Daily Physical Activities
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2021 ◽  
Vol 5 (4) ◽  
pp. 424
ND Withanage ◽  
S Perera ◽  
H Peiris ◽  
S Prathapan ◽  
LV Athiththan

Objective: Present study was aimed to develop a regression model for selected sociodemographic, behavioural and occupational factors with lumbar disc herniation (LDH) and lumbar disc hearniation and degeneration (LDHD) in a selected population in comparison to healthy individuals.Materials & Methods: The study was conducted using 104 cases with disc herniation and controls (n=104) without LDH. Analysis was conducted in sub groups of patients with LDH (n=67) and LDHD (n=37) in comparison to control subjects. Pre-tested questionnaire was administered to all participants to gather information.Results & Discussion: Among the cases 35.6 % presented with LDHD while 64.4 % had only LDH. Among the socio-demographic characters, body mass index <25 kgm-2 was a significant protective factor for both LDHD (OR=0.31; 95% CI=0.13-0.72) and LDH (OR=0.39; 95% CI=0.20-0.77). Involvement in daily activities with heavy (OR=5.1; 95 % CI=2.1-11.8) and moderate strain (OR=3.1; 95 % CI=1.5-6.6) to back, sitting more than eight hours per day (OR=5.1; 95 % CI=1.0-25.7), smoking (OR=5.0; 95 % CI=1.5-16.4) and sleeping in supine position (OR=2.09; 95% CI=1.09-4.06) were significant risk factors for LDH. Only daily physical activities with heavy strain act as a significant risk factor (OR=3.1; 95 % CI=1.1-8.5) for the development of LDHD. Types of mattresses used did not have a significant difference among cases and controls. Majority of cases (56.7 %) did not know the causative factor that led to LDH. According to the regression model, BMI, smoking and involvement in physical activities with moderate and heavy strain to back were considered as significant risk factors for the development of LDH or LDHD.Conclusion: In regression model BMI, smoking and daily physical activities with moderate and heavy strain to back were found to be the significant risk factors for development of LDH or LDHD.International Journal of Human and Health Sciences Vol. 05 No. 04 October’21 Page: 424-434

2021 ◽  
Vol 28 (Supplement_1) ◽  
P Keessen ◽  
ICD Van Duijvenbode ◽  
CHM Latour ◽  
RA Kraaijenhagen ◽  
V Janssen ◽  

Abstract Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): Dutch Research Council INTRODUCTION Cardiac rehabilitation (CR) is the cornerstone of secondary prevention. After hospital discharge, patients have to wait for participation in CR while often feeling overwhelmed by their cardiac event and in need of tailored information and support.   PURPOSE The objective of this study was to develop a remote (digital) intervention to bridge the gap from hospital discharge to CR. METHODS We developed an intervention by completing the first three steps of the intervention mapping protocol. Step 1: identification of information- and support needs from the literature and semi-structured interviews. Step 2: Describing performance objectives for the intervention and selecting determinants. Step 3: Generation of program themes and theory based change methods. RESULTS (Step 1) The following Information- and support needs were identified from the literature (n = 33) and semi structured interviews (n = 22): information about pathology and intervention, medication and side effects, daily physical activities, psychological distress, body signals and social support. Advanced communication and pedagogical skills of the health care provider and the ability to build trust were described as important prerequisites for the intervention. (Step 2) The following performance objectives were formulated: (1) Patients gain knowledge on how their cardiac illness and procedure affects their bodies and health, (2) Patients gain knowledge about medication and side effects, (3) Patients know which daily physical activities they can and can’t do after hospital discharge and are physically active, (4) Patients and informal caregivers can deal with psychological distress and know how to discriminate between harmful and harmless body signals. Objectives were described per determinant (knowledge, skill, attitude, social influence, self-efficacy and outcome expectation). (Step 3) A comprehensive remote intervention was developed using theory based coaching strategies, a digital patient platform and information videoclips. CONCLUSION This study describes the information and support needs of patients after cardiac hospitalization and offers a remote intervention that bridges the gap form hospital discharge to CR. Abstract Figure. BRIDGE2CARE

2021 ◽  
Yuankai Zhang ◽  
Chathurangi H. Pathiravasan ◽  
Michael M. Hammond ◽  
Hongshan Liu ◽  
Honghuang Lin ◽  

BACKGROUND Daily physical activities are related to the development of diabetes. However, traditional research methods are not optimal to document long-term daily routine patterns. mHealth offers an effective approach to collect users’ long-term daily activities and daily routine patterns. OBJECTIVE To evaluate cross-sectional associations of daily routine variables derived from a smartwatch with diabetes and prediabetes status in the electronic Framingham Heart Study (eFHS). METHODS At baseline, diabetes was defined as fasting blood glucose (FBG) ≥126 mg/dL or on self-report of glucose lowering medication; prediabetes as FBG 100-125 mg/dL; the rest were referents. Using smartwatch data, we calculated an average daily step count, and identified the first and last watch time on a given day. We compared average daily step counts and the intra-individual day-to-day variability of the first and last watch time in participants with diabetes and prediabetes to referents, adjusting for age, sex, and race/ethnicity. RESULTS We included 796 participants (mean age 53, 62% women, 41 diabetes, 209 prediabetes, and 546 referents) in up to 3-year of follow-up (median follow-up=219 days) since the baseline. On average, participants with diabetes took 1,611 fewer daily steps (95% CI=863, 2,360; p-value<0.001), and displayed 13 minutes (95% CI=6, 20; p-value<0.001) greater variation in their first watch time, 6 minutes (95% CI=2, 10; p-value=0.005) greater variation in their last watch time, compared to referents. Participants with prediabetes also walked fewer daily steps (p-value=0.04) and displayed larger variation in their first watch time (p-value=0.04) compared to referents. CONCLUSIONS Participants with diabetes on average walked significantly fewer daily steps and displayed larger variations in their morning and night watch time routines. These findings may shed light on the roles of physical activity and daily routine in diabetes management.

2021 ◽  
Vol 15 ◽  
Luca Puce ◽  
Ilaria Pallecchi ◽  
Karim Chamari ◽  
Lucio Marinelli ◽  
Tiziano Innocenti ◽  

In this systematic review, we collected and analyzed literature works comparing self-reported fatigue and objectively-measured fatigue in individuals with cerebral palsy (CP) and in age-matched typically developing/typically developed (TD) controls (Healthy). The search was conducted on four electronic databases/platforms (PubMed, Web of Science, Cochrane Library, and Scopus) using the key words “cerebral palsy” combined with “fatig*,” where the asterisk was used as a wildcard. As a critical appraisal tool, the Joanna Briggs Institute Critical Appraisal Checklist for Quasi-Experimental Studies (2017) was used. A total of 22 studies passed the critical appraisal rating and were included in both narrative and quantitative analyses. The overall evidence quality of the findings was considered very good. Data of objectively-measured fatigue in performing maximal fatiguing tasks indicated lower fatigue levels in participants with CP, possibly due to their pathological inability to recruit highly fatigable muscle fibers. Highly trained individuals with CP and TD controls performing maximal fatiguing tasks seem to be an exception to this, as they exhibited similar levels of fatigue. In submaximal fatiguing tasks, including daily physical activities, either objectively-measured or self-reported fatigue was higher in participants with CP than in TD controls, indicating a lower ability for development of neurophysiological compensation for fatigue among participants with CP. Further studies on fatigue are needed to gain an insight into the multifold mechanisms of fatigue in individuals with CP. Understanding fatigue mechanisms could help in setting up strategies for effective intervention programs, with benefits in healthcare and improved quality of life of individuals with CP.Systematic Review Registration: [PROSPERO 2019], identifier [CRD42019143524].

2021 ◽  
Paulina S. Melby ◽  
Peter Elsborg ◽  
Glen Nielsen ◽  
Rodrigo A. Lima ◽  
Peter Bentsen ◽  

Abstract Background: Research indicates that childhood fundamental movement skills (FMS) can predict physical activity (PA) later in life and it has been argued that frequently engaging in a wide diversity of physical activities will eventually improve children’s FMS. However, no longitudinal or experimental studies have confirmed this hypothesis. The aims of this study are to investigate the longitudinal associations between diversified physical activities at age six and later FMS and PA (age nine and 13). Furthermore, we explore to what extent the longitudinal association between diversified physical activity and PA is mediated by FMS.Methods: Longitudinal data from the Copenhagen School Intervention Studywere used for this analysis, where 704 participated (69% response rate). Diversified physical activity (self-reported), FMS (The Körperkoordinationstest für Kinder battery of postural stability and locomotor skills) and PA (accelerometer) were assessed in the children at age six, age nine and age 13. A total of 991 participated in at least one of the measure years. Two structural equation models were constructed, with diversified physical activity at age six and FMS and PA at age nine as predictors of PA and FMS at age 13. Results: The data from both models demonstrated good model fit. Diversified physical activity at six years of age was significantly associated with physical activity and FMS at age 13, when adjusting for sex, age, intervention, weight, height, and previous levels of PA and FMS. Diversified physical activity at age six was also positively associated with PA and FMS at age nine, which were, in turn, positively related to PA at age 13 but to a lesser degree than diversified PA at age six. The association between diversified physical activity at age six and PA at age 13 was not mediated by FMS at age nine. Conclusions: The results of this study indicate that diversified physical activity at age six is important for the development of FMS and PA in adolescence. Increasing the diversity of children’s daily physical activities, not only the amount and intensity, seems important for future PA behavior and thereby health promotion in a life course perspective.

2021 ◽  
Kunanya Masodsai ◽  
Sasipa Buranapuntulug ◽  
Parunchaya Jamkrajang ◽  
Pei-Ni Chen ◽  
Rungchai Chaunchaiyakul

Abstract BackgroundPregnant supports have been designed to prevent structural deviations but may impair blood circulation of the lower limbs, in particular during the last trimester. In this study, we evaluate the effect of different pregnant supports on hemodynamics responses during postural changes and daily physical activities.MethodsTwelve last-trimester healthy pregnant women participated in this study. With randomized supports of casual wear (CW), pelvic band (PB), and pregnant pants (PP), subjects performed postural changes (standing and side lying using sitting as control), daily physical activities (climbing up and down stairs, lifting, sit-to-stand, and 10 min walking), and routine pregnant exercises. Hemodynamic responses including heart rate, blood pressure, stroke volume, cardiac output, local blood flow, and perfusion around the ankle were measured at the end of the 1st and 3rd minute after wearing pregnant supports.ResultsStanding position in CW group showed hemodynamic compensations via increasing diastolic blood pressure (DBP, 1st minute) and heart rate (HR, 3rd minute), whereas there were no significant changes in the PB and PP groups. Side lying position lowered cardiac responses in all groups, with higher blood perfusion in CW and PB, but not in PP. Cardiac variables, blood flows, and perfusions showed no significant difference among pregnant supports during daily physical activities, and routine pregnant exercises. The satisfaction evaluation on daily activities and routine exercises showed no difference among pregnant supports but the preferential pregnant support is PB.ConclusionIt can be concluded that PB offers similar hemodynamic adjustments during postural changes as casual wear. PB support is recommended for pregnant women for daily physical activities, as well as routine exercises. Trial registration: The trial is retrospectively registered in http://www.clinicaltrials.in.th (01/02/2021) with trial no: TCTR20210201003.

2021 ◽  
Vol 21 (1) ◽  
S. Vikström ◽  
H. K. Grönstedt ◽  
T. Cederholm ◽  
E. Franzén ◽  
G. Faxén-Irving ◽  

Abstract Background The interactions between nursing home (NH) staff and their residents are crucial not only for the atmosphere at the NH but also for achieving care goals. In order to test the potential effects of daily physical activities (sit-to-stand (STS) exercises) combined with oral nutritional supplementation (ONS), a randomized intervention trial (the Older Person’s Exercise and Nutrition (OPEN) Study) was performed in NH residents. One aspect of the study was to interview and report the NH staff’s experiences of supporting the residents in fulfilling the intervention. Methods In this qualitative study, individual and focus group interviews were performed in eight NH facilities with NH staff who had assisted residents in performing the 12-week ONS/STS intervention. An interview guide developed for this study was used to assess staff experiences of the intervention and its feasibility. The transcribed interviews were analyzed inductively following a constant comparative method and with input from experts in the area, described in Grounded Theory as a reliable technique for researchers to form theory and hypothesis in unexplored areas. Results Three main themes relating to the health-promoting intervention emerged. These included: 1) insights into attitudes towards health in general and NH care specifically; 2) intervention-related challenges, frustrations and needs, and 3) aspects of collaboration and opportunities. The overarching hypothesis derived from the analysis reads: A health-promoting intervention such as the OPEN-concept has great potential for integration into NH life if a combined empathic and encouraging attitude, and a structure to keep it sustainable, are in place. Conclusions NH staff experienced the health-promoting intervention as a potentially positive concept, although it was suggested that it works best if introduced as a general routine in the unit and is integrated into the daily planning of care. Trial registration ClinicalTrials.govIdentifier: NCT02702037. Date of trial registration February 26, 2016. The trial was registered prospectively

Chia-Hsun Chang ◽  
Ching-Pyng Kuo ◽  
Chien-Ning Huang ◽  
Shiow-Li Hwang ◽  
Wen-Chun Liao ◽  

This study aimed to determine whether daily physical activity in young and older adults with T2DM is associated with diabetes control. A prospective correlational study involving 206 young (≤65 years) and older (>65 years) adults was conducted. The International Physical Activity Questionnaire was used to assess their daily physical activity levels. Patients’ mean HbA1c level was 7.8% (±1.4), and 95.9% of patients had unsatisfactory diabetes control. Performing more minutes per week of moderate-intensity daily physical activity was associated with a lower risk of glycemia in both young and older adults. Furthermore, moderate daily physical activity significantly lowered the risk of glycemia. Health personnel must encourage patients to engage in moderate daily physical activities to improve diabetes control.

Ashok R. Jadhao ◽  
Punam M. Dambhare

Background: Osteoarthritis (OA) is a degenerative joint disease, which mainly affects the articular cartilage. Worldwide estimates are that 9.6% of men and 18.0% of women aged over 60 years have symptomatic osteoarthritis. It affects the daily physical activities like climbing stairs, squatting etc. Pain is the main symptom. Considering this the study was conducted with the objective to find out the magnitude of knee OA among adult population more than 40 years of age in rural area and to study the association between risk factors and knee OA.Methods: A cross sectional study was conducted in rural health training Centre of study institute. Total 150 patients with knee joint pain were included in the study. Knee OA was diagnosed using American rheumatology criteria (ACR). Analysis was done by using epi info 7. Chi square test and Fischer’s exact test was applied to see the association between risk factors and knee OA.Results: The prevalence of knee OA among study subjects was found to be 34.7%. Study subjects with age >60 years were having prevalence of 32 (43.2%) and this association was statistically significant. The study subjects with history of DM and who are having BMI≥25 were having higher prevalence and the association was statistically significant.Conclusions: The prevalence of knee OA in our study was 34.7%. Factors such as age >60 years, education, occupation, low socioeconomic status, DM, BMI≥25 were having significant association with knee OA.

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 358
Laura Di Renzo ◽  
Giulia Cinelli ◽  
Lorenzo Romano ◽  
Samanta Zomparelli ◽  
Gemma Lou De Santis ◽  

Lipoedema is a subcutaneous adipose tissue disease characterized by the increase in the amount and structure of fat mass (FM) in specific areas, causing pain and discomfort. 95% of patients fail to lose weight in the lipoedema areas. The study was conducted to evaluate body composition and general health status modification in a group of lipoedema patients (LIPPY) and a control group (CTRL) after four weeks of a modified Mediterranean diet therapy (mMeD). A total of 29 subjects were included in the data analysis, divided in two groups: 14 LIPPY and 15 CTRL. After the mMeD, both groups significantly decreased their weight and body mass index; the CTRL also showed a reduction of all the circumferences and all FM’s compartments. LIPPY showed a decrease of FM in upper and lower limbs. No significant differences in Δ% between the groups were observed for the lean mass (LM). In LIPPY, an increase in the patients’ ability to perform various daily physical activities related to the loss of arms’ and legs’ fat was observed. According to the European Quality of Life scale, the possibility for LIPPY subjects to perform simple daily activities with less fatigue, pain and anxiety is highlighted. Further long-term studies are recommended to confirm the mMeD as a good strategy for Lipoedema treatment.

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