scholarly journals Serious Game Platform as a Possibility for Home-Based Telerehabilitation for Individuals With Cerebral Palsy During COVID-19 Quarantine – A Cross-Sectional Pilot Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Talita Dias da Silva ◽  
Paula Lumy da Silva ◽  
Elisa de Jesus Valenzuela ◽  
Eduardo Dati Dias ◽  
Amanda Orasmo Simcsik ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cerebral Palsy ◽  
Perceived Exertion ◽  
Serious Game ◽  
Rating Of Perceived Exertion ◽  
Physical Activity Intensity ◽  
Borg Scale ◽  
Cross Sectional ◽  
Activity Intensity ◽  
Home Based

IntroductionThere is a need to maintain rehabilitation activities and motivate movement and physical activity during quarantine in individuals with Cerebral Palsy (CP).ObjectiveThis paper sets out to evaluate the feasibility and potential benefits of using computer serious game in a non-immersive virtual reality (VR) implemented and evaluated completely remotely in participants with CP for Home-Based Telerehabilitation during the quarantine period for COVID-19.MethodsUsing a cross-sectional design, a total of 44 individuals participated in this study between March and June 2020, 22 of which had CP (14 males and 8 females, mean age = 19 years, ranging between 11 and 28 years) and 22 typically developing individuals, matched by age and sex to the individuals with CP. Participants practiced a coincident timing game1 and we measured movement performance and physical activity intensity using the rating of perceived exertion Borg scale.ResultsAll participants were able to engage with the VR therapy remotely, reported enjoying sessions, and improved performance in some practice moments. The most important result in this cross-sectional study was the significant increasing in rating of perceived exertion (through Borg scale) in both groups during practice and with CP presenting a higher rating of perceived exertion.ConclusionChildren with CP enjoyed participating, were able to perform at the same level as their peers on certain activities and increased both their performance and physical activity intensity when using the game, supporting the use of serious games for this group for home therapy and interactive games.Clinical Trials Registrationhttps://Clinicaltrials.gov, NCT04402034. Registered on May 20, 2020.

Perceived Exertion of Physical Activity During Pregnancy

2015 ◽  
Vol 12 (7) ◽  
pp. 1039-1043 ◽  
Author(s):  
Mallory R. Marshall ◽  
James M. Pivarnik
Keyword(s):  
Physical Activity ◽  
Perceived Exertion ◽  
Treadmill Exercise ◽  
Physical Activity Behavior ◽  
Rating Of Perceived Exertion ◽  
Moderate Intensity ◽  
Physical Activity Intensity ◽  
Time Points ◽  
Activity Intensity ◽  
Vigorous Intensity

Background:Maternal physical activity declines across gestation, possibly due to changing perception of physical activity intensity. Our purpose was to a) determine whether rating of perceived exertion (RPE) during a treadmill exercise changes at a given energy expenditure, and b) identify the influence of prepregnancy physical activity behavior on this relationship.Methods:Fifty-one subjects were classified as either exercisers (N = 26) or sedentary (N = 25). Participants visited our laboratory at 20 and 32 weeks gestation and at 12 weeks postpartum. At each visit, women performed 5 minutes of moderate and vigorous treadmill exercise; speed was self-selected. Heart rate (HR), oxygen consumption (VO2), and RPE were measured during the last minute at each treadmill intensity.Results:At moderate intensity, postpartum VO2 was higher compared with 20- or 32-week VO2, but there was no difference for HR or RPE. For vigorous intensity, postpartum HR and VO2 were higher than at 32 weeks, but RPE was not different at any time points.Conclusions:RPE does not differ by pregnancy time point at either moderate or vigorous intensity. However, relative to energy cost, physical activity was perceived to be more difficult at 32 weeks compared with other time points. Pregnant women, then, may compensate for physiological changes during gestation by decreasing walking/running speeds.

scholarly journals Cardiovascular Responses, Physical Activity Intensity, and Enjoyment Level of Nintendo Switch™ Exergaming, Comparing Different Tempos and Playing Modes: A Pilot Study

2021 ◽  
Vol 3 (2) ◽  
pp. 44
Author(s):  
Bayu Aji Mayogya Putra ◽  
Reni Hendrarati Masduchi ◽  
Martha Kurnia Kusumawardani
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Heart Rate ◽  
Perceived Exertion ◽  
Cardiovascular Responses ◽  
Rating Of Perceived Exertion ◽  
Physical Activity Intensity ◽  
Activity Intensity ◽  
Before And After ◽  
Rate Sensor

Background: Physical activity (PA) has been associated with multiple health benefits. However, the global population does not meet the PA recommendations. Virtual reality exergaming (VR EXG) can become an option to increase PA because it is fun, relatively easy to access and affordable through popular commercial devices.Aim: To investigate the immediate cardiovascular responses(blood pressure, heart rate), quantification of PA intensity(percentage of maximum heart rate (%HRmax), Borg’s rating of perceived exertion (RPE), and the level of enjoyment using visual analog scale (VAS) while playing VR EXG.Material and Methods: Fifteen healthy men (aged 31.87±3.14 years old, body mass index 23.77±2.47 kg/m2) undergone three“Fitness Boxing” Nintendo Switch™ playing modes in the same order: (1) single player-normal tempo, (2) single player-fast tempo and (3) versus. During playing, participant’s HR was monitored using Polar H10 heart rate sensor. Blood pressure was measured before and after playing. Borg’s RPE and VAS were collected after playing.Results: Our results showed significant heart rate and systolic blood pressure increase (p = 0.001) in all three playing conditions, whereas diastolic blood pressure was relatively constant (p > 0.05). The Borg’s RPE were in 12-13 range (moderate) and %HRmax range between 72- 81% (vigorous). The enjoyment level was found greatest in versus mode compared to other playing modes.Conclusion: VR EXG Nintendo Switch™ “Fitness Boxing” can elicit immediate cardiovascular responses and provides an enjoyable moderate to vigorous PA intensity in healthy male adults, and can be used to meet the weekly PA recommendations. 

scholarly journals Relationship between Physical Activity and Blood Lipid Profile in Residents of Yazd City (YaHS Study)

2020 ◽  
Author(s):  
Masoud Mirzaei ◽  
Farnaz Nekahi
Keyword(s):  
Physical Activity ◽  
Blood Lipid ◽  
Activity Level ◽  
Health Study ◽  
General Level ◽  
Statistical Relationship ◽  
Physical Activity Intensity ◽  
Blood Lipid Profile ◽  
Cross Sectional ◽  
Activity Intensity

Introduction: Inadequate physical activity is one of the causes of fat disorders and regular physical activity is one of the important factors in correcting fat disorders. The aim of this study was to determine the relationship between physical activity levels and blood lipids as a risk factor for cardiovascular disease. Methods: This analytical cross sectional study was conducted using the information of the registration phase of the Yazd People's Health Study on 9962 residents of Yazd in the age group of 20 to 70 years between 2014 and 2015. Study data were obtained using standard questionnaires and participants' blood samples. SPSS software, version 21, t-test, linear regression, and OR comparison of fat disorders were used in the physical activity intensity classes. Results: In the study sample, 49.4% are men. No statistical significant physical activity level was found in the study of the ratio of chance of fat disorder. Moreover, no significant relationship was observed in the study of the linear relationship between the general level of physical activity and fat profile components (p> 0.05). It should be noted that a significant statistical relationship was observed between the level of TC or blood total cholesterol and blood triglycerides with sex, body mass index and family history and some age groups. (p <0.05). Conclusion: In the analysis of the data of this study, no significant statistical relationship was found between blood lipid levels and physical activity.

scholarly journals Ability of RT3 Accelerometer Cut Points to Detect Physical Activity Intensity in Ambulatory Children With Cerebral Palsy

2014 ◽  
Vol 31 (4) ◽  
pp. 310-324 ◽  
Author(s):  
Jennifer Ryan ◽  
Michael Walsh ◽  
John Gormley
Keyword(s):  
Physical Activity ◽  
Cerebral Palsy ◽  
Vigorous Physical Activity ◽  
Accelerometer Data ◽  
Physical Activity Intensity ◽  
Cut Points ◽  
Cut Point ◽  
Activity Intensity ◽  
Metabolic Equivalents ◽  
Children With Cerebral Palsy

This study investigated the ability of published cut points for the RT3 accelerometer to differentiate between levels of physical activity intensity in children with cerebral palsy (CP). Oxygen consumption (metabolic equivalents; METs) and RT3 data (counts/min) were measured during rest and 5 walking trials. METs and corresponding counts/min were classified as sedentary, light physical activity (LPA), and moderate to vigorous physical activity (MVPA) according to MET thresholds. Counts were also classified according to published cut points. A published cut point exhibited an excellent ability to classify sedentary activity (sensitivity = 89.5%, specificity = 100.0%). Classification accuracy decreased when published cut points were used to classify LPA (sensitivity = 88.9%, specificity = 79.6%) and MVPA (sensitivity = 70%, specificity = 95–97%). Derivation of a new cut point improved classification of both LPA and MVPA. Applying published cut points to RT3 accelerometer data collected in children with CP may result in misclassification of LPA and MVPA.

scholarly journals Hubungan Perilaku Konsumsi dan Aktivitas Fisik dengan Diabetes Mellitus di Indonesia

2019 ◽  
Vol 47 (2) ◽  
pp. 97-106
Author(s):  
Made Agus Nurjana ◽  
Ni Nyoman Veridiana
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Physical Activity Intensity ◽  
Keywords Diabetes ◽  
Cross Sectional ◽  
Middle Income ◽  
Activity Intensity ◽  
Light Activity ◽  
Cross Sectional Design ◽  
The Relationship

Abstrak   Prevalensi Diabetes mellitus (DM) mengalami peningkatan secara global baik di negara berpenghasilan tinggi maupun negara berpenghasilan rendah dan menengah termasuk di Indonesia. Indonesia menduduki urutan ke empat dengan prevalensi diabetes tertinggi di dunia setelah India, China, dan Amerika Serikat. Tujuan dari tulisan ini adalah untuk mengkaji hubungan pola konsumsi dan aktivitas fisik dengan kejadian DM di Indonesia berdasarkan data Riskesdas tahun 2013.  Pengumpulan data dilakukan pada bulan Mei - Juni 2013 di 33 provinsi dan 497 kabupaten/kota di Indonesia. Desain penelitian ini adalah cross sectional. Jumlah sampel sebanyak 722.329 responden yang berusia 15 tahun ke atas. Hasil penelitian menunjukkan bahwa aktivitas fisik merupakan faktor risiko dominan terhadap kejadian DM di Indonesia. Masyarakat yang memiliki kebiasaan hanya melakukan aktifitas ringan mempunyai peluang untuk terkena DM 2,9 kali dibandingkan dengan masyarakat yang memiliki kebiasaan melakukan aktifitas berat, sedangkan masyarakat yang memiliki kebiasaan melakukan aktivitas sedang mempunyai peluang lebih rendah terkena DM yaitu 1,8 kali dibandingkan dengan aktivitas berat. Semakin berat aktivitas fisik yang dilakukan maka semakin sedikit kemungkinan terkena DM. Dalam mencegah semakin tingginya prevalensi DM di Indonesia maka diperlukan peningkatkan kesadaran masyarakat untuk meningkatkan intensitas aktivitas fisik terutama bagi masyarakat yang aktivitas fisiknya rendah.   Kata kunci : Diabetes mellitus, perilaku konsumsi, aktivitas fisik   Abstract   Prevalency Diabetes Mellitus (DM) experience increasing globally either in high income states or in the low and middle income states including Indonesia. Indonesia is the fourth prevalency Diabetes Mellitus in the world after India, China, and United States. The aim of this study is to analyze the relationship between consumsion pattern and physical activity on DM in Indonesia based on Riskesdas data in 2013. Data are gathered from may up to June 2013 in 33 provinces and 497 regencies/cities in Indonesia. The research is cross sectional design. The samples are 722.329 respondents aging among 15 years and over. The results show that the physical activity is the risk factor dominantly on the DM in Indonesia. Society having only light activity have a tendency to get DM 2.9 times compared to those who have the strongest activity, while those who are stronger activity have lower tendency to get DM that is 1.8 times compared to those who have the strongest activity. To prevent higher prevalency DM in Indonesia, it is expected to rise the societal care to increase physical activity intensity primarily for those who has the low physical activities.   Keywords : Diabetes mellitus, consumtive behavior, physical activity

Academic Performance of Young Competitive Swimmers is Associated With Physical Activity Intensity and Its Predominant Metabolic Pathway: A Pilot Study

2014 ◽  
Vol 11 (7) ◽  
pp. 1415-1419 ◽  
Author(s):  
Carlos Ayan ◽  
Jose Cancela Carral ◽  
Carlos Montero
Keyword(s):  
Physical Activity ◽  
Academic Achievement ◽  
Academic Performance ◽  
Metabolic Pathway ◽  
Energetic Cost ◽  
Physical Activity Intensity ◽  
Cross Sectional ◽  
Activity Intensity ◽  
Degree Of Association ◽  
Competitive Swimmers

Background:The relationship between physical activity (PA) and academic performance has been previously studied. However, there is a need to determine if the intensity of the PA performed and its predominant metabolic pathway show any degree of association with the academic achievement.Methods:Cross-sectional data were gathered from Spanish young competitive swimmers. Academic achievement was based on individual grades for each student; the PA level was measured by means of the Physical Activity Questionnaire for Adolescents. Swimmers were classified according to the preferential energetic cost of the event in which they competed.Results:A total of 254 swimmers finished the study; 62.8% of them were considered moderate active. The statistical analysis showed that the higher the level of PA performed, the better the average grades achieved. This relationship was significant among the girls (P = .04). No significant differences were found regarding the influence of the kind of swimming event. However, taking part in aerobic events proved to have a significant influence on the academic achievement for girls (P = .01).Conclusion:The link between academic achievement and PA depends on the intensity in which the PA is performed, as well as on its predominant metabolic pathway. However, such associations seem to be gender-dependent.

Abstract P497: Association Between Accelerometer-estimated Physical Activity Intensity and Heart Rate Variability: Mediation by Glycemic Measures and Triglycerides (from The Cardia Study)

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Zachary C Pope ◽  
Kelley P Gabriel ◽  
Kara M Whitaker ◽  
Lin Y Chen ◽  
Pamela J Schreiner ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Fasting Glucose ◽  
Oral Glucose ◽  
Physical Activity Intensity ◽  
Cross Sectional ◽  
Rr Intervals ◽  
Activity Intensity

Introduction: We estimated cross-sectional associations between accelerometer-estimated light (LPA), moderate (MPA), and vigorous (VPA) intensity physical activity (PA) and heart rate variability (HRV), and tested mediation of these associations by glycemic control indices, blood lipids, and blood pressure. Hypothesis: PA is positively and independently associated with higher (improved) HRV. Glycemic measures are partial physiological mediators of these associations. Methods: Data were from 1,668 participants (X -age = 46 ± 4 yrs, 58% F, 40% black) in Year 20 (2005-06) of the Coronary Artery Risk Development in Young Adults (CARDIA) Fitness Study. The ActiGraph 7164 estimated participants’ mean min/d of LPA, MPA, and VPA over 7d. Three sequential 10-sec 12-lead ECG strips provided standard deviation of all normal RR intervals (SDNN) and root mean square of all successive RR intervals (rMSSD) HRV. Physiological mediators included fasting glucose and insulin as well as 2-hr oral glucose tolerance (OGTT), fasting triglycerides (TG), HDL-C, and systolic blood pressure (BP). Multiple linear regression, controlling for demographic and lifestyle confounders, assessed independent associations of PA with SDNN and rMSSD HRV per 1-SD. Mediation analyses computed the proportion of the PA-HRV associations attributable to physiological mediators. Results: Participants averaged 360.2 ± 83.8, 33.0 ± 22.0, and 2.7 ± 6.2 min/d of LPA, MPA, and VPA, respectively, with mean values for SDNN (32.6 ± 22.4 ms) and rMSSD (34.0 ± 24.8 ms) similar. VPA was associated with both HRV metrics (SDNN: std = .06 [.03, .10]; rMSSD: std = .08, [.05, .12]) and LPA with rMSSD only (std = .05, [.01, .08]). Fasting glucose and insulin mediated between 11.6%-20.7% of the association of VPA and LPA with HRV (Table). Triglycerides also mediated these associations (range: 9.6%-13.4%; Table). Conclusions: Accelerometer-estimated VPA and LPA were positively associated with higher HRV. These associations may be due most to glycemia and insulinemia.

scholarly journals Effects of Three Levels of Green Exercise, Physical and Social Environments, Personality Traits, Physical Activity, and Engagement with Nature on Emotions and Attention

2021 ◽  
Vol 13 (5) ◽  
pp. 2686
Author(s):  
Ke-Tsung Han
Keyword(s):  
Physical Activity ◽  
Personality Traits ◽  
Psychological Health ◽  
Field Studies ◽  
Social Environments ◽  
Physical Activity Intensity ◽  
Cross Sectional ◽  
Green Exercise ◽  
Negatively Associated ◽  
Activity Intensity

The current study examined the effects of the three levels of green exercise on people’s psychological health using a randomized trial with a pretest and posttest design and further explored which variables of the physical environment (thermal comfort, noise, and air pollution), social environment (the number of companions and crowdedness), personality traits, physical activity (intensity and frequency), and engagement with nature may help explain experiences during the three levels of green exercise using a cross-sectional approach. Field studies were conducted to test the study’s hypotheses. The participants were 95 students from a technology university in Taiwan. The experiment comprised a 15-min green exercise in a park. No significant differences were found in emotions and attention between the three levels of green exercise. However, a 15-min green exercise of any level significantly improved emotions and attention. Furthermore, fatigue was significantly and negatively associated with daily transportation-related physical activity, agreeableness, and engagement with nature. Moreover, the total mood disturbance was significantly and negatively associated with engagement with nature and daily transportation-related physical activity. The degree of engagement with nature played a pivotal role in green exercise. This study provided the evidence that quantified engagement with nature is beneficial for quantified psychological health for the first time.

scholarly journals Walking cadence (steps/min) and intensity in 61–85-year-old adults: the CADENCE-Adults study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Catrine Tudor-Locke ◽  
Jose Mora-Gonzalez ◽  
Scott W. Ducharme ◽  
Elroy J. Aguiar ◽  
John M. Schuna ◽  
...  
Keyword(s):  
Older Adults ◽  
Perceived Exertion ◽  
Prediction Interval ◽  
Community Dwelling ◽  
Rating Of Perceived Exertion ◽  
Intensity Level ◽  
Physical Activity Intensity ◽  
Old Adults ◽  
Activity Intensity ◽  
Metabolic Equivalents

Abstract Background Heuristic (i.e., evidence-based, rounded) cadences of ≥100 and ≥ 130 steps/min have consistently corresponded with absolutely-defined moderate (3 metabolic equivalents [METs]) and vigorous (6 METs) physical activity intensity, respectively, in adults 21–60 years of age. There is no consensus regarding similar thresholds in older adults. Purpose To provide heuristic cadence thresholds for 3, 4, 5, and 6 METs in 61–85-year-old adults. Methods Ninety-eight community-dwelling ambulatory and ostensibly healthy older adults (age = 72.6 ± 6.9 years; 49% women) walked on a treadmill for a series of 5-min bouts (beginning at 0.5 mph with 0.5 mph increments) in this laboratory-based cross-sectional study until: 1) transitioning to running, 2) reaching ≥75% of their age-predicted maximum heart rate, or 3) reporting a Borg rating of perceived exertion > 13. Cadence was directly observed and hand-tallied. Intensity (oxygen uptake [VO2] mL/kg/min) was assessed with indirect calorimetry and converted to METs (1 MET = 3.5 mL/kg/min). Cadence thresholds were identified via segmented mixed effects model regression and using Receiver Operating Characteristic (ROC) curves. Final heuristic cadence thresholds represented an analytical compromise based on classification accuracy (sensitivity, specificity, positive and negative predictive value, and overall accuracy). Results Cadences of 103.1 (95% Prediction Interval: 70.0–114.2), 116.4 (105.3–127.4), 129.6 (118.6–140.7), and 142.9 steps/min (131.8–148.4) were identified for 3, 4, 5, and 6 METs, respectively, based on the segmented regression. Comparable values based on ROC analysis were 100.3 (95% Confidence Intervals: 95.7–103.1), 111.5 (106.1–112.9), 116.0 (112.4–120.2), and 128.6 steps/min (128.3–136.4). Heuristic cadence thresholds of 100, 110, and 120 were associated with 3, 4, and 5 METs. Data to inform a threshold for ≥6 METs was limited, as only 6/98 (6.0%) participants achieved this intensity. Conclusions Consistent with previous data collected from 21–40 and 41–60-year-old adults, heuristic cadence thresholds of 100, 110, and 120 steps/min were associated with 3, 4, and 5 METs, respectively, in 61–85-year-old adults. Most older adults tested did not achieve the intensity of ≥6 METs; therefore, our data do not support establishing thresholds corresponding with this intensity level. Trial registration Clinicaltrials.gov NCT02650258. Registered 24 December 2015.

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