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1.
BMC Public Health ; 21(1): 1292, 2021 07 02.
Artículo en Inglés | MEDLINE | ID: mdl-34215246

RESUMEN

BACKGROUND: Informal caregivers providing unpaid assistance may be vulnerable to changes in health behaviors due to modifications in caregiving during the COVID-19 pandemic. Therefore, this cross-sectional study explored self-reported changes in physical activity (PA), sedentary behavior, and screen time among informal caregivers providing care for older adults aged 50+ during the pandemic. METHODS: Study participants were recruited via Amazon's Mechanical Turk and reported their perceived changes (increased a lot, increased a little, remained the same, decreased a little, decreased a lot) in moderate-intensity PA (MPA), vigorous-intensity PA (VPA), sedentary behavior, and screen time (weekday and weekend) during the pandemic. For analytic purposes, response categories were categorized into three-level ordinal variables-increased (increased a lot, increased a little), no change (remained the same), decreased (decreased a little, decreased a lot). Multinomial logistic regression models assessed the likelihood of changes (vs. no change) in  MPA,  VPA, sedentary behavior, and screen time (weekday, weekend) based on caregiving and demographic characteristics. RESULTS: In total, 2574 individuals accessed the study link, 464 of whom did not meet eligibility requirements. In addition, people who completed 80% or less of the survey (n = 1171) and/or duplicate IP addresse (n = 104) were excluded, resulting in an analytic sample of n = 835. The sample was 69% male, had a mean age of 34 (SD = 9.7), and 48% reported increased VPA, while 55% reported increased MPA. The majority also reported increased sedentary behavior, as well as increased screen time. Respondents living with their care recipient were more likely to report increased weekday screen time (Odds Ratio [OR] = 1.55, 95% CI 1.11-2.16) and sedentary behavior (OR = 1.80, 95% CI 1.28-2.53) than respondents not living with the care recipient. Those living with their care recipient were also more likely to reported increased MPA (OR = 1.64, 95% CI 1.16-2.32), and VPA (OR = 1.53, 95% CI 1.09-2.15), but also more likely to report a decrease in VPA (OR = 1.75, 95% CI 1.14-2.70). CONCLUSION: The majority of respondents reported that their MPA, VPA PA, sedentary behavior, and screen time had changed during the pandemic. Living with the care recipient was associated with both positive and negative changes in behavior. Future research can explore factors associated with these reported changes in behavior.


Asunto(s)
COVID-19 , Pandemias , Anciano , Cuidadores , Estudios Transversales , Ejercicio Físico , Femenino , Humanos , Masculino , SARS-CoV-2 , Tiempo de Pantalla , Conducta Sedentaria , Autoinforme
2.
Artículo en Inglés | MEDLINE | ID: mdl-34281062

RESUMEN

The temporary closure of learning institutions during the COVID-19 pandemic has dramatically reduced the physical activity of students across all ages. Therefore, this study aimed to investigate the prevalence of physical inactivity and the patterns of physical activity among university students in confinement. This cross-sectional study involved 147 Malaysian students and 107 Indonesian students. Body weight before the pandemic and during the pandemic was self-reported by the respondents, and the International Physical Activity Questionnaire-Short Form (IPAQ-SF) was used to assess the physical activity and sedentary behavior of the respondents. The findings revealed that 79.6% of Malaysians and 77.6% of Indonesians were physically active during the confinement. There was no significant difference (p < 0.05) in the duration devoted to vigorous-intensity activity (MMalaysian = 0.00 MET minutes/week and MIndonesian = 480.00 MET minutes/week) and moderate-intensity activity (MMalaysian = 0.00 MET minutes/week and MIndonesian = 0.00 MET minutes/week) among the studied population. During the pandemic, Malaysian students (M = 1386.00 MET minutes/week) devoted a significantly higher duration to walking (M = 1386.00 MET minutes/week) and sedentary behavior (9.16 ± 4.47 h/day) than Indonesian students (M = 990.00 MET minutes/week and sedentary behavior = 7.85 ± 4.27 h/day). Overall, no significant difference was noted in the total physical activity of Malaysian and Indonesian students during the pandemic (MMalaysian = 2826.00 MET minutes/week and MIndonesian = 1782.00 MET minutes/week). Findings from Spearman's rank correlation test suggested that there was a weak inverse correlation between the duration engaged in vigorous-intensity activity and weight change among the Malaysian students (rs = -0.199, p = 0.016), after adjusting for gender and age. Overall, the closure of learning institutions and exercise facilities has further prevented individuals from complying with the WHO recommendation of moderate-to-vigorous physical activity during the period of home confinement.


Asunto(s)
COVID-19 , Conducta Sedentaria , Control de Enfermedades Transmisibles , Estudios Transversales , Ejercicio Físico , Humanos , Indonesia , Pandemias , SARS-CoV-2 , Estudiantes , Universidades
3.
Artículo en Inglés | MEDLINE | ID: mdl-34201248

RESUMEN

Wearable activity trackers (wearables) embed numerous behaviour change techniques (BCTs) that have previously been shown to increase adult physical activity (PA). With few children and adolescents achieving PA guidelines, it is crucial to explore ways to increase their PA. This systematic review examined the acceptability, feasibility, and effectiveness of wearables and their potential mechanisms of action for increasing PA in 5 to 19-year-olds. A systematic search of six databases was conducted, including data from the start date of each database to December 2019 (PROSPERO registration: CRD42020164506). Thirty-three studies were included. Most studies (70%) included only adolescents (10 to 19 years). There was some-but largely mixed-evidence that wearables increase steps and moderate-to-vigorous-intensity PA and reduce sedentary behaviour. There were no apparent differences in effectiveness based on the number of BCTs used and between studies using a wearable alone or as part of a multi-component intervention. Qualitative findings suggested wearables increased motivation to be physically active via self-monitoring, goal setting, feedback, and competition. However, children and adolescents reported technical difficulties and a novelty effect when using wearables, which may impact wearables' long-term use. More rigorous and long-term studies investigating the acceptability, feasibility, and effectiveness of wearables in 5 to 19-year-olds are warranted.


Asunto(s)
Monitores de Ejercicio , Conducta Sedentaria , Adolescente , Adulto , Niño , Ejercicio Físico , Estudios de Factibilidad , Humanos , Motivación
4.
Artículo en Inglés | MEDLINE | ID: mdl-34201369

RESUMEN

Isotemporal substitution modelling (ISM) and compositional isotemporal modelling (CISM) are statistical approaches used in epidemiology to model the associations of replacing time in one physical behaviour with time in another. This study's aim was to use both ISM and CISM to examine and compare associations of reallocating 60 min of sitting into standing or stepping with markers of cardiometabolic health. Cross-sectional data collected during three randomised control trials (RCTs) were utilised. All participants (n = 1554) were identified as being at high risk of developing type 2 diabetes. Reallocating 60 min from sitting to standing and to stepping was associated with a lower BMI, waist circumference, and triglycerides and higher high-density lipoprotein cholesterol using both ISM and CISM (p < 0.05). The direction and magnitude of significant associations were consistent across methods. No associations were observed for hemoglobin A1c, total cholesterol, or low-density lipoprotein cholesterol for either method. Results of both ISM and CISM were broadly similar, allowing for the interpretation of previous research, and should enable future research in order to make informed methodological, data-driven decisions.


Asunto(s)
Diabetes Mellitus Tipo 2 , Conducta Sedentaria , Acelerometría , HDL-Colesterol , Estudios Transversales , Diabetes Mellitus Tipo 2/epidemiología , Ejercicio Físico , Humanos , Circunferencia de la Cintura
5.
Artículo en Inglés | MEDLINE | ID: mdl-34203654

RESUMEN

Physical inactivity in children is a global pandemic in parallel with increasing obesity prevalence. However, studies assessing the association between physical activity (PA) and body composition (BC) report conflicting findings, possibly because of the different methodologies across studies, with objective methods promising reliable results. This study determines the association between objectively determined PA levels and BC in 6-8-year-old children from a black South African population. Ninety-three children aged 6-8 years, who formed part of a larger study on BC using the deuterium dilution method (DDM), were included. Height and weight were measured according to the standard procedures, and body mass index z-score was calculated. Fatness was determined by DDM. An accelerometer was used to measure PA levels. Regression models were performed to determine the relationship between PA and BC. Approximately 23% of the children did not meet the recommended PA guidelines and 27% were overfat. After adjustments were made, more time spent in vigorous PA was significantly associated with lower fat mass (ß = -0.25, p = 0.01, 95%CI: -11.08; -1.20) and fat mass % (ß = -0.20, p = 0.04, 95%CI: -12.63; -0.18). Participation in high PA, especially of high intensity, was associated with reduced adiposity in children. Behavioural changes such as increasing high intensity PA is strongly recommended for reducing adiposity.


Asunto(s)
Afroamericanos , Ejercicio Físico , Adiposidad , Composición Corporal , Índice de Masa Corporal , Niño , Estudios Transversales , Humanos , Conducta Sedentaria
6.
J Foot Ankle Res ; 14(1): 46, 2021 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-34193240

RESUMEN

BACKGROUND: In response to the COVID-19 pandemic, populations were advised to remain at home to control viral spread. Government-mandated restrictions on free movement affected individuals' engagement with physical activity, with reported increases leading to biopsychosocial health benefits and conversely increased sedentary behaviour leading to poorer health. Good foot health is key to enabling physical activity and maximal participation in activities of occupation and daily living. METHODS: A population-based cross-sectional study was performed, using a web-based platform. Quantitative and qualitative data were captured through responses to closed and open survey questions. Anybody with a foot health condition was eligible to participate in the online survey. Links were sent through professional networks, support groups and charities, using a snowball strategy to maximise participation. RESULTS: Two hundred fifty-five respondents completed the survey. Most (n = 193, 75.69%) reported an ongoing foot pain or problem that had been present for 4 weeks or longer, whilst 49 respondents (19.22%) noted a new pain or problem. Pain was the most frequently reported symptom (n = 139, 54.51%), whilst change in appearance of the foot was also commonly reported (n = 122, 47.84%), often alongside the observable presence of swelling. Musculoskeletal foot symptoms were frequently reported (n = 123, 48%), and were significantly associated with reported reduced physical activity (X2 = 6.61, p = 0.010). Following qualitative analysis five themes and 11 subthemes emerged, informed by 49 independent codes. A central theme of lockdown disrupting support networks, both formal (healthcare providers) and informal (friends or family members) emerged. The 5 sub-themes were: 1. foot pain is a constant companion, 2. self-care, 3. 'cope or crumble' scenarios, 4. future intent to access healthcare and 5. reduced ability to undertake physical activity. CONCLUSIONS: Pain was the most frequently reported foot problem during COVID-19 lockdown restriction. Lockdown restrictions disrupted support networks integral to maintaining foot health. Poor foot health impacted people's ability to remain physically active. Complaints previously considered relatively 'minor' such as support for skin and nail care, were found to be exacerbated by restricted support networks, leading to greater negative impact.


Asunto(s)
COVID-19/prevención & control , Ejercicio Físico/psicología , Pie/patología , Dolor Musculoesquelético/epidemiología , Aislamiento Social/psicología , Actividades Cotidianas/psicología , Adulto , Anciano , COVID-19/diagnóstico , COVID-19/epidemiología , COVID-19/virología , Control de Enfermedades Transmisibles/estadística & datos numéricos , Estudios Transversales , Estudios de Evaluación como Asunto , Femenino , Regulación Gubernamental , Humanos , Masculino , Persona de Mediana Edad , Dolor Musculoesquelético/diagnóstico , Participación del Paciente , SARS-CoV-2/genética , Conducta Sedentaria , Autocuidado/psicología , Grupos de Autoayuda/organización & administración , Encuestas y Cuestionarios
7.
Artículo en Inglés | MEDLINE | ID: mdl-34200013

RESUMEN

There is limited knowledge about how a settings-based approach can be best applied in a sports club setting. This qualitative exploratory study examined whether and how sporting programs focusing on individual behavior change (i.e., increasing physical activity levels of inactive people) and implemented on the micro-level of the sports club, can be a first step towards a settings-based approach (i.e., inclusion of the meso- and macro-level of the sports club). In addition, this study explored factors that influenced the inclusion of the meso- and macro-level of the sports club. Telephone interviews were conducted with representatives of sixteen sports clubs about program activities on all levels of the sports club. Thematic analyses were performed to explore stimulating and hindering factors. After multiple years, six sports clubs also had program activities on the meso-level and twelve sports clubs had activities on the macro-level. Program activities differed per level within a sports club and on the same level between sports clubs. Cultural and social factors influenced macro-level activities, while predominantly economic factors influenced meso-level activities. Based on these factors, sports clubs could develop, prioritize, and choose strategies that support them in developing a settings-based approach when increasing physical activity levels of inactive citizens.


Asunto(s)
Deportes , Ejercicio Físico , Promoción de la Salud , Humanos , Organizaciones , Conducta Sedentaria
8.
Artículo en Inglés | MEDLINE | ID: mdl-34200624

RESUMEN

Work from home has increased greatly during the COVID-19 pandemic, and concerns have been raised that this would change physical behaviours. In the present study, 11 Brazilian office workers (five women, six men; mean [SD] age 39.3 [9.6] years) wore two triaxial accelerometers fixed on the upper back and right thigh continuously for five days, including a weekend, before COVID-19 (September 2019), and again while working at home during COVID-19 (July 2020). We determined time used in five behaviours: sedentary, standing, light physical activity (LPA), moderate-to-vigorous activity (MVPA), and time-in-bed. Data on these behaviours were processed using Compositional Data Analysis, and behaviours observed pre-COVID19 and during-COVID19 were compared using repeated-measures MANOVA. On workdays during-COVID19, participants spent 667 min sedentary, 176 standing, 74 LPA, 51 MVPA and 472 time-in-bed; corresponding numbers pre-COVID were 689, 180, 81, 72 and 418 min. Tests confirmed that less time was spent in bed pre-COVID19 (log-ratio -0.12 [95% CI -0.19; -0.08]) and more time in MVPA (log-ratio 0.35, [95% CI 0.08; 0.70]). Behaviours during the weekend changed only marginally. While small, this study is the first to report objectively measured physical behaviours during workdays as well as weekends in the same subjects before and during the COVID-19 pandemic.


Asunto(s)
COVID-19 , Pandemias , Acelerometría , Adulto , Brasil/epidemiología , Análisis de Datos , Femenino , Humanos , Masculino , SARS-CoV-2 , Conducta Sedentaria , Sueño
9.
Artículo en Inglés | MEDLINE | ID: mdl-34205703

RESUMEN

The current study examined the differences in health-related physical fitness (HRPF), physical activity (PA), and sedentary behavior (SB) between adolescents with and without ongoing respiratory diseases (RD). This study's participants were from 12 to 15 years old (7th-10th grade) in South Korea. Adolescents with RD were selected through RD-related questions (i.e., asthma, rhinitis, sinusitis, and bronchitis) (n = 139); in contrast, adolescents without RD, randomly selected from the general group, responded to any health problem-related questions as "No" (n = 139). HRPF was measured based on the FITNESSGRAM and EURO FIT test batteries and the measurements of HRPF included cardiovascular endurance, muscular strength, muscular endurance, flexibility, and body composition. All statistical analyses were conducted by SPSS 25.0, and the independent t-test was used to compare the HRPF and PA between the two groups. Moreover, the measured HRPF was compared with a series of analyses of three-way ANOVAs (age × gender × group). Adolescents with RD had a positive association with less participation in PA (p < 0.05; RD: 3081.81 ± 4793.37; general: 2073.64 ± 3123.47) and with more time spent on SB (above 12 h per week: RD group (38.85%) and general group (33.09%)). Furthermore, adolescents in the RD group showed significant effects on all components of HRPF (p < 0.05). Our study confirmed that HRPF is an essential predictor of adolescents' health outcomes, especially for those with RD. We suggest that increased HRPF can be an effective treatment for respiratory diseases in adolescents, and health practitioners should pay more attention to helping adolescents with RD to gain or maintain high HRPF.


Asunto(s)
Aptitud Física , Conducta Sedentaria , Adolescente , Niño , Ejercicio Físico , Humanos , Fuerza Muscular , República de Corea/epidemiología
10.
Nutrients ; 13(6)2021 Jun 21.
Artículo en Inglés | MEDLINE | ID: mdl-34205676

RESUMEN

Body water turnover is a marker of hydration status for measuring total fluid gains and losses over a 24-h period. It can be particularly useful in predicting (and hence, managing) fluid loss in individuals to prevent potential physical, physiological and cognitive declines associated with hypohydration. There is currently limited research investigating the interrelationship of fluid balance, dietary intake and activity level when considering body water turnover. Therefore, this study investigates whether dietary composition and energy expenditure influences body water turnover. In our methodology, thirty-eight males (19 sedentary and 19 physically active) had their total body water and water turnover measured via the isotopic tracer deuterium oxide. Simultaneous tracking of dietary intake (food and fluid) is carried out via dietary recall, and energy expenditure is estimated via accelerometery. Our results show that active participants display a higher energy expenditure, water intake, carbohydrate intake and fibre intake; however, there is no difference in sodium or alcohol intake between the two groups. Relative water turnover in the active group is significantly greater than the sedentary group (Mean Difference (MD) [95% CI] = 17.55 g·kg-1·day-1 [10.90, 24.19]; p = < 0.001; g[95% CI] = 1.70 [0.98, 2.48]). A penalised linear regression provides evidence that the fibre intake (p = 0.033), water intake (p = 0.008), and activity level (p = 0.063) predict participants' relative body water turnover (R2= 0.585). In conclusion, water turnover is faster in individuals undertaking regular exercise than in their sedentary counterparts, and is, in part, explained by the intake of water from fluid and high-moisture content foods. The nutrient analysis of the participant diets indicates that increased dietary fibre intake is also positively associated with water turnover rates. The water loss between groups also contributes to the differences observed in water turnover; this is partly related to differences in sweat output during increased energy expenditure from physical activity.


Asunto(s)
Agua Corporal/metabolismo , Dieta , Ejercicio Físico , Conducta Sedentaria , Adulto , Fibras de la Dieta/administración & dosificación , Ingestión de Líquidos , Ingestión de Alimentos , Ingestión de Energía , Metabolismo Energético , Humanos , Masculino , Equilibrio Hidroelectrolítico
11.
Artículo en Inglés | MEDLINE | ID: mdl-34207661

RESUMEN

BACKGROUND: Sitting time has negative effects on health, increasing the risk of obesity, osteoporosis, diabetes, and cancer. Thus, primary health care education interventions aimed to reduce sitting time and sedentary behavior could have beneficial effects on people's health and wellbeing. The purpose of this study was to assess the effectiveness of an intervention based on reducing sitting time to decrease cardiometabolic risk on a sample of women diagnosed with fibromyalgia and moderate obesity. METHODS: Randomized controlled trial to evaluate the effectiveness of an intervention to decrease cardiometabolic risk in 84 participants. Sedentary behavior was monitored using an accelerometer before and at 3-month follow-up. RESULTS: Compared with the control group, body mass index decreased, and the number of steps taken increased, in the intervention group 3 months after the intervention. No significant differences were found in the rest of the variables measured. CONCLUSION: The intervention group decreased sitting time after the intervention. Group activities and support from primary care may be useful to improve treatment adherence. RCT registration: NCT01729936.


Asunto(s)
Fibromialgia , Sedestación , Índice de Masa Corporal , Femenino , Fibromialgia/prevención & control , Humanos , Obesidad , Conducta Sedentaria
12.
Artículo en Inglés | MEDLINE | ID: mdl-34208156

RESUMEN

Background: People with physical disabilities and/or chronic diseases report lower levels of physical activity and well-being than the general population, which potentially is exacerbated through the COVID-19 pandemic. This study explored the international literature on physical activity, sedentary behavior and well-being in adults with physical disabilities and/or chronic diseases during the first wave of the pandemic. Method: In a rapid review, we included studies reporting on physical activity, sedentary behavior and/or well-being in adults with physical disabilities and/or chronic diseases. Four databases (Pubmed, CINAHL, PsycInfo, Embase) were searched for studies published until 30 September 2020. Results: We included twenty-nine studies involving eleven different types of disabilities or health conditions from twenty-one different countries. Twenty-six studies reported on physical activity, of which one reported an increase during the COVID-19 pandemic, four studies reported no difference, and twenty-one studies reported a decrease. Thirteen studies reported a decline in well-being. Only one study measured sedentary behavior, reporting an increase. Conclusion: Despite the variety in methods used, almost all studies reported negative impacts on physical activity and well-being in people with physical disabilities and/or chronic disease during the first wave of the pandemic. These findings highlight the importance of supporting this population, especially in times of crisis.


Asunto(s)
COVID-19 , Pandemias , Adulto , Enfermedad Crónica , Ejercicio Físico , Humanos , SARS-CoV-2 , Conducta Sedentaria
13.
Artículo en Inglés | MEDLINE | ID: mdl-34204928

RESUMEN

It remains unclear whether the time-use composition of 24-h movement behaviours (sleep, sedentary time (ST), physical activity (PA)) and recreational screen use are independently associated with psychosocial health. This study examined the cross-sectional and longitudinal associations between 24-h movement behaviour composition, recreational screen use and psychosocial health outcomes in children. Measures completed at baseline (n = 127; 11.7 years) and follow-up (n = 88; 12.8 years) included accelerometer-based 24-h movement behaviours, self-reported recreational screen use and psychosocial health (Strengths and Difficulties Questionnaire, Kessler's Psychological Distress Scale). Linear mixed models were used to examine the cross-sectional and longitudinal associations between the 24-h movement behaviour composition and recreational screen use levels with psychosocial health outcomes. Overall, the movement behaviour composition (p < 0.05) and recreational screen use levels (p < 0.01) were both cross-sectionally but not longitudinally associated with psychosocial health outcomes. Relative to other behaviours, sleep was negatively associated, while light-intensity PA was positively associated with internalising problems and total difficulties scores. ST was positively associated with internalising problems. High levels of recreational screen use (>2 h/day) were associated with greater externalising problems, total difficulties scores and psychological distress. These findings reinforce the importance of achieving a balance between different types of movement behaviours over a 24-h period for psychosocial health.


Asunto(s)
Análisis de Datos , Conducta Sedentaria , Niño , Estudios Transversales , Ejercicio Físico , Humanos , Evaluación de Resultado en la Atención de Salud , Sueño
14.
Nutrients ; 13(6)2021 Jun 03.
Artículo en Inglés | MEDLINE | ID: mdl-34205057

RESUMEN

COVID-19 is an unprecedented global pandemic. On 12 March 2020, a lockdown order was issued in Italy in attempt to contain the health crisis. The study aimed to assess the impact of the COVID-19 lockdown on diet, physical activity, sleep quality, and distress in an Italian cohort. An online anonymous interview, which included validated questionnaires was created to compare lifestyle habits pre- and during the lockdown. Data analysis from 604 subjects with a mean age of 29.8 years was carried out using multivariate analysis. Compared to pre-COVID-19 times, 67% of people changed their eating habits and increased consumption of foods containing added sugars. Women and men with low adherence to the Mediterranean Diet (MedDiet) were more likely to be physically inactive (p < 0.0001 and p < 0.01, respectively). Results from logistic regression showed a three times higher risk of being inactive if adherence to the MedDiet was low (p < 0.0001), especially in men between 26 and 35 years. Lower levels of distress were reported in males who were physically active (89%) (p < 0.001). Our findings may help to identify effective lifestyle interventions during restrictive conditions.


Asunto(s)
COVID-19 , Control de Enfermedades Transmisibles , Dieta , Ejercicio Físico , Conducta Alimentaria , Estilo de Vida , Pandemias , Adulto , Dieta Mediterránea , Femenino , Conductas Relacionadas con la Salud , Humanos , Modelos Logísticos , Masculino , Análisis Multivariante , Distanciamiento Físico , Distrés Psicológico , SARS-CoV-2 , Conducta Sedentaria , Encuestas y Cuestionarios , Adulto Joven
15.
BMC Cardiovasc Disord ; 21(1): 332, 2021 07 06.
Artículo en Inglés | MEDLINE | ID: mdl-34229605

RESUMEN

Recently, we face a surge in the fast-forward Coronavirus Disease 2019 (COVID-19) pandemic with nearly 170 million confirmed cases and almost 3.5 million confirmed deaths at the end of May 2021. Obesity, also known as the pandemic of the 21st century, has been evolving as an adverse prognostic marker. Obesity is associated with a higher risk of being SARS-CoV-2-positive (46%), as well as hospitalization (113%) and death (48%) due to COVID-19. It is especially true for subjects with morbid obesity. Also, observational studies suggest that in the case of COVID-19, no favorable "obesity paradox" is observed. Therefore, it is postulated to introduce a new entity, i.e., coronavirus disease-related cardiometabolic syndrome (CIRCS). In theory, it applies to all stages of COVID-19, i.e., prevention, acute proceedings (from COVID-19 diagnosis to resolution or three months), and long-term outcomes. Consequently, lifestyle changes, glycemic control, and regulation of the renin-angiotensin-aldosterone pathway have crucial implications for preventing and managing subjects with COVID-19. Finally, it is crucial to use cardioprotective drugs such as angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers and statins. Nevertheless, there is the need to conduct prospective studies and registries better to evaluate the issue of obesity in COVID-19 patients.


Asunto(s)
COVID-19/epidemiología , Síndrome Metabólico/epidemiología , Obesidad/epidemiología , COVID-19/diagnóstico , COVID-19/terapia , Factores de Riesgo Cardiometabólico , Dieta/efectos adversos , Ejercicio Físico , Hospitalización , Humanos , Síndrome Metabólico/diagnóstico , Síndrome Metabólico/terapia , Obesidad/diagnóstico , Obesidad/terapia , Distanciamiento Físico , Servicios Preventivos de Salud , Pronóstico , Medición de Riesgo , Conducta Sedentaria
16.
BMC Public Health ; 21(1): 1248, 2021 06 29.
Artículo en Inglés | MEDLINE | ID: mdl-34187441

RESUMEN

BACKGROUND: Physical inactivity is recognized as a leading global public health threat. Physical Literacy, a concept describing an individual's prerequisites to participate in and adhere to physical activities, has been suggested to be a key concept in understanding physical activity in various populations. The aim of this study was to describe the prerequisites for physical activity among inactive adults in terms of their physical literacy and previous experience with sport and exercise and how these are interrelated. METHODS: Sample: 1033 physical inactive Danes. MEASURES: BREQ-3, ESES, the Levels of knowledge questionnaire and the physical self-confidence scale. RESULTS: Inactive Danish adult's physical literacy scores are generally low compared to samples in other studies. Inactive adults with no or little previous experience with sport and exercise had lower levels of competences, self-efficacy and autonomous motivation for exercise and sport than the inactive with more experience. Previous sport and exercise experience was positively associated to the physical and affective domain of PL. CONCLUSION: Previous experience with sport and exercise is very important to consider when developing sport and exercise activities for currently inactive adults as individuals with low previous experience have lower competences and autonomous motivation and therefore need lower challenges and other important attention to the motivational climate in order to ensure that the activities are motivating enough to secure continued engagement.


Asunto(s)
Conducta Sedentaria , Deportes , Adulto , Dinamarca , Ejercicio Físico , Humanos , Motivación
17.
JMIR Mhealth Uhealth ; 9(6): e22587, 2021 06 09.
Artículo en Inglés | MEDLINE | ID: mdl-34106073

RESUMEN

BACKGROUND: Physical inactivity is a major contributor to the development and persistence of chronic diseases. Mobile health apps that foster physical activity have the potential to assist in behavior change. However, the quality of the mobile health apps available in app stores is hard to assess for making informed decisions by end users and health care providers. OBJECTIVE: This study aimed at systematically reviewing and analyzing the content and quality of physical activity apps available in the 2 major app stores (Google Play and App Store) by using the German version of the Mobile App Rating Scale (MARS-G). Moreover, the privacy and security measures were assessed. METHODS: A web crawler was used to systematically search for apps promoting physical activity in the Google Play store and App Store. Two independent raters used the MARS-G to assess app quality. Further, app characteristics, content and functions, and privacy and security measures were assessed. The correlation between user star ratings and MARS was calculated. Exploratory regression analysis was conducted to determine relevant predictors for the overall quality of physical activity apps. RESULTS: Of the 2231 identified apps, 312 met the inclusion criteria. The results indicated that the overall quality was moderate (mean 3.60 [SD 0.59], range 1-4.75). The scores of the subscales, that is, information (mean 3.24 [SD 0.56], range 1.17-4.4), engagement (mean 3.19 [SD 0.82], range 1.2-5), aesthetics (mean 3.65 [SD 0.79], range 1-5), and functionality (mean 4.35 [SD 0.58], range 1.88-5) were obtained. An efficacy study could not be identified for any of the included apps. The features of data security and privacy were mainly not applied. Average user ratings showed significant small correlations with the MARS ratings (r=0.22, 95% CI 0.08-0.35; P<.001). The amount of content and number of functions were predictive of the overall quality of these physical activity apps, whereas app store and price were not. CONCLUSIONS: Apps for physical activity showed a broad range of quality ratings, with moderate overall quality ratings. Given the present privacy, security, and evidence concerns inherent to most rated apps, their medical use is questionable. There is a need for open-source databases of expert quality ratings to foster informed health care decisions by users and health care providers.


Asunto(s)
Aplicaciones Móviles , Atención a la Salud , Ejercicio Físico , Humanos , Privacidad , Conducta Sedentaria
18.
J Korean Med Sci ; 36(25): e184, 2021 Jun 28.
Artículo en Inglés | MEDLINE | ID: mdl-34184439

RESUMEN

BACKGROUND: Coronavirus disease 2019 (COVID-19) is different from previous disasters in that it continues to the present and has affected all aspects of family life. During epidemics, psychosocial support is not less important than infection control. During COVID-19-related school closures, prolonged partial closures of schools could have detrimental social and health consequences for children and may increase the burden on the family. Based on a community sample in Korea, this study identified parental concerns, children's media usage, other various factors and examined whether parental stress level or depression were positively associated with problem behaviors, media exposure, and sleep problems of the primary school children during school closure under COVID-19. METHODS: Participants were 217 parents residing in Suwon, South Korea, who had primary school children and responded to a web-based questionnaire on parental concerns from school closure under COVID-19, subjective stress, depression, whether having received mental health services, and family characteristics; children's sleep patterns, problem behaviors, media usage during the online-only class period, and changes in activity level following the pandemic. RESULTS: During school closure, children gained body weight, spent less time in physical activities and more in media usage. Besides online learning content (97.2%), YouTube was highly used content (87.6%), and games followed (78.3%). Parental subjective stress index was highly associated with parental depression (Pearson correlation 0.439, P < 0.001), children's sleep problems (0.283, P < 0.001), tablet time (0.171, P = 0.012) and behavior problems (0.413, P < 0.001). Parental depression was associated with children's sleep problems (0.355, P < 0.001), TV time (0.153, P = 0.024), tablet time (0.159, P = 0.019), and behavior problems (0.524, P < 0.001). Parents who previously received mental services seemed to be more concerned about the problems their children already have getting worse because of COVID-19 than the disease itself. Children's sleep problem was associated with tablet (0.172, P = 0.011) and smartphone time (0.298, P < 0.001), but not its frequency. CONCLUSION: During COVID-19-related school closures, many parents and children had various difficulties relating to mental health. Ongoing monitoring of mental health of high-risk groups and multiple support systems may need to be expanded to cover those parents having difficulty in caring for their children.


Asunto(s)
COVID-19/epidemiología , Medios de Comunicación de Masas , Pandemias , Padres/psicología , Psicología Infantil , SARS-CoV-2 , Instituciones Académicas , Aislamiento Social , Adulto , Índice de Masa Corporal , Niño , Trastornos de la Conducta Infantil/epidemiología , Trastornos de la Conducta Infantil/etiología , Cuidado del Niño , Depresión/epidemiología , Depresión/etiología , Educación a Distancia , Ejercicio Físico , Femenino , Humanos , Renta , Actividades Recreativas , Masculino , Servicios de Salud Mental/estadística & datos numéricos , Relaciones Padres-Hijo , Utilización de Procedimientos y Técnicas , Cuarentena , República de Corea/epidemiología , Conducta Sedentaria , Trastornos del Sueño-Vigilia/epidemiología , Trastornos del Sueño-Vigilia/etiología , Apoyo Social , Estrés Psicológico/epidemiología , Estrés Psicológico/etiología , Encuestas y Cuestionarios
19.
J Stroke Cerebrovasc Dis ; 30(8): 105907, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34130103

RESUMEN

BACKGROUND AND OBJECTIVES: This study evaluated the validity and reliability of the Stroke Physical Activity Questionnaire (SPAQ), a Thai self-report questionnaire for assessing physical activity (PA) in participants with chronic stroke. METHODS: The validity of the SPAQ was tested by correlating PA data from the SPAQ with data obtained from a waist worn accelerometer which participants wore for seven days. The participants completed the SPAQ twice, one week apart and test-retest reliability was calculated using intraclass correlation coefficient. RESULTS: Forty-one participants, at least 3 months post-stroke (24 men and 17 women) were enrolled. The average age was 55.3 years (SD 11.9). Correlation coefficients of 0.58 and 0.57 were found between SPAQ and the accelerometer data for moderate PA and moderate to vigorous PA (MVPA), respectively. There was no significant correlation between light PA determined from SPAQ and accelerometer. The intraclass correlation coefficients were 0.56, 0.91 and 0.90 for light, moderate PA and MVPA, respectively. CONCLUSIONS: The validity of the SPAQ for moderate and MVPA was acceptable and the test-retest reliability of the SPAQ was excellent. This suggests the SPAQ is a useful tool for assessing moderate PA and MVPA among chronic stroke participants. However, it cannot be used to quantify light PA.


Asunto(s)
Ejercicio Físico , Accidente Cerebrovascular/diagnóstico , Encuestas y Cuestionarios , Actigrafía/instrumentación , Adulto , Anciano , Enfermedad Crónica , Estudios Transversales , Femenino , Monitores de Ejercicio , Humanos , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Reproducibilidad de los Resultados , Conducta Sedentaria , Accidente Cerebrovascular/fisiopatología , Tailandia , Factores de Tiempo
20.
J Nutr Health Aging ; 25(6): 751-756, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34179929

RESUMEN

OBJECTIVES: The objective of this study was to investigate the influence of the COVID-19 pandemic on physical activity (PA) and the incidence of frailty among initially non-frail older adults in Japan. DESIGN: A follow-up online survey. SETTING AND SUBJECTS: Among the 1,600 baseline online survey participants, 388 adults were already frail, and 275 older adults did not respond to the follow-up survey. Thus, the final number of participants in this study was 937 (follow-up rate: 77.3%). METHODS: We assessed the total PA time at four time points according to the COVID-19 waves in Japan: January 2020 (before the pandemic), April 2020 (during the first wave), August 2020 (during the second wave), and January 2021 (during the third wave). We then investigated the incidence of frailty during a one-year follow-up period (during the pandemic). RESULTS: The total PA time during the first, second, and third waves of the pandemic decreased from the pre-pandemic PA time by 33.3%, 28.3%, and 40.0%, respectively. In particular, the total PA time of older adults who were living alone and socially inactive decreased significantly: 42.9% (first wave), 50.0% (second wave), and 61.9% (third wave) less than before the pandemic, respectively. Additionally, they were at a significantly higher risk of incident frailty than those who were not living alone and were socially active (adjusted odds ratio: 2.04 [95% confidence interval: 1.01-4.10]). CONCLUSION: Our findings suggest that older adults who live alone and are socially inactive are more likely to experience incident frailty/disability due to decreased PA during the pandemic. Understanding this mechanism may be crucial for maintaining the health status of older adults.


Asunto(s)
COVID-19/epidemiología , Ejercicio Físico , Anciano Frágil/estadística & datos numéricos , Fragilidad/epidemiología , Encuestas Epidemiológicas , Internet , Aislamiento Social , Anciano , Anciano de 80 o más Años , Personas con Discapacidad/estadística & datos numéricos , Femenino , Estudios de Seguimiento , Humanos , Incidencia , Vida Independiente , Japón/epidemiología , Masculino , Pandemias , SARS-CoV-2 , Conducta Sedentaria
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