scholarly journals Development of a Tool to Increase Physical Activity among People at Risk for Diabetes in Low-Resourced Communities in Cape Town

2020 ◽  
Vol 17 (3) ◽  
pp. 865 ◽  
Author(s):  
Jillian Hill ◽  
Camille Lavigne Delville ◽  
Anne-Marie Auorousseau ◽  
Deborah Jonathan ◽  
Nasheeta Peer ◽  
...  
Keyword(s):  
Physical Activity ◽  
At Risk ◽  
South African ◽  
Cape Town ◽  
World Health Organisation ◽  
World Health ◽  
Moderate Intensity ◽  
Baseline Survey ◽  
Haemoglobin A1c ◽  
Mixed Ancestry

Targeted lifestyle interventions, including physical activity (PA), have been proven to prevent or delay the onset of diabetes. South Africa’s unique context, complex environment and varied cultures and ethnicities require tailored interventions. Our objective was to develop a context-appropriate tool for the South African Diabetes Prevention Programme’s PA lifestyle component in order to enable people at risk of developing diabetes to adopt PA. We used mixed methods to inform the development of the tool. Descriptive analyses of baseline survey data included socio-demographics, anthropometrics, blood pressure and biochemical measurements, reported medical history, PA behaviours, and built environment information. Focus group discussions assisted in understanding perceived challenges, barriers and facilitators/opportunities to PA. A literature search on successful South African PA interventions was done, and PA experts in Cape Town were consulted. Quantitative data were analysed using the software R, version 3.4.4 and qualitative data were thematically analysed. Participants (n = 316) recruited were mostly black (54.4%) and of mixed-ancestry (44.6%); they were mainly female (80.1%), obese (75.2%), and had an haemoglobin A1c (HbA1c) above 5.7% (65.5%), with 30% having hypertension and 87% (self-reported) meeting the World Health Organisation (WHO) PA recommendation. Main barriers to PA practice were safety, cost and accessibility of sports facilities, and laziness. We included practising moderate-intensity aerobic and resistance exercises and take-home self-help materials as recommended. By combining results, we produced a targeted, practical and promotional PA booklet.

A secondary exploratory analysis of Physical Activity in COPD Patients Comparing Conventional and Web Based Pulmonary Rehabilitation: Is the Level of Supervision Important? (Preprint)

2021 ◽  
Author(s):  
Emma Chaplin
Keyword(s):  
Physical Activity ◽  
Pulmonary Rehabilitation ◽  
World Health Organisation ◽  
World Health ◽  
Moderate Intensity ◽  
Moderate Activity ◽  
Post Intervention ◽  
Web Based ◽  
Significant Difference ◽  
The Web

BACKGROUND Pulmonary Rehabilitation (PR) increases exercise capacity, with less clear evidence for Physical Activity (PA).The World Health Organisation (WHO) recommends at least 150-300 minutes of moderate intensity or 75-150 of vigorous intensity aerobic physical activity per week to reduce the risks of chronic disease. OBJECTIVE The objective of this study was to assess the effectiveness of conventional PR versus web-based PR with respect to changes in PA. METHODS Patients with COPD were randomised to either conventional PR classes (n=51) or a web-based PR programme (n=52) for 7 weeks in a feasibility study. Accelerometers (Sensewear®) were worn pre and post intervention, PA was measured as steps/day and mean bouts of moderate activity for ≥2, ≥5, ≥10 and ≥20 mins. Measures were derived for patients with ≥8 hrs of data/day for ≥4 days using R language statistical software. Variables were explored to examine relationships with bouts of activity. RESULTS Baseline characteristics did not differ significantly between groups. Complete PA data was available for web (n=20) and conventional (n=34) groups. The web group demonstrated a non-significant increase in steps/24hr which comprised mainly of short bouts of MVPA when compared with conventional PR (P=.2). The conventional group increased 20 min bouts of PA by 49.1% although this was not statistically significant (P=.07). At baseline, age (r =-0.21, P=.043), BMI (r=-0.311, P=.004) and FEV1% predicted (r=-0.248, P=.048) were significantly correlated with 10 min bouts of PA, however post intervention this was not observed. CONCLUSIONS The analysis detected a non-statistically significant difference in the pattern of PA between conventional and web-based PR groups, conventional PR being associated with an increase in 20 min bouts whilst the web group demonstrated an increase in steps/24hr. There appears to be a differing response emerging between the two interventions. CLINICALTRIAL ISRCTN03142263

scholarly journals Understanding Leisure Centre-Based Physical Activity after Physical Activity Referral: Evidence from Scheme Participants and Completers in Northumberland UK

2021 ◽  
Vol 18 (6) ◽  
pp. 2957
Author(s):  
Jordan Bell ◽  
Lis Neubeck ◽  
Kai Jin ◽  
Paul Kelly ◽  
Coral L. Hanson
Keyword(s):  
Physical Activity ◽  
Administrative Data ◽  
World Health Organisation ◽  
Ordinal Regression ◽  
World Health ◽  
Activity Levels ◽  
The World ◽  
The Uk

Physical activity referral schemes (PARS) are a popular physical activity (PA) intervention in the UK. Little is known about the type, intensity and duration of PA undertaken during and post PARS. We calculated weekly leisure centre-based moderate/vigorous PA for PARS participants (n = 448) and PARS completers (n = 746) in Northumberland, UK, between March 2019–February 2020 using administrative data. We categorised activity levels (<30 min/week, 30–149 min/week and ≥150 min/week) and used ordinal regression to examine predictors for activity category achieved. PARS participants took part in a median of 57.0 min (IQR 26.0–90.0) and PARS completers a median of 68.0 min (IQR 42.0–100.0) moderate/vigorous leisure centre-based PA per week. Being a PARS completer (OR: 2.14, 95% CI: 1.61–2.82) was a positive predictor of achieving a higher level of physical activity category compared to PARS participants. Female PARS participants were less likely (OR: 0.65, 95% CI: 0.43–0.97) to achieve ≥30 min of moderate/vigorous LCPA per week compared to male PARS participants. PARS participants achieved 38.0% and PARS completers 45.3% of the World Health Organisation recommended ≥150 min of moderate/vigorous weekly PA through leisure centre use. Strategies integrated within PARS to promote PA outside of leisure centre-based activity may help participants achieve PA guidelines.

scholarly journals The Effects of a Long-Term Physical Activity Intervention on Serum Uric Acid in Older Adults at Risk for Physical Disability

2014 ◽  
Vol 22 (1) ◽  
pp. 25-33 ◽  
Author(s):  
Kristen M. Beavers ◽  
Fang-Chi Hsu ◽  
Monica C. Serra ◽  
Veronica Yank ◽  
Marco Pahor ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
At Risk ◽  
Uric Acid ◽  
Health Education ◽  
Serum Uric Acid ◽  
Physical Disability ◽  
Moderate Intensity ◽  
Education Intervention ◽  
Health Education Intervention

Observational studies show a relationship between elevated serum uric acid (UA) and better physical performance and muscle function. The purpose of this paper was to determine whether regular participation in an exercise intervention, known to improve physical functioning, would result in increased serum UA. For this study, 424 older adults at risk for physical disability were randomized to participate in either a 12-mo moderate-intensity physical activity (PA) or a successful aging (SA) health education intervention. UA was measured at baseline, 6, and 12 mo (n= 368, 341, and 332, respectively). Baseline UA levels were 6.03 ± 1.52 mg/dl and 5.94 ± 1.55 mg/dl in the PA and SA groups, respectively. The adjusted mean UA at month 12 was 4.8% (0.24 mg/dl) higher in the PA compared with the SA group (p= .028). Compared with a health education intervention, a 1-yr PA intervention results in a modest increase in systemic concentration of UA in older adults at risk for mobility disability.

scholarly journals Association between leisure-time physical activity and the risk of chronic diseases

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Dedele ◽  
A Miskinyte
Keyword(s):  
Physical Activity ◽  
Chronic Diseases ◽  
High Intensity ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Adult Population ◽  
World Health ◽  
Health Study ◽  
Moderate Intensity ◽  
The Impact

Abstract Background According to the World Health Organization, non-communicable diseases or chronic diseases, account for 71 percent of all deaths globally, affecting individuals of all age groups and countries. Epidemiological studies have shown an association between a lack of physical activity (PA) and the risk of raised blood pressure, increased body mass index and obesity that can lead to chronic diseases. Methods The aim of the study was to assess the relationship between leisure-time PA and the risk of chronic diseases among adult population. We conducted a cross-sectional study of 470 men and 641 women who participated in “The Impact of Sustainable Mobility, Physical Activity and Environmental Factors on Urban Population Health Study (ISMA)” in Lithuania. Leisure-time PA was self-reported and divided into three levels: low, moderate and high. Logistic regression was used to estimate adjusted odds ratios (ORs) of chronic diseases according to leisure-time PA. Results More than half (55%) of the study population engaged in a moderate intensity PA and 12% of participants engaged in a high intensity leisure-time PA. Men 1.6 times more often than women reported engaging in a high intensity PA in leisure time (p = 0.004). Adults who engaged in low intensity leisure-time PA had almost 3 times (OR = 2.91; 95% confidence interval (CI) 1.62-5.24) higher risk of chronic diseases, whereas those adults who reported moderate intensity leisure-time PA had an OR of 1.63 (95% CI 0.92-2.87) compared to individuals who engaged in a high-level PA. Conclusions Our findings suggest that high levels of leisure-time PA could reduce the risk of chronic diseases and this effect was significantly stronger in men. Key messages Global decline in PA is related to inaction during leisure time and sedentary behaviour at work and at home that has a major health impact worldwide. High levels of leisure-time PA are important factor for chronic disease prevention.

Determinants of Physical Activity Engagement in Patients With Nonalcoholic Fatty Liver Disease: The Need for an Individualized Approach to Lifestyle Interventions

2020 ◽  
Author(s):  
Philip O’Gorman ◽  
Ann Monaghan ◽  
Marie McGrath ◽  
Sara Naimimohasses ◽  
John Gormley ◽  
...  
Keyword(s):  
Physical Activity ◽  
Liver Disease ◽  
Fatty Liver ◽  
Fatty Liver Disease ◽  
Binary Logistic Regression ◽  
World Health Organisation ◽  
World Health ◽  
Published Data ◽  
Alcoholic Fatty Liver ◽  
Nonalcoholic Fatty Liver

Abstract Objectives Physical activity (PA) is an important non-pharmacological treatment for non-alcoholic fatty liver disease (NAFLD). This study investigated the determinants of PA engagement and awareness of the World Health Organisation (WHO) PA guidelines in patients with NAFLD. Methods Study participants were 101 patients with NAFLD (median age: 54 [IQR = 15] y; 53 women and 48 men) who completed 4 questionnaires: (1) a PA guideline awareness questionnaire; (2) a PA questionnaire assessing PA levels; and (3) 2 questionnaires assessing perceived barriers and motivators for engaging in PA. Binary logistic regression was performed to assess predictors of PA levels. Results Twenty-four percent of participants correctly identified the recommended WHO weekly PA guidelines, and 39% adhered to the guidelines. Lack of willpower, time and energy were the most frequently cited barrier domains. Scores for lack of willpower (odds ratio [OR] = 1.45, 95% CI = 1.088–1.919) and lack of resources (OR = 1.378, 95% CI = 1.003–1.893), and reporting 3 or more ‘significant’ barrier domains (OR = 5.48, 95% CI = 1.792–15.873) were significant predictors of PA levels. Maintaining health and fitness was the most cited motivator domain and was a significant predictor (OR = 2.551, 95% CI = 1.253–5.208) of PA levels. Conclusions This study highlights) the lack of awareness of the WHO PA guidelines and the key determinants of PA participation in patients with NAFLD. Determinants of PA should be identified at the individual level to create a personalized approach for PA maintenance for people with NAFLD to promote lifelong participation in PA. Impact This study closes a gap in the published data on the determinants of PA engagement in patients with NAFLD.

Is Soft Drink Consumption Linked to Higher Body Mass Index and Energy Intake Among Adults in Mauritius?

2019 ◽  
Vol 7 (3) ◽  
pp. 725-737
Author(s):  
Oundhyalah Devi Padaruth ◽  
Deecksha Gomdola ◽  
Vishwakalyan Bhoyroo ◽  
Rajesh Jeewon
Keyword(s):  
Physical Activity ◽  
Energy Intake ◽  
Soft Drink ◽  
World Health Organisation ◽  
World Health ◽  
Calorie Intake ◽  
Chi Square ◽  
Soft Drink Consumption ◽  
Obesity And Overweight ◽  
Daily Calorie Intake

The World Health Organisation recommends people to keep their calorie intake from soft drink (SD) less than 10% of their daily calorie intake. Even though, calorie intake from soft drink consumption is low, there is an increase in the frequency of consumption. Also, besides, it is well understood that change in weight is not only dependent on soft drink consumption but also factors such as calorie intake and physical activity. The objective of this study is to investigate SD consumption and its association with BMI, physical activity and calorie intake among adults. 511 adults aged 20-60 years (208 male and 303 female) were recruited. The questionnaire used to elicit information included 3-day 24-hour dietary recall, physical activity habits and soft drink consumption. Anthropometric measurements (height, weight and waist circumference) were also taken. The data was analysed using SPSS version 2.0. Chi-square tests, Person coefficient test, and Spearman’s correlation tests were used to infer any relationships between variables. The mean daily calorie intake among the population is 2501 ± 86.46 Kcal/day. Energy intake by both genders is within the range recommended by USDA (males: 2182 ± 33.48 Kcal/day and female: 1925 ± 28.55 Kcal/day). BMI is slightly higher among female 25.00 ± kg/m^2 as compared to male 24.73 kg/m^2. Mean Energy intake from SD is found to be 88.57 ± 3.37 Kcal/day that accounts for 3.54% of the daily calorie intake and hence in line with the WHO recommendation. A significant association is seen between SD consumption and BMI (P= 0.02), however obesity and overweight is seen to be independent of SD consumption. Furthermore, a positive correlation wasfound between SD consumption and physical activity (P=0.01) and it is observed that 26.3 % of the population who had a sedentary lifestyle are overweight. No association was found between calorie intake and SD consumption (P= 0.731) since the percentage calorie from SD does not exceed the recommendation of WHO. A significant relationship is found between SD consumption and BMI. However, it is observed that physical activity has a higher influence on BMI independent of calorie intake and soft drink consumption. Even though soft drink is reported herein not influence on the prevalence of obesity and overweight, long-term soft drink consumption can result in health problems related to obesity.

scholarly journals Overweight and Obesity Epidemic in Developing Countries: A Problem with Diet, Physical Activity, or Socioeconomic Status?

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Trishnee Bhurosy ◽  
Rajesh Jeewon
Keyword(s):  
Physical Activity ◽  
Low Income ◽  
World Health Organisation ◽  
Developed Countries ◽  
Obese Individual ◽  
Developing Nations ◽  
Overweight And Obesity ◽  
Activity Level ◽  
World Health ◽  
Health Concern

Obesity is a significant public health concern affecting more than half a billion people worldwide. Obesity rise is not only limited to developed countries, but to developing nations as well. This paper aims to compare the mean body mass index trends in the World Health Organisation- (WHO-) categorised regions since 1980 to 2008 and secondly to appraise how socioeconomic disparities can lead to differences in obesity and physical activity level across developing nations. Taking into account past and current BMI trends, it is anticipated that obesity will continue to take a significant ascent, as observed by the sharp increase from 1999 to 2008. Gender differences in BMI will continue to be as apparent, that is, women showing a higher BMI trend than men. In the coming years, the maximum mean BMI in more developed countries might be exceeded by those in less developed ones. Rather than focusing on obesity at the individual level, the immediate environment of the obese individual to broader socioeconomic contexts should be targeted. Most importantly, incentives at several organisational levels, the media, and educational institutions along with changes in food policies will need to be provided to low-income populations.

scholarly journals Sociodemographic Determinants of Physical Inactivity of People Aged 60 Years and Older: A Cross-Sectional Study in Poland

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Elżbieta Biernat ◽  
Monika Piątkowska
Keyword(s):  
Physical Activity ◽  
Physical Inactivity ◽  
Large Scale ◽  
Average Energy ◽  
World Health Organisation ◽  
Sociodemographic Factors ◽  
Small Towns ◽  
World Health ◽  
Place Of Residence ◽  
Cross Sectional

Purpose. The aim of the study was to evaluate general physical activity (PA) level on the basis of leisure time and transportation physical activity (LTPA and TPA), assess the percentage of persons not meeting PA recommendations by the World Health Organisation (WHO), and evaluate the relationship between selected sociodemographic factors and physical inactivity. Methods. The paper is based on data ( n = 7,347 ) retrieved from five large-scale surveys (2014-2018) used to collect information on the PA of Polish society. In order to meet the aim of the paper, we selected a sample of 2,023 Poles aged ≥ 60 years old. In each wave, the Polish long version of the International Physical Activity Questionnaire was used. Mann–Whitney U and Kruskal-Wallis tests were used to investigate the differences between the types and volume of PA and sociodemographic variables. Relationships between physical inactivity and analysed variables were evaluated using log-linear analysis. To capture relationships between physical inactivity and a set of explanatory variables, a predictive model was built. Results. The total average energy expenditure amounted to 1879.5 ± 2352.5 MET-min/week, including LTPA ( 938.5 ± 1491.9 MET-min/week) and TPA ( 944.8 ± 1322.4 MET-min/week). Over the course of the last two years of the study, the average value of MET-min/week increased significantly ( p < 0.05 ); however, prohealth WHO norms are not met by nearly 40% of Poles. Sex determines the volume of LTPA and TPA ( p < 0.05 ) but does not determine the inactivity of seniors. Place of residence and education differentiate participation in LTPA and TPA. The lower the education level and the smaller the place of residence, the greater the inactivity. Conclusions. The target for future interventions should be people aged 60+ living in villages and small towns (especially those with primary education). It is necessary to undertake educational and motivational programmes promoting PA. It is essential to develop detailed recommendations and to create a friendly and supportive environment.

scholarly journals Report of visitto Harare: 27 April to 15 May 1998

1999 ◽  
Vol 4 (1) ◽  
pp. 34-43
Author(s):  
Valerie Ehlers
Keyword(s):  
South African ◽  
Full Text ◽  
World Health Organisation ◽  
World Health ◽  
The South ◽  
Municipal Workers ◽  
The World ◽  
Joint Workshop ◽  
Nurses And Midwives

The World Health Organisation (WHO) and the Commonwealth offered a joint workshop for nurses and midwives from the RSA, Mocambique, Zimbabwe, Zambia and Uganda lasting three weeks. Three nurses from the RSA, namely Mrs Mamorwa Gololo from the South African Municipal Workers' Union, Mrs Elza Lubbe from George Hospital and Dr Valerie Ehlers from Unisa, participated in this workshop in Harare. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

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