scholarly journals The COVID-19 Crisis as a Teachable Moment for Lifestyle Change in Dutch Cardiovascular Disease Patients

2021 ◽  
Vol 12 ◽  
Author(s):  
Michelle Brust ◽  
Winifred A. Gebhardt ◽  
Mattijs E. Numans ◽  
Jessica C. Kiefte-de Jong
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Risk Perception ◽  
Lifestyle Change ◽  
Lifestyle Changes ◽  
Self Concept ◽  
Survey Study ◽  
Teachable Moment ◽  
Teachable Moments ◽  
Affective Impact

Objective: When lifestyle changes are needed, life events or crises such as COVID-19 may function as “teachable moments”. This study aimed to explore whether the pandemic can provoke a teachable moment regarding lifestyle change in cardiovascular disease patients.Method: In this cross-sectional survey study, 830 cardiovascular disease patients reported their intentions to change lifestyle, instigated by the corona crisis, together with risk perception, affective impact, and changed self-concept, based on a “teachable moments” framework.Results: Between 8 and 28% of the sample reported increased intentions to optimize lifestyle behaviors, particularly related to general lifestyle (28%), physical activity (25%), and diet (21%). Multivariate regression analyses revealed that changed self-concept was associated with higher intentions to improve general lifestyle (B = 0.26; CI = 0.19–0.33), physical activity (B = 0.23; CI = 0.16–0.30), and smoking (B = 0.29; CI = 0.01–0.57). In addition, changed self-concept and affective impact were both significantly associated with higher intentions to improve diet (resp. B = 0.29; CI = 0.21–0.36 and B = 0.12; CI = 0.04–0.21) and to limit alcohol consumption (resp. B = 0.22; CI = 0.13–0.30 and B = 0.11; CI = 0.01–0.20). We did not find evidence for an important role of risk perception on behavior change intentions.Conclusion: The COVID-19 crisis evoked a potential teachable moment for lifestyle change in cardiovascular disease patients, driven by a change in a patient's self-concept and to a lesser extent by an affective impact of the COVID-19 crisis. These results suggest an important window of opportunity for healthcare professionals to utilize the pandemic to promote a healthy lifestyle to their patients.

scholarly journals Indirect Health Effects of COVID-19: Unhealthy Lifestyle Behaviors during the Lockdown in the United Arab Emirates

2021 ◽  
Vol 18 (4) ◽  
pp. 1964
Author(s):  
Hadia Radwan ◽  
Mahra Al Kitbi ◽  
Hayder Hasan ◽  
Marwa Al Hilali ◽  
Nada Abbas ◽  
...  
Keyword(s):  
Physical Activity ◽  
United Arab Emirates ◽  
Lifestyle Change ◽  
Change Score ◽  
Lifestyle Changes ◽  
Lifestyle Behaviors ◽  
Negative Consequences ◽  
Unhealthy Lifestyle ◽  
Cross Sectional ◽  
Study Results

Background: Lockdown measures were implemented in many countries to limit the spread of the COVID-19 pandemic. However, such restrictions could precipitate unintended negative consequences on lifestyle behaviors. The main objective of this study was to investigate the prevalence and determinants of unhealthy behavior changes during the COVID-19 lockdown among residents of the United Arab Emirates (UAE). Methods: A cross-sectional web-based survey of adults residing in the UAE was carried out during lockdown (n = 2060). Using a multi-component questionnaire, the collected data included questions regarding the following lifestyle changes: Increased dietary intake, increased weight, decreased physical activity, decreased sleep, and increased smoking. An unhealthy lifestyle change score was calculated based on the number of unhealthy lifestyle changes each participant reported. In addition, sociodemographic and living conditions information was collected. Descriptive statistics as well as simple and multiple linear regression analyses were used to examine the prevalence and determinants of the unhealthy lifestyle changes considered in this study. Results: Among the unhealthy lifestyle changes examined, increased food intake was the most common (31.8%), followed by decreased physical activity (30%), increased weight (29.4%), decreased sleep (20.8%), and increased smoking (21%). In addition to identifying the correlates of each of the aforementioned lifestyle changes, the results of the multiple regression linear analyses revealed the following correlates for the overall unhealthy lifestyle change score: females (β = 0.32, CI: 0.22; 0.42), living in an apartment (β = 0.12, CI: 0.003; 0.23) and being overweight/obese (β = 0.24, CI: 0.15; 0.32) had higher scores, while older adults (>40 years) had lower scores (β = −0.23, CI: −0.34; −0.12). Conclusions: The COVID-19 lockdown has resulted in a high prevalence of unhealthy lifestyle behaviors and practices among UAE residents. The findings of this study provided the evidence base for officials to design interventions targeting high-risk groups and aiming to improve healthy lifestyle factors among residents during the pandemic.

scholarly journals Preeclampsia, gestational diabetes and later risk of cardiovascular disease: Women’s experiences and motivation for lifestyle changes explored in focus group interviews

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Heidi L. Sandsæter ◽  
Julie Horn ◽  
Janet W. Rich-Edwards ◽  
Hege S. Haugdahl
Keyword(s):  
Cardiovascular Disease ◽  
Focus Group ◽  
Healthcare Professionals ◽  
Lifestyle Change ◽  
Lifestyle Changes ◽  
Focus Group Interviews ◽  
Cvd Risk ◽  
Changes In Pregnancy ◽  
Group Interviews ◽  
In Pregnancy

Abstract Background Preeclampsia (PE) and gestational diabetes mellitus (GDM) are both associated with increased risk of future cardiovascular disease (CVD). Knowledge of the relationship between these pregnancy complications and increased CVD risk enables early prevention through lifestyle changes. This study aimed to explore women’s experiences with PE and/or GDM, and their motivation and need for information and support to achieve lifestyle changes. Methods Systematic text condensation was used for thematic analysis of meaning and content of data from five focus group interviews with 17 women with PE and/or GDM, with a live birth between January 2015 and October 2017. Results This study provides new knowledge of how women with GDM and/or PE experience pregnancy complications in a Nordic healthcare model. It reveals the support they want and the important motivating factors for lifestyle change. We identified six themes: Trivialization of the diagnosis during pregnancy; Left to themselves to look after their own health; The need to process the shock before making lifestyle changes (severe PE); A desire for information about future disease risk and partner involvement; Practical solutions in a busy life with a little one, and; Healthcare professionals can reinforce the turning point. The women with GDM wanted healthcare professionals to motivate them to continue the lifestyle changes introduced during pregnancy. Those with severe PE felt a need for individualized care to ensure that they had processed their traumatic labor experiences before making lifestyle changes. Participants wanted their partner to be routinely involved to ensure a joint understanding of the need for lifestyle changes. Motivation for lifestyle changes in pregnancy was linked to early information and seeing concrete results. Conclusions Women with PE and GDM have different experiences of diagnosis and treatment, which will affect the follow-up interventions to reduce future CVD risk through lifestyle change. For GDM patients, lifestyle changes in pregnancy should be reinforced and continued postpartum. Women with PE should be informed by their general practitioner after birth, and given a plan for lifestyle change. Those with severe PE will need help in processing the trauma, and stress management should be routinely offered.

scholarly journals The Green Prescription Active Families programme in Taranaki, New Zealand 2007–2009: Did it reach children in need?

2015 ◽  
Vol 7 (3) ◽  
pp. 192 ◽  
Author(s):  
Yvonne Anderson ◽  
Greg Taylor ◽  
Cameron Grant ◽  
Ross Fulton ◽  
Paul Hofman
Keyword(s):  
Physical Activity ◽  
New Zealand ◽  
Child Nutrition ◽  
Healthy Lifestyle ◽  
Demographic Data ◽  
Lifestyle Change ◽  
Lifestyle Changes ◽  
Overweight Children ◽  
Session Attendance ◽  
Audit Period

INTRODUCTION: The Green Prescription Active Families (GRxAF) programme focuses on overweight/ obese children and adolescents, and is family/whanau based. It is an intervention supporting lifestyle changes through weekly sessions (nutrition advice and/or physical activity), and goal setting for the family/whanau for up to 12 months. AIMS: To describe the GRxAF programme in Taranaki and evaluate its reach and engagement, especially for those most at risk of obesity. METHODS: Participant files for each referred child from May 2007 to December 2009 were reviewed. Baseline demographic data, programme graduation information, and weekly activity session attendance were collected. RESULTS: Of the 109 participants during the audit period, 39% were Maori, 57% New Zealand European (NZE), 3% Pacific, and 1% Other ethnicity. Mean age at entry was 10 (range 4–17) years. Mean duration of programme involvement was five (range 0–12) months. Overall, 33/60 (55%) of the participants completing the programme during the audit period graduated, having made steps towards healthy lifestyle change. In comparison with NZE (68%), a smaller proportion of Maori (40%) graduated (p=0.04). In comparison with those who attended no sessions, participants who attended any sessions were more likely to make positive changes (OR=3.65, 95% CI 1.24–10.8). DISCUSSION: GRxAF in Taranaki met a need for some obese/overweight children, but not for all families/whanau, especially those over-represented in childhood obesity statistics. Programme delivery for Maori requires improvement, and assessment of readiness to make lifestyle change as an enrolment criteria for all participants is recommended. KEYWORDS: Adolescent; child; nutrition; obesity; physical activity; treatment

scholarly journals Lifestyle change predictors in the general population

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Stirparo ◽  
M Bini ◽  
A Odone ◽  
C Signorelli
Keyword(s):  
Cardiovascular Disease ◽  
General Population ◽  
Cardiovascular Prevention ◽  
Lifestyle Change ◽  
Male Gender ◽  
Lifestyle Changes ◽  
Main Role ◽  
Prevention Campaign ◽  
History Of ◽  
European Society Of Cardiology

Abstract Background Even thought lifestyle changes have a main role in cardiovascular disease prevention, people show a weak adherence to medical advices. Aim of our study was to identify anamnestic predictors of poor compliance for lifestyle changes in a general population. Methods We submitted a 26 questions questionnaire to 301 general population subjects, investigating multiple anamnestic characteristics. Afterwards, we proceeded to explain people the main line of the European society of Cardiology guidelines on Cardiovascular prevention. Finally, we asked the subjects if this prevention campaign was able to modify their lifestyle. Results Sixty-four percent of interviewed were prone to change their lifestyle. Females answered positively more than males (73% vs 59%, p = 0.011). In terms of cardiovascular risk factors only the presence of dyslipidemia was significantly associated with a will of change (84% vs 58%, p = 0.000). Age (49 (18) vs 46 (20) ), familiar history of cardiovascular disease (69% vs 63%,p=0.320) and the presence of a previous cardiovascular event (68% vs 66%,p=0.841), do not predict the adherence to lifestyle change. Key messages Cardiovascular disease dose not influence people’s decision in life style change. Male gender represents an anamnestic characteristics that predict a poor adherence to lifestyle changes while people affected by dyslipidemia more frequently are prone to modify their routine.

scholarly journals Are Patients Receiving Health Promotion Advice in the Chiropractic Teaching Clinic Setting?

2011 ◽  
Vol 25 (2) ◽  
pp. 132-141 ◽  
Author(s):  
Marion Willard Evans ◽  
Gregory Page ◽  
Harrison Ndetan ◽  
Daniel Martinez ◽  
Patricia Brandon ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Goal Setting ◽  
Brief Intervention ◽  
Lifestyle Change ◽  
Lifestyle Changes ◽  
Self Report ◽  
Patient Reported ◽  
Before And After ◽  
Unhealthy Weight

Purpose: The aim of this study was to analyze patient-reported health issues and levels of engagement, discussion of needed lifestyle changes, and goal setting with the patient's intern or staff doctor before and after a brief intervention to increase health-promoting activities in the clinic. Methods: Patient surveys were developed and administered to outpatients before and after a brief intervention aimed at increasing staff and intern engagement with patients on health promotion measures. Patients self-reported areas of need and levels of engagement by their doctor or intern. Data were analyzed as pre- and postintervention independent, cross-sectional samples. Frequencies and chi-square assessments were performed. Results: One hundred twenty-eight preintervention surveys and 162 postintervention surveys were collected. Back pain was the most common reason for being seen in the clinic (60% of patients) and most patients were white. More than 10% were smokers in both samples. Many patients reported poor diet, unhealthy weight, sleep issues, stress, or lack of regular physical activity, but 65% of the preintervention group and 72% of the postintervention group said a needed lifestyle change was discussed. Goals were set for 74% of the preintervention group and 84% of the postintervention group (p = .04). Information on lifestyle change was received by 52% of preintervention patients and 62% of postintervention patients and most were satisfied with this information. Goal setting was more common when a lifestyle change was discussed. Written information that was related to physical activity, for example, increased 350% (p < .0001). Conclusion: There are many opportunities for discussing needed lifestyle changes with patients. Patients self-report health behavioral issues related to physical activity, unhealthy weight, diet, stress, and sleep. More can be done in this area by this clinic, but initial assessments of impact from a brief intervention seem to have increased some levels of engagement by interns.

Increased Awareness, Unchanged Behavior: Prediabetes Diagnosis in a Low-Income, Minority Population

2019 ◽  
Vol 45 (2) ◽  
pp. 203-213 ◽  
Author(s):  
Rachel J. Strodel ◽  
Claire H. Chang ◽  
Sonia G. Khurana ◽  
Anne W. Camp ◽  
Elizabeth A. Magenheimer ◽  
...  
Keyword(s):  
Risk Perception ◽  
Low Income ◽  
Risk Perceptions ◽  
Community Health Center ◽  
Lifestyle Change ◽  
Lifestyle Changes ◽  
Minority Population ◽  
Preventive Behaviors ◽  
Waiting Room ◽  
Convenience Sample

Purpose The purpose of the study was to explore preventive behaviors and attitudes among mostly low-income, young Hispanic women with and without prediabetes. Methods In 2017, a convenience sample of women without diabetes aged 18 to 49 years (n = 214, 77.8% Hispanic) was recruited from the waiting room of a community health center to complete a 77-item questionnaire. Attitudes, risk perception, and recent lifestyle change were measured using a validated instrument, the Risk Perceptions Survey: Developing Diabetes. Chi-squared tests and multivariable binary logistic regression were conducted to assess the relationship between prediabetes diagnosis and attitude or lifestyle variables. Results Women diagnosed with prediabetes were more likely to report worry about diabetes and to perceive themselves at higher risk for developing diabetes in the next 10 years than women without a prior prediabetes diagnosis. There was no significant association between prediabetes diagnosis and recent adoption of lifestyle changes compared with those without prediabetes. After controlling for demographic characteristics and risk factors for type 2 diabetes, prediabetes diagnosis was significantly associated with elevated risk perception for developing diabetes if no lifestyle change is made but not with worry or risk perception for developing diabetes generally. Conclusions Prediabetes diagnosis is associated with heightened perception of diabetes risk but not lifestyle change compared to women without prediabetes in this low-income, predominantly Hispanic population. Prediabetes counseling efforts must emphasize evidence-based approaches for motivating preventive behaviors.

scholarly journals Effectiveness of distance technology on promoting physical activity in cardiovascular disease rehabilitation: a pilot study for a 12-month cluster randomized trial. (Preprint)

2020 ◽  
Author(s):  
Sanna Hakala ◽  
Heikki Kivistö ◽  
Teemu Paajanen ◽  
Annaliisa Kankainen ◽  
Marjo-Riitta Anttila ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Pilot Study ◽  
Cardiac Rehabilitation ◽  
Vigorous Physical Activity ◽  
Lifestyle Changes ◽  
Light Physical Activity ◽  
Steps Per Day ◽  
Distance Technology ◽  
Cluster Randomized

BACKGROUND Physical activity is beneficial for cardiovascular rehabilitation. Digitalization has suggested the idea of using technology as an element in the promotion of physical activity and lifestyle changes. The effectiveness of distance technology interventions has previously been found to be similar to that of conventional treatment, but the additional value of the technology has not been studied as frequently. OBJECTIVE The aim of this pilot study was to investigate the effectiveness of additional distance technology intervention on physical activity and compare it to non-technology–based treatment in cardiac rehabilitation. METHODS A 12-month cardiovascular disease rehabilitation intervention was developed, consisting of three inpatient periods in a rehabilitation center and controlled self-exercise periods at home in between. Participants were cluster-randomized into the conventional rehabilitation group (n=30) and additional distance technology (Fitbit Charge HR activity monitor and Movendos mCoach internet software) rehabilitation group (n=29). Physical activity outcomes were measured using the Fitbit Zip accelerometer and the International physical activity questionnaire (IPAQ). RESULTS During the first 6 months, the additional distance technology rehabilitation group engaged in light physical activity more often than the conventional rehabilitation group (mean difference (MD) 324.2 minutes per week, 95% CI 77.4 to 571.0, P = 0.01). There were no group differences in the duration of moderate to vigorous physical activity (MD 12.6 minutes per week, 95% CI -90.5 to 115.7, P = 0.82) or steps per day (MD 1084.0, 95% CI -585.0 to 2752.9, P = 0.20). During the following 6 months, no differences between the groups were observed in light physical activity (MD -87.9 minutes per week, 95% CI -379.2 to 203.3, P = 0.54), moderate to vigorous physical activity (MD 70.9 minutes per week, 95% CI -75.7 to 217.6, P = 0.33) or in steps per day (MD 867.1, 95% CI -2099.6 to 3833.9, P = 0.55). CONCLUSIONS Additional distance technology may increase light physical activity at the beginning of cardiac rehabilitation but does not promote moderate or vigorous physical activity or steps per day. CLINICALTRIAL ISRCTN Registry, url: https://doi.org/10.1186/ISRCTN61225589, reg. number: ISRCTN61225589. INTERNATIONAL REGISTERED REPORT RR2-https://doi.org/10.1186/ISRCTN61225589

scholarly journals Diet and Lifestyle Changes During COVID-19 Lockdown in the United Arab Emirates: Results of a Cross-Sectional Study

2020 ◽  
Author(s):  
Hadia Radwan ◽  
Mahra Al Kitbi ◽  
Hayder Hasan ◽  
Marwa Al Hilali ◽  
Nada Abbas ◽  
...  
Keyword(s):  
Physical Activity ◽  
United Arab Emirates ◽  
Healthy Lifestyle ◽  
Lifestyle Change ◽  
Change Score ◽  
Lifestyle Changes ◽  
Lifestyle Behaviors ◽  
Negative Consequences ◽  
Unhealthy Lifestyle ◽  
Cross Sectional

Abstract Background: Lockdown measures were implemented in many countries to limit the spread of the COVID-19 pandemic. However, such restrictions could precipitate unintended negative consequences on lifestyle behaviors. The main objective of this study was to investigate the prevalence and determinants of unhealthy behavior changes during the COVID-19 lockdown among residents of the United Arab Emirates (UAE).Methods: A cross-sectional web-based survey of adults residing in the UAE was carried out during lockdown (n=2060). Using a multi-component questionnaire, the collected data included questions regarding the following lifestyle changes: Increased dietary intake, increased weight, decreased physical activity, decreased sleep, and increased smoking. An unhealthy lifestyle change score was calculated based on the number of unhealthy lifestyle changes each participant reported. In addition, sociodemographic and living conditions information was collected. Descriptive statistics as well as simple and multiple linear regression analyses were used to examine the prevalence and determinants of the unhealthy lifestyle changes considered in this study.Results: Among the unhealthy lifestyle changes examined, increased food intake was the most common (31.8%), followed by decreased physical activity (30%), increased weight (29.4%), decreased sleep (20.8%), and increased smoking (21%). In addition to identifying the correlates of each of the aforementioned lifestyle changes, the results of the multiple regression linear analyses revealed the following correlates for the overall unhealthy lifestyle change score: females (β=0.32, CI: 0.22;0.42), living in an apartment (β=0.12, CI: 0.003;0.23) and being overweight/obese (β=0.24, CI: 0.15;0.32) had higher scores, while older adults (>40 years) had lower scores (β=-0.23, CI: -0.34;-0.12).Conclusion: The COVID-19 lockdown has resulted in a high prevalence of unhealthy lifestyle behaviors and practices among UAE residents. The findings of this study provided the evidence base for officials to design interventions targeting high-risk groups and aiming to improve healthy lifestyle factors among residents during the pandemic.

Self-Referent Thoughts in Exercise: The Self-Perception in Exercise Questionnaire

1997 ◽  
Vol 13 (3) ◽  
pp. 195-205 ◽  
Author(s):  
Marit Sorensen
Keyword(s):  
Physical Activity ◽  
Pilot Study ◽  
Physical Activity Level ◽  
Convergent Validity ◽  
English Language ◽  
Lifestyle Changes ◽  
Activity Level ◽  
Language Version ◽  
Social Comfort ◽  
And Gender

Adherence to lifestyle changes - beginning to exercise, for example - is assumed to be mediated by self-referent thoughts. This paper describes a pilot study and three studies conducted to develop and validate a questionnaire for adults to determine their self-perceptions related to health-oriented exercise. The pilot study identified items pertinent to the domains considered important in this context, and began the process of selecting items. Study 2 examined the factor structure, reduced the number of items, determined the internal consistency of the factors, and explored the discriminative validity of the questionnaire as to physical activity level and gender. Four factors with a total of 24 items were accepted, measuring mastery of exercise, body perception, social comfort/discomfort in the exercise setting, and perception of fitness. All subscales had acceptable internal consistencies. Preliminary validity was demonstrated by confirming hypothesized differences in scores as to gender, age, and physical activity level. The third study examined and demonstrated convergent validity with similar existing subscales. The fourth study examined an English-language version of the questionnaire, confirming the existence of the factors and providing preliminary psychometric evidence of the viability of the questionnaire.

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