The impact of a 10-week physical activity intervention programme on selective metabolic syndrome markers in black adolescents

Abstract Background While urban built environments might promote active ageing, an infrequently studied question is how the neighbourhood walkability modulates physical activity changes during a physical activity intervention programme in older adults. We assessed the influence of objectively assessed neighbourhood walkability on the change in physical activity during the intervention programme used in the ongoing PREvención con DIeta MEDiterránea (PREDIMED)-Plus trial. Method The present study involved 228 PREDIMED-Plus senior participants aged between 55 and 75, recruited in Palma de Mallorca (Spain). Overweight/obese older adults with metabolic syndrome were randomised to an intensive weight-loss lifestyle intervention or a control group. A walkability index (residential density, land use mix, intersections density) was calculated using geographic information systems (1 km sausage-network buffer). Physical activity was assessed using accelerometer and a validated questionnaire, at baseline and two follow-up visits (6-months and 1-year later). Generalised additive mixed models were fitted to estimate the association between the neighbourhood walkability index and changes in physical activity during follow-up. Results Higher neighbourhood walkability (1 z-score increment) was associated with moderate-to-vigorous accelerometer assessed physical activity duration, (β = 3.44; 95% CI = 0.52; 6.36 min/day). When analyses were stratified by intervention arm, the association was only observed in the intervention group (β = 6.357; 95% CI = 2.07;10.64 min/day) (P for interaction = 0.055). Conclusions The results indicate that the walkability of the neighbourhood could support a physical activity intervention, helping to maintain or increase older adults’ physical activity.

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The impact of participant pathways on the effectiveness of a community-based physical activity intervention grounded in motivational interviewing

10.31219/osf.io/2sxc3 ◽

2020 ◽

Author(s):

Matthew Wade ◽

Nicola Brown ◽

James Steele ◽

Steven Mann ◽

Bernadette Dancy ◽

...

Keyword(s):

Physical Activity ◽

Primary Care ◽

Motivational Interviewing ◽

Social Action ◽

Multilevel Models ◽

Physical Activity Intervention ◽

Mental Wellbeing ◽

Community Based ◽

The Impact ◽

Time Point

Background: Brief advice is recommended to increase physical activity (PA) within primary care. This study assessed change in PA levels and mental wellbeing after a motivational interviewing (MI) community-based PA intervention and the impact of signposting [SP] and Social Action [SA] (i.e. weekly group support) pathways. Methods: Participants (n=2084) took part in a community-based, primary care PA programme using MI techniques. Self-reported PA and mental wellbeing data were collected at baseline (following an initial 30-minute MI appointment), 12-weeks, six-months, and 12-months. Participants were assigned based upon the surgery they attended to the SP or SA pathway. Multilevel models were used to derive point estimates and 95%CIs for outcomes at each time point and change scores. Results: Participants increased PA and mental wellbeing at each follow-up time point through both participant pathways and with little difference between pathways. Retention was similar between pathways at 12-weeks, but the SP pathway retained more participants at six-months and 12-months. Conclusions: Both pathways produced similar improvements in PA and mental wellbeing, suggesting the effectiveness of MI based PA interventions. However, due to lower resources required yet similar effects, SP pathways are recommended over SA to support PA in primary care settings.

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Mutual Influence of Psoriasis and Sport

Medicina ◽

10.3390/medicina57020161 ◽

2021 ◽

Vol 57 (2) ◽

pp. 161

Author(s):

Paolo Custurone ◽

Laura Macca ◽

Lucrezia Bertino ◽

Debora Di Mauro ◽

Fabio Trimarchi ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Metabolic Syndrome ◽

Mutual Influence ◽

Sport Activity ◽

Joint Involvement ◽

Indirect Benefits ◽

The Impact

The link between psoriasis and sport is a controversial issue. The topic has been poorly investigated, and nowadays there are many unsolved questions, dealing with the role of psoriasis in influencing the sporting habits of patients and, vice versa, the impact of sport activity on course, severity and extent of the disease, with particular regard to the indirect benefits on cardiovascular risk and metabolic syndrome. Moreover, the role of physical activity on patients’ quality of life and the potential limitations on physical activity due to joint involvement have not been well elucidated until now. In this narrative review we will try to provide answers to these queries.

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Effects of physical fitness training on metabolic syndrome among military personnel in Taiwan

BMJ Military Health ◽

10.1136/bmjmilitary-2020-001761 ◽

2021 ◽

pp. bmjmilitary-2020-001761

Author(s):

Che-Fu Chang ◽

Y-C Wu ◽

C-H Lai ◽

P-C Chen ◽

Y-L Guo

Keyword(s):

Physical Activity ◽

Metabolic Syndrome ◽

Physical Fitness ◽

Military Personnel ◽

Density Lipoprotein ◽

Training Programme ◽

Health Examination ◽

Running Performance ◽

Fitness Training ◽

The Impact

IntroductionMetabolic syndrome (MS) is strongly associated with cardiovascular diseases and diabetes but can be prevented with regular physical activity. This study aimed to assess the impact of a physical fitness training programme on MS among military personnel.MethodsThis retrospective observational study included volunteer army soldiers who underwent annual health examinations between 2011 and 2014. In 2011, the reformed physical fitness training programme and physical fitness test were introduced to the participants. MS evaluation and physical fitness performances were evaluated before and after implementing the training programme using a mixed-effects model and generalised estimating equation, adjusted for sex, age and smoking.ResultsFrom 2011 to 2014, 1720 soldiers underwent the annual health examination. In 2011, before the fitness programme, 246 soldiers (14.3%) had MS. After implementation, decreases in blood pressure and fasting glucose levels were observed and maintained for 3 years. Running performance was negatively correlated to triglycerides (ß=−11.37; p<0.001) and waist circumference (ß=−0.42; p<0.001) and positively correlated to high-density lipoprotein cholesterol levels (ß=2.14; p<0.001). The severity of MS was reduced following introduction of the physical fitness programme.ConclusionsMS and its components improved after introducing the reformed fitness programme, with running performance proving to be most relevant to MS. Clinicians should encourage increased physical activity to prevent MS among military personnel.

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Effect of a combined programme of dietary restriction and physical activity on the physical function and body composition of obese middle-aged and older adults with knee OA (DRPA): protocol for a feasibility study

BMJ Open ◽

10.1136/bmjopen-2017-021051 ◽

2018 ◽

Vol 8 (12) ◽

pp. e021051

Author(s):

Asma S Alrushud ◽

Alison B Rushton ◽

Gurjit Bhogal ◽

Fraser Pressdee ◽

Carolyn A Greig

Keyword(s):

Physical Activity ◽

Older Adults ◽

Dietary Restriction ◽

Physical Activity Intervention ◽

Intervention Programme ◽

Care Programme ◽

Knee Oa ◽

Clinical Recommendation ◽

Registration Number ◽

Musculoskeletal Function

IntroductionKnee osteoarthritis (OA) is the most common chronic illness among older adults. Up to the submission date of this protocol, there are no published UK studies reporting the efficacy of a combined intervention programme of physical activity and dietary restriction on the musculoskeletal function of obese older adults with knee OA in spite of the clinical recommendation for exercise and diet for people with knee OA. The aim of this study is to assess the feasibility and acceptability of a combined dietary restriction and physical activity intervention programme and collect preliminary data.Method and analysisThis single-arm intervention study is scheduled to begin in September 2017 and conclude in November 2018. It will take place at the Royal Orthopaedic Hospital (ROH), Birmingham and the School of Sport, Exercise and Rehabilitation Sciences (SportExR), University of Birmingham. Participants will receive a physiotherapy usual care programme for knee OA for 1 month, after which they will continue to exercise in their local gym/leisure facility for 3 months. Participants will also follow dietary restriction throughout the 4-month intervention. Mixed analysis techniques will be used to analyse the quantitative and qualitative outcome measures.Ethics and disseminationIt is approved by ROH R&D Foundation Trust and the Health Research Authority. The Consort Guidelines and checklist will be reviewed prior to generating any publications for the trial to ensure they meet the standards required for submission to high-quality peer-reviewed journals.Trial registration numberISRCTN12906938.

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Children’s Weight Gain and Cardiovascular Fitness Loss over the Summer

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15122770 ◽

2018 ◽

Vol 15 (12) ◽

pp. 2770 ◽

Cited By ~ 1

Author(s):

Timothy Brusseau ◽

Ryan Burns

Keyword(s):

Physical Activity ◽

Physical Activity Intervention ◽

Cardiovascular Fitness ◽

The Body ◽

School Year ◽

School Based ◽

Health Related ◽

Physical Activity Programming ◽

The Impact ◽

Health Related Fitness

The purpose of this study was to examine the impact of summer breaks on the body composition and cardiovascular fitness of elementary school children who participated in a multi-year school-based physical activity intervention. Participants were 404 children who had their height and weight measured and completed the Progressive Aerobic Cardiovascular Endurance Run (PACER) during physical education classes at the beginning and end of the school year for three consecutive years. To examine the effects of time on health-related fitness data, general linear mixed effects models were employed. The results indicate that there was a trend toward an increase in body mass index (BMI) after the summer of 2015 (p = 0.958), and a significant increase in BMI after the summer of 2016 compared to time point 1 (p < 0.001). For PACER laps, there were trends toward decreases in PACER laps after the summers of 2015 (p = 0.515) and 2016 (p = 0.073). Summer breaks tended to attenuate the BMI and PACER lap improvements that were observed during the intervention. While school-based physical activity programming has had some successes in improving health-related fitness markers, the loss of these improvements over the summer is of concern to both practitioners and researchers. It is clear that additional efforts are needed to limit obesogenic behaviors during the summer months.

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Working to Increase Stability through Exercise (WISE): screening, recruitment, and baseline characteristics

Trials ◽

10.1186/s13063-021-05761-0 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Christopher N. Sciamanna ◽

Noel H. Ballentine ◽

Melissa Bopp ◽

Vernon M. Chinchilli ◽

Joseph T. Ciccolo ◽

...

Keyword(s):

Physical Activity ◽

At Risk ◽

Physical Activity Intervention ◽

Past History ◽

Fragility Fractures ◽

Community Dwelling ◽

Common Reason ◽

Recruitment Methods ◽

Phone Calls ◽

The Impact

Abstract Background The aim of this paper is to describe the utility of various recruitment modalities utilized in the Working to Increase Stability through Exercise (WISE) study. WISE is a pragmatic randomized trial that is testing the impact of a 3-year, multicomponent (strength, balance, aerobic) physical activity program led by trained volunteers or delivered via DVD on the rate of serious fall-related injuries among adults 65 and older with a past history of fragility fractures (e.g., vertebral, fall-related). The modified goal was to recruit 1130 participants over 2 years in three regions of Pennsylvania. Methods The at-risk population was identified primarily using letters mailed to patients of three health systems and those over 65 in each region, as well as using provider alerts in the health record, proactive recruitment phone calls, radio advertisements, and presentations at community meetings. Results Over 24 months of recruitment, 209,301 recruitment letters were mailed, resulting in 6818 telephone interviews. The two most productive recruitment methods were letters (72% of randomized participants) and the research registries at the University of Pittsburgh (11%). An average of 211 letters were required to be mailed for each participant enrolled. Of those interviewed, 2854 were ineligible, 2,825 declined to enroll and 1139 were enrolled and randomized. Most participants were female (84.4%), under age 75 (64.2%), and 50% took an osteoporosis medication. Not having a prior fragility fracture was the most common reason for not being eligible (87.5%). The most common reason provided for declining enrollment was not feeling healthy enough to participate (12.6%). Conclusions The WISE study achieved its overall recruitment goal. Bulk mailing was the most productive method for recruiting community-dwelling older adults at risk of serious fall-related injury into this long-term physical activity intervention trial, and electronic registries are important sources and should be considered.

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Acceptability of the “MOVEdiabetes” physical activity intervention in diabetes primary care settings in Oman: findings from participants and practitioners

BMC Public Health ◽

10.1186/s12889-020-09029-1 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Thamra S. Alghafri ◽

Saud M. Al Harthi ◽

Fatma Al-Ajmi ◽

Yahya Al-Farsi ◽

Angela M. Craigie ◽

...

Keyword(s):

Physical Activity ◽

Primary Care ◽

Diabetes Management ◽

Physical Activity Intervention ◽

Retention Rate ◽

Intervention Group ◽

Randomised Control Trial ◽

Dietary Advice ◽

Intervention Programme ◽

Randomised Controlled

Abstract Background Adequate physical activity (PA) is considered essential in diabetes management. However, evidence on the best method of promoting PA within diabetes care is inconclusive. The current work identifies perceptions on the acceptability of Intervention Group Participants (IGP) and Project Officers (POs) about the “MOVEdiabetes” intervention programme aimed at increasing PA in adults with type 2 diabetes in Oman (a retrospectively registered trial). Methods The “MOVEdiabetes” programme (PA consultations, pedometers and WhatsApp messages) was delivered by the POs (primary health care practitioners) in four primary care centres within a one-year cluster randomised control trial. Recruitment and retention were measured from trial attendance records. Programme satisfaction, appropriateness, and content suitability were assessed using exit surveys for both the IGP (interview based) and POs (self-administered). Open text questions on perceptions to the study programme were also included. Results Participants were randomised to an intervention group (IG, n = 122) or comparison group (CG, n = 110). The overall retention rate at three and 12 months was 92.7% [110(90.2%) IG vs 105(95.5%) CG] and 75% [82(67.2%) IG vs 92(83.6%) CG] respectively. Most (n = 14, 87.5%) POs and more than half (n = 49, 59.8%) IGP perceived the programme as very appropriate and many reported that they were “quite/ very satisfied” with the programme (n = 16, 100% PO’s and n = 71, 86.6% IGP). Two thirds (n = 55, 66.0%) of IGP were very/quite likely to recommend the programme to others. PA consultations, use of pedometers and Whatsapp messages were well perceived by all. Participants recommended the inclusion of dietary advice and PA promotion for the general public. Exploring PA facilities within the community was suggested by POs. Conclusions The “MOVEdiabetes” programme achieved a high retention rate and was perceived as satisfactory and appropriate. Results from this study suggest that it is worthwhile exploring the use of the “MOVEdiabetes” programme in clinical practice and further community links. Trial registration International Standard Randomised Controlled Trials No: ISRCTN14425284. Registered retrospectively on 12th April 2016.

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