scholarly journals Physical Activity, Resilience, Sense of Coherence and Coping in People with Multiple Sclerosis in the Situation Derived from COVID-19

2020 ◽  
Vol 17 (21) ◽  
pp. 8202
Author(s):  
María Mercedes Reguera-García ◽  
Cristina Liébana-Presa ◽  
Lorena Álvarez-Barrio ◽  
Lisa Alves Gomes ◽  
Elena Fernández-Martínez
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Sense Of Coherence ◽  
Emergency Situation ◽  
Moderate Degree ◽  
Physically Active ◽  
Resilience Scale ◽  
The People ◽  
And Coping ◽  
High Degree

The confinement forced by COVID-19 can have repercussions on the health of people diagnosed with multiple sclerosis. The objective of this study is to analyze the relationships between physical activity, a sense of coherence, resilience and coping among people diagnosed with Multiple Sclerosis during the health emergency situation. To achieve this goal, this transversal descriptive study included 84 patients that belonged to multiple sclerosis associations during the period of confinement. Participants filled out the Physical Activity (IPAQ-SF), Sense of Coherence (SOC-13), Resilience Scale (ER-14) and coping (COPE-28) questionnaires. The results showed that the average age was 46.9 and that 67.9% had Relapsing Remittent Multiple Sclerosis diagnosed on average 13.9 years ago. They had a high degree (33.3%) and moderate degree (34.5%) of physical activity, high levels of resilience, while the level of a sense of coherence was average and the most commonly used strategies for coping were active confrontation and religion. Physical activity was not related to the rest of the studied variables, but there were correlations between the other variables. The people with multiple sclerosis who belong to patient associations have remained physically active during the obligatory confinement period and have elevated degrees of resilience and an average sense of coherence, as well as using suitable coping strategies, which is why the social-health resource of belonging to a patient association could be boosting these variables that are beneficial to their health.

The Self-Efficacy in Multiple Sclerosis (SEMS) Scale

2018 ◽  
Vol 34 (5) ◽  
pp. 352-360 ◽  
Author(s):  
Silvia Bonino ◽  
Federica Graziano ◽  
Martina Borghi ◽  
Davide Marengo ◽  
Giorgia Molinengo ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Coping Strategies ◽  
Measurement Invariance ◽  
Sense Of Coherence ◽  
Self Efficacy ◽  
Concurrent Validity ◽  
Rasch Analysis ◽  
Well Being ◽  
Psychological Well Being ◽  
And Coping

Abstract. This research developed a new scale to evaluate Self-Efficacy in Multiple Sclerosis (SEMS). The aim of this study was to investigate dimensionality, item functioning, measurement invariance, and concurrent validity of the SEMS scale. Data were collected from 203 multiple sclerosis (MS) patients (mean age, 39.5 years; 66% women; 95% having a relapsing remitting form of MS). Fifteen items of the SEMS scale were submitted to patients along with measures of psychological well-being, sense of coherence, depression, and coping strategies. Data underwent Rasch analysis and correlation analysis. Rasch analysis indicates the SEMS as a multidimensional construct characterized by two correlated dimensions: goal setting and symptom management, with satisfactory reliability coefficients. Overall, the 15 items reported acceptable fit statistics; the scale demonstrated measurement invariance (with respect to gender and disease duration) and good concurrent validity (positive correlations with psychological well-being, sense of coherence, and coping strategies and negative correlations with depression). Preliminary evidence suggests that SEMS is a psychometrically sound measure to evaluate perceived self-efficacy of MS patients with moderate disability, and it would be a valuable instrument for both research and clinical applications.

Physical activity and multiple sclerosis: a meta-analysis

2005 ◽  
Vol 11 (4) ◽  
pp. 459-463 ◽  
Author(s):  
Robert W Motl ◽  
Edward McAuley ◽  
Erin M Snook
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Meta Analysis ◽  
Self Report ◽  
Weighted Mean ◽  
Physically Active ◽  
Manual Search ◽  
Relapsing Remitting ◽  
Quantitative Synthesis ◽  
The Difference

Using meta-analytic procedures, this study involved a quantitative synthesis of the difference in physical activity among individuals with multiple sclerosis (MS) compared with nondiseased and diseased populations and then examined factors (i.e., moderators) that explain variation in the overall difference in physical activity. We searched MEDLINE, PsycINFO and Current Contents Plus using the key words physical activity, exercise and physical fitness in conjunction with multiple sclerosis; conducted a manual search of bibliographies of the retrieved papers; and contacted study authors about additional studies. Overall, 53 effects were retrieved from 13 studies with 2360 MS participants and yielded a weighted mean effect size (ES) of -0.60 (95% CI= -0.44,-0.77). The weighted mean ES was heterogenous, Q=1164.11, df=52, p<0.0001. There were larger effects with objective versus self-report measures of physical activity, nondiseased versus diseased populations and primary progressive versus relapsing-remitting MS. The cumulative evidence suggests that individuals with MS are less physically active than nondiseased, but not diseased, populations.

scholarly journals ‘The positive feel’: Unpacking the role of positive thinking in people with multiple sclerosis’s thinking aloud about staying physically active

2016 ◽  
Vol 21 (12) ◽  
pp. 3026-3036 ◽  
Author(s):  
Samuel M Hall-McMaster ◽  
Gareth J Treharne ◽  
Catherine M Smith
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Stages Of Change ◽  
Self Efficacy ◽  
Positive Thinking ◽  
Thinking Aloud ◽  
Physically Active ◽  
Physical Activity Interventions ◽  
Physical Activity Motivation

People with multiple sclerosis experience barriers to physical activity. Thought processes are interwoven with garnering motivation to overcome these barriers. This study investigated in-depth the role of positive thinking in physical activity motivation of two women and two men with multiple sclerosis. Participants thought aloud while completing standardised measures of physical activity, stages of change and self-efficacy, and in response to planned and spontaneous questions. Four themes were formulated using inductive thematic analysis: thoughts about purpose, self-efficacy, the past and reinforcement through positive thinking. These findings have implications for physical activity theories and delivering appropriate physical activity interventions to the multiple sclerosis community.

Exercise and the brain in multiple sclerosis

2020 ◽  
pp. 135245852096909
Author(s):  
Brian M Lozinski ◽  
V Wee Yong
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Multiple Sclerosis ◽  
Animal Models ◽  
Structural Changes ◽  
Well Being ◽  
Physically Active ◽  
Brain Functions ◽  
The Impact ◽  
The Brain

While people with multiple sclerosis (PwMS) historically were advised to avoid physical activity to reduce symptoms such as fatigue, they are now encouraged to remain active and to enlist in programs of exercise. However, despite an extensive current literature that exercise not only increases physical well-being but also their cognition and mental health, many PwMS are not meeting recommended levels of exercise. Here, we emphasize the impact and mechanisms of exercise on functional and structural changes to the brain, including improved connectome, neuroprotection, neurogenesis, oligodendrogenesis, and remyelination. We review evidence from animal models of multiple sclerosis (MS) that exercise protects and repairs the brain, and provide supportive data from clinical studies of PwMS. We introduce the concept of MedXercise, where exercise provides a brain milieu particularly conducive for a brain regenerative medication to act upon. The emphasis on exercise improving brain functions and repair should incentivize PwMS to remain physically active.

scholarly journals Perspectives on Physical Activity Among People with Multiple Sclerosis Who Are Wheelchair Users

2015 ◽  
Vol 17 (3) ◽  
pp. 109-119 ◽  
Author(s):  
Yvonne C. Learmonth ◽  
Ian M. Rice ◽  
Teresa Ostler ◽  
Laura A. Rice ◽  
Robert W. Motl
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Health Care Professionals ◽  
Physically Active ◽  
Wheelchair Users ◽  
Exercise Interventions ◽  
Exercise Participation ◽  
Mobility Devices ◽  
Environmental Adaptations ◽  
Physical Activity And Exercise

Background: People with advanced multiple sclerosis (MS) are less physically active than those with milder forms of the disease, and wheelchair use has a negative association with physical activity participation. Thus, wheelchair users with MS are doubly disadvantaged for accruing the benefits of physical activity and exercise. Appropriate physical activity and exercise interventions are needed for this population. Methods: We undertook a qualitative study to explore the meanings, motivations, and outcomes of physical activity in wheelchair users with MS. We sought to understand daily opportunities to accumulate physical activity and exercise, and to identify perceived barriers, facilitators, and benefits that might inform the design of future interventions. Results: We interviewed 15 wheelchair users (mean age, 52 ± 8.8 years; n = 12 women). Data were transcribed and analyzed to identify and explore common themes. Our first theme was the reduced opportunity to participate in physical activity due to participants' dependence on mobility devices, environmental adaptations, and tangible support. Our second theme was the importance of incorporating physical activity and exercise into the everyday environment, highlighting the need for adaptive exercise and accessible environments. This indicated the need to incorporate behavior change modulators into physical activity and exercise interventions for those with advanced MS. Health-care professionals played an important role in promoting increased physical activity and exercise participation in those with advanced MS. Conclusions: Our findings may inform future interventions to increase initiation and maintenance of physical activity and exercise among people with advanced MS.

scholarly journals Physical Activity and Sedentary Behavior Patterns Across Weekdays and Weekend Days in Youth with Multiple Sclerosis and Controls

2021 ◽  
Author(s):  
E. Morghen Sikes ◽  
Renisha Iruthayanathan ◽  
Stephanie A. Grover ◽  
Effie Viguiliouk ◽  
Zehra Kamani ◽  
...  
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Sedentary Behavior ◽  
Analysis Of Variance ◽  
Physically Active ◽  
Activity Monitors ◽  
Pediatric Multiple Sclerosis ◽  
Physical Activity Interventions ◽  
Behavior Change Interventions ◽  
Within Subjects

Abstract Background: This study quantified and compared weekday and weekend patterns of device-measured physical activity (PA) and sedentary behavior between youth with pediatric multiple sclerosis (MS) and controls for the purpose of informing future PA behavior change interventions. Methods: Participant data were obtained from three ongoing observational studies, and the sample included 40 participants with pediatric MS and 41 controls. Light PA (LPA), moderate-to-vigorous PA (MVPA), and sedentary behavior data were collected using activity monitors (ActiGraph LLC) over 1 week. The main analysis involved a two-way mixed factor analysis of variance with group as a between-subjects factor (pediatric MS vs control) and day as a within-subjects factor (weekday vs weekend day). Results: There was no group × day interaction from the analysis of variance for percentage of activity monitor wear time spent in LPA, MVPA, or sedentary behavior. There was no effect of group for LPA, MVPA, or sedentary behavior. There was an effect of day of week on percentage of day spent in LPA, MVPA, and sedentary behavior. Conclusions: These results suggest that youth with pediatric MS and controls were less physically active and more sedentary on weekends than on weekdays, but there were no differences between groups in PA and sedentary behavior overall or by day of the week. Physical activity interventions may be more successful by initially targeting weekend day activity.

scholarly journals Health Management for Quality of Life of Multiple Sclerosis Patients

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 86-86
Author(s):  
Emily Weiss ◽  
Hyun Kim
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Multiple Sclerosis ◽  
Health Behaviors ◽  
Health Management ◽  
Medical Community ◽  
Physically Active ◽  
Study Results ◽  
Multiple Sclerosis Patients

Abstract Objectives The purpose of this study is to investigate the associations of health behaviors such as diet, sleep and physical activity with quality of life (QoL) for adults diagnosed with Multiple Sclerosis (MS) and other major chronic diseases. The study hypothesizes that healthier diet in addition to an increased level of physical activity is associated with improving overall quality of life for those with MS. Methods The study includes adults aged 40 and older who are registered members of the Michigan Athletic Club in East Lansing, MI, diagnosed with MS, Parkinson's Disease or Arthritis (n = 30). Data on demographic information, previous health history and health behaviors such as mental health, diet, sleep and physical activity are collected. Multivariate regression models are analyzed in order to describe how current health behaviors are associated with quality of life for those with chronic conditions. Results Study results show that physically active MS patients with proper amount and better quality of sleep are likely to have higher overall quality of life. Healthier diet in addition to an increased level of physical activity is also likely to improve overall quality of life for those with MS. Conclusions When the importance of diet, exercise and sleep on MS is understood by the medical community, MS patients can utilize this information to improve their QoL through their own habits. Therefore, this study could lead to better management of symptoms by healthcare professionals and patients, and an improved QoL for those diagnosed with MS. Funding Sources N/A.

scholarly journals Physical Activity, Physical Fitness and the Sense of Coherence—Their Role in Body Acceptance among Polish Adolescents

2020 ◽  
Vol 17 (16) ◽  
pp. 5791 ◽  
Author(s):  
Ida Laudańska-Krzemińska ◽  
Jana Krzysztoszek ◽  
Mariusz Naczk ◽  
Ewa Gajewska
Keyword(s):  
Physical Activity ◽  
Gender Differences ◽  
Physical Fitness ◽  
Sense Of Coherence ◽  
Body Satisfaction ◽  
Daily Basis ◽  
Protective Role ◽  
Mental Wellbeing ◽  
Physically Active ◽  
Body Acceptance

The aim of the study was to investigate the protective role of physical activity (PA) and other health-related bio-psycho components (physical fitness, body composition, body perception and the sense of coherence (SOC)) in body acceptance. We searched for gender differences in those relationships. We investigated 231 adolescents aged 13–16 years from an urban area in Poland. We conducted objective measurements of height, weight, fat% and relative value of minute oxygen consumption. Questionnaires for PA, SOC Body Figure Perception and body acceptance were applied. Linear regression was used for analyzing determinants of body acceptance. We found that more physically active girls reported a less slim ideal vision of their figure (p < 0.05). Physical fitness is a better predictor of body acceptance than physical activity. In the final model, the sense of coherence, body mass index (BMI), and gender (being a boy) were also predictors of body acceptance (F(6,92) = 13.084, p < 0.0001). Gender differences were discussed in the present study. Fitness enhancing physical activity should be recommended for adolescents to achieve the protective psychosocial effect especially among girls. Physical activity on a daily basis brings positive results in a more adequate and reasonable body assessment and it can play a protective role in terms of mental wellbeing. Body satisfaction varies between genders and it is a more sensitive issue among girls than boys during adolescence.

scholarly journals Effects of Physical Activity and Mindfulness on Resilience and Depression During the First Wave of COVID-19 Pandemic

2021 ◽  
Vol 12 ◽  
Author(s):  
Roberta Antonini Philippe ◽  
Laurie Schwab ◽  
Michele Biasutti
Keyword(s):  
Physical Activity ◽  
Mindfulness Meditation ◽  
Traumatic Event ◽  
Depression Score ◽  
Demographic Variables ◽  
Mindfulness Practice ◽  
Physically Active ◽  
Resilience Scale ◽  
Swiss Population ◽  
Over Time

The first wave of the COVID-19 pandemic generated a significant number of stressors that the Swiss population had to deal with. In order to cope with and adapt to such adversity, it is essential to have protective factors that allow for resilience. The objective of this study was to investigate the effects of mindfulness and physical activity on depression and resilience during the first wave of the COVID-19 pandemic. A quantitative method was adopted asking participants who were engaged in physical activity or mindfulness to fill a battery of measures of depression and resilience and some demographic questions. The results showed that mindfulness practice strengthened the initial level of resilience of practitioners, suggesting that mindfulness meditation is a tool for coping with adversity during a potentially traumatic event. Conversely, physical activity practitioners maintained a stable resilience score over time, suggesting that exposure to adversity did not disrupt their state of biopsychospiritual homeostasis. Moreover, being physically active decreased the depression score over time. Regarding demographic variables, gender differences were observed in the average scores in the resilience scale and in the Depression Inventory.

scholarly journals Fatigue is associated with physical inactivity in people with multiple sclerosis despite different environmental backgrounds: merging and comparing cohorts from Turkey and Israel

2021 ◽  
Author(s):  
Asiye Tuba Ozdagar ◽  
Turhan Kahraman ◽  
Serkan Ozakbas ◽  
Anat Achiron ◽  
Alon Kalron
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Physical Inactivity ◽  
Activity Level ◽  
Common Disease ◽  
Cross Sectional ◽  
Physically Active ◽  
Logistic Regressions ◽  
The Relationship ◽  
Main Factor

Abstract Background Examining physical activity in people with multiple sclerosis (PwMS) from different environmental backgrounds might increase understanding and awareness of inactivity in PwMS.Objectives To compare the level of physical activity in PwMS in Israel and Turkey and to examine the relationship between the level of physical activity with common disease-related symptoms and demographical characteristics of PwMS. Methods Cross-sectional data collected by two centers were combined. The physical activity level was determined by the Godin Leisure-Time Exercise Questionnaire, and subsequently, classified into one of three subgroups: "active", "moderately active" and "insufficiently active". Logistic regressions determined the risks of insufficiently active PwMS, according to age, gender, body mass index, disability, impact of walking impairment, disease duration, type of MS and perceived fatigue. The analysis of variance test determined the differences between countries in terms of outcome variables.Results The study comprised 458 patients from Israel and 575 from Turkey; 68.2% Turkish PwMS were classified as insufficiently active compared with 52.0% of Israeli PwMS. The percentage of insufficiently active PwMS was significantly higher in those categorized as fatigued compared to non-fatigued in the total cohort (72.4% vs. 51.9%, p<0.001) and in each country separately. Based on the regression analysis, fatigue was the main factor associated with the insufficiently physically active group; odds ratio=1.968. Interpretation PwMS with increased fatigue tend to be physically inactive compared with the non-fatigued. This observation is supported by the merged data collected from two countries, Turkey and Israel, representing PwMS from different environmental backgrounds.

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