scholarly journals Effects of COVID-19 Lockdown on Adherence to Individual Home- or Gym-Based Exercise Training among Women with Postmenopausal Osteoporosis

Author(s):  
Erika Pinelli ◽  
Giuseppe Barone ◽  
Sofia Marini ◽  
Francesco Benvenuti ◽  
Marie H. Murphy ◽  
...  

Adherence is important for an exercise program’s efficacy. This study aims at investigating whether the COVID-19 lockdown had different consequences on the adherence to an exercise program specifically designed for women with postmenopausal osteoporosis when administered as individual home training (IHT) or gym group training (GGT). At the start of the lockdown, which imposed the temporary closure of any gym activities, GGT participants were invited to continue to exercise at home. IHT participants continued to exercise at home as usual. Adherence was recorded via logs and measured as the percentage of exercise sessions actually performed out of the total number of scheduled sessions in three 1-month periods: one before (PRE) and two after (M1 and M2) the beginning of lockdown. Before lockdown, IHT (66.8% ± 26.6) and GGT (76.3% ± 26.6) adherence were similar. During lockdown, IHT participation increased (M1: 81.5% ± 31.0; M2: 88.0% ± 28.3), while that of GGT showed no statistical differences (M1: 79.4% ± 34.2; M2: 80.6% ± 36.4). Exercise protocols based on supervised gym practice must consider the possibility of disruptive events, which could cause a sudden interruption of gym activity and include educational initiatives to instruct participants to exercise effectively and safely without a trainer’s direct supervision.

2020 ◽  
Vol 19 (2) ◽  
pp. 9 ◽  
Author(s):  
Leônidas De Oliveira Neto ◽  
Hassan Mohamed Elsangedy ◽  
Vagner Deuel De Oliveira Tavares ◽  
Cauê Vazquez La Scala Teixeira ◽  
Dave G Behm ◽  
...  

Coronavirus is part of a group of viruses responsible for seasonally causing acute respiratory syndromes that can be accompanied from mild symptoms to severe conditions with a significant mortality rate. In addition to hygiene care, social distance is one of the most efficient strategies to mitigate the spread of the virus and reduce impacts on the world. Therefore, government strategies have directed efforts to ensure the isolation at home of much of the world’s population. One of the strategies that has been considered an important tool to facilitate adherence to isolation is the encouragement of regular physical exercise, especially due to its ability to reduce feelings of anxiety and stress in the population. Thus, in parallel with the expansion of coronavirus in the world, the search for exercise at home has gained prominence on the internet, demonstrating the emerging need to think of strategies that can lead to an effective home practice in promoting adherence to a physically active lifestyle. On the other hand, some pertinent questions may arise, such as: how will the exercise prescription and follow-up of the population be carried out during this period? What guidelines should be followed for a safe and efficient prescription? What types of exercises should be prioritized? What are the criteria for this selection? Based on these questions, this study aimed to present a proposal, integrating the physiological and psychobiological aspects, of how physical exercise could be prescribed at home, considering the barriers faced by the population in the face of social isolation worldwide. In summary, here we suggest a prescription model that estimates the weekly performance of at least 150 minutes of aerobic exercises, as well as strength exercises for the main muscle groups. In addition, we guide the use of tools that allow the assessment of physical effort and personal satisfaction in training, with the aim of improving adherence and maintenance to a physical exercise program and thus contributing to health promotion during the COVID-19 pandemic.Palavras-chave: exercice prescription, home training, lifestyle, pandemic Covid-19


Medicina ◽  
2021 ◽  
Vol 57 (1) ◽  
pp. 34
Author(s):  
Cheuk Kei Lao ◽  
Bing Long Wang ◽  
Richard S. Wang ◽  
Hsiao Yun Chang

Background and objectives: Faced with the serious problem of an aging population, exercise is one of the most effective ways to maintain the health of the elderly. In recent years, with the popularization of smartphones, the elderly have increasingly accepted technological products that incorporate artificial intelligence (AI). However, there is not much research on using artificial intelligence bracelets to enhance elders’ motivation and participation in exercise. Therefore, the purpose of this study is to evaluate the effectiveness of the combination of sports smart bracelets and multi-sport training programs on the motivation of the elderly in Macau. Materials and Methods: The study was conducted with a randomized trial design in a 12 week multi-sport exercise training intervention. According to the evaluation, a total of sixty elders’ pre- and post-test data were included in this study. Results: After 12 weeks of multi-sport exercise training, the evaluation scores on the exercise motivation scale (EMS) increased significantly in the group wearing exercise bracelets and those taking part in the multi-component exercise program, and the degree of progress reached a statistically significant level, but the control group did not show any statistically significant difference. The influence of the combination of sports smart bracelets and multi-sport training programs on elders’ motivation is clearer. Conclusions: The use of sports smart bracelets by elderly people in conjunction with diverse exercise training can effectively enhance elders’ motivation and increase their participation in regular exercise. The combination of sports smart bracelets and multi-sport training programs is worth promoting in the elderly population.


2019 ◽  
Vol 27 (4) ◽  
pp. 482-488
Author(s):  
Charity B. Breneman ◽  
Christopher E. Kline ◽  
Delia West ◽  
Xuemei Sui ◽  
Xuewen Wang

This study investigated the acute effect of exercise on sleep outcomes among healthy older women by comparing days with structured exercise versus days without structured exercise during 4 months of exercise training. Participants (n = 51) in this study had wrist-worn actigraphic sleep data available following at least 3 days with structured exercise and 3 days without structured exercise at mid-intervention and at the end of intervention. The exercise intervention was treadmill walking. Multilevel models were used to examine whether structured exercise impacted sleep outcomes during the corresponding night. Overall, 1,362 nights of data were included in the analyses. In unadjusted and adjusted models, bedtimes were significantly earlier on evenings following an acute bout of structured exercise than on evenings without structured exercise. No other sleep parameters differed between exercise and nonexercise days. Understanding the effects of exercise on sleep in this understudied population may help to improve their overall sleep quality.


2016 ◽  
Vol 12 (20) ◽  
pp. 136
Author(s):  
Mohammad Al Hindawi ◽  
Majed Mjallie

Objective: The goal of our study was to investigate the effect of different type of exercise training on C-reactive protein level in middle age men. Methods: A total of 20 male subjects’ mean age 45±5 years were investigated at the University of Jordan Hospital to evaluate CRP level after training. Subjects were divided randomly into two groups they participated in supervise exercise training resistance and endurance exercise for 11 weeks. CRP level was measured pre-post training. Results: Mean C-reactive protein level measured before training program was 1.82 mg/L. And 1.81 mg/L for endurance and resistance groups respectively. Measurement of the CRP after the completion of the exercise program was 1.654 mg/L and 1.764 mg/L for both groups the endurance and the resistance respectively. TC was significantly reduced from 199.1 ml/dl to 176.1 ml/dl, for the endurance group and from 193.50 ml/dl to 181.60 ml/dl, for the resistance group. TG reduced significantly from 172.2 ml/dl to 161.50 ml/dl for the endurance group, and from 163.50 ml/dl to 159.20 ml/dl for the resistance group. HR at rest reduced from 79.63 b.pm to 74.47 b.pm for the endurance group, and from 77.50 b.pm to 74.6 b.pm for the resistance group. Fat % reduced significantly from 25.25 to 23.22 for the endurance group and from 23.03 to 21.60 for the resistance group. BMI reduced from 28.82 to 27.41 for the endurance group and from 27.63 to 27.40 for the resistance group.VO2max increased significantly from 37.13 to 43.30 ml.kg.min for the endurance group, and from 37.67 to 39.3 for the resistance group. HDL also increased from 46.12 mi/dl to 48.25 mi/dl for the endurance group, and increased from 42.70 mi/dl to 44.30 mi/dl for the resistance group Training gropes had lower CRP, weight, BMI, and body fat after the completion of the exercise program. Conclusions: Plasma C-reactive protein levels are reduced in response to both strength and endurance exercise training in sedentary healthy men (there was no different in the type of exercise in reducing CRP level.


10.2196/17289 ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. e17289
Author(s):  
Reza Haghighi Osgouei ◽  
David Soulsby ◽  
Fernando Bello

Background Performing physiotherapy exercises in front of a physiotherapist yields qualitative assessment notes and immediate feedback. However, practicing the exercises at home lacks feedback on how well patients are performing the prescribed tasks. The absence of proper feedback might result in patients performing the exercises incorrectly, which could worsen their condition. We present an approach to generate performance scores to enable tracking the progress by both the patient at home and the physiotherapist in the clinic. Objective This study aims to propose the use of 2 machine learning algorithms, dynamic time warping (DTW) and hidden Markov model (HMM), to quantitatively assess the patient’s performance with respect to a reference. Methods Movement data were recorded using a motion sensor (Kinect V2), capable of detecting 25 joints in the human skeleton model, and were compared with those of a reference. A total of 16 participants were recruited to perform 4 different exercises: shoulder abduction, hip abduction, lunge, and sit-to-stand exercises. Their performance was compared with that of a physiotherapist as a reference. Results Both algorithms showed a similar trend in assessing participant performance. However, their sensitivity levels were different. Although DTW was more sensitive to small changes, HMM captured a general view of the performance, being less sensitive to the details. Conclusions The chosen algorithms demonstrated their capacity to objectively assess the performance of physical therapy. HMM may be more suitable in the early stages of a physiotherapy program to capture and report general performance, whereas DTW could be used later to focus on the details. The scores enable the patient to monitor their daily performance. They can also be reported back to the physiotherapist to track and assess patient progress, provide feedback, and adjust the exercise program if needed.


2000 ◽  
Vol 279 (4) ◽  
pp. H1999-H2005 ◽  
Author(s):  
Andrew Maiorana ◽  
Gerard O'Driscoll ◽  
Lawrence Dembo ◽  
Craig Cheetham ◽  
Carmel Goodman ◽  
...  

Exercise training of a muscle group improves local vascular function in subjects with chronic heart failure (CHF). We studied forearm resistance vessel function in 12 patients with CHF in response to an 8-wk exercise program, which specifically excluded forearm exercise, using a crossover design. Forearm blood flow (FBF) was measured using strain-gauge plethysmography. Responses to three dose levels of intra-arterial acetylcholine were significantly augmented after exercise training when analyzed in terms of absolute flows (7.0 ± 1.8 to 10.9 ± 2.1 ml · 100 ml−1 · min−1 for the highest dose, P < 0.05 by ANOVA), forearm vascular resistance (21.5 ± 5.0 to 15.3 ± 3.9 ml · 100 ml forearm−1 · min−1, P< 0.01), or FBF ratios ( P < 0.01, ANOVA). FBF ratio responses to sodium nitroprusside were also significantly increased after training ( P < 0.05, ANOVA). Reactive hyperemic flow significantly increased in both upper limbs after training (27.9 ± 2.7 to 33.5 ± 3.1 ml · 100 ml−1 · min−1, infused limb; P < 0.05 by paired t-test). Exercise training improves endothelium-dependent and -independent vascular function and peak vasodilator capacity in patients with CHF. These effects on the vasculature are generalized, as they were evident in a vascular bed not directly involved in the exercise stimulus.


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