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Objective:To analyze applications of different level of exercise intensity in patients with esophageal cancer during concurrent chemoradiotherapy.Methods:By convenient sampling method, a total of 120 patients with esophageal cancer during concurrent chemoradiotherapy were adopted in Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Sciences from April 2019 to October 2020, they were assigned to control group, primary degree group, intermediate degree group and advanced degree group according to the random number table method, with 30 patients in each group. All patients were given routine concurrent chemoradiotherapy nursing care, based on this, the primary degree group average walk were 5 000 - 7 499 steps/d, intermediate degree group were 7 500 - 9 999 steps/d, advanced degree group were 10 000 - 12 499 steps/d, besides, the control group did not require the amount of walking. Before and three, six weeks after therapy, the intervention effect was assessed by Scored Patient-Generated Subjective Global Assessment (PG-SGA), BMI, serum total protein, albumin as well as the Revised Piper Fatigue Scale (PFS-R).Results:After six months of therapy, the scores of PG-SGA were (4.31 ± 1.47) and (4.15 ± 1.46) in the intermediate degree group and advanced degree group, lower than in the primary degree group and control group (5.46 ± 1.88) and (5.96 ± 1.91), the differences were statistically significant ( t values were 2.57-3.98, all P<0.05); the levels of serum total protein and albumin were (54.45 ± 10.58), (33.72 ± 7.19) and (55.19 ± 9.82), (34.00 ± 6.52) g/L in the intermediate degree group and advanced degree group, higher than in the primary degree group and control group (49.11 ± 7.71), (29.61 ± 6.21) and (48.04 ± 8.40), (30.04 ± 6.13) g/L, the differences were statistically significant ( t values were 2.19-2.88, all P<0.05). After three and six months of therapy, the scores of PFS-R were (3.41 ± 0.57), (4.62 ± 0.73) in the intermediate degree group, lower than in the primary degree group, advanced degree group and control group (4.25 ± 0.89), (5.43 ± 0.69), (4.19 ± 0.79), (6.11 ± 0.93) and (4.14 ± 0.59), (5.39 ± 0.79) ( t values were 4.01-8.63, all P<0.05). Conclusions:7 500 - 9 999 steps/d are optimal walking exercise intensity, it can effectively improve the nutritional status and reduce fatigue of patients with esophageal cancer during concurrent chemoradiotherapy.
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Plantar heel pain is a common clinical problem in foot and ankle clinics. Typically, several conditions such as plantar fasciitis, fat pad atrophy, and calcaneal fracture may lead to plantar heel pain. However, subcalcaneal bursitis occurred between plantar fascia and plantar fat pad has rarely been described as a cause of plantar heel pain. To our knowledge, subcalcaneal bursitis has been reported only once, but there was no mention of preceding factors. We firstly present a case of subcalcaneal bursitis occurred after excessive walking exercise known as “Nordic walking” and successfully managed with conservative treatments that relieve impact on plantar heel.
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Tecido Adiposo , Tornozelo , Atrofia , Bursite , Fáscia , Fasciíte Plantar , Pé , Calcanhar , CaminhadaRESUMO
@#Introduction: Depression disrupts an individual's well-being and is linked to the risk of degenerative disease. Previous studies suggested the effect of exercise and banana intake could induce the production of hormones that promote relaxation. This study examined the association between walking exercise and banana consumption on self-reported depression symptoms in female adolescents. Methods: sumption on self-reported depression symptoms in female adolescents. Methods: This was a randomised controlled trial conducted in four high schools purposively selected in Surakarta. By using the Lemeshow formula, a total of 64 female students were recruited. Inclusion criteria were ages 15-17 years, normal body mass index (BMI)for-age, consuming fruit <3 x/d, physical exercise <3 x/wk, non-smoking, non alcohol consumer, and not menstruating during study. The subjects were randomly distributed into four groups for the two-weeks study: (1) walking exercise daily for 1.6 km under 23 min, at a speed of 3.8 km/h on a treadmill; (2) banana intake of 2 servings daily (130 g/serving); (3) walking exercise and banana intake; and (4) control not prescribed banana or walking exercise. Self-reported depression symptoms was assessed by the Beck Depression Inventory II (BDI-II) questionnaire. Data were analysed using the linear regression model. Results: Banana consumption only (MD=-4.50, SE=1.92) and combination of walking exercise and banana consumption (MD=-5.36, SD=1.95) groups showed significantly lower depression scores at the end of intervention compared to the control group (p<0.05). Conclusion: Prescribed banana consumption or a combination of banana consumption and walking exercise showed potential for reducing self-reported depression symptoms among female adolescents.
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<p>The purpose of this study was to assess the effectiveness of 12 months of walking exercise interventions to improve sleep quality in older adults. One-hundred ninety healthy older adults were divided into a 12 months walking exercise group (n = 120) and a control group (n = 70). Furthermore, to investigate whether the difference in step count changes affected sleep quality, the walking exercise group was sub-divided into a high-walking exercise group (n = 60) and a low-walking exercise group (n = 60) according to the median number of percent change of steps. The main outcome measures were daytime sleepiness (Epworth Sleepiness Scale: ESS) and sleep quality (Pittsburgh Sleep Quality Index: PSQI) questionnaires. The high-walking exercise group showed significant improvements in ESS (p < 0.01), PSQI global score (p < 0.01), subjective sleep quality (p < 0.05), sleep disturbance (p < 0.05) compared to the baseline scores. In the high-walking exercise group, the result of average step counts per day was significantly increased compared to the baseline (p < 0.01). These results suggest that the 12 months walking exercise intervention was an effective approach to improve sleep quality in older adults who maintained the increase in step counts during the intervention period.</p>
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Objective To explore the effects of walking exercise on glycometabolism,dynamic blood pressure and the quality of life of patients with both hypertension and type 2 diabetes on the basis of conventional drug treatment.Methods Sixty-two patients with both hypertension and diabetes who could support taking walking exercise of more than 5,000 steps/d were randomly divided into a walking exercise group (32 cases) and a control group (30 cases).Both groups were given conventional drug treatment (including valsartan,acarbose and metformin).Those in the walking exercise group took more than 10,000 steps/d of aerobic exercise while the patients in the control group were just given normal community care.This continued for a period of 3 months.Fasting plasma glucose (FPG),glycated hemoglobin-A1C (HbA1c),fasting insulin (FINS),the homeostasis model of assessment for insulin resistence index (HOMA-IR),the homeostasis model of assessment for insulin sensitivity (HOMA-IS),dynamic blood pressure parameters and quality of life were observed.Results In the walking exercise group,the FPG,HbA1c,FINS,HOMA-IR,HOMA-IS,dynamic blood pressure and quality of life indicators were all significantly different after 3 months of daily walking exercise compared with either baseline or the control group.Conclusion Accompanied by conventional drug therapy,10,000 steps/d of walking exercise can improve the glucose metabolism,dynamic blood pressure and quality of life of patients suffering from mild hypertension and type 2 diabetes.
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Objective To study the influence of walking exercise training on heart function, left heart ventricle structure and plasma brain natriuretie peptide (BNP) concentration in patients with chronic heart failure ( CHF), to explore the sense of exercise training.Methods A total of 223 CHF patients were randomly assigned to a guided rehabilitation group, a non-guided rehabilitation group and a control group.All patients were given basic medicine treatment, and the guided rehabilitation group was administered guided walking exercise training program, while the non-guided rehabilitation group was encouraged to do exercise freely but with no guidance.Blood pressure, 6 min walking distance test, plasma concentration of BNP and echocardiography were measured in all patients before and after exercise training.Results At entry to the study, there was no significant difference among the 3 groups with regard to blood pressure, 6 rain walking distance and BNP level as well as echocardiographic parameters including left ventrieular ejection fraction (LVEF) and left ventricular end-diastolic diameter (LVEDd).A follow-up at the 6th month after intervention, the amount of readmission patients in guided rehabilitation group were significantly less than those in non-guided rehabilitation and control groups ( P < 0.05 ).It was also revealed that the plasma concentration of BNP decreased significantly ( P < 0.01 ) ; LVEF and 6 min walking distance improved significantly ( P < 0.01 ) in the guided rehabilitation group when compared with baseline and 6-month follow-up of the non-guided rehabilitation and control groups.However, there observed no significant change with regard to LVEDd.Conclusion Walking exercise training can improve exercise endurance in CHF patients and is safety; but has no influence on left heart ventricular structure in short time.
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Objective To quantify the effect of rehabilitation training on cardiopulmonary function and the quality of life of patients with coronary heart disease after percutaneous coronary intervention (PCI). Methods Sixty-nine patients after PCI were randomly divided into three groups. Those in group A were given conventional medical therapy; group B had additional walking exercise; group C had both additional respiratory training and the additional walking exercise. Treadmill exercise tests, pulmonary function examinations and a health questionnaire were used to evaluate cardiopulmonary function and quality of life after three months of treatment. Results After three months of treatment cardiopulmonary function and quality of life had improved significantly in groups B and C, and there was significant difference between groups B and C. Conclusion Walking and respiratory function training can improve cardiopulmonary function and quality in life after PCI.
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@#Exercise of walking which is regarded as a popular aerobic exercise,is receiving increasing attention in recent years,especially for primary and secondary prevention of cardiovascular diseases.But the guidelines and recommendations are based on low evidence levels,lack enough evidence-based support,and cannot provide individual exercise prescription for more specific populations and specific indications.Thus we put forward the concept of quantitative walking exercise,and hope further studies on relationship between walking exercise and chronic diseases so as to develop appropriate exercise prescriptions for prevention and rehabilitation of chronic diseases.
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PURPOSE: To examine the effects of power walking exercise on fatigue and overweight in college students with Taeumin constitution. METHODS: According to results of the constitution diagnosis (QSCC II), 58 students who were identified as Taeumin, whose BMI was over 23 were assigned to one of three groups. The power walking group walked fast at a speed of 7,000 steps per hour using a pedometer, and the walking group walked at a speed of 5,000 steps per hour. There was no treatment with control group. Each group's fatigue level, blood lipids and body composition before and after the experiment were compared and analyzed. RESULTS: Total fatigue and total cholesterol decreased significantly in the power walking group compared to the walking group and the control group. Weight decreased significantly in the power walking group compared to the control group, and percentage of body fat decreased significantly in both the power walking group and the walking group compared to the control group. CONCLUSION: When power walking exercise was used with overweight Taeumin students, fatigue, blood lipid, weight and percentage of body fat decreased significantly.
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Humanos , Tecido Adiposo , Composição Corporal , Colesterol , Constituição e Estatutos , Fadiga , Sobrepeso , CaminhadaRESUMO
There are various methods for gait exercise in rehabilitation medicine. These methods are useful for patients to control weight bearing and gait pattern. But they have good points and bad points. The purpose of this study was to determine the effects of weight release on cardiopulmonary function during walking, and to examine the potential of this weight-release method in rehabilitation medicine. Subjects were 15 males who had no cardiopulmonary disease or past illness. They wore a respiratory mask connected with metabolic analyzers and a lifting jacket, and they performed three walking tasks on a treadmill at 4.8 km/hour speed for five minutes. During walking, they were lifted up for the weight release employing 3 different traction forces, by a lifting system (Pneu-Weight, Pneumex, Inc.). The three conditions for traction were adjusted for their body weight percentage : 0% (full weight bearing ; FWB), 25% and 50% body-weight release. Each trial was measured with a metabolic analyzing system and electromyography. There were no significant differences among the three conditions in respiratory parameters such as oxygen uptake and minute ventilation. However, systolic blood pressure significantly decreased in the FWB condition. There were various sorts of changes in the integral electromyogram. For example, gastrocnemius increased and decreased, bicepsbrachii increased without weight-releasing, and increased more with weight-release. During exercise, oxygen uptake corresponded to the amount of muscle activity, and ventilation and heart rate were increased by oxygen requirement increases. These results indicate that weight-release saved muscle activity, and gait patterns were changed to less thrust force. The amount of total muscle activity as a postural adjustment and thrust was unchanged in this gait, but muscles used were altered. In rehabilitation medicine, we should give much thought to these changes. This weight-release walking method is useful, because the load can be adjusted according to the breathing circulation constant.
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PURPOSE: The purpose of this study was to show the effect of walking exercise on physiological index, physical fitness, self-esteem. depression. and life satisfaction in institutionalized elderly women aged over 70. SAMPLE AND METHOD: Data were collected from subjects who consented to participate in this program for eight weeks from the 2nd of July to the 27th of August 2005. The subjects were divided into two groups, 26 subjects in the experimental group who had walking exercise and 30 in the control group who did not have walking exercise. The intensity of the walking exercise allowed 50-65% of the maximum heartbeat. RESULTS: The results of the experiment supported the hypothesis that the experimental group would have higher flexibility, left grip strength, sense of equilibrium, self-esteem and life satisfaction and lower depression than the control group. CONCLUSION: Walking exercise has the effect of decreasing diastolic blood pressure together with improvement in flexibility, left grip strength, sense of equilibrium, self-esteem, depression and life satisfaction for institutionalized elderly women aged over 70. According to the results presented above, walking exercise can be strongly recommended for improving the health of institutionalized elderly women.
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Idoso , Feminino , Humanos , Pressão Sanguínea , Depressão , Força da Mão , Aptidão Física , Maleabilidade , Autoimagem , CaminhadaRESUMO
The purpose of this study was to examine the effects of walking exercise on the mental activity of 44 elderly patients with slight, long-term cerebral infarction. Walking exercise, mental activity and brain morphology were determined by the number of steps taken per day, modified Hasegawa's dementia scales-R and computed tomography, respectively.<BR>The results are as follows : The average number of steps taken per day for the group of normal mental activity was 3489±1692, for subnormal 2073±980, pre-dementia 1458±1241, and dementia 570±1132. Sylvian fissures enlargement ratio in the normal group was 4.3±1.7%, subnormal was 4.1±0.8%, predementia 6.0±2.3%, dementia 6.3±1.8%.<BR>The difference between the right and left sylvian fissure enlargement ratio in the normal group was 1.8±0.9% (right) vs. 2.5±1.3% (left), subnormal: 1.7±0.4% (right) vs. 2.5±0.5% (left), predementia : 2.6±0.9% (right) vs. 3.4±1.5% (left), dementia: 3.0±1.2% (right) vs. 3.2±0.9% (left) . Cerebrum-cranial cavity ratio in the normal group was 80.6±5.0%, subnormal 78.6±5.0%, predementia 74.6±4.8%, dementia 72.7±3.4%.<BR>The lateral ventricles-cranial cavity ratio for normal was 14.3±4.5%, subnormal 14.7±3.1%, predementia 17.3±3.6%, dementia 16.8±4.7%. The difference between good walking patients (over 1000steps/day) and poor walking patients (less than 1000steps/day) concerning the sylvian fissures-cranial cavity ratio (A), cerebrum-cranial cavity ratio (B) and lateral ventricles-cranial cavity ratio (C) was as follows: (A) 4.4±1.5% vs. 6.4±1.9% (p<0.001), (B) 78.4±6.7% vs. 74.0±3.4% (p<0.05), (C) 15.2±3.9% vs. 16.5±4.5% (ns) .<BR>The above data indicates that there is an interrelationship among walking exercise, mental activity and brain morphology.
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Walking exercise in forests, referred to as “shinrin-yoku, forest-air bathing and walking, ” has been attracting attention as a method for promoting mental and physical health utilizing the environment and topography of forests in the recent time. Walking exercise in forests has characteristics arising from the natural environment and topography of forests with beautiful trees, twittering of birds, and favorable fragrances of woods, etc. However, scientific verification of such specific effects is necessary in order to make walking an authentic method to health promotion. This study intended to physiologically investigate it from physical and scientific point of view. For this purpose, we determined chronological changes in energy consumed in walking exercise in forests with a portable oxygen intake measuring device, on the basis of data on the respiratory and circulatory systems such as heart rate and the amounts of ventilation and oxygen intake. The results suggested that the changes in these parameters showed the movement correlated with the changes in topography of forests, including the inclination and demonstrated that selection on the resting locations was related to the comfortable rhythm of walking. Furthermore, it was indicated that exercise loading to living body tended to increase in association with increases in the upward inclination, resulting that the energy consumed in walking was less though the amounts of exercise loading to lower limbs tended to be very large at a download inclination of 36.0 degrees or larger. This demonstrative study suggested that to determine chronological changes in physiological loading conditions related to the walking route was effective to establish promenades in order to perform comfortable and effective forest bath.