scholarly journals Prediction and injury risk based on movement patterns and flexibility in a 6-month prospective study among physically active adults

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11399
Author(s):  
Dawid Koźlenia ◽  
Jarosław Domaradzki
Keyword(s):  
Physical Activity ◽  
Injury Risk ◽  
Movement Patterns ◽  
Physically Active ◽  
Injury Prediction ◽  
Risk Of Injury ◽  
Quality Movement ◽  
Quality Of Movement ◽  
Active Adults

Background Physical activity has many health benefits but also carries a risk of injury. Some universal factors are connected with an increased risk regardless of the type of sport. Identifying these factors may help predict injuries and aid in their prevention. Aim The aim of this study is to determine the level of injury risk and the accuracy of injury prediction during a prospective 6-month period based on the quality of movement patterns and level of flexibility among average physically active young adults. Material and Methods A group of 123 young, physically active adults were recruited for this study. The International Physical Activity Questionnaire (IPAQ) was used to determine their level of physical activity. The author’s own Injury History Questionnaire (IHQ) was used to retrospectively collect injury data from the 12 months before the study and prospectively collect data during the six month observation period. The Functional Movement Screen (FMS) test was conducted to assess the movement patterns quality and a sit-and-reach test was conducted to measure lower back and hamstrings flexibility. Results Low-quaility movement patterns (14≥ FMS) increased the injury risk level sevenfold. A level of flexibility reduced by one cm increased the risk of injury by 6%. Previous injuries also increased the risk of injury reccurence 6.4 times. Predicting injury occurrence based on the quality of movement patterns allows for an accuracy of 73%, whereas flexibility allows for a 41% accuracy. The simultaneous use of these two factors did not improve injury prediction accuracy. Conclusion The risk of an injury increases with low-quality movement patterns, a low level of flexibility, and previous injuries. Preventative strategies should include shaping high-quality movement patterns, the right level of flexibility, and the full healing of injuries before resuming activities. The quality of movement patterns is an accurate predictor of injury risk, but lower back and hamstrings flexibility is not a reliable predictor of injury.

Rural Neighborhood Walkability: Implications for Assessment

2015 ◽  
Vol 12 (s1) ◽  
pp. S40-S45 ◽  
Author(s):  
Michelle C. Kegler ◽  
Iris Alcantara ◽  
Regine Haardörfer ◽  
Alexandra Gemma ◽  
Denise Ballard ◽  
...  
Keyword(s):  
Physical Activity ◽  
Rural Communities ◽  
Rural Areas ◽  
Walking Distance ◽  
Activity Levels ◽  
Structured Interviews ◽  
Physically Active ◽  
Neighborhood Walkability ◽  
Bodies Of Water ◽  
Active Adults

Background:Physical activity levels, including walking, are lower in the southern U.S., particularly in rural areas. This study investigated the concept of rural neighborhood walkability to aid in developing tools for assessing walkability and to identify intervention targets in rural communities.Methods:Semi-structured interviews were conducted with physically active adults (n = 29) in rural Georgia. Mean age of participants was 55.9 years; 66% were male, 76% were white, and 24% were African American. Participants drew maps of their neighborhoods and discussed the relevance of typical domains of walkability to their decisions to exercise. Comparative analyses were conducted to identify major themes.Results:The majority felt the concept of neighborhood was applicable and viewed their neighborhood as small geographically (less than 0.5 square miles). Sidewalks were not viewed as essential for neighborhood-based physical activity and typical destinations for walking were largely absent. Destinations within walking distance included neighbors’ homes and bodies of water. Views were mixed on whether shade, safety, dogs, and aesthetics affected decisions to exercise in their neighborhoods.Conclusions:Measures of neighborhood walkability in rural areas should acknowledge the small size of self-defined neighborhoods, that walking in rural areas is likely for leisure time exercise, and that some domains may not be relevant.

scholarly journals Understanding Experiences of Fibromyalgia Patients Involved in the Fimouv Study During COVID-19 Lockdown

2021 ◽  
Vol 12 ◽  
Author(s):  
Claire Colas ◽  
Audrey Jumel ◽  
Marie-Pierre Vericel ◽  
Nathalie Barth ◽  
Jessica Manzanares ◽  
...  
Keyword(s):  
Physical Activity ◽  
Trial Registration ◽  
Therapeutic Education ◽  
Social Constraints ◽  
Structured Interviews ◽  
Clinical Trial Registration ◽  
Physically Active ◽  
Activity Program ◽  
Regular Practice

Introduction: The COVID-19 pandemic implied a period of lockdown for the general population, increasing the risk to develop some physical or mental disorders. In fibromyalgia patients, these disorders are part of the large clinical picture of the syndrome. Fibromyalgia management is especially based on a regular practice of physical activity. Lockdown imposed a break in rhythms, requiring a restructuring of scheduling. Thus, the present study aimed to investigate the experiences of fibromyalgia patients during COVID-19 lockdown using a qualitative analysis.Method: 19 patients (52 ± 9 years old) who completed a 3-month therapeutic education and/or supervised physical activity program were invited to participate (Fimouv study, Trial registration: ClinicalTrials.gov NCT04107948). A sociologist collected data by means of semi-structured interviews and analyzed them using thematic content analysis.Results: Lockdown exacerbated the main symptoms of fibromyalgia, but adjusting the rhythms of life to fluctuations of these symptoms allowed a better quality of life. Patients felt the lack of physical activity and 68% found alternatives to remain physically active. The reduction of social constraints allowed them to better contend with their pathology. Fibromyalgia stopped being a main priority.Conclusion: Lockdown was positively experienced by fibromyalgia patients. They linked the absence of physical activity with increased pain and fatigue. Nevertheless, reducing social constraints could be a key for fibromyalgia management, where symptoms seemed to take less space in everyday life.Clinical Trial Registration:www.ClinicalTrials.gov, identifier: NCT04107948.

Influence of age and physical activity on central hemodynamics and lung function in active adults

1978 ◽  
Vol 45 (5) ◽  
pp. 709-717 ◽  
Author(s):  
I. L. Kanstrup ◽  
B. Ekblom
Keyword(s):  
Physical Activity ◽  
Maximal Exercise ◽  
Individual State ◽  
Vo2 Max ◽  
Physically Active ◽  
Circulatory Response ◽  
The Individual ◽  
Active Adults ◽  
Mixed Venous ◽  
Peak Value

Five female and seven male physically active adults were studied twice within a 13-yr interval. The individual state of physical activity was mainly unchanged. Maximal oxygen uptake (VO2 max) was reduced in all subjects except one female, in whom it remained unchanged. During maximal exercise, cardiac output (Q) in males was unchanged. In females, Q was significantly increased due to increased stroke volume (SV). In both sexes, the reduced VO2 max was explained by a smaller arteriovenous O2 difference (mixed venous O2 content (C-VO2) significantly increased). For a given submaximal VO2, Q was increased in both sexes and heart rate was unchanged. Thus, SV was increased and arteriovenous O2 difference was reduced due to increased C-VO2. Another four males were studied several times in various states of physical fitness during an 11-yr period. The reduced VO2 max from peak value was due to a reduced Qmax (SV smaller), whereas the arteriovenous O2 difference and C-VO2 were unchanged. Our results indicate that the observed changes in circulatory response to submaximal and maximal exercise in physically active adults may to a large extent be due to an effect of “detraining.”

scholarly journals Does leisure-time physical activity in early adulthood predict later physical activity? Pro-Saude Study

2009 ◽  
Vol 12 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Danielle Nogueira ◽  
Eduardo Faerstein ◽  
Inês Rugani ◽  
Dora Chor ◽  
Claudia S. Lopes ◽  
...  
Keyword(s):  
Physical Activity ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Multinomial Logistic Regression ◽  
Early Adulthood ◽  
Odds Ratios ◽  
Physically Active ◽  
Reference Category ◽  
Healthy Behaviors ◽  
Active Adults

INTRODUCTION: Leisure-Time Physical Activity (LTPA) is a health behavior that is considered relatively stable over the course of life; this life-long habit seems to be shaped during youth and early adulthood. LTPA is one of the few healthy behaviors more prevalent among men than among women. METHODS:Data from 3,199 participants of the Pro-Saude Study were analyzed - a cohort of employees of a university in Rio de Janeiro, collected with a self-reported multidimensional questionnaire. The association between LTPA in early adulthood and later was investigated using multinomial logistic regression, with estimated odds ratios (OR), considering three outcome categories: inactive, insufficiently active, and active. Past LTPA was grouped into three categories: never/rarely (reference category), sometimes and frequently/always. Estimates were adjusted for: age; participants' schooling, their father's and mother's schooling, and color/race. RESULTS:Analysis shows men who engaged in LTPA sometimes and almost always/always in early adulthood had an OR= 1.42 (95% CI: 0.70-2.89) and OR= 3.33 (95% CI: 1.82-6.10), respectively, of being physically active in later adulthood than those who did not engage in LTPA. Among women, the corresponding odds ratios were lower: OR = 1.19 (95% CI: 0.79-1.79) and OR =1.42 (95% CI: 1.00-2.04). CONCLUSION:LTPA during early adulthood is associated with physical activity later in adulthood, and this association is stronger in men than in women. Public policies that encourage LTPA among youth, with specific efforts directed at women, could increase the proportion of physically active adults.

Abstract P234: Associations of Clinical Characteristics and Health-related Behaviors With Physical Activity Levels in Stage B Heart Failure Patients

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Maira Tristao Parra ◽  
Meredith A Pung ◽  
Kathleen Wilson ◽  
Christopher Pruitt ◽  
Barry H Greenberg ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
Clinical Characteristics ◽  
Well Being ◽  
Physically Active ◽  
Heart Failure Patients ◽  
Health Related Behaviors ◽  
Health Related ◽  
Active Patients

Hypothesis: insufficiently active heart failure patients will report poorer QoL, more fatigue and depressive mood compared to active patients. Aims: To characterize clinical characteristics and health-related behaviors according to physical activity (PA). Also, to explore predicting factors of quality of life (QoL). Methods: Cross-sectional analysis of a cohort of Stage B HF patients. PA classification was set as active, moderately active or insufficiently active, according to the LTEQ questionnaire. For QoL, the SF-36 questionnaire was used. ANOVAS, Chi-Square tests or likelihood ratios and unadjusted multiple regression models were calculated. Significance was set at p ≤ 0.05. Results: In this cohort, 277 HF patients completed the PA questionnaire. The prevalence of active patients was higher than moderately active and insufficiently active (53.3% vs 15.2% and 29.6%), respectively. Younger age (p = 0.044), lower waist circumference (WC) (p = 0.002), and lower waist-to-hip ratio (p = 0.046) were associated with being active. The prevalence of Type II diabetes mellitus (T2DM) in the active groups was significantly lower (p = 0.001). Physically active groups had cases of mild LV enlargement (1.4% and 7.5%, respectively), while no cases were observed among insufficiently active patients (p = 0.017). PA was positively associated with less fatigue (p= 0.002), more vigor (p = 0.001), more self-efficacy (p < 0.001), and better quality of life (p = 0.002). Patients who were less physically active had more inflammation (CRP, p = 0.015; IL-6, p <0.001; TNF-α: p = 0.033, and IL-1ra, p = 0.001). WC (β =-0.16, p = 0.008), glucose (β =-0.12, p < 0.001) and fatigue (β = - 0.39, p < 0.001) predicted general health perception (R 2 = 0.449). For physical functioning (high scores reflects performing PA without limitations due to health), WC (β = - 0.28, p = 0.001), sleep (β = - 1.50, p = 0.003) and fatigue (β = - 0.32, p = 0.018) were significant predictors (R 2 = 0.422); while age (β = 0.36, p <0.001) physical activity (β = 0.051, p = 0.055), sleep (β = 0.50, p =0.046), fatigue (β = -0.37, p <0.001) and depression (β = -1.12, p <0.001) predicted emotional well-being (R 2 = 0.696). Conclusion: Physically active heart failure patients had a better anthropometric profile and lower prevalence of T2DM. In this cohort, PA was not a significant predictor for general and physical functioning, but it remained relevant for predicting emotional well-being.

scholarly journals Risk of Injury in Physically Active Students: Associated Factors and Quality of Life Aspects

2020 ◽  
Vol 17 (7) ◽  
pp. 2564
Author(s):  
Elżbieta Sieńko-Awierianów ◽  
Monika Chudecka
Keyword(s):  
Quality Of Life ◽  
Pain Threshold ◽  
Lower Limbs ◽  
Physical Domain ◽  
Physically Active ◽  
Locomotor System ◽  
Risk Of Injury ◽  
History Of ◽  
The Individual

Background: The aim of this study was to assess the potential factors of hypermobility and pain threshold on the risk of injury in physically active students and to verify which domains of quality of life are rated lower by young people with a history of injuries. Methods: The study included 278 students (138 women and 140 men) who regularly undertake physical activity. Anthropometric measurements, body composition, pain threshold, incidence of hypermobility syndrome, information on the history of injuries to the locomotor system, and the quality of life of the study participants were collected. Results: In the group studied, hypermobility and pain threshold had a statistically significant related on the risk of injury. Participants with a history of injuries had lower scores for an individual’s overall perception of their own health and the physical domain. There were also significant differences in the psychological domain of the quality of life between males and females with a history of injuries. Conclusion: In the studied group, the risk of injuries was related to diagnosed hypermobility and pain threshold measured on the lower limbs. The study also showed that people with a history of injuries had statistically significantly lower scores in the individual general perception of their own health and in the physical domain. Gender had a significant impact on the quality of life of people with injuries.

scholarly journals Injury Risk Associated With Sports Specialization and Activity Volume in Youth

2019 ◽  
Vol 7 (9) ◽  
pp. 232596711987012 ◽  
Author(s):  
Alison E. Field ◽  
Frances A. Tepolt ◽  
Daniel S. Yang ◽  
Mininder S. Kocher
Keyword(s):  
Physical Activity ◽  
Cohort Study ◽  
Injury Risk ◽  
Cruciate Ligament ◽  
The United States ◽  
Level Of Evidence ◽  
Sports Activity ◽  
Risk Of Injury ◽  
Increased Risk ◽  
Anterior Cruciate

Background: Sports specialization has become increasingly common among youth. Purpose/Hypothesis: To investigate the relative importance of specialization vs volume of activity in increasing risk of injury. Hypotheses were that specialization increases the risk of injury and that risk varies by sport. Study Design: Cohort study; Level of evidence, 2. Methods: A prospective analysis was conducted with data collected from 10,138 youth in the Growing Up Today Study—a prospective cohort study of youth throughout the United States—and their mothers. Activity was assessed via questionnaires in 1997, 1998, 1999, and 2001. Sports specialization was defined as engaging in a single sport in the fall, winter, and spring. Injury history was provided by participants’ mothers via questionnaire in 2004. The outcome was incident stress fracture, tendinitis, chondromalacia patella, anterior cruciate ligament tear, or osteochondritis dissecans or osteochondral defect. Results: Females who engaged in sports specialization were at increased risk of injury (hazard ratio [HR], 1.31; 95% CI, 1.07-1.61), but risk varied by sport. Sports specialization was associated with greater volume of physical activity in both sexes ( P < .0001). Total hours per week of vigorous activity was predictive of developing injury, regardless of what other variables were included in the statistical model (males: HR, 1.04; 95% CI, 1.02-1.06; females: HR, 1.06; 95% CI, 1.05-1.08). Among females, even those engaging in 3 to 3.9 hours per week less than their age were at a significantly increased risk of injury (HR, 1.93; 95% CI, 1.34-2.77). In males, there was no clear pattern of risk. Conclusion: Sports specialization is associated with a greater volume of vigorous sports activity and increased risk of injury. Parents, coaches, and medical providers need to be made aware of the volume threshold above which physical activity is excessive.

scholarly journals Physical activity, diet and quality of life during mandatory (COVID-19) quarantine following repatriation

2020 ◽  
Vol 8 ◽  
pp. 2050313X2097250
Author(s):  
Philippe Jean-Luc Gradidge ◽  
Herculina Salome Kruger
Keyword(s):  
Physical Activity ◽  
South African ◽  
Cardiovascular Health ◽  
Sitting Time ◽  
Physical And Mental Health ◽  
Physically Active ◽  
Self Monitoring ◽  
Prolonged Sitting ◽  
Online Tools

The coronavirus disease 2019 crisis in South Africa has been managed through an effective evidence-based approach. The aim of this case report was to determine the value of staying physically active during the coronavirus disease 2019 pandemic, using online resources to prevent the harmful effects of sedentary behaviour under confined living conditions. A repatriated South African citizen was placed into monitored 14-day quarantine confined to a room, self-monitoring dietary intake and physical and health measures, while engaged in online exercise videos and indoor walking. This study demonstrates that structured indoor activity improves physical and mental health outcomes, despite prolonged sitting time during the day. During the current pandemic and in the presence of limited freedom of movement, sustained physical activity is made feasible by accessing online tools and resources, essentially reducing vulnerability to existing cardiovascular health concerns. However, these findings are based on a single participant and therefore further study is required.

scholarly journals Associations between markers of health and playing golf in an Australian population

2019 ◽  
Vol 5 (1) ◽  
pp. e000517 ◽  
Author(s):  
Brad Stenner ◽  
Amber D Mosewich ◽  
Jonathan D Buckley ◽  
Elizabeth S Buckley
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Secondary Analysis ◽  
Health Related Quality ◽  
Australian Population ◽  
Physically Active ◽  
Related Quality ◽  
Health Related ◽  
Activity Survey

ObjectiveTo investigate associations between markers of health and playing golf in an Australian population.MethodsSecondary analysis of data from the Australian National Nutrition and Physical Activity Survey to compare selected health outcomes between golfers (n=128) and non-golfers (n=4999).ResultsGolfers were older than non-golfers (mean±SD 57.7±14.2 years, 48.5±17.6 years, p<0.05). A higher proportion of golfers were overweight or obese compared with non-golfers (76% vs 64%, p<0.05), and golfers were more likely to have been diagnosed with ischaemic heart disease (IHD) at some time in their life (OR 2.8, 95% CI 1.0 to 7.8). However, neither the risk of being overweight or obese (OR 1.4, 95% CI 0.9 to 2.2) or having been diagnosed with IHD (OR 2.1, 95% CI 0.8 to 5.8), were significant after controlling for age. Golfers were more physically active than non-golfers (8870±3810 steps/day vs 7320±3640 steps/day, p<0.05) and more likely to report high health-related quality of life (HRQoL) than non-golfers (OR 1.8; 95% CI 1.0 to 3.3), but not after adjusting for physical activity (OR 1.4, 95% CI 0.9 to 2.2).ConclusionCompared with non-golfers, golfers were more likely to be overweight or obese and to have been diagnosed with IHD, but not after adjusting for golfers being older. Golfers were more likely to report a higher HRQoL, but not after adjusting for golfers being more physically active. There may be an association between golfers being more physically active than non-golfers and reporting a higher HRQoL.

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