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2.
Enfermería Clínica ; 2022.
Article in Spanish | ScienceDirect | ID: covidwho-2165271

ABSTRACT

Resumen Objetivo Aunque la actividad física (AF) es un comportamiento clave para el control de la diabetes tipo 2 (DT2), los problemas de adopción-adherencia a la AF dificultan el manejo de la enfermedad. Este estudio tiene como objetivo entender cómo los pacientes con DT2 experimentan la promoción de la AF durante las consultas de enfermería en centros de atención primaria de Cataluña. Método Estudio cualitativo. Entre 2019-2020, en pre-COVID-19, 22 pacientes con DT2 de la provincia de Barcelona participaron en cinco grupos focales y/o cuatro entrevistas semiestructuradas. Todas las reuniones fueron registradas, transcritas y analizadas usando el enfoque de análisis de contenido convencional a través del método comparativo constante. Resultados El análisis de datos reveló dos temas principales con 16 subtemas. Los dos temas principales fueron: «Procesos conscientes intrapersonales de adopción de la AF» y «Procesos inconscientes estructurales de (no)adherencia a la AF». Conclusión La experiencia de los pacientes refleja dos problemas concurrentes e interconectados. En primer lugar, la mayoría adoptan rápidamente la AF después del apoyo de las enfermeras, los cuales fueron los principales promotores de la AF. En efecto, según los pacientes, la adopción de la AF parece ser la prioridad de la mayoría de las enfermeras. En segundo lugar, los pacientes perciben que pocas enfermeras dedican tiempo a la adherencia, lo que la convierte en un problema casi universal y una fuente de decepción para el paciente. Para la adherencia, los pacientes experimentan que la atención de las enfermeras debe centrarse en la activación de procesos y habilidades que apoyen la participación continua en la AF ya adoptada. Objective Although physical activity (PA) is a key behaviour for controlling Type 2 Diabetes, problematic adoption and/or adherence continues to impair disease management. This study aims to understand how patients with T2D live and experience nurses PA promotion during consultations in Spanish context. Method The present study is a qualitative research. In 2019-2020, pre-COVID-19, 22 people living with T2D from Barcelona province contributed either to focus groups (n = 5) or to semi-structured interviews (n = 4). All interviews were recorded, transcribed, and analysed using conventional content analysis approach through constant comparative method. Results Data analysis revealed two major themes with 16 subthemes. The two major themes include: «Intra-personal conscious PA adoption processes» and «Structural unconscious PA (non)adherence processes». Conclusion Patients' experiences reflect two concurrent and interconnected issues. First, most patients readily adopted new PA after encouragement from nurses, who were the main proponents of PA. Indeed, adoption seemed to be most nurses' PA priority and it was effective for most patients. Second, few nurses discussed adherence, making it an almost universal problem and source of disappointment. For adherence, patients experience that nurses' attention needs to focus on activating processes and skills that support continued involvement in already-adopted PA.

3.
Brazilian Journal of Physical Therapy ; : 100469, 2022.
Article in English | ScienceDirect | ID: covidwho-2165115

ABSTRACT

Background A stratified approach to exercise therapy may yield superior clinical and economic outcomes, given the large heterogeneity of individuals with knee osteoarthritis (OA). Objective To evaluate the cost-effectiveness during a 12-month follow-up of a model of stratified exercise therapy compared to usual exercise therapy in patients with knee OA, from a societal and healthcare perspective. Methods An economic evaluation was conducted alongside a cluster-randomized controlled trial in patients with knee OA (n = 335), comparing subgroup-specific exercise therapy for a ‘high muscle strength subgroup', ‘low muscle strength subgroup', and ‘obesity subgroup' supplemented by a dietary intervention for the ‘obesity subgroup' (experimental group), with usual (‘non-stratified') exercise therapy (control group). Clinical outcomes included quality-adjusted life years – QALYs (EuroQol-5D-5 L), knee pain (Numerical Rating Scale) and physical functioning (Knee Injury and Osteoarthritis Outcome Score in daily living). Costs were measured by self-reported questionnaires at 3, 6, 9 and 12-month follow-up. Missing data were imputed using multiple imputation. Data were analyzed through linear regression. Bootstrapping techniques were applied to estimate statistical uncertainty. Results During 12-month follow-up, there were no significant between-group differences in clinical outcomes. The total societal costs of the experimental group were on average lower compared to the control group (mean [95% confidence interval]: € 405 [-1728, 918]), albeit with a high level of uncertainty. We found a negligible difference in QALYs between groups (mean [95% confidence interval]: 0.006 [-0.011, 0.023]). The probability of stratified exercise therapy being cost-effective compared to usual exercise therapy from the societal perspective was around 73%, regardless of the willingness-to-pay threshold. However, this probability decreased substantially to 50% (willingness-to-pay threshold of €20.000/QALY) when using the healthcare perspective. Similar results were found for knee pain and physical functioning. Conclusions We found no clear evidence that stratified exercise therapy is likely to be cost-effective compared to usual exercise therapy in patients with knee OA. However, results should be interpreted with caution as the study power was lower than intended, due to the Coronavirus disease (COVID-19) pandemic.

4.
J Emerg Med ; 62(2): e20-e22, 2022 02.
Article in English | MEDLINE | ID: covidwho-2159244

ABSTRACT

BACKGROUND: Resistance bands commonly used for strength training exercise come with an unexpected risk for ocular trauma. CASE REPORT: In this report, we describe an unintended consequence of a 28-year-old man sustaining an unusual injury-bilateral hyphema-as a result of the use of elastic resistance bands. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Resistance bands are commonly used for strength training exercise and, in this case, a potentially severe, vision-threatening injury-traumatic hyphema-occurred. Traumatic hyphema occurs when blood pools in the anterior chamber of the eye, usually as the result of blunt force trauma or penetrating injury. Early recognition of this condition is imperative, as complications of traumatic hyphema, such as intraocular hypertension or rebleeding, can lead to permanent vision loss.


Subject(s)
Eye Injuries , Wounds, Nonpenetrating , Wounds, Penetrating , Adult , Exercise , Eye Injuries/complications , Humans , Hyphema/complications , Male , Wounds, Nonpenetrating/complications , Wounds, Penetrating/complications
5.
Front Public Health ; 10: 943435, 2022.
Article in English | MEDLINE | ID: covidwho-2154840

ABSTRACT

The sheer volume of research publications on physical activity, mental health, and wellbeing is overwhelming. The aim of this study was to perform a broad-ranging scientometric analysis to evaluate key themes and trends over the past decades, informing future lines of research. We searched the Web of Science Core Collection from inception until December 7, 2021, using the appropriate search terms such as "physical activity" or "mental health," with no limitation of language or time. Eligible studies were articles, reviews, editorial material, and proceeding papers. We retrieved 55,353 documents published between 1905 and 2021. The annual scientific production is exponential with a mean annual growth rate of 6.8% since 1989. The 1988-2021 co-cited reference network identified 50 distinct clusters that presented significant modularity and silhouette scores indicating highly credible clusters (Q = 0.848, S = 0.939). This network identified 6 major research trends on physical activity, namely cardiovascular diseases, somatic disorders, cognitive decline/dementia, mental illness, athletes' performance, related health issues, and eating disorders, and the COVID-19 pandemic. A focus on the latest research trends found that greenness/urbanicity (2014), concussion/chronic traumatic encephalopathy (2015), and COVID-19 (2019) were the most active clusters of research. The USA research network was the most central, and the Chinese research network, although important in size, was relatively isolated. Our results strengthen and expand the central role of physical activity in public health, calling for the systematic involvement of physical activity professionals as stakeholders in public health decision-making process.


Subject(s)
COVID-19 , Mental Health , COVID-19/epidemiology , Humans , Pandemics , Publications
6.
Health Sci Rep ; 5(6): e896, 2022 Nov.
Article in English | MEDLINE | ID: covidwho-2148317

ABSTRACT

Background: Since the declaration of the COVID-19 pandemic on 11th March 2020, the public health recommendations have applied lockdowns and restrictions to limit the spread of the disease. These measures determined outdoor activities and access to many forms of exercise. Objective: The primary objective of this study was to examine the impact of the COVID-19 pandemic on the physical activity (PA) of the Jordanian population. Methods: A cross-sectional online survey was designed using Google Forms services and distributed on social media platforms during the first two weeks of November 2020 to evaluate the exercise activity changes during the COVID-19 pandemic in the study population. In this research, we included those who perform any form of physical activity (n = 1103). The data collected were analyzed using the Statistical Package for the Social Sciences (SPSS) version 26 (IBM SPSS Corp, SPSS Statistics ver. 26, USA). The categorical variables were summarized as frequencies and proportions and were compared using the Chi-square. For all analyses, P-value less than 0.05 was considered statistically significant. Results: A total of 1103 out of 2,511 (43.9%) respondents who participated in the survey were physically exercising during the COVID-19 pandemic. 41.8% were exercising at an irregular frequency, while 21.5% were exercising daily, 16.8% were exercising three to five times a week, and 19.9% were exercising once or twice a week. Moreover, 282 (25.6%) respondents started doing some form of exercise during the pandemic. Those significantly were less than 18-year-old, male gender, were single, were non-smokers, and had a diploma or bachelor's degree in a health-related major. These changes in the level of exercise have been attributed by 57.8% of respondents to the health aspects where they realized the importance of exercising in strengthening the immune system against diseases, including COVID-19. Conclusion: The current study showed that lockdown, due to the COVID-19 pandemic, had a positive impact on the healthy lifestyle of the Jordanian population which was attributed to their feeling of the importance of sports practice on the immune system and the availability of time for those activities. However, the younger and individuals were more aware of the importance of these practices which highlights the importance of considering other age groups in future studies of healthy behaviors.

7.
Psychol Res Behav Manag ; 15: 2745-2759, 2022.
Article in English | MEDLINE | ID: covidwho-2047290

ABSTRACT

Purpose: This study examined the relationship between physical exercise (PE) and prosocial behavior (PSB) and constructed a chain mediation model through the mediating effect of physical education learning motivation (PELM) and emotional intelligence (EI). Methods: Through the stratified random sampling, 1053 students (average age = 14 years, SD = 0.96 years) that complied with the requirements were surveyed from Henan Province in China. PE, EI, PELM, and PSB were assessed using standard scales. For data analysis, Pearson's correlation analysis, structural equation model test, and bias-corrected percentile Bootstrap method were carried out in turn. Results: (1) There was a significant positive correlation between PE and PSB (r = 0.137), and the direct path between PE and PSB was significant (ß = 0.09, t = 4.73, p < 0.01); (2) PE can positively predict EI (ß= 0.08, t = 5.27, p < 0.01) and PELM (ß= 0.04, t = 2.07, p < 0.05), EI can significantly and positively PSB (ß= 0.67, t = 22.12, p < 0.01), PELM can significantly and positively predict PSB (ß= 0.05, t =2.20, p<0.05); (3) EI and physical learning motivation play a significant intermediary role between PE and PSB. The mediating effect consists of three indirect effects: PE → EI → PSB (the mediating effect value is 0.055), PE → PELM → PSB (the mediating effect value is 0.002), PE → EI → PELM → PSB (the mediating effect value is 0.002); (4) The chain mediation effect is significant in girls, but not in boys. Conclusion: (1) PE can positively predict PSB. (2) EI and PELM had significant mediating effects between PE and PSB, including single mediating effects of EI and PELM and chain mediating effects of EI-PELM; (3) There are gender differences in the chain mediation effect.

8.
Journal of Pharmaceutical Negative Results ; 13(3):455-462, 2022.
Article in English | EMBASE | ID: covidwho-2164806

ABSTRACT

Purpose: The world is experiencing extraordinary challenges that are changing extraordinary challenges that are life changing due to the covid-19 pandemic. The research aims to be used as a baseline to develop preventive actions that can be taken by the government.This study was designed as a cross-sectional online survey. Material(s) and Method(s): This study as conducted between May and July 2021, with a total of 370 respondents. The link to the online survey questionnaire was distributed through social media platforms and the personal contacts of the research group members. Result(s): surviving the pandemic, participants were important in consuming nutrients such as supplements of B6 Vitamin C and Vitamin E (p<0.05). In foods to prevent covid there are results that are of interest in yellow, red, and orange fruits and vegetables (23.51%). No difference was seen in physical activity during the pandemic and before the pandemic (p<0.05). Our data shows that the participants maintain physical fitness through sports activities with endurance training 2-3 days per week. Conclusion(s): This is accompanied by an optimal increase in body immunity, so as to avoid various kinds of virus attacks that harm the body's condition. The factor of exercise is very big influence so that the body's immunity is always maintained. The body's immunity can work optimally and perfectly because with a healthy lifestyle, nutrition can affect the health of the body not susceptible to disease. Copyright © 2022 Wolters Kluwer Medknow Publications. All rights reserved.

9.
Eksperimental'naya i Klinicheskaya Farmakologiya ; 85(5):15-19, 2022.
Article in Russian | EMBASE | ID: covidwho-2164623

ABSTRACT

Effectiveness of the inclusion of reamberin in the complex rehabilitation of patients suffering of pneumonia caused by SARS-CoV-2 was evaluated at the outpatient stage. The data of 162 patients who received the rehabilitation treatment including, in addition to pharmacological benefits, exercise therapy and vacuum labile massage, were analyzed. In addition, patients of the main group (n = 82) received reamberin (1.5%, intravenously in a volume of 500 mL) for 10 days. The biochemical parameters of blood were studied in dynamics, and the blood oxygenation was monitored by the Stange and Genchi tests and the pulse oximetry. The quality of life was assessed in terms of the SF-36 questionnaire. The inclusion of reamberin in the complex rehabilitation contributed to improvement of the main biochemical parameters of blood (the levels of aspartate aminotransferase, alanine aminotransferase, and gamma-glutamyl transpeptidase decreased 1.2, 1.7, and 1.9 times, respectively, p0.5) and caused a more pronounced increase in the external respiration function (on the average by 8.4 sec according to the Stange test and by 9.1 sec according to the Genchi test), which was accompanied by positive trends in the quality of life indicators (according to the SF-36 questionnaire) in terms of physical functioning (by 5.1 points) and general health status (by 3.76 points. The obtained clinical and laboratory data, together with good tolerance of the drug, allow us to recommend the inclusion of reamberin in rehabilitation regimens for patients with pneumonia caused by SARS-CoV-2. Copyright © 2022 Izdatel'stvo Meditsina. All rights reserved.

10.
International Journal of Sports Physical Therapy ; 17(7):1396-1403, 2022.
Article in English | Scopus | ID: covidwho-2164584

ABSTRACT

Background COVID-19 restrictions created a period of disrupted sports participation for youth athletes. The physical conditioning, sports training habits, and patterns of sports activity resumption upon returning to normal sports activity are currently unknown. Purpose/Hypothesis This study aimed to determine the extent to which youth athletes maintained their training levels during the early stages of the COVID-19 pandemic and understand the strategies that enhanced motivation and adherence to a training regimen while in isolation. A secondary aim was to analyze how youth athletes returned to activity and identify injuries associated with prolonged sports interruption. Study Design Observational / Survey Study Methods A survey designed to determine activity changes, type of organized instruction, and athlete preferences for training support were distributed by email using snowball sampling methodology to athletes 14-21 years old who were involved in competitive sports when pandemic restrictions were enacted. As sports activities resumed, a follow-up survey was distributed to the same respondents to identify feelings of preparedness, training habits, and injuries. Results Of the155 subjects (mean age 16.1 ± 2 years, 64.5% female) that completed the initial survey, 98% reported a stoppage of in-person sports participation and 70% decreased their exercise/training volume, with 41% (n=63) reporting > 50% reduction. Most athletes (86%) received instruction from coaches, with written workouts (70%) being most common;however, most athletes (70%) preferred instructor-led, group training sessions. Of the 43 subjects that completed the follow-up survey (34% response rate), there was an increase in athletic exposures compared to mid-pandemic levels, and 25% reported sustaining a sports-related injury shortly after resuming sports activities. Conclusions Pandemic-related sports restrictions resulted in a significant reduction in youth athlete training and conditioning. Coaches attempted to maintain training via the use of written workouts;however, athletes preferred instructor-led, group training sessions. There was a rapid resumption of sports activities, which may have contributed to the high rate of injuries in this study. Level of Evidence 3. © 2022, North American Sports Medicine Institute. All rights reserved.

11.
Pensar En Movimiento-Revista De Ciencias Del Ejercicio Y La Salud ; 20(2):1-13, 2022.
Article in English | Web of Science | ID: covidwho-2164329

ABSTRACT

Matamoros Sanchez, M. (2022). Physical activity for adults and seniors adults: the institutional program of Universidad de Costa Rica. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 20(2), 1-14. The purpose of this article is to present the evolution of the Human Movement Module (HMM) of the IPSA and the impact this has had on the attention to senior adults (SA). The first university for senior adults originated in Toulouse, France, in the early 70's, and it is thanks to Dr. Alfonso Trejos Willis that the Institutional Program for Adults and Senior Adults (IPSA) has existed for 35 years at Universidad de Costa Rica. Based on the premise of "education throughout life," the University offers to Costa Rican citizens a valuable return in opening opportunities to this age group. Over time, the Program underwent a transformation in response to the needs and social changes of the Costa Rican population, in which the importance of keeping adults and senior adults active is expressed. As a result, the Human Movement Module (HMM) emerged, headed by facilitators that offer their courses pro bono. In this module, the courses were adapted to a virtual format in order to make them available to the senior adult population, a group that has been considered at risk due to the COVID-19 pandemic.

12.
Cultura, Ciencia y Deporte ; 17(54), 2022.
Article in English | ProQuest Central | ID: covidwho-2164254

ABSTRACT

The aim of the present investigation was to analyze the acute effect of different facemasks on physiological, perceptual and performance parameters in trained young women during a High Intensity Interval Training (HIIT) on cycle ergometer. Fifteen subjects participated in the study. Heart rate variability, muscle oxygen saturation, lactate concentration and comfort parameters were measured under 3 conditions: no facemask, surgical and FFP2 facemask. The use of facemasks had no effect on any variable related to oxygen saturation, heart rate variability and cycling power during the HIIT protocol. Only lactate concentration revealed significantly lower values in the No mask condition compared to FFP2 3 min after HIIT (p = .038). Regarding the overall perception and comfort, participants reported greater discomfort when wearing the FFP2 mask compared to the No mask condition (p<.05). On the contrary, the analysis of heart rate variability, revealed significant differences (p<.001) in the Pre compared to the Post exercise for all conditions. The use of surgical or FFP2 facemask during HIIT training does not affect performance during strenuous exercise while perceived comfort appears to be lower with FFP2 masks in physically trained women.Alternate : El objetivo de esta investigación fue analizar los efectos agudos de diferentes tipos de mascarillas sobre los parámetros fisiológicos y comodidad en mujeres entrenadas durante un entrenamiento interválico de alta intensidad (HIIT) en cicloergómetro. Quince sujetos fueron examinados, obteniendo la variabilidad de la frecuencia cardíaca, la saturación de oxígeno muscular, la concentración de lactato y los parámetros de confort bajo 3 condiciones: sin mascarilla, mascarilla quirúrgica y mascarilla FFP2. El uso de mascarillas no tuvo efecto sobre la saturación de oxígeno, la variabilidad de la frecuencia cardíaca y la potencia de pedalada durante el ejercicio. Sólo la concentración de lactato reveló valores significativamente más bajos Sin mascarilla que con FFP2 3 min después del HIIT (p = .038). En cuanto a la percepción y comodidad, los participantes identificaron una mayor incomodidad con el uso de FFP2 en comparación con la ausencia de ésta (p<.05). Por el contrario, el análisis de la variabilidad de la frecuencia cardíaca, reveló diferencias significativas (p<.001) en el ejercicio Pre- comparado con el Post- en todas las condiciones. El uso de mascarilla quirúrgica o FFP2 durante el entrenamiento HIIT no afecta al rendimiento, mientras que la comodidad percibida parece ser menor con las mascarillas FFP2 en mujeres entrenadas.

13.
Revista Medica de Chile ; 150(5):634-642, 2022.
Article in Spanish | EMBASE | ID: covidwho-2163843

ABSTRACT

Background: The confinement caused by the COVID-19 pandemic changed the lifestyles of the population affecting their levels of physical activity. Aim(s): To determine the factors associated with a low level of physical activity in adults during confinement during the COVID-19 pandemic. Material(s) and Method(s): Adults from Chile, Colombia, Mexico and Peru were invited through social networks to answer an online survey. Questions about sociodemographic, health status and lifestyle variables were included. The level of physical activity and sedentary behavior were determined through the short version of the International Physical Activity Questionnaire (IPAQ). Result(s): The survey was answered by 3,362 adults aged between 18 and 60 years. Respondents more likely to be inactive were women, those with less than eight years of education, those with overweight or obesity, those who smoked at least one cigarette a day, consumed alcohol four or more times a week, slept less than six hours per day and spent more than 6 hours per day in sedentary behaviors. Conclusion(s): These findings provide a sociodemographic and lifestyle profile associated with physical inactivity during the period of confinement in Latin American adults. The results confirm the need to promote healthy lifestyles in the population during periods of confinement. Copyright © 2022 Sociedad Medica de Santiago. All rights reserved.

14.
Frontiers in Sports and Active Living ; 4, 2022.
Article in English | Web of Science | ID: covidwho-2163204

ABSTRACT

University students are of particular public health interest because they are at high risk for physical inactivity and sedentary behaviors. In conjunction with the COVID-19 pandemic, sedentariness and physical inactivity were reinforced, as the pandemic led to an increase in home studying. Physical activity (PA) breaks have been identified as promoting factors for university students' physical and mental health. Therefore, the present study explored an approach to nudge students to take PA breaks at home while studying. The purpose was to test the effectiveness of digital nudging for PA breaks for 10 days using a randomized intervention design during the COVID-19 pandemic. It included an intervention group who received daily digital motivational prompts for PA break videos and a minimal intervention control group who got low-level access to PA break videos via a one-time link sent to the media library. Using a sample of university students in the southwest of Germany (n = 57), two-level binary logistic regression models were calculated to predict daily participation in PA breaks during the intervention period depending on the nudging intervention, as well as previous participation in PA breaks, the general PA level of the subjects before the intervention, the time spent on PA and on home studying in a day, the kind of day during the intervention (weekday vs. weekend), and the students' age. Results revealed that the digital nudging intervention did not show any significant effect on the likelihood to participate in PA breaks on a given day (0.69 <= beta <= 0.75, p > 0.3). Instead, an individual-level effect revealed that the longer a student studied at home over the course of a day, the more likely he or she was to take a PA break (1.07 <= beta <= 1.11, p < 0.001). Current findings show that individual characteristics such as daily time spent on home studying, which can change over the course of the intervention phase, are relevant considerations within nudging intervention in university setting. This provides initial insights especially for digital PA breaks for students during home studying.

15.
Frontiers in Sports and Active Living ; 4, 2022.
Article in English | Web of Science | ID: covidwho-2163203

ABSTRACT

IntroductionDue to the Coronavirus pandemic, politicians enacted directions to reduce social interactions, including lockdown of fitness clubs. We aimed to investigate how this changed exercise habits of Norwegian gym members. MethodBased on survey data, men and women (>= 18 years, n = 233, data collection from Aug. 2020 to Jan. 2021) were recruited to this study by an email-invitation from their fitness club chain or by Facebook advertisement. The participants reported on background variables (e.g., age, gender, total household income, occupation, and education), and exercise habits pre- and during social lockdown. Data were analyzed using independent or student t-test, chi-squared test, or McNemar's test, as appropriate. ResultsHome-based exercise (18.0 vs. 72.5%, p = <0.001), walking (49.8 vs. 65.2%, p = <0.001), and cycling (16.7 vs. 24.5%, p = 0.004) was more common during than pre-lockdown. Also, men (4.33 to 3.68 days/week, p =0.013) and women (4.20 to 3.79 days/week, p = 0.001) reported a lower exercise frequency, and a shorter duration. Exercise frequency was lower in those with a BMI >= 25 than in those with BMI <25 (3.95 vs. 4.48 days/week, p = <0.007) pre-lockdown. High exercise attendees (>= 3 sessions/week, 66.5%) reported a smaller decrease in exercise frequency (mean change: 0.06 vs. 1.24 days/week, p = <0.001) and duration (>60 min. per session: 33.0 vs. 3.8%, p = <0.001) than low exercise attendees during lockdown. DiscussionHome-based exercise, walking, and cycling were most frequently reported during lockdown. Participants reported a small decrease in exercise duration and frequency compared with pre-lockdown. Closure of fitness clubs impacted low attendees more than high attendees.

17.
Frontiers in Pediatrics ; 10, 2022.
Article in English | Web of Science | ID: covidwho-2163073

ABSTRACT

ObjectiveThe COVID-19 pandemic has had many negative effects on the physical and mental health of college students. Although many studies have analyzed the association between muscular fitness and psychological symptoms in children and adolescents, research during the COVID-19 pandemic is limited. Our study focused on analyzing the association between duration of muscle exercise and psychological symptoms among Chinese college students during the COVID-19 pandemic. MethodA four-stage stratified whole-group sampling method was used to investigate basic demographic information, duration of muscle exercise and psychological symptoms in 5,559 college students aged 19-22 years in China. Chi-square test (categorical variables) and one-way ANOVA (continuous variables) were used to compare the psychological symptoms of college students with different durations of muscle exercise. Logistic regression analysis was used to analyze the association between duration of muscle exercise and psychological symptoms. ResultThe detection rate of psychological symptoms among Chinese college students was 9.0%;the detection rate was 10.7% for boys and 7.6% for girls. The proportions of duration of muscle exercise at <30 min/d, 30-60 min/d, and >60 min/d were 75.0%, 20.4%, and 4.6%, respectively. After adjusting for relevant confounding variables, taking Chinese college students with duration of muscle exercise >60 min/d as the reference group, duration of muscle exercise <30 min/d was positively correlated with the occurrence of psychological symptoms (OR: 4.19, 95%CI: 1.82, 9.61) (P < 0.001). In emotional symptoms (OR: 4.56, 95%CI: 1.99, 10.44), behavioral symptoms (OR: 3.44, 95%CI: 1.79, 6.60), social adaptation difficulties (OR: 3.04, 95%CI: 1.62, 5.68) dimensions, there is also a positive correlation (P < 0.01). ConclusionsThe negative association between duration of muscle exercise and psychological symptoms among Chinese college students also suggests that longer duration of muscle exercise among college students is associated with a lower prevalence of psychological symptoms. The association between duration of muscle exercise and psychological symptoms was higher in boys compared to girls.

18.
Appl Physiol Nutr Metab ; 2022.
Article in English | Web of Science | ID: covidwho-2161980

ABSTRACT

Physical activity has declined further during the coronavirus disease 2019 (COVID-19) pandemic. Physicians are at the front lines of proactively educating and promoting physical activity to patients;however, physicians do not feel confident and face numerous barriers in prescribing exercise to patients. Exercise referral schemes, comprising collaborations with qualified exercise professionals, represent a fruitful option for supporting physicians hoping to promote physical activity to more patients. Herein, we provide practical suggestions for establishing and creating a successful referral scheme. Ultimately, exercise referral schemes offer an alternative to help physician burnout and mitigate patient physical inactivity during and beyond the COVID-19 pandemic.

19.
Journal of Head Trauma Rehabilitation ; 37(6):E518, 2022.
Article in English | EMBASE | ID: covidwho-2161228

ABSTRACT

Background Mild traumatic brain injury (mTBI) is an acknowledged public health problem. Up to 25% of adult with mTBI present persistent symptoms. Headache, dizziness, nausea, and neck pain are the most commonly reported symptoms and are frequently associated with cervical spine and vestibular impairments. The most recent international consensus statement (2016 Berlin consensus) recommends the addition of an individualized rehabilitation approach for mTBI with persistent symptoms. The addition of an individualized rehabilitation approach including the evaluation and treatment of cervical and vestibular impairments leading to symptoms such as neck pain, headache and dizziness is then recommended and has been proven effective. Recently, the COVID-19 pandemic has led tele-consultations to seek healthcare professionals in primary care. The benefit of such a telerehabilitation approach compared with in-clinic rehabilitation program should therefore be further investigated. Objective The objective of this study was to compare the effects of an in-clinic cervicovestibular rehabilitation program combined with a symptom-limited aerobic exercise (SLAE) program with the same program in a telerehabilitation format in adults with persistent symptoms following mTBI on severity of symptoms and other indicators of clinical recovery. Methods In this parallel-group nonrandomized clinical trial, 40 adults with persistent symptoms following mTBI were assigned to (1) an in-clinic 6-week cervicovestibular rehabilitation program combined with SLAE program (n =30) OR (2) the same program performed in a telerehabilitation format (n =10). All participants took part in 4 evaluation sessions (baseline, weeks 6, 12, and 26) performed by a blinded evaluator. The primary outcome was the Post-Concussion Symptoms Scale (PCSS). The secondary outcomes were Numerical Pain Rating Scale (NPRS), Neck Disability Index (NDI), Headache Disability Inventory (HDI), Dizziness Handicap Inventory (DHI), and time-to-return to function. Nonparametric analysis for longitudinal data was used to evaluate the effect of interventions on outcomes. Results For the PCSS total score, and PCSS number of symptoms, there were group-by-time interactions at 6-month follow-up (P < .05);clinically significant time effects were observed for both groups (P < .05). There were group-by-time interactions at all time point follow-up for the global rating of change (P < .05) and the NPRS neck pain (P < .01) in favor of the in-clinic rehabilitation program. There were no group-by-time interactions for other outcome measures. Conclusion The study indicates that an in-clinic cervicovestibular rehabilitation combined with SLAE program was superior to the same telerehabilitation program in terms of symptoms improvement and global rating of change inmTBI with persistent symptoms. However, other outcome measures were equally improved after either the in-clinic or the telerehabilitation program. These results must be interpreted with caution, given the limited number of participants in the telerehabilitation group and the nonrandomized group allocation.

20.
Progress in Cardiovascular Diseases ; 2022.
Article in English | ScienceDirect | ID: covidwho-2159667

ABSTRACT

The severe health consequences of the corona virus disease 2019 (COVID-19) pandemic have been exacerbated by the prevalence of cardiovascular disease (CVD) risk factors, such as physical inactivity, obesity, hypertension, and diabetes. Further, policy decisions during the pandemic augmented unhealthy lifestyle behaviors and health inequalities, likely increasing the global disease burden. Cardiorespiratory fitness (CRF) is a well-established biomarker associated with CVD risk. Emerging data demonstrate that high CRF offers some protection against severe outcomes from COVID-19 infection, highlighting the importance of CRF for population health and the potential for limiting the severity of future pandemics. CRF is best assessed by cardiopulmonary exercise testing (CPET), which will be an important tool for understanding the prolonged pathophysiology of COVID-19, the emergence of long-COVID, and the lasting effects of COVID-19 on CVD risk. Utilization of CRF and CPET within clinical settings should become commonplace because of lessons learned from the COVID-19 pandemic.

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