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1.
Emerg Infect Dis ; 26(8): 1917-1920, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32412896

RESUMO

During 24 days in Cheonan, South Korea, 112 persons were infected with severe acute respiratory syndrome coronavirus 2 associated with fitness dance classes at 12 sports facilities. Intense physical exercise in densely populated sports facilities could increase risk for infection. Vigorous exercise in confined spaces should be minimized during outbreaks.


Assuntos
Betacoronavirus/patogenicidade , Busca de Comunicante/estatística & dados numéricos , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Surtos de Doenças , Academias de Ginástica , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Adulto , Betacoronavirus/genética , Técnicas de Laboratório Clínico/métodos , Infecções por Coronavirus/diagnóstico , Dança , Exercício Físico , Feminino , Humanos , Incidência , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/diagnóstico , Quarentena/métodos , República da Coreia/epidemiologia , Reação em Cadeia da Polimerase Via Transcriptase Reversa
2.
BMC Public Health ; 20(1): 98, 2020 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-31973701

RESUMO

BACKGROUND: A cluster-Randomised Controlled Trial evaluation of the impact of the Community Health Clubs (CHCs) in the Community Based Environmental Health Promotion Programme in Rwanda in 2015 appeared to find little uptake of 7 hygiene indicators 1 year after the end of the intervention, and low impact on prevention of diarrhoea and stunting. METHODS: Monitoring data was revisited through detailed community records with all the expected inputs, outputs and external determinants analysed for fidelity to the research protocol. Five household inventory observations were taken over a 40-month period including 2 years after the end of the cRCT in a random selection of the 50 intervention CHCs and data compared to that of the trial. Focus Group Discussion with all Environmental Health Officers of the Ministry of Health provided context to understand the long-term community dynamics of hygiene behaviour change. RESULTS: It was found that the intervention had been jeopardised by external determinants with only 54% fidelity to protocol. By the end of the designated intervention period in June 2014, the treatment had reached only 58% of households with 41% average attendance at training sessions by the 4056 registered members and 51% mean completion rate of 20+ sessions. Therefore only 10% of 50 CHCs provided the full so-called 'Classic' training as per-protocol. However, sustainability of the CHCs was high, with all 50 being active 2 years after the end of the cRCT and over 80% uptake of recommended practices of the same 7 key indicators as the trial was achieved by 2017. CONCLUSIONS: The cRCT conclusion that the case study of Rusizi District does not encourage the use of the CHC model for scaling up, raises concerns over the possible misrepresentation of the potential of the holistic CHC model to achieve health impact in a more realistic time frame. It also questions the appropriateness of apparently rigorous quantitative research, such as the cluster-Randomised Controlled Trial as conducted in Rusizi District, to adequately assess community dynamics in complex interventions.


Assuntos
Monitoramento Epidemiológico , Academias de Ginástica/estatística & dados numéricos , Comportamentos Relacionados com a Saúde , Higiene , Avaliação de Processos em Cuidados de Saúde/estatística & dados numéricos , Saúde Pública/estatística & dados numéricos , Feminino , Grupos Focais , Humanos , Ruanda
3.
BMC Public Health ; 19(1): 1660, 2019 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-31823745

RESUMO

BACKGROUND: Risky alcohol consumption is responsible for a variety of chronic and acute harms. Individuals involved in organised sport have been identified as one population group who consume risky amounts of alcohol both at the elite and the non-elite level. 'Good Sports', an alcohol management intervention focused on the community sports setting has been successful in addressing risky alcohol use and alcohol-related harm amongst players and sports fans. Sustaining such implementation effects is a common challenge across a variety of community settings. The primary aim of this trial was to assess the effectiveness of a web-based program in sustaining the implementation of best-practice alcohol management practices by community football clubs, relative to usual program care (i.e. control clubs). METHODS: Non-elite, community football clubs in the Australian states of New South Wales and Victoria, that were participating in an alcohol management program (Good Sports) were recruited for the study. Consenting clubs were randomised into intervention (N = 92) or control (N = 96) groups. A web-based sustainability intervention was delivered to intervention clubs over three consecutive Australian winter sports seasons (April-September 2015-2017). The intervention was designed to support continued (sustained) implementation of alcohol management practices at clubs consistent with the program. Control group clubs received usual support from the national Good Sports Program. Primary outcome data was collected through observational audits of club venues and grounds. RESULTS: A total of 92 intervention clubs (574 members) and 96 control clubs (612 members) were included in the final analysis. At follow-up, sustained implementation of alcohol management practices was high in both groups and there was no significant difference between intervention or control clubs at follow-up for both the proportion of clubs implementing 10 or more practices (OR 0.53, 95%CI 0.04-7.2; p = 0.63) or for the mean number of practices being implemented (mean difference 0.10, 95%CI -0.23-0.42; p = 0.55). There were also no significant differences between groups on measures of alcohol consumption by club members. CONCLUSIONS: The findings suggest that sustained implementation of alcohol management practices was high, and similar, between clubs receiving web-based implementation support or usual program support. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN12614000746639. Prospectively registered 14/7/2014.


Assuntos
Consumo de Bebidas Alcoólicas/prevenção & controle , Academias de Ginástica/organização & administração , Política Organizacional , Esportes , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , New South Wales , Vitória
5.
Artigo em Inglês | MEDLINE | ID: mdl-31623254

RESUMO

The objective of this research was to analyze the influence of the dimensions that enable the rating of service quality perceived by users of sport and health centers in the satisfaction they experience from the service received. In order to present the working hypothesis, a bibliographic review on the concept and dimensions of perceived service quality was carried out, as well as its relationship with satisfaction. The rating scale sports organizations (EPOD) was used as a measurement instrument. The application of a regression analysis was used to test the hypotheses. As a prior step, the measurement scales were validated and an exploratory factor analysis was applied to determine the structure of the variables considered. The regression models proposed show the joint influence of the dimensions used by the users to rate perceived service quality in their satisfaction. The results enabled us to observe that the dimensions considered in the model explained 75.7% of satisfaction, with the facilities and material, together with communication and activities, having the most significant influence on satisfaction. Meanwhile, dimensions that had less impact were the monitor and the staff. It is clear that there is a strong correlation between perceived quality and satisfaction with service.


Assuntos
Comportamento do Consumidor , Academias de Ginástica , Feminino , Humanos , Masculino , Inquéritos e Questionários
6.
Cien Saude Colet ; 24(10): 3969-3976, 2019.
Artigo em Português | MEDLINE | ID: mdl-31577026

RESUMO

This article is part of an ethnographic research survey conducted over the course of a year in the resistance training sector of a fitness center located in a suburb of the city of Rio de Janeiro, the athletes of which have a low income status, and the majority of whom have professional occupations or jobs that involve a high threshold of physical effort. From the anthropological standpoint of symbolic interactionism, the main objective was to analyze how the "limits" of pain of the body related in a symbolic way to the resistance training in the fitness center and the physical efforts demanded in their professional occupations or jobs. The analysis of the observations indicated that these students perceived the body in an instrumental and utilitarian way when relating the pain of physical exercise to their daily work routines. Thus, the relationship between work and physical activities in the representations of the body "limits" of these subjects expressed through pain is implicit. These data are relevant to think about health interventions and practices in the field of Public Health.


Assuntos
Exercício Físico/fisiologia , Academias de Ginástica , Dor Musculoesquelética/epidemiologia , Treinamento de Resistência/métodos , Adolescente , Adulto , Brasil , Cidades , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ocupações , Saúde Pública , Fatores Socioeconômicos , Adulto Jovem
7.
Ann Ist Super Sanita ; 55(3): 224-232, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31553314

RESUMO

INTRODUCTION: Awareness of the benefits of the physical activity on health by the general public has increased the number of people who is practicing it in the recent years. The gyms are the primary place - as the main indoor environment - for practicing physical activity. METHODS: A multidisciplinary tool was used primarily to investigate and analyse the general aspects of fitness centres then an assessment tool was created to evaluate a specific aspect such as the location, dimension, maintenance, etc. from the design, hygiene and safety points of view. Each section of the tool consisted of a series of questionnaires where the facility managers and the researches must have answered. DISCUSSION: The tool was tested on various cases by analysing the critical issues which affects the quality of spaces and end users' health. CONCLUSIONS: The critical points observed from the tool that has an impact on the design of the gyms will help to shape future of these facilities. Several design and management strategies were also highlighted to improve the hygiene and health issues of fitness centres.


Assuntos
Arquitetura de Instituições de Saúde , Academias de Ginástica , Higiene , Esportes , Materiais de Construção , Humanos , Projetos Piloto , Segurança , Inquéritos e Questionários , Ventilação
8.
Res Social Adm Pharm ; 15(8): 949-952, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31303195

RESUMO

BACKGROUND: Few anabolic-androgenic steroid (AAS) users disclose their performance enhancing drug (PED) use with their healthcare providers. AAS users practice polypharmacy with prescription medications to counter adverse effects of AAS, to further their muscular gains, or to lose weight. OBJECTIVES: To compare and contrast AAS using and non-AAS using gym clients regarding PED use, in particular prescription drugs. METHODS: The CASTRO (Castro Anabolic Steroid Research Observation) study was a 108-item cross-sectional survey that took place at four gyms in San Francisco, California between August 2015 and January 2016. 40 AAS users and 179 non-AAS users completed the survey. RESULTS: The prevalence of AAS use in the study cohort was 18.3%. AAS users reported using a greater number of total PEDs (8.7 ±â€¯4.2 vs. 3.7 ±â€¯2.1, p < 0.001) than non-AAS users. AAS users were more likely to misuse the following prescription drugs: antiestrogens (tamoxifen, anastrazole), fertility agents (clomiphene, human chorionic gonadotropin), erectile dysfunction drugs (tadalafil, sildenafil), anabolic drugs (clenbuterol, recombinant human growth hormone), and weight loss drugs (liothyronine). CONCLUSIONS: AAS users practice polypharmacy and misuse multiple prescription drugs. These findings allow researchers and clinicians to be more knowledgeable and to anticipate potential misuse of prescription medications that traditionally are not thought to be abused.


Assuntos
Anabolizantes/administração & dosagem , Academias de Ginástica/estatística & dados numéricos , Uso Indevido de Medicamentos sob Prescrição/estatística & dados numéricos , Congêneres da Testosterona/administração & dosagem , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , São Francisco , Inquéritos e Questionários
9.
Work ; 63(4): 635-642, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31282454

RESUMO

OBJECTIVE: The purpose of this study was to examine the impact of applying six commonly-used and two proposed resting blood pressure (BP) cut-points to clear individuals for maximal exercise in non-clinical health, wellness, commercial fitness agencies and physically demanding occupation test sites. METHODS: Participants (n = 1670) completed the Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) and had their resting BP measured. Individuals with a BP >160/90 mmHg were further screened for contraindications to exercise using the ePARMed-X+ (www.eparmedx.com), all 1670 were cleared. There were no adverse events during or post exercise. RESULTS: The percentages of participants cleared for each BP cut-point were: <130/80 mmHg (85.3%), <140/90 mmHg (93.4%), <144/90 mmHg (94.6%), <144/94 mmHg (96.3%), <150/100 mmHg (98.6%), <160/90 mmHg (95.6%), <160/94 mmHg (97.8%) and <160/100 mmHg (99.5%). Individuals who would not have been cleared without further screening were significantly older, had a higher BMI, or had a lower maximal oxygen consumption. CONCLUSIONS: Conservative or lower resting BP cut-points currently applied to clear individuals for maximal exercise provide an unnecessary barrier. For individuals categorized as low-to- moderate risk by evidence-based screening tools such as the PAR-Q+ and ePARmed-X+, we recommend a resting BP cut-point of <160/94 mmHg to clear for maximal exercise until sufficient evidence is amassed to support the increase to <160/100 mmHg.


Assuntos
Determinação da Pressão Arterial/normas , Avaliação de Desempenho Profissional/normas , Exercício Físico/fisiologia , Saúde do Trabalhador/normas , Exame Físico/normas , Adulto , Fatores Etários , Pressão Sanguínea/fisiologia , Índice de Massa Corporal , Avaliação de Desempenho Profissional/métodos , Feminino , Academias de Ginástica/normas , Humanos , Masculino , Consumo de Oxigênio/fisiologia , Exame Físico/métodos , Padrões de Referência , Descanso/fisiologia , Adulto Jovem
10.
Eur J Cancer Care (Engl) ; 28(4): e13096, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31094044

RESUMO

OBJECTIVE: Wellness centres offer people affected by cancer to access to information and services in a supportive environment. This study aimed to understand stakeholder opinions and perspectives about the potential of wellness centres to contribute to cancer care. METHODS: This study adopted a qualitative approach with health professionals, leaders of key cancer organisations and cancer policy stakeholders interviewed. Results were analysed with thematic analysis. RESULTS: Twenty-three stakeholders representing 13 organisations participated. The following three key themes were identified: (a) The promise and ambition of wellness centres; (b) The hesitations and questions; and (c) Optimising wellness. While many recognised the ambition of wellness centres to offer non-clinical spaces and support for patients and family, there were several concerns raised about the drivers, evidence, throughput, access and equity of services, in the context of other cancer care priorities. Participants made recommendations that focused on use of data; models of community or clinical integration; accessibility and scope; approaches to engaging minority or disadvantaged groups and contribution to cancer care and psycho-oncology. CONCLUSION: Professional stakeholders hold varied views about the potential of wellness centres in contributing to cancer care. Research opportunities include understanding models of community clinical engagement and how to engage minority or disadvantaged populations to ensure equity of access.


Assuntos
Institutos de Câncer , Academias de Ginástica , Neoplasias/terapia , Participação dos Interessados/psicologia , Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Assistência à Saúde/normas , Feminino , Humanos , Masculino , Neoplasias/psicologia , Apoio Social
11.
WHO South East Asia J Public Health ; 8(1): 18-20, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30950425

RESUMO

In common with other countries in the World Health Organization South-East Asia Region, disease patterns in India have rapidly transitioned towards an increased burden of noncommunicable diseases. This epidemiological transition has been a major driver impelling a radical rethink of the structure of health care, especially with respect to the role, quality and capacity of primary health care. In addition to the Pradhan Mantri Jan Arogya Yojana insurance scheme, covering 40% of the poorest and most vulnerable individuals in the country for secondary and tertiary care, Ayushman Bharat is based on an ambitious programme of transforming India's 150 000 public peripheral health centres into health and wellness centres (HWCs) delivering universal, free comprehensive primary health care by the end of 2022. This transformation to facilities delivering high-quality, efficient, equitable and comprehensive care will involve paradigm shifts, not least in human resources to include a new cadre of mid-level health providers. The design of HWCs and the delivery of services build on the experiences and lessons learnt from the National Health Mission, India's flagship programme for strengthening health systems. Expanding the scope of these components to address the expanded service delivery package will require reorganization of work processes, including addressing the continuum of care across facility levels; moving from episodic pregnancy and delivery, newborn and immunization services to chronic care services; instituting screening and early treatment programmes; ensuring high-quality clinical services; and using information and communications technology for better reporting, focusing on health promotion and addressing health literacy in communities. Although there are major challenges ahead to meet these ambitious goals, it is important to capitalize on the current high level of political commitment accorded to comprehensive primary health care.


Assuntos
Assistência Integral à Saúde/métodos , Academias de Ginástica/tendências , Cobertura Universal do Seguro de Saúde/normas , Assistência Integral à Saúde/tendências , Academias de Ginástica/organização & administração , Academias de Ginástica/estatística & dados numéricos , Humanos , Índia , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/normas , Cobertura Universal do Seguro de Saúde/estatística & dados numéricos
12.
PLoS One ; 14(4): e0213060, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30943200

RESUMO

INTRODUCTION: In a society that perpetuates the strive for a perfect appearance, a fit body has become synonymous with success, but simultaneously hard to achieve. This represents a fertile ground for the development of Exercise Addiction (EA) alongside other disorders, such as Body Dysmorphic Disorder (BDD). This study aims to explore the diffusion of EA in fitness settings in the United Kingdom, Italy, Netherlands, Hungary and the previously unexplored association with appearance anxiety, BDD, self-esteem and the use of fitness supplements. METHODS: A large cross-sectional sample (N = 1711) was surveyed in fitness settings using the Exercise Addiction Inventory (EAI), Appearance Anxiety Inventory (AAI) and Rosenberg's Self Esteem Scale (RSE) in addition to questions surrounding the use of fitness supplements. RESULTS: Compulsive exercise, appearance anxiety and low self-esteem were present in this sample according to the psychometric measures used (EAI, AAI, RSE). 11.7% scored over the cut off for EA, with alarming peaks in the Netherlands (20.9%) and the United Kingdom (16.1%). 38.5% were found at risk of BDD, mainly female (47.2%). 39.8% used fitness enhancing supplements without medical consultation (95.5%). This cohort of supplement users scored higher in both EAI and AAI. The logistic regression model revealed a strong association between the consumption of sport products and the level of EA across the sample with an odds ratio (OR) of 3.03. Other co-variable factors among female were appearance anxiety (AAI; OR 1.59) and to a lesser extent self-esteem (RSE) (OR 1.08). CONCLUSIONS: This study identified a high risk of EA, appearance anxiety and BDD amongst a cohort of gym users internationally. The previously-unexplored association between these disorders and the unsupervised use of a variety of fitness products, including illicit drugs, highlights the need for informed and integrated responses targeting such vulnerable individuals.


Assuntos
Ansiedade/epidemiologia , Comportamento Aditivo/epidemiologia , Transtornos Dismórficos Corporais/epidemiologia , Imagem Corporal/psicologia , Exercício Físico/psicologia , Adulto , Ansiedade/psicologia , Comportamento Aditivo/psicologia , Transtornos Dismórficos Corporais/psicologia , Estudos Transversais , Feminino , Academias de Ginástica/estatística & dados numéricos , Humanos , Hungria/epidemiologia , Itália/epidemiologia , Masculino , Países Baixos/epidemiologia , Reino Unido/epidemiologia , Adulto Jovem
13.
Adapt Phys Activ Q ; 36(2): 282-301, 2019 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-30795688

RESUMO

Parents play an essential role in the transition from separate physical activity programs to inclusive settings for their children. The purpose of this study was to explore experiences of parents as they anticipate and prepare for their children experiencing disability to transition, understand strategies used to address transition, and gain insights into the supports important to families during transition. Using an interpretative phenomenological analysis research approach, semistructured one-on-one interviews were conducted with 8 parents whose children were undergoing the transition from separate to inclusive community fitness contexts. Four themes described the experiences of parents as they anticipated, prepared for, and supported their child to transition: My child may be ready, but I am not; fear of outside judgment; playing by their rules; and reframing our thinking. Using Schlossberg's model, the tensions parents faced as they negotiated new roles, relationships, routines, and assumptions as they moved through the transition process were uncovered. The parents experienced transition alongside their children, providing insights for fitness and health-promotion professionals. Without preparation for transition, apprehensions and hesitancy may postpone or prevent their children's transition to community programs.


Assuntos
Exercício Físico , Pais/psicologia , Adolescente , Adulto , Criança , Pessoas com Deficiência , Medo , Feminino , Financiamento Governamental , Academias de Ginástica , Programas Governamentais , Humanos , Controle Interno-Externo , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Adulto Jovem
14.
BMJ Open ; 9(2): e024043, 2019 02 13.
Artigo em Inglês | MEDLINE | ID: mdl-30765400

RESUMO

OBJECTIVES: Many sedentary individuals are aware of the health benefits of regular physical activity and start becoming more physically active. Yet, despite good intentions, many struggle to keep up initial exercise levels and experience a decline in exercise frequency. A possible explanation is that it is hard to establish habits or routines, and that such routines-once established-might be easy to break. In this paper, we analyse whether a break in habitual/routine behaviour-induced by the Easter holidays-results in individuals exercising less after the break. METHODS: The study included a sample of 1210 members of a Danish chain of fitness centres who were gym members at least since the preceding New Year's Day. Participants granted access to gym attendance data, which were automatically recorded when entering the gym. We use a regression discontinuity design encompassing a time period of 10 weeks prior to and 10 weeks after Easter. RESULTS: We found a significant and relevant discretionary drop in exercise frequency right after the Easter holidays of 0.24 times per week (p=0.001) corresponding to a fall of 12.25% compared with the week prior to the Easter holidays. The effect was especially profound for individuals below retirement age and for individuals who had attended the gym with a higher frequency (twice a week or more) in the 6 weeks prior to the Easter break. DISCUSSION: This information is potentially relevant for helping individuals maintain an exercise habit. Motivational support should focus on the time period after normative breaks, such as Easter or other holidays.


Assuntos
Exercício Físico , Academias de Ginástica/estatística & dados numéricos , Férias e Feriados , Adulto , Idoso , Dinamarca , Feminino , Hábitos , Humanos , Masculino , Pessoa de Meia-Idade
15.
BMC Public Health ; 19(1): 166, 2019 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-30736781

RESUMO

BACKGROUND: Healthy lifestyle programs that are designed specifically to appeal to and support men to improve lifestyle behaviors and lose weight are needed. The Rugby Fans in Training-New Zealand (RUFIT-NZ) program is delivered by professional rugby clubs and inspired by the successful Football Fans In Training program (FFIT), a gender sensitized weight loss program for obese middle-aged men delivered by professional football clubs in Scotland. RUFIT-NZ required development and evaluation for feasibility. METHODS: To develop the intervention we reviewed content from the FFIT program and evidence-based physical activity, dietary and weight management guidelines, and undertook a series of focus groups and key informant interviews. We then evaluated the feasibility of the intervention in a two-arm, parallel, pilot randomized controlled trial in New Zealand. Ninety-six participants were randomized to either the 12-week RUFIT-NZ intervention (N = 49) or a control group (N = 47). The intervention was delivered through professional rugby clubs and involved physical activity training and classroom sessions on healthy lifestyle behaviors. Pilot trial outcomes included body weight, heart rate, blood pressure, cardiorespiratory fitness, and lifestyle behaviors. Feasibility was assessed by recruitment and retention rates, and acceptability of the intervention. RESULTS: At 12 weeks the mean difference in body weight was 2.5 kg (95% CI -0.4 to 5.4), which favored the intervention. Statistically significant differences in favor of the intervention group were also observed for waist circumference, resting heart rate, diastolic blood pressure, cardiorespiratory fitness, and the proportion of participants that were adherent to 3 or more healthy lifestyle behaviors. The intervention was considered feasible to test in a full trial given the good recruitment and retention rates, and positive feedback from participants. CONCLUSIONS: A pilot study of a healthy lifestyle intervention delivered via professional rugby clubs in New Zealand demonstrated positive effects on weight and physiological outcomes, as well as adherence to lifestyle behaviors. Feasibility issues in terms of recruitment, retention, and participant acceptability were assessed and findings will be used to inform the design of a definitive trial. TRIAL REGISTRATION: The trial was prospectively registered with the Australian New Zealand Clinical Trials Registry ACTRN12616000137493 , 05/12/2016.


Assuntos
Futebol Americano , Promoção da Saúde/métodos , Estilo de Vida Saudável , Sobrepeso/prevenção & controle , Programas de Redução de Peso , Adulto , Idoso , Academias de Ginástica , Grupos Focais , Humanos , Masculino , Pessoa de Meia-Idade , Nova Zelândia , Projetos Piloto
16.
Appl Physiol Nutr Metab ; 44(5): 477-484, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30273500

RESUMO

The current study investigated whether a single bout of concurrent exercise (Ex Rx) at Third Age Academies (TAAs) in Rio de Janeiro City meets the American College of Sports Medicine (ACSM) guidelines for energy cost and metabolic intensity in older adults. Nine subjects (5 males and 4 females, 63-80 years of age) visited the laboratory for clinical screening and for anthropometrical, resting, and maximal oxygen uptake assessments. Thereafter, subjects performed an Ex Rx circuit consisting of a single circuit alternating aerobic and resistance exercises with outdoor exercise equipment using body mass as the load (total of 9 exercises, 1-2 sets of 15 repetitions). Expired gases were collected via a metabolic cart during exercise bouts. The mean observed energy cost value of 169.1 kcal was slightly greater than the minimum value of 150 kcal reported in the ACSM guidelines (p = 0.018). Like energy cost, all the intensity markers adopted to analyze the physiological strain induced by the Ex Rx circuit significantly exceeded their reference values for moderate intensity (reference values: 3.2 METs (mean observed value = 4.6 METs, p = 0.002); 40% of oxygen uptake reserve (mean observed value = 51.5%, p = 0.040); 40% of heart rate reserve (mean observed value = 64.1%, p < 0.001)), according to the ACSM guidelines. In conclusion, a single bout of Ex Rx circuit performed at TAAs in Rio de Janeiro City was able to induce a physiological strain (i.e., energy cost and intensity) compatible with ACSM recommendations for eliciting health benefits among older adults.


Assuntos
Exercícios em Circuitos , Metabolismo Energético , Academias de Ginástica , Medicina Esportiva/normas , Idoso , Idoso de 80 Anos ou mais , Brasil , Feminino , Guias como Assunto , Frequência Cardíaca , Humanos , Masculino , Pessoa de Meia-Idade , Consumo de Oxigênio
17.
Health Promot Int ; 34(3): 389-399, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-29240897

RESUMO

The majority of research on factors associated with women participation in physical activity (PA) has been in developed countries with limited research in developing countries. Few women in Malaysia are active at the recommended levels for health, and activity rates are less than developed countries. Little research has focused specially on physically active Malaysian women and the factors that contribute to them becoming and staying active in PA programs. This lack of knowledge hinders the tailored development and implementation of PA programs to meet their needs. The aim of this study was to identify the factors of participation in PA programs for Malaysian women. The social-ecological model was used to investigate and theme the factors. Focus group discussion was conducted with participants in six PA programs targeted specifically to women. Thirty-seven women were involved in the focus group discussion, with ages ranging from 19 to 82 years. Inductive and deductive content analysis was conducted from verbatim transcripts using NVivo. Inductive content analysis allowed raw data and second-order themes to emerge. Findings revealed social support structures, tailored programs for women, and location were key contributors that encouraged women to participate in these programs. The similarity in contributors between women in non-western and western countries signifies a prime opportunity for bi-lateral relationships to be formed to enable the enhancement of program development relevant to different ethnicities and cultures within or across countries.


Assuntos
Exercício Físico/psicologia , Promoção da Saúde , Adulto , Idoso , Países em Desenvolvimento , Feminino , Academias de Ginástica , Grupos Focais , Humanos , Malásia , Pessoa de Meia-Idade , Apoio Social , Adulto Jovem
18.
Health Promot Int ; 34(3): 379-388, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-29240917

RESUMO

Reducing or eliminating the cost to the public of using leisure facilities is one tool that local authorities have available to reduce inequalities in physical activity (PA). There is limited evidence about the effect of leisure entrance charges and their impact on participation. This study aimed to ascertain how facility pricing influenced the decisions people made about how to pay and what to pay for and how, in turn, these decisions impacted on participation for different groups. A total of 83 members of the public living in 4 local authorities in the North West of England were involved in focus groups or individual interviews. The results show that cost was a key factor which influenced PA participation in low income neighbourhoods. In practise, however, the majority of service users navigated the range of prices or payment options to find one that was suitable rather than simply reporting whether leisure was affordable or not. Whilst pre-paid options (e.g. direct debit memberships) encouraged participation, entrance charges incurred each time an individual participated had a negative impact on frequency but were a convenient way of paying for occasional use or for people who were unable to afford a pre-paid option. Free access also helped people who could not afford pre-paid membership to exercise regularly as well as incentivizing non-users to try activities. The research concluded that policies that include components of free access and offer more flexible payment options are most likely to contribute to reducing inequalities in PA.


Assuntos
Custos e Análise de Custo/economia , Exercício Físico , Academias de Ginástica/economia , Promoção da Saúde/economia , Adulto , Idoso , Inglaterra , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Desemprego
19.
Psychol Health Med ; 24(3): 320-332, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30047802

RESUMO

This pilot study examined feasibility of an unsupervised, facility-based exercise programme for promoting exercise adherence among depressed adult outpatients. The potential effect of adding physical activity counselling on depressive symptoms and physical activity was also explored. Participants were randomly assigned to a 12-week programme comprising an orientation and access to fitness centre resources (control, n = 18) or that programme plus 6 physical activity counselling sessions (intervention, n = 18). Outcome measures were feasibility (fitness centre attendance over 12 weeks); Beck Depression Inventory (BDI-II) and International Physical Activity Questionnaire (IPAQ) completed at baseline and week 12; and qualitative programme feedback. Fitness centre attendance averaged only 12 days (14% of all possible days) with no differences between study groups. No group differences were found on IPAQ or BDI-II scores at week 12. Increases from baseline in IPAQ moderate/vigorous activity minutes were associated with decreases in BDI-II scores at week 12 (p < 0.001). The most helpful programme aspect reported was connecting participants to fitness centre resources. In this pilot study of depressed outpatients, an unsupervised fitness centre based program was not feasible for promoting exercise adherence and adding physical activity counselling was not useful for increasing physical activity levels or reducing depression.


Assuntos
Transtorno Depressivo/terapia , Terapia por Exercício/métodos , Academias de Ginástica , Avaliação de Processos e Resultados em Cuidados de Saúde , Pacientes Ambulatoriais , Avaliação de Programas e Projetos de Saúde , Adulto , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto
20.
Eur J Sport Sci ; 19(2): 217-224, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30132378

RESUMO

RESEARCH QUESTION: The increase of physical exercise in fitness centres has turned these facilities in important active lifestyle promoters. However, only between 30% and 60% of subscribers still linked to the sports centre after a year. The aim of this study is to design a model to predict the drop out in fitness centres. RESEARCH METHODS: Monthly data corresponding to the actual behaviour of 14,522 members of three sport centres in Spain were recorded over the course of one year. In order to calculate the likelihood of drop out, logistic regressions were used to create predictive models for each centre. RESULTS AND FINDINGS: It was possible to predict abandonment of users of sport centres from their historical behaviour, although the predictive models obtained for each centre were not completely coincident. The effectiveness of the models was around 70%. IMPLICATIONS: The analysis of users' behaviour in a fitness centre can allow to avoid the drop out and therefore the abandonment of physical activity. Segmenting the customers based on the likelihood of drop out may be useful for improving the effectiveness of the strategies of loyalty and for optimizing the organization of human and material resources.


Assuntos
Comportamento do Consumidor , Exercício Físico , Academias de Ginástica/estatística & dados numéricos , Modelos Estatísticos , Adulto , Feminino , Humanos , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Espanha , Adulto Jovem
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