scholarly journals Exercise Addiction and Its Relationship with Health Outcomes in Indoor Cycling Practitioners in Fitness Centers

2020 ◽  
Vol 17 (11) ◽  
pp. 4159
Author(s):  
Javier Bueno-Antequera ◽  
Carmen Mayolas-Pi ◽  
Joaquin Reverter-Masià ◽  
Isaac López-Laval ◽  
Miguel Ángel Oviedo-Caro ◽  
...  
Keyword(s):  
Physical Activity ◽  
High Risk ◽  
Health Outcomes ◽  
Effect Size ◽  
Symptom Severity ◽  
Anxiety Symptom ◽  
Short Form ◽  
Low Risk ◽  
Exercise Addiction ◽  
Main Determinants

We studied the prevalence and possible association between exercise addiction and health in indoor cycling practitioners. In 1014 (492 women) adult indoor cyclists and 926 (597 women) controls with low levels of physical activity according to the short form of the International Physical Activity Questionnaire, we examined the risk of exercise addiction according to the Exercise Addiction Inventory and several health outcomes through a web-based experiment. The prevalence of a high risk of exercise addiction in cyclists was 13.3%, and it was higher in men than in women (16.5% vs. 10.0%, p = 0.002). Women cyclists with a high risk of exercise addiction had higher levels of physical activity (p < 0.001; effect size = −0.62, 95% CI: (−0.91, −0.32)) and anxiety symptom severity (p = 0.001; Effect Size (ES) = −0.59 (−0.89, −0.30)) than those with a low risk. For both sexes, cyclists with a low risk of exercise addiction had better social function, emotional role, and anxiety symptom severity compared with the controls (all p < 0.002; ES ranged from 0.25 to 0.47). Higher anxiety symptom severity and cardiorespiratory fitness were the main determinants of exercise addiction in cyclists (both p < 0.001). Our data suggest the importance of considering exercise addiction in indoor cyclists.

Discriminating Characteristics of Community-Dwelling Elderly at High and Low Risk for Frailty

2002 ◽  
Vol 10 (4) ◽  
pp. 413-431 ◽  
Author(s):  
Laura S. Ho ◽  
Harriet G. Williams ◽  
Emily A.W. Hardwick
Keyword(s):  
Physical Activity ◽  
Regression Analysis ◽  
High Risk ◽  
Daily Living ◽  
Cardiac Event ◽  
Community Dwelling ◽  
Low Risk ◽  
Functional Abilities ◽  
The Past ◽  
And Performance

The study’s objective was to examine the health status, physical activity behaviors, and performance-based functional abilities of individuals classified as being at high or low risk for frailty and to determine which of these characteristics discriminates between the 2 groups. Participants were 78 community-dwelling individuals with an average age of 74 years; 37 were categorized as being at high risk and 42 at low risk for frailty. Logistic-regression analysis indicated that individuals classified as being at high risk for frailty were more likely to have visited the doctor more than 3 times in the past year, experienced a cardiac event, taken more than 4 medications a day, and participated in little or no physical activity. High-risk individuals were more likely to have poor balance, difficulty with mobility, decreased range of motion, poor unimanual dexterity, and difficulty performing activities of daily living than were those classified as being at low risk for frailty.

scholarly journals Exercise/physical activity and health outcomes: an overview of Cochrane systematic reviews

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Pawel Posadzki ◽  
Dawid Pieper ◽  
Ram Bajpai ◽  
Hubert Makaruk ◽  
Nadja Könsgen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Outcomes ◽  
Systematic Reviews ◽  
Effect Size ◽  
Methodological Quality ◽  
Prediction Interval ◽  
Mortality Rates ◽  
Noncommunicable Diseases ◽  
Cochrane Library

Abstract Background Sedentary lifestyle is a major risk factor for noncommunicable diseases such as cardiovascular diseases, cancer and diabetes. It has been estimated that approximately 3.2 million deaths each year are attributable to insufficient levels of physical activity. We evaluated the available evidence from Cochrane systematic reviews (CSRs) on the effectiveness of exercise/physical activity for various health outcomes. Methods Overview and meta-analysis. The Cochrane Library was searched from 01.01.2000 to issue 1, 2019. No language restrictions were imposed. Only CSRs of randomised controlled trials (RCTs) were included. Both healthy individuals, those at risk of a disease, and medically compromised patients of any age and gender were eligible. We evaluated any type of exercise or physical activity interventions; against any types of controls; and measuring any type of health-related outcome measures. The AMSTAR-2 tool for assessing the methodological quality of the included studies was utilised. Results Hundred and fifty CSRs met the inclusion criteria. There were 54 different conditions. Majority of CSRs were of high methodological quality. Hundred and thirty CSRs employed meta-analytic techniques and 20 did not. Limitations for studies were the most common reasons for downgrading the quality of the evidence. Based on 10 CSRs and 187 RCTs with 27,671 participants, there was a 13% reduction in mortality rates risk ratio (RR) 0.87 [95% confidence intervals (CI) 0.78 to 0.96]; I2 = 26.6%, [prediction interval (PI) 0.70, 1.07], median effect size (MES) = 0.93 [interquartile range (IQR) 0.81, 1.00]. Data from 15 CSRs and 408 RCTs with 32,984 participants showed a small improvement in quality of life (QOL) standardised mean difference (SMD) 0.18 [95% CI 0.08, 0.28]; I2 = 74.3%; PI -0.18, 0.53], MES = 0.20 [IQR 0.07, 0.39]. Subgroup analyses by the type of condition showed that the magnitude of effect size was the largest among patients with mental health conditions. Conclusion There is a plethora of CSRs evaluating the effectiveness of physical activity/exercise. The evidence suggests that physical activity/exercise reduces mortality rates and improves QOL with minimal or no safety concerns. Trial registration Registered in PROSPERO (CRD42019120295) on 10th January 2019.

scholarly journals Clustering of multiple lifestyle behaviors among migrant, left-behind and local adolescents in China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Li He ◽  
Xiaoyan Li ◽  
Weidong Wang ◽  
Youfa Wang ◽  
Haiyan Qu ◽  
...  
Keyword(s):  
Physical Activity ◽  
High Risk ◽  
Vegetable Consumption ◽  
Vigorous Physical Activity ◽  
Low Risk ◽  
Lifestyle Behaviors ◽  
Migrant Status ◽  
Moderate Risk ◽  
Cross Sectional ◽  
Left Behind

Abstract Background Influence of migration on externalized behavioral problems (e.g., aggressive) among adolescents has been well assessed, yet lifestyle behaviors of migrant, left-behind and local adolescents have been largely overlooked by researchers and policy-makers. Therefore, this study aimed to identify clustering of multiple lifestyle behaviors and their associations with migrant status among Chinese adolescents. Methods A cross-sectional survey was conducted in 2015 in Beijing, and Wuhu city (Anhui province). Adolescents self-reported age, gender, family economic status, migrant situation, and lifestyle behaviors (i.e., physical activity, screen time, sleep, smoke, soft-drink, alcohol, fruit and vegetable consumption) via a battery of validated questionnaires. Latent class analysis was conducted to identify behavioral clusters using Mplus 7.1. ANOVA, and multivariable logistic regression were used to examine associations between migrant situations and behavioral clusters using SPSS 22. Results Three distinct behavioral clusters were exhibited among 1364 students (mean age: 13.41 ± 0.84 years): “low risk” (N = 847), “moderate risk” (N = 412) and “high risk” (N = 105). The “high-risk” cluster had the highest prevalence of adolescents not meeting healthy behavioral recommendations. There were no significant differences in the prevalence of high-risk lifestyle among migrant, left-behind, rural local and urban local adolescents. But migrant adolescents had the lowest prevalence of low-risk lifestyle, followed by left-behind, rural and urban local adolescents. Moreover, compared with urban local, migrant (OR = 2.72, 95%CI: 1.88,3.94), left-behind (OR = 2.28, 95%CI: 1.46, 3.55), and rural local (OR = 1.76, 95%CI:1.03,3.01) adolescents had a higher risk of moderate-risk lifestyle. Conclusions Clustering of assessed lifestyle behaviors differed by the migrant status. Particularly, migrant and left-behind adolescents were more likely to have moderate-risk lifestyle compared with their counterparts. Interventions that promote moderate to vigorous physical activity and consumption of fruits and vegetables simultaneously are needed among them.

scholarly journals Whom Should We Test for COVID-19? Performance of a Symptom and Risk Factor Questionnaire on COVID-19 Test Results and Patient Outcomes in an Immediate Care Setting

2020 ◽  
Vol 11 ◽  
pp. 215013272098129
Author(s):  
Lauren Oshman ◽  
Amanda Caplan ◽  
Raabiah Ali ◽  
Lavisha Singh ◽  
Rabeeya Khalid ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Risk Factor ◽  
High Risk ◽  
Effect Size ◽  
Care Setting ◽  
Risk Group ◽  
Low Risk ◽  
Risk Patients ◽  
Assessment Questionnaire

Introduction: The CDC and Illinois Department of Public Health disseminated risk factor criteria for COVID-19 testing early in the pandemic. The objective of this study is to assess the effectiveness of risk stratifying patients for COVID-19 testing and to identify which risk factors and which other clinical variables were associated with SARS-CoV-2 PCR test positivity. Methods: We conducted an observational cohort study on a sample of symptomatic patients evaluated at an immediate care setting. A risk assessment questionnaire was administered to every patient before clinician evaluation. High-risk patients received SARS-CoV-2 test and low-risk patients were evaluated by a clinician and selectively tested based on clinician judgment. Multivariate analyses tested whether risk factors and additional variables were associated with test positivity. Results: The adjusted odds ratio of testing positive was associated with COVID-19-positive or suspect close contact (aOR 1.56, 95% CI 1.15-2.10), large gathering attendance with a COVID-19-positive individual (aOR 1.92, 95% CI 1.10-3.34), and, with the largest effect size, decreased taste/smell (aOR 2.83, 95% CI 2.01-3.99). Testing positive was associated with ages 45-64 and ≥65 (aOR 1.75, 95% CI 1.25-2.44, and aOR 2.78, 95% CI 1.49-5.16), systolic blood pressures ≤120 (aOR 1.64, 95% CI 1.20-2.24), and, with the largest effect size, temperatures ≥99.0°F (aOR 3.06, 95% CI 2.23-4.20). The rate of positive SARS-CoV-2 test was similar between high-risk and low risk patients (225 [22.2%] vs 50 [19.8%]; P = .41). Discussion: The risk assessment questionnaire was not effective at stratifying patients for testing. Although individual risk factors were associated with SARS-CoV-2 test positivity, the low-risk group had similar positivity rates to the high-risk group. Our observations underscore the need for clinicians to develop clinical experience and share best practices and for systems and payors to support policies, funding, and resources to test all symptomatic patients.

scholarly journals Positive recovery for low-risk injuries screened by the short form - Örebro musculoskeletal pain screening questionnaire following road traffic injury: evidence from an inception cohort study in New South Wales, Australia

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Ha Nguyen ◽  
Trudy Rebbeck ◽  
Annette Kifley ◽  
Jagnoor Jagnoor ◽  
Michael Dinh ◽  
...  
Keyword(s):  
High Risk ◽  
Return To Work ◽  
Risk Ratio ◽  
Road Traffic ◽  
Short Form ◽  
Risk Groups ◽  
Musculoskeletal Injuries ◽  
Low Risk ◽  
Adjusted Risk ◽  
Poor Recovery

Abstract Background Prognosis of musculoskeletal disorders following injury is essential in determining appropriate treatment and care. A generic validated prognostic tool to stratify risk of poor recovery for people with musculoskeletal injuries after road traffic crash is not available. This study aimed to examine differences in recovery, return to work and health related quality of life between low and high-risk of poor recovery people with musculoskeletal injuries stratified by the Short form - Örebro Musculoskeletal Pain Screening Questionnaire (SF-OMPSQ). Methods In an inception cohort study, participants with non-fracture musculoskeletal injury with the main site being the neck, lower back or lower limb were stratified into low (score ≤ 50) and high (score > 50) risk of poor recovery using the SF-OMPSQ score at baseline. We assessed the proportion of fully recovered participants (Global Perceived Effect scale ≥4), the proportion returning to work and changes in short form 12-item (SF-12) scores between baseline and 6-month follow-up in low and high-risk groups. Modified Poisson regression was used to estimate the adjusted risk ratio (RR) of being recovered and return to work in the low and high-risk groups. Paired t-test was used to compare changes in SF-12 physical and mental component summary scales, and chi-square test was used to assess the significance of the risk ratio of fully recovered between low and high-risk groups. Results The study included 498 participants (166 with neck, 78 with lower back and 254 with lower limb injuries). The proportion of being recovered was significantly higher in the low than the high-risk groups (Adjusted risk ratio: 2.96 [95% CI: 1.81 to 4.82]). Significantly more people in the low-risk group returned to work (91.0%) than the high-risk group (54.6%). People at low-risk had higher SF-12 scores at baseline and 6-month follow-up than those at high-risk. There were no differences between injury types for recovery and return to work at 6 months. Conclusion The SF-OMPSQ could be recommended as a generic prognostic tool to identify individuals with musculoskeletal injuries early after road traffic injury, who would have a higher or lower likelihood of recovering or returning fully to pre-injury work. Trial registration Australia New Zealand Clinical trial registry identification number - ACTRN12613000889752. Registered 09 August 2013.

scholarly journals Clustering of multiple lifestyle behaviors among migrant, left-behind and local adolescents in China: a cross-sectional study

2020 ◽  
Author(s):  
Li He ◽  
Xiaoyan Li ◽  
Weidong Wang ◽  
Youfa Wang ◽  
Haiyan Qu ◽  
...  
Keyword(s):  
Physical Activity ◽  
High Risk ◽  
Vegetable Consumption ◽  
Low Risk ◽  
Relative Reduction ◽  
Lifestyle Behaviors ◽  
Beijing City ◽  
Moderate Risk ◽  
Cross Sectional ◽  
Left Behind

Abstract Background: Influence of migration on externalized behavioral problems (e.g., aggressive) among adolescents has been well assessed, yet lifestyle behaviors of migrant, left-behind and local adolescents have been largely overlooked by researchers and policy-makers. Therefore, this study aimed to identify clustering of multiple lifestyle behaviors and their associations with migrant status among Chinese adolescents.Methods: A cross-sectional survey was conducted in 2015 in Beijing City and Wuwei County. Adolescents self-reported age, gender, family economic status, migrant situation, and lifestyle behaviors (physical activity, sleep, smoke, drink, fruit and vegetable consumption) via a battery of validated questionnaires. Latent class analysis was conducted to identify behavioral clusters using Mplus 7.1. ANOVA, and multivariable logistic regression were used to examine associations between migrant situations and behavioral clusters using SPSS 22.Results: Three distinct behavioral clusters were exhibited among 1,364 students (mean age: 13.41±0.84 years): “low risk” (N=847), “moderate risk” (N=412) and “high risk” (N=105). The “high-risk” cluster had the highest prevalence of adolescents not meeting healthy behavioral recommendations. There were no significant differences in the prevalence of high-risk lifestyle among migrant, left-behind, rural local and urban local adolescents. But migrant adolescents had the lowest prevalence of low-risk lifestyle, followed by left-behind, rural and urban local adolescents. Moreover, compared with urban local, migrant (OR=2.72, 95%CI: 1.88,3.94), left-behind (OR=2.28, 95%CI: 1.46, 3.55), and rural local (OR=1.76, 95%CI:1.03,3.01) adolescents had a higher risk of moderate-risk lifestyle. Conclusions: Clustering of different lifestyles was observed. To achieve the target of a 15% relative reduction in insufficient physical activity by 2030 and to promote health eating, more attention should be paid on the migrant and left-behind adolescents in China.

scholarly journals SCREENING FAKTOR RESIKO DIABETES MELITUS PADA INDIVIDU DENGAN RIWAYAT KELUARGA DIABETES MELITUS DI RSUD JAILOLO

2020 ◽  
Vol 8 (1) ◽  
pp. 44
Author(s):  
Relin Watta ◽  
Gresty Masi ◽  
Mario E. Katuuk
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Risk Factors ◽  
Family History ◽  
High Risk ◽  
Low Risk ◽  
Eating Patterns ◽  
Family History Of Diabetes ◽  
History Of ◽  
Diabetes Melitus

AbstractBackgroud: Diabetes mellitus is a chronic metabolic disorder characterized by an increase in blood glucose. The purpose of this study is to describe the risk factors for diabetes mellitus in individuals with a family history of diabetes mellitus. This method used a descriptive design with a Survey approach. The sample in this study were 100 people in family members who have a family history of diabetes mellitus. The test results obtained are a family history of diabetes mellitus with a high risk of 96 respondents (96%). The description of knowledge on high-risk eating patterns was 80 respondents (80%), while attitudes toward eating patterns show 81 respondents (81%) were at high risk. The description of knowledge about physical activity shawed that 76 respondents (76%) had a high risk, while the attitude towards physical activity showed 37 respondents (37%) had a high risk and 63 respondents (63%) had a low risk. Conclusion there is a high risk of diabetes mellitus in individuals with a family history of diabetes, most respondents have low knowledge and attitudes about eating patterns so that they have a high risk of diabetes, and respondents' knowledge about high-risk physical activity but attitudes to low-risk physical activity.Keywords: Screening, Risk factors, Diabetes mellitusAbstrakLatar belakang: Diabetes melitus adalah penyakit gangguan metabolisme kronis  yang ditandai dengan peningkatan glukosa darah. Tujuan penelitian diketahui gambaran faktor resiko diabetes melitus pada individu dengan riwayat keluarga diabetes melitus . Metode penelitian deskriptif  dengan metode Survey. Sampel dalam penelitian ini adalah 100 orang pada anggota keluarga yang memiliki riwayat keluarga diabetes melitus. Hasil hasil uji diperoleh yaitu gambaran riwayat keluarga diabetes melitus yang beresiko tinggi sebanyak 96 orang responden (96%). Gambaran pengetahuan pada pola makan yang beresiko tinggi sebanyak 80 orang responden (80%), sedangkan  sikap pada pola makan menunjukan  81 orang responden (81%) beresiko tinggi. Gambaran  pengetahuan tentang aktivitas fisik menunjukan 76 orang responden (76%) beresiko tinggi, sedangkan sikap pada aktivitas fisik yang menunjukan 37 orang responden (37%) beresiko tinggi dan  63 orang responden (63%) yang beresiko rendah. Kesimpulan terdapat resiko tinggi diabetes melitus pada individu dengan riwayat keluarga diabetes, sebagian besar responden memiliki pengetahuan dan sikap yang rendah tentang pola makan sehingga memiliki resiko tinggi terhadap diabetes, dan pengetahuan responden tentang aktivitas fisik beresiko tinggi tetapi  sikap pada aktivitas fisik  beresiko rendah.Kata Kunci : Screening, Faktor Resiko, Diabetes Melitus.

Papillary Thyroid Carcinoma: How Radical Lymphadenectomy Should be Performed?

Swiss Surgery ◽  
2003 ◽  
Vol 9 (2) ◽  
pp. 63-68
Author(s):  
Schweizer ◽  
Seifert ◽  
Gemsenjäger
Keyword(s):  
High Risk ◽  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Low Risk ◽  
Papillary Thyroid ◽  
Sentinel Nodes ◽  
Fand Sich ◽  
Radical Lymphadenectomy ◽  
N Status

Fragestellung: Die Bedeutung von Lymphknotenbefall bei papillärem Schilddrüsenkarzinom und die optimale Lymphknotenchirurgie werden kontrovers beurteilt. Methodik: Retrospektive Langzeitstudie eines Operateurs (n = 159), prospektive Dokumentation, Nachkontrolle 1-27 (x = 8) Jahre, Untersuchung mit Bezug auf Lymphknotenbefall. Resultate: Staging. Bei 42 Patienten wurde wegen makroskopischem Lymphknotenbefall (cN1) eine therapeutische Lymphadenektomie durchgeführt, mit pN1 Status bei 41 (98%) Patienten. Unter 117 Patienten ohne Anhalt für Lymphknotenbefall (cN0) fand sich okkulter Befall bei 5/29 (17%) Patienten mit elektiver (prophylaktischer) Lymphadenektomie, und bei 2/88 (2.3%) Patienten ohne Lymphadenektomie (metachroner Befall) (p < 0.005). Lymphknotenrezidive traten (1-5 Jahre nach kurativer Primärtherapie) bei 5/42 (12%) pN1 und bei 3/114 (2.6%) cN0, pN0 Tumoren auf (p = 0009). Das 20-Jahres-Überleben war bei TNM I + II (low risk) Patienten 100%, d.h. unabhängig vom N Status; pN1 vs. pN0, cN0 beeinflusste das Überleben ungünstig bei high risk (>= 45-jährige) Patienten (50% vs. 86%; p = 0.03). Diskussion: Der makroskopische intraoperative Lymphknotenbefund (cN) hat Bedeutung: - Befall ist meistens richtig positiv (pN1) und erfordert eine ausreichend radikale, d.h. systematische, kompartiment-orientierte Lymphadenektomie (Mikrodissektion) zur Verhütung von - kurablem oder gefährlichem - Rezidiv. - Okkulter Befall bei unauffälligen Lymphknoten führt selten zum klinischen Rezidiv und beeinflusst das Überleben nicht. Wir empfehlen eine weniger radikale (sampling), nur zentrale prophylaktische Lymphadenektomie, ohne Risiko von chirurgischer Morbidität. Ein empfindlicherer Nachweis von okkultem Befund (Immunhistochemie, Schnellschnitt von sampling Gewebe oder sentinel nodes) erscheint nicht rational. Bei pN0, cN0 Befund kommen Verzicht auf 131I Prophylaxe und eine weniger intensive Nachsorge in Frage.

Individuals at high risk for suicide are categorically distinct from those at low risk.

2017 ◽  
Vol 29 (4) ◽  
pp. 382-393 ◽  
Author(s):  
Tracy K. Witte ◽  
Jill M. Holm-Denoma ◽  
Kelly L. Zuromski ◽  
Jami M. Gauthier ◽  
John Ruscio
Keyword(s):  
High Risk ◽  
Low Risk
Sign in / Sign up

Export Citation Format

Share Document