Preoperative physical activity has a protective effect against postoperative pulmonary complications after abdominal surgery

2020 ◽  
Vol 21 (4) ◽  
pp. 363
Author(s):  
Fernando Wegner ◽  
Elinaldo Da Conceição Dos Santos ◽  
Daniel Correia Souza ◽  
Luciana Dias Chiavegato ◽  
Adriana Claudia Lunardi

Physical activity level and fitness condition seem to be related with pulmonary surgical risk in thoracic and cardiac surgeries; however, in abdominal surgery this relation is not clear. Objective: To compare the physical activity level in daily life and during hospitalization before surgery between patients who developed and did not develop postoperative pulmonary complications (PPC) after abdominal surgery and to relate to this outcome. Methods: This prospective cohort enrolled 191 hospitalized candidates (52 ± 14yrs; BMI = 29 ± 11 kg/m2) for upper abdominal surgery. Two different tools related to two distinct moments were used to assess preoperatively the physical activity level. First, to assess life physical activity level, the questionnaire Human Activity Profile (HAP) was administered for all patients. During hospitalization, the accelerometry was performed during 4 consecutive days to assess the time in activity. In addition, lung function, muscle strength and resting energy expenditure were assessed. PPC (pneumonia, atelectasis or severe hypoxemia) were checked until discharge. Multivariate analyses were used. Results: 92% of patients were classified as moderately to physically active in daily life. During hospitalization, patients were inactive during 90% ± 5% of time. There was no association with HAP score and acelerometry. 10.5% of patients developed PPC. Being physically active in daily life and during hospitalization have a protective effect against PPC. Our results show that the physical activity behavior in hospital do not reflect the daily life even in patients not restricted to bed and on preoperative period, patients physically actives on daily life and during hospitalization present less chance to develop PPC after abdominal surgery.Keywords: surgery, physical activity, postoperative complication, pneumonia, accelerometry, hospitalization.

Author(s):  
Dorthe Dalstrup Jakobsen ◽  
Jasper Schipperijn ◽  
Jens Meldgaard Bruun

Background: In Denmark, most children are not sufficiently physically active and only a few interventions have been found to increase long-term physical activity among overweight and obese children. The aim of our study was to investigate if children are physically active in correspondence to Danish recommendations after attending a multicomponent-overnight camp. Methods: A questionnaire was developed to estimate children’s physical activity level and behavior and investigate how transport, economy, availability, time, motivation, and knowledge about physical activity affect children’s physical activity level and behavior. Results: In this study, 60.9% of the children did vigorous physical activity (VPA) minimum 30 minutes 3 times per week up to 3 years after camp. Most children were physically active at a sports club (44.3%) and only 5.7% of the children did not participate in physical activity. Parental physical activity and child motivation toward physical activity were significantly (P < .05) associated with children doing VPA. Conclusion: Our findings suggest that 60.9% of children who attended camp engage in VPA after camp, which compared with a recent Danish study, is more frequent than children who did not attend camp. Further investigations are needed to determine the long-term health effects in children attending interventions such as multicomponent-overnight camps.


Author(s):  
Rafaella Fagundes Xavier ◽  
Aline Costa Lopes ◽  
Carolina Caporali ◽  
Adriana Claudia Lunardi ◽  
Ercy Mara Cipulo Ramos ◽  
...  

2012 ◽  
Vol 34 (6) ◽  
pp. 808-827 ◽  
Author(s):  
Geoffroy K. Boucard ◽  
Cédric T. Albinet ◽  
Aurélia Bugaiska ◽  
Cédric A. Bouquet ◽  
David Clarys ◽  
...  

The purposes of this study were to determine the impact of physical activity on three different executive functions (shifting, inhibition, and updating) and to examine whether cardiovascular fitness was a good mediator of the positive link(s) between these variables. Sixty-three young adults (18–28 years), 30 young-old adults (60–70 years) and 30 old adults (71–81 years) were divided into physically active and sedentary groups according to physical activity level (assessed from an accelerometer and the Historical Leisure Activity Questionnaire). Cardiovascular fitness was assessed by VO2max from the Rockport 1 mile. Each executive function was assessed through three different experimental tasks. ANCOVAs revealed that the effect of physical activity level was specific to the old adults and significant for inhibition, but not for updating and shifting. Mediation analysis showed that this positive effect in the old adults group was mediated by cardiovascular fitness level. The present findings highlight the positive linkages among physical activity, cardiovascular fitness, and inhibition in aging.


2019 ◽  
Vol 09 (04) ◽  
pp. 281-285
Author(s):  
Khalid Aziz ◽  
Ayesha Afridi ◽  
Abida Arif ◽  
Ghousia Shahid ◽  
Muhammad Faisal Fahim ◽  
...  

Objective: To evaluate the physical activity levels among DPT students of Bahria University College of Physical therapy (BUCPT) by International Physical Activity Questionnaire (IPAQ) and to study the relationship between Body Mass Index (BMI) and Physical activity levels of DPT students of (BUCPT). Study design and Setting: This cross sectional study was conducted in BUCPT Bahria from March- April 2019 (1 month data collection). Methodology: Written consent form was obtained from each participant before taking part into study. Individual with cardio-respiratory diseases and fractures in last 12 months or any limb disability were excluded from the study. The study tool was IPAQ. Results:A total of 125 students were enrolled in this study. There were 121 (96.8%) female and 4 (3.2%) male observed. Mean age of students were 19.89±1.14 (18-22) years. In low physical activity level, 2 (28.6%) students were underweight, 8 (17.0%) were normal BMI, 3 (9.7%) were overweight and 6 (15.0%) were obese. In moderate physical activity level, 3 (42.9%) underweight, 22 (46.8%) normal, 19 (61.3%) overweight and 19 (47.5%) fall in obese criteria. High physical activity levels were found to be 2 (28.6%) in underweight group, 17 (36.2%) in normal group, 9 (29.0%) in overweight and 15 (37.5%) were obese. Conclusion: BUCPT students were moderately physically active and minority of them were low physically active and majority of them were lying the category of normal BMI. There was statistically insignificant relationship found between BMI and physical activities levels. Some students were obese and still have high physical activity level while some are normal in BMI and having low physical activity level


2014 ◽  
Vol 8 (3) ◽  
pp. 381-386
Author(s):  
Salwa B. El-Sobkey ◽  
Farag A. Aly ◽  
Ahmad H. Alghadir

Abstract Background: Wearing a face veil (niqab) was found to have a negative effect on the ventilatory function of Saudi adult women, which may challenge their functional exercise capacity. Objectives: To investigate the effect of physical activity on a 6-minute walked distance (6-MWD) among young adult niqab-wearing healthy Saudi women. Materials and Methods: Forty healthy young Saudi women were recruited for this study. The study participants (aged 22.8 ± 2.5 years) were selected from students and administrative staff at King Saud University. They were normotensive, nonsmokers, and of normal or mildly overweight. They were divided into 2 groups on basis of niqab wearing. A 6- minute walk test was implemented as measure of the participant’s functional exercise capacity. Their physical activity level was expressed as low, moderate, or high levels using the International Physical Activity Questionnaire-Short Form. Comparisons between the basal physiological characters of the 2 groups, 6-MWD, and physical activity level were conducted. A two-way independent ANOVA was used to study the interaction of niqab wearing and the physical activity level on the 6-MWD for niqab wearing women. Results: Women in the niqab wearing group had a significantly higher physical activity level and longer 6-MWD than those in the niqab nonwearing group (370.7 ± 62.95 and 510.0 ± 81.75 m (mean ± SD) respectively). Conclusion: A physically active lifestyle improves and preserves the functional exercise capacity reflected by longer 6-MWD among the physically active niqab-wearing Saudi adult healthy women compared with less active women who did not wear the niqab.


2008 ◽  
Vol 20 (1) ◽  
pp. 95-106 ◽  
Author(s):  
Mirjam van Eck ◽  
Annet J. Dallmeijer ◽  
Heleen Beckerman ◽  
Petronella A.M. van den Hoven ◽  
Jeanine M. Voorman ◽  
...  

The purpose of this study was to describe the physical activity level of adolescents with cerebral palsy (CP) and to investigate the associated factors. The physical activity level was measured by means of a questionnaire filled in by the parents of 72 adolescents with CP (12–16 years of age) and expressed in METs. Older age, female gender, and hip dysplasia were significantly associated with a lower level of physical activity. Eighty-nine percent were not physically active enough according to the Dutch norm. Physical activity needs to be promoted, especially among older adolescents with CP (age 14–16 years), girls, and adolescents with hip dysplasia.


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