scholarly journals Relationship between Physical Activity and Physical and Mental Health Status in Pregnant Women: A Prospective Cohort Study of the Japan Environment and Children’s Study

2021 ◽  
Vol 18 (21) ◽  
pp. 11373
Author(s):  
Yasuyuki Yamada ◽  
Takeshi Ebara ◽  
Taro Matsuki ◽  
Hirohisa Kano ◽  
Hazuki Tamada ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Cohort Study ◽  
Health Status ◽  
Pregnant Women ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Short Form ◽  
Mental Health Status ◽  
Physical And Mental Health

To discuss appropriate physical activity (PA) levels during pregnancy, this prospective cohort study examined the relationships between PA levels before and during pregnancy and physical and mental health status. Fixed data for 104,102 pregnant women were used from the Japan Environment and Children’s Study, of which data for 82,919 women were analyzed after excluding women with multiple birth and pregnancy complications. PA levels were measured using the International Physical Activity Questionnaire-Short Form. The 8-Item Short Form Health Survey was used to measure outcomes. Logistic regression with multiple imputations showed that moderate PA for over 720 min/wk and vigorous PA before pregnancy were associated with poorer mental health in the first trimester (adjusted odds ratio (AOR): 1.087–1.376. Walking in the second and third trimesters was associated with better physical and mental health (AOR: 0.855–0.932). Moderate PA over 1080 min/wk and vigorous PA in the second and third trimesters were associated with poorer mental health (AOR: 1.223–1.873). Increases over 4135.4 MET–min/wk and decreases in PA levels were associated with poorer mental and physical health (AOR: 1.070–1.333). Namely, pregnant women receiving health benefits prefer continuous walking in addition to avoiding vigorous PA and excessive changes in PA levels during pregnancy.

scholarly journals From hospital to post-acute care organizations: the relationship between patient experience and health recovery

2020 ◽  
Vol 32 (9) ◽  
pp. 585-590
Author(s):  
Generosa Do Nascimento ◽  
Francisco Guilherme Nunes ◽  
Janet E Anderson
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Acute Care ◽  
Patient Experience ◽  
Short Form ◽  
Mental Health Status ◽  
Patient Questionnaire ◽  
Discharge Process ◽  
Physical And Mental Health ◽  
Post Acute Care

Abstract Objective To determine to what extent patient health status and recovery in post-acute care organizations (PACO) is related to patient experience of the discharge process from hospital and to patient experience while staying in these facilities. Design Longitudinal study of patients discharged from hospitals to PACO. Setting 12 hospitals and 14 PACO Portuguese organizations. Participants 181 patients participated in the both stages of data gathering. Main Outcome Measures Patients’ physical and mental health status was measured through the 36-item short form health survey scale. The experience of transition from hospital to PACO was measured with the Care Transition Measure. The Picker Adult In-Patient Questionnaire was used to measure patients’ experience in these organizations. Results Patients reporting better physical condition in PACO had a better experience on discharge [b = 0.21, 95% confidence interval, CI (0.10, 0.31)] and perceive fewer problems inside facilities [b = − 0.19, 95% CI (−0.31, 0.08)]. The experience in PACO is significantly related to patients’ mental health status [b = − 0.47, 95% CI (−0.59, − 0.36)]. Patients showing higher levels of physical recovery had a better experience on discharge [b = − 0.18, 95% CI (0.08, 0.28)], while those registering better mental recovery experienced fewer problems during their stay [b = − 0.41, 95% CI (−0.52, − 0.30)]. Conclusions PACO play a key role in maintaining and promoting patients’ health, and this goal is influenced by their experience both in the transition from hospitals to PACO and while staying in these facilities.

scholarly journals Lumbopelvic pain, anxiety, physical activity and mode of conception: a prospective cohort study of pregnant women

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e022508 ◽  
Author(s):  
Emeline Lardon ◽  
Audrey St-Laurent ◽  
Véronique Babineau ◽  
Martin Descarreaux ◽  
Stephanie-May Ruchat
Keyword(s):  
Physical Activity ◽  
Cohort Study ◽  
Pregnant Women ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Time Effect ◽  
Activity Limitations ◽  
Activity Levels ◽  
Fertility Treatments ◽  
Physical Activity Levels

ObjectivesPregnancy-related lumbopelvic pain (LPP) is a frequent condition known to significantly affect women in their daily life. The aetiology of pregnancy-related LPP pain is still not clearly established but the mode of conception has been suggested to contribute to LPP. Anxiety related to fertility treatments may be one of the contributing factors. The primary objectives of this study were to determine the evolution of LPP prevalence and severity, and anxiety throughout pregnancy in women who conceived spontaneously (SP) or after fertility treatments (FT). A further aim was to examine the relationship between pregnancy-related LPP severity and anxiety. The secondary objective was to determine the evolution of physical activity and their correlation with the severity of pregnancy-related LPP.DesignProspective cohort study.SettingPregnant women were recruited through physicians’ referrals, posters and newspaper advertisements in the local and surrounding communities (hospital, maternity care clinic, prenatal centres, sports centres, local university) in the city of Trois-Rivières, Canada.Participants59 pregnant women (33 SP and 26 FT) were assessed during the first, second and third trimester of pregnancy.Primary and secondary outcome measuresPregnancy-related LPP prevalence and severity (primary), trait and state anxiety, and physical activity levels (secondary).ResultsThere was no relationship between the mode of conception and the outcome measures. The prevalence and severity of LPP increased over the course of pregnancy (time effect, p<0.0001) whereas trait anxiety decreased from early to mid-pregnancy (time effect, p=0.03). Activity limitations increased throughout pregnancy (time effect, p<0.0001) and physical activity levels decreased (time effect, p<0.0001). The severity of LPP was positively correlated with activity limitations (r=0.51 to 0.55) but negatively with physical activity levels (r=−0.39 to −0.41).ConclusionsMaternal health-related factors, such as LPP, anxiety and physical activity, are not different in women who conceived spontaneously or after fertility treatments. The more LPP was severe, the more the women were physically limited and inactive.

Impact of Preoperative Functional Status on Quality of Life after Cardiac Surgery

2019 ◽  
Author(s):  
Dominik Joskowiak ◽  
Daniela Meusel ◽  
Christine Kamla ◽  
Christian Hagl ◽  
Gerd Juchem
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Cardiac Surgery ◽  
Health Status ◽  
Functional Status ◽  
Short Form ◽  
Artery Bypass ◽  
Mental Health Status ◽  
Physical And Mental Health

Abstract Background With increasing importance, health-related quality of life (HRQoL) has become a crucial outcome measure of cardiac surgery. The aim of this study was to assess the dynamics of HRQoL change within 12 months after surgery and to identify predictors of deterioration in physical and mental health. Methods The cohort of this prospective study included 164 consecutive patients who underwent elective surgery. HRQoL was assessed on the basis of the Short-Form 36 questionnaire at three different times: upon admission and at 3 and 12 months after surgery. The minimal clinically important difference (MCID) was used to determine whether the surgery resulted in deterioration of HRQoL. Results In general, physical and mental health status improved within the first year after cardiac surgery. However, after 12 months, 7.9 and 21.2% of patients had clinically significant poorer physical (PCS) and mental component summary (MCS) scores, based on the MCID approach. The results of multivariate analysis identified preoperative health status, age < 70 years, coronary artery bypass grafting, and a previous neurological event as predictors of deterioration in postoperative HRQoL. The greatest risks for deterioration were higher preoperative PCS and MCS scores. Conclusion Although we were able to demonstrate a general improvement in the HRQoL following cardiac surgery, in one-fifth of patients, there was no recovery of mental health status even after 1 year. As this effect is mainly determined by preoperative functional status, HRQoL should be an integral part of medical consultation, especially in younger patients with a positive perception of quality of life.

scholarly journals Construction of a Home Exercise Prescription Solution for Youth During a Serious Public Health Emergency in China

2020 ◽  
Author(s):  
Yan Xiong ◽  
Jian Li ◽  
Li Lingli ◽  
Mingming Lei ◽  
Yan Liu ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Exercise Prescription ◽  
Public Health Emergency ◽  
Home Exercise ◽  
Physical And Mental Health ◽  
At Home

Abstract BackgroundCoronavirus disease 2019 (COVID-19) was identified as a serious public health emergency. The Chinese government required people to stay at home. The purpose of this study was to analyse the effect of home exercise prescription solutions on the physical and mental health of youth during the COVID-19 period.MethodsA home exercise prescription was formulated after investigating and categorizing the home exercise status of 4000 undergraduates during the period of COVID-19. In this prospective cohort study, 200 young people were recruited for a home exercise prescription intervention, and 200 individuals did not undergo any intervention for 4 weeks in February 2020. Physical and mental health indexes including anxiety factors, obsessive-compulsive symptoms factors, depression factors, somatization subscale factors, and sleep and diet factors were evaluated.ResultsOf 4,000 undergraduates living at home, 64.8% were dissatisfied with their physical and mental condition. Ninety-three percent wanted to adopt an exercise practice at home during the period of COVID-19. In the prospective cohort study, the average anxiety scores and sleep and diet scores before the intervention were 2.14 ± 0.43 and 2.24 ± 0.54, respectively, in the intervention group. After 4 weeks, participants reported that negative emotions were reduced. The scores for all factors were less than 2 points, and there were significant differences between the pre-intervention and post-intervention time points (P < 0.05). Differences between the two groups were statistically significant at 2 and 4 weeks (P < 0.05).ConclusionThere was an urgent need for home exercise programmes for youth during the period of COVID-19. Formulating appropriate home exercise prescriptions could help maintain physical and mental health, enhance immunity, and prevent disease.Trial registration ChiCTR, ChiCTR2000030090, Registered February 24th, 2020. http://www.chictr.org.cn/edit.aspx

Physical and mental health 10 years after multiple trauma – a prospective cohort study

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e1417
Author(s):  
H.L. Soberg ◽  
E. Bautz-Holter ◽  
A. Finset ◽  
O. Roise ◽  
N. Andelic
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Multiple Trauma ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Physical And Mental Health
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