The effect of a selected home-based exercise program by consuming coffee on blood lipid profile of inactive middle-aged men in COVID-19 pandemic condition

The purpose of this study was to examine the effect of 8 week a selected home based exercise program by consuming coffee on blood lipid profile of inactive middle-aged men in pandemic COVID-19 condition. The present study is a semi-experimental methodology and 44 middle-aged men with fatty liver were randomly divided into four groups of 11 cases: home-based exercise, coffee, home-based exercise + coffee, control. Blood test was used to measure blood lipid profile. The combined home-based exercise intervention was performed for 8 weeks, three sessions and 60 minutes per session. Coffee intervention consumed 10 grams of coffee per every other day. The results showed that weight, body mass index, LDL cholesterol, total cholesterol and triglyceride decreased significantly after eight weeks of training in all three experimental groups and HDL cholesterol increased significantly (p <.05). It seems that performed combined home-based exercise and in combination with coffee consumption can be effective in improving the blood lipid profile of inactive middle-aged men in quarantine and paired COVID-19 conditions and prevent liver damage. © Faculty of Education. University of Alicante.

'I'm doing it for myself': Using a smartphone-based exercise service during the COVID-19 lockdown in the Faculty of Health Sciences, University of the Witwatersrand, South Africa.

Background: Sufficient physical activity (PA) lowers poor health outcomes, with data showing these protective effects in populations under varying levels of lockdown during the COVID-19 pandemic. The advent of online PA programmes has created novel opportunities to offset the deleterious effects of inactivity. However, data are limited and the readiness and acceptance of such technology is unknown. These authors nevertheless noted an opportunity to investigate this approach based on promising emerging data at the time of the hard lockdown in South Africa. Objective: This exploratory study investigated the engagement and perceptions of a smartphone application to promote health and fitness in a sample of employees at a South African university. Methods: Employed members of staff (n=15) of the University of the Witwatersrand were recruited through email invitation during the hard Level 5 COVID-19 lockdown in 2020. Individualised home-based PA programmes were prescribed through a mobile application for a period of eight weeks. Researchers qualified in Biokinetics provided online supervision of the exercise sessions during the intervention. Participants were asked to complete a self-reported questionnaire about their use of the application. Thematic analysis was used to understand these responses. Results: Lack of motivation was perceived to have a negative effect on participation in the online PA programme. Only one participant reported using the mobile application consistently during the study period, while half of the participants reported having trouble with the usage of the application. The participants frequently mentioned the need for technical support and further engagement from the clinicians supervising the PA programme to ensure use and progression. Staff identified issues with connectivity and already having too many phone applications (apps) amongst the reasons for the technical difficulties. Conclusion: This study demonstrates the challenges and potential for the uptake of online PA interventions during COVID-19 and, despite its small sample size, the data provide important lessons learned that will be used as information in further investigations.

Effect of a home-based exercise training program on anthropometric characteristics and exercise performance during Covid-19 quarantine in young high-level kayak athletes.

Purpose: The Covid-19 restriction exposed most athletes to insufficient training stimuli leading to detraining. This study investigated whether a home-based exercise training program could preserve body composition and exercise performance in young high-level kayak athletes during Covid-19 restriction. Methods: Seventeen healthy young high-level kayak athletes (10 males and 7 females), aged 14.7 ± 1 yrs, participated in this study. A 7-week home-based training program was followed during Covid-19 restriction. Baseline measurements were assessed 4 weeks before Covid-19 pandemic and ended on 4 May 2020. Body composition, flexibility, isometric muscle trunk strength (Biodex), anaerobic power (30-s all-out trial), and aerobic capacity (4-min maximal test) were evaluated. Personal daily loads and wellness details were collected with AthleteMonitoring.com software. Results: Home-based exercise training program was effective to improve flexibility (9.20 ± 2.85%) and lean body mass (3.96 ± 0.89%), to maintain muscle strength, anaerobic power, body mass, and body fat percentage but insufficient to maintain aerobic capacity (- 8.96 ± 2.49%). Conclusion: The findings of the present study potentially highlight the importance of the implementation of such a program to minimize the detraining effect on young athletes during periods of movement restriction caused by pandemics.

Home-based cardio-oncology rehabilitation using a telerehabilitation platform in hematological cancer survivors: a feasibility study.

PURPOSE: Cardiovascular disease is a competing mortality cause in hematological cancer survivors due to toxic oncological treatment, accumulation of risk factors, and decline of cardiorespiratory fitness. Cardio-oncology rehabilitation (CORE) is an emerging treatment model to optimize the prognosis of hematological cancer patients and survivors; however, its accessibility during the COVID-19 pandemic is poor. The study aimed to evaluate the feasibility, safety, and effect of a 12-week home-based CORE intervention in telerehabilitation approach among hematological cancer survivors. METHODS: A prospective single-arm interventional study was conducted at a faculty hospital in Brno, Czech Republic. This study provided 12 weeks of the home-based CORE using a telerehabilitation approach that allows remote supervision by a clinician from a medical facility. The telerehabilitation approach consists of three components: a heart rate sensor (PolarM430, Kempele, Finland), a web platform compatible with the sensor, and telesupervising via telephone call (1 call per week). To improve adherence, a physiotherapist called participants to assess or address adverse effects, exercise feedback, and participant-related concerns. The anthropometry, body composition, and cardiorespiratory fitness were measured immediately after the intervention. RESULTS: Eleven hematological cancer survivors with an average age of 60.3 ± 10 years participated in the study. Most participants were diagnosed with Follicular lymphoma and received maintenance treatment. Participants had a significant (p < 0.05) increase in cardiorespiratory fitness by 2.6 ml/kg/min; and in peak workload, from 143.3 ± 60.6 W to 158.6 ± 67.5 W (p < 0.05). Improvement in anthropometry and body composition was observed but yielded no statistical significance. Most (80%) participants completed the three times/per week telesupervising exercise session for 12 weeks.No adverse event was identified. CONCLUSION: Findings from this study suggest that home-based CORE may provide hematological cancer survivors with an increase in CRF during the rehabilitation period after hospital discharge. The telerehabilitation CORE model is effective, feasible, safe, and has demonstrated good adherence. Further randomized controlled efficacy study with larger sample size is needed before clinical implementation. CLINICAL TRIAL REGISTRATION: Clinical trial registration number NCT04822389 (30/03/2021).

The impact of supervised physical exercise on chemokines and cytokines in recovered COVID-19 patients.

COVID-19 is an infectious disease caused by the SARS-CoV-2 virus, which induces a high release of pro-inflammatory chemokines and cytokines, leading to severe systemic disorders. Further, evidence has shown that recovered COVID-19 patients still have some symptoms and disorders from COVID-19. Physical exercise can have many health benefits. It is known to be a potent regulator of the immune system, which includes frequency, intensity, duration, and supervised by a professional. Given the confinement and social isolation or hospitalization of COVID-19 patients, the population became sedentary or opted for physical exercise at home, assuming the guarantee of the beneficial effects of physical exercise and reducing exposure to SARS-CoV-2. This study aimed to investigate the effects of a supervised exercise protocol and a home-based unsupervised exercise protocol on chemokine and cytokine serum levels in recovered COVID-19 patients. This study was a prospective, parallel, two-arm clinical trial. Twenty-four patients who had moderate to severe COVID-19 concluded the intervention protocols of this study. Participants were submitted to either supervised exercise protocol at the Clinical Hospital of the Federal University of Pernambuco or home-based unsupervised exercise for 12 weeks. We analyzed serum levels of chemokines (CXCL8/IL-8, CCL5/RANTES, CXCL9/MIG, CCL2/MCP-1, and CXCL10/IP-10) and cytokines (IL-2, IL-4, IL-6, IL-10, IL-17A, TNF-α, and IFN-γ). Before the interventions, no significant differences were observed in the serum levels of chemokines and cytokines between the supervised and home-based unsupervised exercise groups. The CXCL8/IL-8 (p = 0.04), CCL2/MCP-1 (p = 0.03), and IFN-γ (p = 0.004) levels decreased after 12 weeks of supervised exercise. In parallel, an increase in IL-2 (p = 0.02), IL-6 (p = 0.03), IL-4 (p = 0.006), and IL-10 (p = 0.04) was observed after the supervised protocol compared to pre-intervention levels. No significant differences in all the chemokines and cytokines were found after 12 weeks of the home-based unsupervised exercise protocol. Given the results, the present study observed that supervised exercise was able to modulate the immune response in individuals with post-COVID-19, suggesting that supervised exercise can mitigate the inflammatory process associated with COVID-19 and its disorders. Clinical trial registration: https://ensaiosclinicos.gov.br/rg/RBR-7z3kxjk, identifier U1111-1272-4730.

Effectiveness of home-based exercise delivered by digital health in older adults: a systematic review and meta-analysis.

BACKGROUND: regular physical exercise is essential to maintain or improve functional capacity in older adults. Multimorbidity, functional limitation, social barriers and currently, coronavirus disease of 2019, among others, have increased the need for home-based exercise (HBE) programmes and digital health interventions (DHI). Our objective was to evaluate the effectiveness of HBE programs delivered by DHI on physical function, health-related quality of life (HRQoL) improvement and falls reduction in older adults. DESIGN: systematic review and meta-analysis. PARTICIPANTS: community-dwelling older adults over 65 years. INTERVENTION: exercises at home through DHI. OUTCOMES MEASURES: physical function, HRQoL and falls. RESULTS: twenty-six studies have met the inclusion criteria, including 5,133 participants (range age 69.5 ± 4.0-83.0 ± 6.7). The HBE programmes delivered with DHI improve muscular strength (five times sit-to-stand test, -0.56 s, 95% confidence interval, CI -1.00 to -0.11; P = 0.01), functional capacity (Barthel index, 5.01 points, 95% CI 0.24-9.79; P = 0.04) and HRQoL (SMD 0.18; 95% CI 0.05-0.30; P = 0.004); and reduce events of falls (odds ratio, OR 0.77, 95% CI 0.64-0.93; P = 0.008). In addition, in the subgroup analysis, older adults with diseases improve mobility (SMD -0.23; 95% CI -0.45 to -0.01; P = 0.04), and balance (SMD 0.28; 95% CI 0.09-0.48; P = 0.004). CONCLUSION: the HBE programmes carried out by DHI improve physical function in terms of lower extremity strength and functional capacity. It also significantly reduces the number of falls and improves the HRQoL. In addition, in analysis of only older adults with diseases, it also improves the balance and mobility.

Aerobic Exercise System for Home Telerehabilitation

The COVID-19 pandemic has impacted every aspect of health delivery and encouraged to replace in-person clinical visits with telecommunications. By providing wireless communication between embedded electronic devices and sensors, telerehabilitation enables constant monitoring of vital body functions, and tracking of physical activities of a person and aids physical therapy. In this paper, we designed and tested two remotely controlled versions of interactive bike (iBikE) systems which communicate through either Wi-Fi or BLE and give the clinical team the capability to monitor exercise progress in real time using simple graphical representation. We used the same hardware and user interface for both designs. The software uses either Wi-Fi or BLE protocol to connect the iBikE equipment and PC tablet. The bike can be used for upper or lower limb rehabilitation. A customized tablet app was developed to provide user interface between the app and the bike sensors. Both bikes were tested with a single group of nine individuals in two separate sessions. Each individual was asked to hand-cycle for three separate sub-sessions (1 minute each for slow, medium, and fast pace) with one-minute rest. During each sub-session, speed of the bikes was measured continuously using a tachometer, in addition to reading speed values from the iBikE app, to compare the functionality and accuracy of the measured data. Measured RPMs in each sub-session from iBikE and tachometer were further divided into 4 categories: 10-second bins (6 bins), 20-second bins (3 bins), 30-second bins (2 bins), and RPMs in each sub-session (1 minute, 1 bin). Then, the mean difference of each category (iBikE, tachometer) was calculated for each sub-session. Finally, mean and standard deviation (SD) of the calculated mean differences were reported for all individuals. We saw decreasing trend in both mean and SD from 10 second to 1 minute measurement. For BLE iBikE system, minimum mean RPM difference was 0.2 \pm 0.3 in one-minute sub-session with medium speed. This number was 0.21 \pm 0.21 in one-minute sub-session with slow speed for Wi-Fi iBikE system. Thus, testing confirmed high accuracy of our interfaces. © 2022 IEEE.

The effects of the home-based exercise during COVID-19 school closure on the physical fitness of preschool children in China.

Background: Social distancing and school closures during the COVID-19 pandemic reduced the physical activities of the preschool children living in China. However, the effects of home-based exercise on the physical fitness of Chinese preschool children during COVID-19 school closures are still unknown. This study aimed to investigate the effects of home-based exercise on the physical fitness of Chinese preschool children during COVID-19 school closure. Methods: In this retrospective analysis, data from 1,608 Chinese preschool children (aged 3-5.5 years) in a second-tier city of Guangdong Province of China (Zhongshan city) were extracted from three successive National Physical Fitness Measurement (NPFM) from 2019 to 2021. NPFM consists of weight, height, and six subtests of physical fitness including 10-m shuttle run test (SRT), standing long jump (SLJ), balance beam walking (BBW), sit-and-reach (SR), tennis throwing (TT), and double-leg timed hop (DTH) tests. The change differences or change ratios of all the items in NPFM between any two successive years from 2019 to 2021 were compared. The exercise profiles about home-based and outdoor exercise before, during, and after COVID-19 school closure were obtained from 185 preschool children via retrospective telephone survey. Results: Between 2019 and 2021, 1,608 preschool children were included in this study. We observed larger changes in SLJ, SR, TT, and DTH tests during school closure than after school closure. But the children showed lower reduction rates in the completion time of SRT and BBW. During school closure, higher change ratios in SLJ and TT were observed in the children primarily participating in home-based exercise than those primarily participating in outdoor exercise. However, no statistical differences were observed in the changes in SRT and BBW between home-based and outdoor training groups. Conclusion: The home-based exercise program might be an alternative approach to improve the physical fitness of preschool children during COVID-19 school closure, but could not be beneficial to speed-agility and balance functions. A specific guideline geared toward a home-based exercise program during the COVID-19 outbreak is highly needed.

Guidelines for Home-Based Physical Activities during COVID-19 Quarantine for People with Multiple Sclerosis: A Narrative Review

Background: COVID-19 seems to have a major impact on physical activity behaviors, especially for people with Multiple Sclerosis (MS) who have health conditions. Methods: This study was a narrative review. Six databases, namely PubMed, ISI Web of Knowledge, Scopus, Google Scholar, Science Direct, and ProQuest, were search for relevant published studies. Results: Healthcare providers and organizations advise people to stay at home, but this does not mean that they should be inactive. Self-isolation has an adverse effect on behavior activities and mental health in people with MS. Physical activity can act as medicine for people with MS, as it helps reduce stress, anxiety, and fatigue while improving balance, muscle strength, flexibility, and quality of life. Conclusion: People with MS are recommended to perform activities such as whole-body chair exercises with moderate intensity at least 150 minutes per week according to the level of the individual's ability. © 2021 The Authors.

The effect of a selected home-based exercise program by consuming coffee on blood lipid profile of inactive middle-aged men in COVID-19 pandemic condition

The purpose of this study was to examine the effect of 8 week a selected home based exercise program by consuming coffee on blood lipid profile of inactive middle-aged men in pandemic COVID-19 condition. The present study is a semi-experimental methodology and 44 middle-aged men with fatty liver were randomly divided into four groups of 11 cases: home-based exercise, coffee, home-based exercise + coffee, control. Blood test was used to measure blood lipid profile. The combined home-based exercise intervention was performed for 8 weeks, three sessions and 60 minutes per session. Coffee intervention consumed 10 grams of coffee per every other day. The results showed that weight, body mass index, LDL cholesterol, total cholesterol and triglyceride decreased significantly after eight weeks of training in all three experimental groups and HDL cholesterol increased significantly (p < .05). It seems that performed combined home- based exercise and in combination with coffee consumption can be effective in improving the blood lipid profile of inactive middle-aged men in quarantine and paired COVID-19 conditions and prevent liver damage.

UK Adults' Exercise Locations, Use of Digital Programs, and Associations with Physical Activity During the COVID-19 Pandemic: Longitudinal Analysis of Data From the Health Behaviours During the COVID-19 Pandemic Study.

BACKGROUND: Digital physical activity (PA) program use has been associated with higher PA guideline adherence during COVID-19 pandemic confinements. However, little is known longitudinally about exercise locations (inside vs outside the home environment), digital program use, and their associations with moderate-to-vigorous PA (MVPA) and muscle-strengthening activities (MSAs) during the pandemic. OBJECTIVE: The aims of this study were to assess the relationship between exercise location and use of digital programs with PA guideline adherence during the COVID-19 pandemic, describe how individuals exercised inside and outside of their home environments, and explore which sociodemographic and contextual factors were associated with exercise locations and digital PA program use. METHODS: Active UK adults (N=1938) who participated in the 1-month follow-up survey of the Health Behaviours During the COVID-19 Pandemic (HEBECO) study (FU1, June-July 2020) and at least one more follow-up survey (FU2, August-September; FU3, November-December 2020) reported exercise locations and types of exercises inside and outside their homes, including digital programs (online/app-based fitness classes/programs), MVPA, and MSA. Generalized linear mixed models were used to assess associations of exercise location and digital PA program use with PA guideline adherence (MVPA, MSA, full [combined] adherence), and predictors of exercise location and digital program use. RESULTS: As the pandemic progressed, active UK adults were less likely to exercise inside or to use digital PA programs compared with periods of initial confinement: 61% (95% CI 58%-63%; weighted n=1024), 50% (95% CI 48%-53%; weighted n=786), and 49% (95% CI 46%-51%; weighted n=723) performed any exercise inside their homes at FU1, FU2, and FU3, respectively. At FU1, FU2, and FU3, 22% (95% CI 21%-25%; weighted n=385), 17% (95% CI 15%-19%; weighted n=265), and 16% (95% CI 14%-18%; weighted n=241) used digital PA programs, respectively. Most participants who exercised inside already owned indoor equipment, used digital PA programs, or had their own workout routines, whereas MVPA and gentle walking were the most common exercise types performed outside the home. Being female, nonwhite, having a condition limiting PA, indoor exercising space, a lower BMI, and living in total isolation were associated with increased odds of exercising inside the home or garden compared with outside exercise only. Digital PA program users were more likely to be younger, female, highly educated, have indoor space to exercise, and a lower BMI. While exercising inside was positively associated with MSA and exercising outside was positively associated with MVPA guideline adherence, both inside (vs outside only) and outside (vs inside only) activities contributed to full PA guideline adherence (odds ratio [OR] 5.05, 95% CI 3.17-8.03 and OR 1.89, 95% CI 1.10-3.23, respectively). Digital PA program use was associated with a higher odds of MSA (OR 3.97-8.71) and full PA (OR 2.24-3.95), but not with MVPA guideline adherence. CONCLUSIONS: During the COVID-19 pandemic, full PA guideline adherence was associated with exercising inside and outside of one's home environment and using digital PA programs. More research is needed to understand the reach, long-term adherence, and differences between digital PA solutions.

Home-Based Frailty Prevention Program for Older Women Participants of Kayoi-No-Ba during the COVID-19 Pandemic: A Feasibility Study.

This study presents a single-arm intervention that aimed to determine the feasibility of a three-month home-based exercise program to prevent the progression of frailty during COVID-19. We recruited four groups of Kayoi-no-ba, or community salons for frailty prevention, and a total of 69 community-dwelling older women who belonged to one of the Kayoi-no-ba in a preliminary study for a follow-up study. The intervention program was developed on the basis of the 5A approach, and the focus group by the volunteer leaders of Kayoi-no-ba. We adapted the National Center for Geriatrics and Gerontology Home Exercise Program for Older People for 10-min daily home-based exercise. For feasibility outcomes, 91.3% of the participants completed the intervention program, whereas the percentage of exercise performed was 86.5% during the intervention period. For health-related outcomes, the five times sit-to-stand test exhibited significant improvement after the intervention. The results of feasibility outcomes indicate that the program may be feasible due to the high rates of completion and exercise performed. Additionally, improvement was noted for the health indicators of the five times sit-to-stand test, which may help prevent frailty. The feasibility trial has provided the necessary data to design a future-cluster randomized controlled trial.

Design and Evaluation of Effect 8-Week Home-Base Combined Exercise on Visceral Obesity and Cardiovascular Function of Veterans from Different Regions of Mazandaran Province and Their Wives: A Strategy to Reduce Inactivity During the Covid-19 Pandemic

Background and Aim: The continuing spread of the pandemic COVID-19 and concerns of veterans and their spouses working in health clubs will be under threat. The aim of this study was to design and evaluate an 8-week combined exercise protocol at home on visceral obesity-related body composition indices (VAI, WHR, BMI, AVI, WHtR, and BAI) and cardiovascular parameters (SBP, DBP, HR, and RPP) veterans of Mazandaran province and their wives. Methods: In this quasi-experimental study, 240 veterans with 25-49% trauma and their spouses were randomly divided into two groups of sports intervention and control. Based on the principle of overload, the intensity and duration of training (200 steps per day were added to the number of steps and each week the number of sets and repetitions of resistance exercises progressively was increased. Variables were measured at the beginning and end of the training period using laboratory devices (Bruce protocol and electrical bioimpedance) and field test (Rockport). Data were analyzed using two-way analysis of variance at the P <0.05 level. Results: Performing 8 weeks of combined training at home significantly improved visceral obesity indices (P<0.01) and significantly reduced myocardial stress (RPP) (P <0.05) in veterans living in the east, center and west of the province compared to The control group as well as their spouses (P <0.05). In addition, a similar significant improvement in cardiovascular function following Bruce (P <0.01) and Rockport (P <0.05) tests was seen only in veterans of these areas. Although this difference between veterans and their spouses was significant in these areas, in the residents of eastern Mazandaran was better than the central and western regions, respectively. Conclusion: A moderate-intensity combined home exercise program that allows the subject to speak can play a pivotal role in improving cardiovascular function and modulating visceral obesity during the Covid-19 pandemic in war veterans. Paying attention to physical health, especially the spouses of veterans, is recommended to improve the quality of life. © 2022 Baqiyatallah University of Medical Sciences. All rights reserved.

Exercise oncology during and beyond the COVID-19 pandemic: Are virtually supervised exercise interventions a sustainable alternative?

During the COVID-19 pandemic, new challenges are presented in clinical research settings to increase exercise levels, particularly in vulnerable populations such as cancer survivors. While in-person supervised exercise is an effective format to improve patient-reported outcomes and physical function for cancer survivors, the COVID-19 pandemic limited this form of exercise as a feasible option within research and cancer care. As such, exercise oncology interventions were adapted to home-based instruction. In this review, we examine the current evidence of exercise interventions in cancer populations during and beyond the COVID-19 pandemic. We identified that group-based virtually supervised home-based exercise was the most used format among exercise oncology interventions during the pandemic. Preliminary results support feasibility and effectiveness of this emerging exercise setting in cancer survivors; however, it needs to be further investigated in adequately designed larger trials. Additionally, we provide recommendations and perspective for the implementation of virtually supervised home-based exercise.

Monitored home-based with or without face-to-face exercise for maternal mental health during the COVID-19 pandemic.

INTRODUCTION: Despite the known beneficial effects of exercise, most pregnant women do not exercise regularly. Most studies on exercise have been conducted on supervised exercise and there is limited evidence regarding the adherence and effect of other exercise programs on pregnancy outcomes. Therefore, we aimed to investigate adherence to a face-to-face plus monitored home exercise program versus a monitored home-based exercise program on its own during pregnancy. In addition, effects of these two exercise programs on women's mental health during pregnancy and postpartum (primary outcomes) and on some other maternal and neonatal outcomes (secondary outcomes) will be assessed. METHODS: In this superiority trial with three parallel arms, 150 women at 12-18 weeks of gestation will be randomised equally into three groups (face-to-face plus monitored home exercise, only monitored home-based exercise, and control). The exercise programs will be performed up to the 38th week of gestation during which participants will be assessed at specific intervals during the pregnancy, and post-partum and followed up until six months after childbirth. The exercise diary will be used to assess the adherence. The Edinburgh Depression Scale and the Positive and Negative Affect Schedule will be used to assess prenatal and postnatal depression and affect, respectively. DISCUSSION: This study reflects the feasibility and acceptance of two exercise programs for pregnant women and their effects on important outcomes. If these programs are followed properly and effectively, pregnant women's health can be improved using these methods at a lower cost compared to the conventional supervised exercise program.

Developing a Home-Based Body Weight Physical Activity/Exercise Program

Apply It! center dot Research shows barriers to PA exist due to varieties of intrinsic and extrinsic factors. The COVID-19 pandemic has further confounded public engagement in PA. Home-based body weight exercise training may be a potential intervention to remedy these barriers. center dot Fitness professionals can educate their clients in a remote setting using the information related to home-based exercise programming and body weight exercise options presented in this article, supplemental information, and freely accessible resources also provided. center dot Home-based video personal training can be implemented to increase the interaction between fitness professionals and clients.

Effectiveness of a remote home-based exercise training program on exercise capacity for COVID-19 survivors

Objective: To investigate the effects of a remote home- based exercise training program on exercise capacity and lower limb muscle strength in patients with COVID-19 discharged from hospital. Method: 120 COVID-19 survivors were randomized with 61 allocated to control and 59 to intervention group. The control group was given daily education instructions, and the intervention group was given remote homebased exercise training using exercise rehabilitation software. Six-minute walking distance (6MWD) and lower extremity muscle strength (ST) were assessed before treatment, after 6 weeks of treatment, and at 24 weeks of follow-up. Result: The 6MWD of the intervention group was significantly improved and better than that of the control group after treatment and at follow-up (P<0.05), but no significant improvement was found in control group. The 6MWD of the ≤40 years and 40-60 years age groups, the group without co-morbidity, and the female group were significantly better than that of control group after treatment and at follow-up (P<0.05);However, the 6MWD in >60 years age group, the group with co-morbidity, and the male group were significantly better than the control group only after treatment (P<0.05);the ST in the intervention group was significantly improved and better than the control group after treatment (P<0.05);both the ≤40 years group and the 40-60 years age group were significantly better than the control group after treatment (P<0.05);the female group was significantly better than the control group after treatment and at follow-up (P<0.05). Conclusion: This remote home- based exercise training program improves exercise capacity in patients discharged from COVID-19, and the improvement is more significant in younger, comorbidity-free, and female patients. © 2022, Editorial Board of Chinese Journal of Rehabilitation Medicine. All right reserved.

Home-based exercise for adults with overweight or obesity: A rapid review.

The COVID-19 pandemic has impacted the ability of people globally to consistently engage in their typical physical activity and exercise behaviour, contributing to the rising number of people living with overweight and obesity. The imposed government lockdowns and quarantine periods saw an increase in social media influencers delivering their own home-based exercise programmes, but these are unlikely to be an evidence-based, efficacious, long-term solution to tackle sedentary behaviour and increase physical activity. This rapid review aims to conceptualise home-based exercise and physical activity programmes, by extracting relevant programme characteristics regarding the availability of evidence and effectiveness of home-based exercise programmes. Fifteen studies met the inclusion criteria, of which there were varied reports of significant positive effects of the exercise programme on weight management and related outcomes. The two most common measures were Body Mass Index and body mass, as of which almost all reported a trend of post intervention reduction. Some programmes reported qualitative data, identifying barriers to physical activity and preferred programme components, highlighting a need to consider factors outside of physiological measures. The findings provide guidance and direction for the development of future home-based physical activity and exercise programmes for adults living with overweight and obesity.

Elastic tubes: the ideal equipment for telehealth exercise medicine in the management of prostate cancer?

Prostate cancer (PCa) affects 1 in 8 men, but exercise therapy has been shown to be a very effective intervention not only to induce physiological benefits but to also reduce the side effects of cancer treatments typically administered during PCa. The COVID19 pandemic has restricted access to exercise clinics, a problem which always existed for people living in rural and remote areas. This caused many exercise physiologists and researchers to transition their clinic-based exercise to online, home-based exercise. We would like to propose that researchers and exercise physiologists should consider the use of elastic tubes in both research and the clinical management of PCa, when exercise programs are administered remotely, as their characteristics make them an ideal exercise equipment. In this article, the characteristics, considerations, and information on quantifying exercise dosage when using elastic tubes in remote exercise delivery are discussed.