitive, sensory, perceptual, and communication problem. During the recovery process, physical activity plays an important role in improving patients. However, physical inactivity among stroke patients is high, including those in the acute and chronic stage. The adherence of them towards exercise and rehabilitation therapy declined after discharge, thus lead to poor outcomes of recovery. To review the literature on the factors that influence stroke patients' adherence to physical activity and to identify the intrapersonal, interpersonal, and environmental factors that affect the adherence of stroke patients' towards physical activity. Four electronic databases (EBSCO: CINAHL Plus with Full text, Willey Online Library, and ScienceDirect) were searched from 2008 to 2019, reporting any factors that affecting stroke people participate in the physical activity. Articles were included if they examined the factors that influence stroke patients' adherence to physical activity and were written in English. The methodological quality of the studies was appraised using McMaster critical appraisal tools, and PRISMA guidelines were used for online searching strategy. A narrative summary of findings was undertaken reporting on individual study characteristics, country of origin, participants, and potential factors. 10 articles met the inclusion criteria. The intrapersonal factors include physical impairment, balance, and mobility, fear of falls, aging, forgetful, reduce in self-efficacy, and exercise benefits. Interpersonal factors were social support, lack of attendant and support from healthcare, physiotherapist, or gym trainer. Economic factors, transportation, and exercise facility were the environmental factors that influence stroke patient adherence to physical activity. These three factors were interrelated to change the individual perception towards exercise among stroke patients. This review enables the development of an intervention to improve participation in physical activity among stroke patients.

2021 ◽  
pp. 019394592110175
Author(s):  
Wonjung Noh ◽  
Ka Young Kim

This review aimed to investigate factors affecting physical activity among older people at the individual, social, and environmental levels based on an ecological approach. We searched PubMed, EMBASE, Web of Science, Cochrane Library, and Korean databases to identify all relevant studies that examined physical activity of older people using an ecological approach. Individual factors included socio-demographic characteristics, physical function components, and subjective health perceptions. Social factors included intimate relationships and social support. Environmental factors included physical living conditions, movement-related components, and policies and programs that affect the environment. This review analyzed the factors affecting physical activity of older people in three levels based on the ecological approach. This result provides a basis for managing, preventing, and promoting physical activity in older people based on an ecological approach and highlights the importance of environmental factors for improving physical activity among older people when applying foundational data for health prevention and management.


2021 ◽  
Vol 4 (3) ◽  
pp. 226
Author(s):  
Fuji Istiana ◽  
Fitria Handayani ◽  
Muhamad Thohar Arifin

One of the psychological problems experienced by stroke patients is self-efficacy. Stroke patients on average lack confidence in themselves to do exercises or activities that will have an impact on the recovery process of stroke patients. Several factors that vary related to low self-efficacy in stroke patients are one of the causes. The scoping review aims to identify factors related to self-efficacy in a post-stroke patient. The methods use a systematic review through review articles relevant to the topic from CINAHL database, MEDLINE, Academic search ultimate, science direct, and Taylor & Francis with a publication year spanning 2015 to 2020 and with the keyword “self-efficacy” and “stroke” then analyzed using a synthesis matrix. The inclusion criteria in this study were articles in English with longitudinal study design or cross-sectional study and self-efficacy as the dependent variable. The results of a review of four journals that met the inclusion criteria found factors related to self-efficacy in a post-stroke patient including depression, age, vascular history, fear, physical activity, Body Mass Index (BMI) and emotional function. The study concludes that depression, age, vascular history, fear, physical activity, Body Mass Index (BMI) and emotional function are factors related to self-efficacy in post-stroke patients. The factor most strongly associated with post-stroke patients self-efficacy is depression.


2021 ◽  
Vol 4 (3) ◽  
pp. 236
Author(s):  
Fuji Istiana ◽  
Fitria Handayani ◽  
Muhamad Thohar Arifin

One of the psychological problems experienced by stroke patients is self-efficacy. Stroke patients on average lack confidence in themselves to do exercises or activities that will have an impact on the recovery process of stroke patients. Several factors that vary related to low self-efficacy in stroke patients are one of the causes. The scoping review aims to identify factors related to self-efficacy in a post-stroke patient. The methods use a systematic review through review articles relevant to the topic from CINAHL database, MEDLINE, Academic search ultimate, science direct, and Taylor & Francis with a publication year spanning 2015 to 2020 and with the keyword “self-efficacy” and “stroke” then analyzed using a synthesis matrix. The inclusion criteria in this study were articles in English with longitudinal study design or cross-sectional study and self-efficacy as the dependent variable. The results of a review of four journals that met the inclusion criteria found factors related to self-efficacy in a post-stroke patient including depression, age, vascular history, fear, physical activity, Body Mass Index (BMI) and emotional function. The study concludes that depression, age, vascular history, fear, physical activity, Body Mass Index (BMI) and emotional function are factors related to self-efficacy in post-stroke patients. The factor most strongly associated with post-stroke patients self-efficacy is depression.


Author(s):  
Tomoko McGaughey ◽  
Janae Vlaar ◽  
Patti-Jean Naylor ◽  
Rhona M. Hanning ◽  
Lucy Le Mare ◽  
...  

The transition from elementary to secondary school is an emotionally and socially complex time when adverse behaviors appear, such as decreased levels of physical activity (PA). Behavioral and environmental factors that influence PA during this time are poorly understood. Therefore, we aimed to identify factors that influence PA as adolescents transition to secondary school. Qualitative interviews were conducted with a sample of 27 ethnically diverse child–parent dyads within the public-school system in British Columbia, Canada (50% boys, 68% mothers, 25% White). The interviews probed for environmental and behavioral factors in school, family, and social contexts that potentially initiated changes in PA, specifically related to the adolescents’ transitions. Interviews were recorded and transcribed verbatim. Thematic analyses identified factors at the individual, social, familial, and school levels that may trigger adolescents to change their participation in PA as they transition from elementary to secondary school. Twenty-two factors emerged from the qualitative analysis including school factors (8), household factors (3), social factors (4), and intrapersonal factors (7). These findings contribute to a better understanding of adolescents’ PA behaviors and highlight the influence of changing environments as they transition from elementary school to secondary school.


2020 ◽  
Vol 68 (3) ◽  
pp. 174-179
Author(s):  
Fairuz Tasnim Dahlan Tabah ◽  
Fatimah Sham ◽  
Fatin Nadzirah Zakaria ◽  
Nina Keterina Hashim ◽  
Razif Dasiman

2021 ◽  
Vol 28 (2) ◽  
pp. 193-199
Author(s):  
Mihai IONESCU ◽  
◽  
Radu Mihail MIRICA ◽  
Razvan IOSIFESCU ◽  
Andrei VACARASU ◽  
...  

Introduction: Obesity is currently an endemic problem worldwide largely caused by an environment that promotes excessive food consumption and discourages physical activity. The sources of obesity are directly related to two areas: genetic and environmental factors, which constantly interact in the regulation of body weight. Aim: Through this research, it was aimed to evaluate the typical profile of the individual who uses metabolic surgery and the degree of physical and psychological satisfaction after such an intervention. Materials and methods: The patients introduced in the study are from personal cases, in number of about 1130, operated during 9 years. Of these, 122 represented the basis for the analysis and had to answer 37 questions in a preoperative questionnaire and 34 questions in a postoperative one and we extracted 15 questions from each of the questionnaire. Results: Statistics show that there was an improvement in quality of life as reported by 77.78% of interviewers, libido and sexual quality were improved in 44% of the included patients and a level of stress considered responsible for food hyperapetitis in only about 43% of respondents. Conclusions: Improving the quality of life is directly related to weight loss. In addition, there is a correlation between improving the quality of life and improving sex life or increasing the frequency of exercise. Metabolic surgery must be understood with all the benefits it generates.


2021 ◽  
pp. 1356336X2098263
Author(s):  
Sara Lahuerta-Contell ◽  
Javier Molina-García ◽  
Ana Queralt ◽  
María del Mar Bernabé-Villodre ◽  
Vladimir E Martínez-Bello

From an ecological perspective that understands health behaviours to be the result of interactions between personal, psychosocial and environmental factors, different authors have described patterns and correlations between physical activity (PA) and sedentary behaviours (SB) in physical education (PE). However, to our knowledge there have been no systematic evaluations of the PA levels and patterns during structured movement sessions in preschool children in Spain. Therefore, the aims of this study were: (a) to identify the individual, social and environmental factors that influence PA levels and patterns during structured movement sessions; (b) to assess PA and SB levels during these sessions in a preschool population in our country; and (c) to validate the use of the System for Observing Fitness Instruction Time (SOFIT) in Spanish preschoolers to assess PA and SB levels, using accelerometry as the reference method. Our major findings were that: (a) young children were physically active for more than 60% of the structured movement sessions; (b) boys were significantly more active than girls; (c) the lesson context of free play was associated with low levels of SB; (d) solitary and borderline interaction patterns during structured movement sessions significantly increased moderate- to vigorous-intensity PA; (e) social interaction was generally between the same gender; and (f) teachers spent most of the time observing. This study also provides an argument for reconsidering the responsibilities of early childhood education institutions and practitioners in developing structured PA opportunities in the framework of free exploration and communication.


2020 ◽  
Vol 5 (5) ◽  
pp. 386-393
Author(s):  
L. M. Gunina ◽  
◽  
Kazys Mylashyus ◽  
Voitenko V. L. ◽  
◽  
...  

Under high-intensity loads, the athlete's bodies take place a number of biochemical reactions and physiological processes that can lead to hyperbilirubinemia. The factors that can initiate the onset of this phenomenon include the syndrome of micro-damage muscle, violation of the integrity of erythrocyte membranes, decreased blood pH, malnutrition and increase oxygen demand of the body. Degree of expression of manifestations of physiological bilirubinemia depends on the level of adaptation of the athlete to the physical activities offered. Hyperbilirubinemia in athletes can be one of the components of the deterioration of the functional state, forming the symptoms of endogenous intoxication. The relevance of this problem in sport lies in the relatively low detection rate of hyperbilirubinemia due to the lack of regular screening studies. However, in drawing up a plan of nutritional- metabolic support for training and competitive activity and recovery measures, must not only the individual reaction of the athlete body to physical activity, but also the severity of shifts in the indicators of bilirubin metabolism and their ratio. The article describes the reasons for the increase in bilirubin levels, which can be caused by both the effect of physical activity and by the presence of pathological processes in athletes. The factors influencing the blood serum’s bilirubin content are also highlighted, which include the state of erythrocyte cell membranes and the rate of hemoglobin destruction, the functional state of the liver, the specifics of physical loads and the use of ergogenic pharmacological agents by athletes. Particular accent has been placed on the illumination of hereditary hyperbilirubinemias, which may have been detected at the stage of selection of athletes. The most common phenomenon is Gilbert's syndrome, which occurs in 2-5% of cases in the general population, is characterized in the clinic by a benign flow and is manifested by episodes of jaundice and an increase in total bilirubin content to moderate values due to indirect. The frequency of detection of hyperbilirubinemias in the population of athletes is 4.68%, among which Gilbert's disease accounts for almost half (48.7%). Conclusion. The work highlighted the pathogenesis and diagnostic algorithm of Gilbert's disease, and also emphasized that its drug prevention and correction in athletes to maintain functional and physical fitness should be carried out taking into account anti-doping rules, which requires upon diagnosis timely receipt of a therapeutic exclusion


Author(s):  
N. Nozdryukhina ◽  
E. Kabayeva ◽  
E. Kirilyuk ◽  
K. Tushova ◽  
A. Karimov

Despite significant advances in the treatment and rehabilitation of stroke, level of post-stroke disability remains at a fairly high level. Recent innovative developments in the rehabilitation of these patients provide good results in terms of functional outcome. One of such developments is method of virtual reality (VR), which affects not only the speed and volume of regaining movement, as well as coordination, but also normalizes the psycho-emotional background, increasing the motivation of patients to improve the recovery process. This article provides a literature review of the use of the VR method in the rehabilitation of post-stroke patients, neurophysiological aspects of recovery of lost functions using this method are considered.


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