Estimates of Energy Intake and Expenditure in Elite Female Touch Players During an International Tournament.

This study assessed energy intake and expenditure of international female touch players during an international tournament. Energy intake (food diary) and expenditure (accelerometer, global positioning system) were recorded for 16 female touch players during a four-day tournament, competing in 8.0 ± 1.0 matches; two on Days 1, 2, and 4, and three on Day 3. Total daily energy expenditure (43.6 ± 3.1 Kcal·kg-1 body mass (BM)) was not different (p > .05) from energy intake (39.9 ± 9.4 Kcal·kg-1 BM). Carbohydrate intakes were below current recommendations (6-10 g·kg-1 BM) on Days 1 (4.4 ± 0.6 g·kg-1 BM) and 3 (4.7 ± 1.0 g·kg-1 BM) and significantly below (p < .05) on Day 2 (4.1 ± 1.0 g·kg-1 BM). Protein and fat intakes were consistent with recommendations (protein, 1.2-2.0 g·kg-1 BM: fat, 20-35% total Kcal) across Days 1-3 (protein, 1.9 ± 0.8, 2.2 ± 0.8, and 2.0 ± 0.7 g·kg-1 BM; fat, 35.6 ± 6.8, 38.5 ± 6.4, and 35.9 ± 5.4% total Kcal). Saturated fat intakes were greater (p < .05) than recommendations (10% total Kcal) on Days 1-3 (12.4 ± 2.9, 14.2 ± 5.1, and 12.7 ± 3.5% total Kcal). On average, female touch players maintained energy balance. Carbohydrate intakes appeared insufficient and might have contributed to the reduction (p < .05) in high-intensity running on Day 3. Further research might investigate the applicability of current nutrition recommendations and the role of carbohydrate in multimatch, multiday tournaments.

Is gardening a stimulating activity for people with advanced Huntington's disease?

This study evaluated adapted gardening as an activity for people with advanced Huntington's disease (HD) and explored its therapeutic aspects. Visitors and staff completed a questionnaire and participated in structured interviews to capture further information, whereas a pictorial questionnaire was designed for residents with communication difficulties. Staff reported that gardening was a constructive, outdoor activity that promoted social interaction, physical activity including functional movement and posed cognitive challenges. Half the staff thought the activity was problem free and a third used the garden for therapy. Visitors used the garden to meet with residents socially. Despite their disabilities, HD clients enjoyed growing flourishing flowers and vegetables, labelling plants, being outside in the sun and the quiet of the garden. The garden is valued by all three groups. The study demonstrates the adapted method of gardening is a stimulating and enjoyable activity for people with advanced HD.

Gardening with Huntington's disease clients--creating a programme of winter activities.

PURPOSE: A programme of garden-related indoor activities was developed to sustain a gardening group for people with mid to late stage Huntington's disease during the winter. METHOD: The activities were devised by the horticulturist, working empirically, involving the services occupational therapist, physiotherapist, occupational therapy art technician, computer room, recreation and leisure staff. The programme was strongly supported by the nursing and care staff. Feedback on the effectiveness of the activities was sought from the clients, team members and unit staff. RESULTS: The clients' interest in gardening was sustained by a multidisciplinary programme of indoor growing and using plant products in creative activities, computing and group projects. The clients enjoyed all activities except one that they said lacked contact with plants. CONCLUSIONS: The inexpensive programme of activities enabled creativity and self-expression, stimulated social contact and helped with therapeutic goals of the clients. In addition, it engaged the multi-disciplinary team and the unit staff, was practical and enhanced the environment.

Using an algorithm as an aid to improve seating for older people.

Older people recovering from an illness or operation can spend long periods sitting in a chair. Because they may be frail and have reduced mobility their vulnerability to pressure damage may be increased. Staff in one trust undertook an audit of nurse knowledge and practice in finding suitable seating for such patients and developed an algorithm as a teaching aid.

What are older people prepared to do to avoid falling? A qualitative study in London.

Falls prevention strategies form a significant part of recent government policy relating to older people. In this article we report a qualitative study to examine the extent to which older people are willing to adopt any of the following strategies in order to avoid falling; balance and lower limb strengthening exercises, home safety advice, and 'taking care'. A sample of community-dwelling inpatients who were more or less afraid of falling were interviewed. Some older people blamed their own unsafe behaviour rather than hazards in their home for falls, so taking care (moving slowly, holding on, being vigilant to and avoiding danger) was a widespread strategy. The benefits of exercise in falls prevention were poorly understood and there was little enthusiasm for exercising especially if it was perceived to be inappropriate in old age or painful. Awareness of home hazards and taking measures against them was common but home visits tended to be regarded as intrusive. Inadequate negotiation about adaptations was widespread and led to resentment and unwillingness to cooperate. Building on the widespread 'taking care' strategy may help educated older people in safe behaviour. Health professionals should encourage older people to exercise and when making home safety visits should confer with their clients, taking their preferences about adaptations into account.