Physical activity levels and factors associated with the sedentary lifestyle of users of a basic health unit in Belo Horizonte, Minas Gerais

Background Promotion of increased physical activity is advocated for survivors of an intensive care unit (ICU) admission to improve physical function and health-related quality of life. Objective The primary aims of this study were: (1) to measure free-living physical activity levels and (2) to correlate the measurements with scores on a self-reported activity questionnaire. A secondary aim was to explore factors associated with physical activity levels. Design This was a prospective cohort study. Methods Nested within a larger randomized controlled trial, participants were block randomized to measure free-living physical activity levels. Included participants wore an accelerometer for 7 days during waking hours at 2 months after ICU discharge. At completion of the 7 days of monitoring, participants were interviewed using the Physical Activity Scale for the Elderly (PASE) questionnaire. Factors associated with physical activity were explored using regression analysis. Results The ICU survivors (median age=59 years, interquartile range=49–66; mean Acute Physiologic Chronic Health Evaluation [APACHE II] score=18, interquartile range=16–21) were inactive when quantitatively measured at 2 months after hospital discharge. Participants spent an average of 90% of the time inactive and only 3% of the time walking. Only 37% of the sample spent 30 minutes or more per day in the locomotion category (more than 20 steps in a row). Activity reported using the PASE questionnaire was lower than that reported in adults who were healthy. The PASE scores correlated only fairly with activity measured by steps per day. The presence of comorbidities explained one third of the variance in physical activity levels. Limitations Accelerometer overreading, patient heterogeneity, selection bias, and sample size not reached were limitations of the study. Conclusions Survivors of an ICU admission greater than 5 days demonstrated high levels of inactivity for prolonged periods at 2 months after ICU discharge, and the majority did not meet international recommendations regarding physical activity. Comorbidity appears to be a promising factor associated with activity levels.

Download Full-text

Factors associated with physical activity levels in people with venous leg ulcers: A multicentre, prospective, cohort study

International Wound Journal ◽

10.1111/iwj.12868 ◽

2017 ◽

Vol 15 (2) ◽

pp. 291-296 ◽

Cited By ~ 5

Author(s):

Daisy Smith ◽

Victoria Team ◽

Georgina Barber ◽

Jane O'Brien ◽

Karen Wynter ◽

...

Keyword(s):

Physical Activity ◽

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Activity Levels ◽

Leg Ulcers ◽

Factors Associated ◽

Venous Leg Ulcers ◽

Physical Activity Levels

Download Full-text

Home Environment Factors Associated With Children’s Physical Activity Levels In A Rural Population

Medicine & Science in Sports & Exercise ◽

10.1249/01.mss.0000686332.54362.be ◽

2020 ◽

Vol 52 (7S) ◽

pp. 990-991

Author(s):

Amanda L. Folk ◽

Eydie N. Kostecka ◽

Daheia J. Barr-Anderson ◽

Jayne A. Fulkerson

Keyword(s):

Physical Activity ◽

Home Environment ◽

Rural Population ◽

Activity Levels ◽

Environment Factors ◽

Factors Associated ◽

Physical Activity Levels ◽

Children’S Physical Activity

Download Full-text

Factors Associated With Behavioral and Psychological Symptoms of Dementia: Prospective Observational Study Using Actigraphy (Preprint)

10.2196/preprints.29001 ◽

2021 ◽

Author(s):

Eunhee Cho ◽

Sujin Kim ◽

Sinwoo Hwang ◽

Eunji Kwon ◽

Seok-Jae Heo ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Prospective Observational Study ◽

Psychological Symptoms ◽

Information Criterion ◽

Activity Levels ◽

Contributing Factors ◽

Factors Associated ◽

Physical Activity Levels ◽

Behavioral And Psychological Symptoms

BACKGROUND Although disclosing the predictors of different behavioral and psychological symptoms of dementia (BPSD) is the first step in developing person-centered interventions, current understanding is limited, as it considers BPSD as a homogenous construct. This fails to account for their heterogeneity and hinders development of interventions that address the underlying causes of the target BPSD subsyndromes. Moreover, understanding the influence of proximal factors—circadian rhythm–related factors (ie, sleep and activity levels) and physical and psychosocial unmet needs states—on BPSD subsyndromes is limited, due to the challenges of obtaining objective and/or continuous time-varying measures. OBJECTIVE The aim of this study was to explore factors associated with BPSD subsyndromes among community-dwelling older adults with dementia, considering sets of background and proximal factors (ie, actigraphy-measured sleep and physical activity levels and diary-based caregiver-perceived symptom triggers), guided by the need-driven dementia-compromised behavior model. METHODS A prospective observational study design was employed. Study participants included 145 older adults with dementia living at home. The mean age at baseline was 81.2 (SD 6.01) years and the sample consisted of 86 (59.3%) women. BPSD were measured with a BPSD diary kept by caregivers and were categorized into seven subsyndromes. Independent variables consisted of background characteristics and proximal factors (ie, sleep and physical activity levels measured using actigraphy and caregiver-reported contributing factors assessed using a BPSD diary). Generalized linear mixed models (GLMMs) were used to examine the factors that predicted the occurrence of BPSD subsyndromes. We compared the models based on the Akaike information criterion, the Bayesian information criterion, and likelihood ratio testing. RESULTS Compared to the GLMMs with only background factors, the addition of actigraphy and diary-based data improved model fit for every BPSD subsyndrome. The number of hours of nighttime sleep was a predictor of the next day’s sleep and nighttime behaviors (odds ratio [OR] 0.9, 95% CI 0.8-1.0; <i>P</i>=.005), and the amount of energy expenditure was a predictor for euphoria or elation (OR 0.02, 95% CI 0.0-0.5; <i>P</i>=.02). All subsyndromes, except for euphoria or elation, were significantly associated with hunger or thirst and urination or bowel movements, and all BPSD subsyndromes showed an association with environmental change. Age, marital status, premorbid personality, and taking sedatives were predictors of specific BPSD subsyndromes. CONCLUSIONS BPSD are clinically heterogeneous, and their occurrence can be predicted by different contributing factors. Our results for various BPSD suggest a critical window for timely intervention and care planning. Findings from this study will help devise symptom-targeted and individualized interventions to prevent and manage BPSD and facilitate personalized dementia care.

Download Full-text

Eating habits associated with body weight gain in female university students

British Food Journal ◽

10.1108/bfj-10-2016-0495 ◽

2017 ◽

Vol 119 (12) ◽

pp. 2571-2582 ◽

Cited By ~ 4

Author(s):

Eleanor Sprake ◽

Jacquie Lavin ◽

Peter Grabowski ◽

Jean Russell ◽

Megan Featherstone ◽

...

Keyword(s):

Physical Activity ◽

Body Weight ◽

Weight Gain ◽

Eating Habits ◽

Body Weight Gain ◽

Activity Levels ◽

Content Type ◽

Factors Associated ◽

Physical Activity Levels ◽

Frequent Consumption

Purpose The purpose of this paper is to explore factors associated with body weight gain among British university students who were members of a slimming club. Design/methodology/approach Student members of a national commercial slimming programme completed an online survey about cooking ability, weight gain, eating habits and physical activity levels. Non-parametric statistical tests and regression analysis were employed to examine factors associated with weight gain. Findings The data set comprised 272 current students. The majority of students (67 per cent) reported weight gain between 3.2 and 12.7 kg during studying in university: 20.4 per cent reported to have gained >12.7 kg. Students commonly attributed their weight gain to academic stress and nearly all identified with needing support to learn to cook on a budget. Students reporting greatest weight gain had most frequent consumption of ready meals & convenience foods, take-away & fast foods and least frequent consumption of fruits & vegetables. Weight-stable students reported lowest consumption of alcohol and were most able to cook complex meals. Students who reported greatest weight gain reported lower physical activity levels. There were inter-correlations between cooking ability and lifestyle factors. In a multivariate model, low physical activity and frequent consumption of ready meals and convenience food independently predicted weight gain. Weight gain was inversely associated with diet quality, cooking ability and physical activity with reliance on ready meals & convenience food and low physical activity particularly important. Prospective studies are needed to confirm these cross-sectional associations and to explore how the university setting may contribute to the effect. Originality/value The study adds additional perspective to understanding student weight gain at university in that it focuses on a body weight-conscious sub-group of the student population, as opposed to the general population of students.

Download Full-text

CKD and CKDu in northern Peru: a cross-sectional analysis under the DEGREE protocol

BMC Nephrology ◽

10.1186/s12882-021-02239-8 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Andrea Ruiz-Alejos ◽

Ben Caplin ◽

J. Jaime Miranda ◽

Neil Pearce ◽

Antonio Bernabé-Ortiz

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Type 2 Diabetes ◽

Activity Levels ◽

Cross Sectional ◽

Heavy Proteinuria ◽

Factors Associated ◽

Physical Activity Levels ◽

Northern Peru

Abstract Background This study estimated the prevalence and risk factors for decreased estimated glomerular filtration rate (eGFR) in those without known hypertension, type 2 diabetes mellitus, or heavy proteinuria as a surrogate marker for chronic kidney disease of unknown cause (CKDu) among adults in the North of Peru. Methods A cross-sectional study was conducted following the Disadvantaged Populations eGFR Epidemiology (DEGREE) Study protocol. Low eGFR was defined based on a single eGFR ≤60 mL/min/1.7m2 estimated using the CKD-EPI equation. Environmental conditions related to CKDu (i.e., work in agriculture or sugarcane, water source, heat intolerance, and pesticide exposure) were evaluated, in addition to traditional risk factors for CKD (i.e., smoking, heavy drinking, physical activity, hypertension, type 2 diabetes mellitus, urolithiasis, among others). Results A total of 1514 subjects were included in the study, mean age 45.1 (SD: 16.4), and 55.2% were females. Overall, only 26 cases (1.7%; 95%CI: 1.1–2.5%) had an eGFR < 60 mL/min/1.7m2 compatible with CKD definition; when those with hypertension and type-2 diabetes or heavy proteinuria were excluded, according to the DEGREE protocol, the estimate fell to 0.9% (95%CI: 0.4–1.5%). Low physical activity levels (OR = 1.99; 95%CI: 1.18–3.34), hypertension (OR = 2.07; 1.26–3.41), and urolithiasis (OR = 1.97; 95%CI: 1.18–3.27) were factors associated with low eGFR. Conclusions A low population-based prevalence of low eGFR (as a surrogate for CKDu), both in rural and urban settings areas, in the Northern Peru, was found. Low physical activity levels, hypertension and urolithiasis were factors associated with low eGFR. Interventions to prevent CKD cases may be focused on well-known CV risk factors and urolithiasis.

Download Full-text

A study of physical activity levels and its correlates among adults: a cross-sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20171341 ◽

2017 ◽

Vol 4 (4) ◽

pp. 1154

Author(s):

Chaitanya Patil ◽

Manjusha Dhoble ◽

Alka Kaware

Keyword(s):

Physical Activity ◽

Rural Areas ◽

Urban Areas ◽

Sedentary Lifestyle ◽

Cross Sectional Study ◽

Activity Level ◽

Activity Levels ◽

Active Lifestyle ◽

Cross Sectional ◽

Physical Activity Levels

Background: Three fourth of the world’s death burden is shared by low to middle income countries due to non-communicable diseases. Physical inactivity is one of the important preventable risk factor in non-communicable diseases. It amounts to 4th leading risk factor for global mortality. Hence, this study was conducted to study the physical activity level and its correlates among adult patients attending health training centres in Nagpur. Methods: A cross sectional study was conducted among adult patients attending the health centres of Indira Gandhi Government Medical College. Pregnant women, lactating women, debilitated patients and patients not giving consent were excluded from the study. A preformed and pretested questionnaire was used to conduct the interviews which included socio-demographic variables like age, sex, and educational status. Anthropometric measurements and blood pressure were measured according to the standard guidelines. The physical activity level was calculated using the principles of 1985 FAO/WHO/UNU expert consultation (WHO, 1985). Results: Of 200 study subjects, 59% were having a sedentary lifestyle, 27% were having a moderately active lifestyle and 14% were having a vigorously active lifestyle. A statistically significant increasing trend for sedentary study subjects (p =0.002 with age was found. Those who reported sedentary physical activity levels had 3.42 odds of being hypertensive, 7.44 times odds of being diabetic, 3 times odds of being overweight and 2.41 odds of being obese. The adults in urban areas were having significantly less physical activity levels when compared rural areas. Conclusions: Higher levels of sedentary lifestyle were found in urban areas compared to rural areas. As the age increased the sedentary lifestyle was having a significantly increasing trend. Physical activity was associated with the diabetic status, hypertensive status, and obesity status.

Download Full-text