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1.
Br J Nurs ; 29(6): 346-348, 2020 Mar 26.
Artículo en Inglés | MEDLINE | ID: mdl-32207642

RESUMEN

Jane Simpson, Independent Continence Nurse Specialist, The London Clinic, explains why pelvic floor health is important for everyone and provides information that nurses can pass on to patients.


Asunto(s)
Relaciones Enfermero-Paciente , Educación del Paciente como Asunto , Diafragma Pélvico/fisiopatología , Terapia por Ejercicio/psicología , Femenino , Humanos , Masculino , Motivación , Incontinencia Urinaria de Esfuerzo/enfermería
3.
Am J Phys Med Rehabil ; 99(5): 424-429, 2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-31851009

RESUMEN

OBJECTIVES: The aim of the study was to explore motivators for and barriers to exercise rehabilitation in hemodialysis patients and the barriers perceived by the hemodialysis center staff. DESIGN: A cross-sectional study was performed in five hemodialysis centers using patient questionnaires designed for this study to evaluate the motivators for and barriers to exercise rehabilitation. Questionnaires were not yet validated. RESULTS: Of the 471 recruited patients, 63.3% were willing to participant in exercise rehabilitation. The greatest motivators included improving quality of life (98.0%) and wanting to be healthier (98.0%). Perceived barriers included discomfort (59.0%), concerns regarding safety (36.7%), and disinterest (27.0%). Among these, unwillingness, disinterest, and having peripheral arterial disease were independent risk factors of lack of participation in exercise rehabilitation. The most common perceived barriers among the 90 employees that participated were lack of professional guidance and advice from rehabilitation therapists (93.1%), lack of exercise rehabilitation knowledge (86.2%), and lack of special exercise equipment (86.2%). CONCLUSIONS: Most patients were willing to exercise to improve their health and quality of life. Barriers to exercise rehabilitation included patient and staff factors. It is essential to establish a rehabilitation team within dialysis centers, including general staff and rehabilitation therapists. These centers require improved rehabilitation policies and access to specialized rehabilitation equipment.


Asunto(s)
Actitud Frente a la Salud , Terapia por Ejercicio/psicología , Diálisis Renal , Adulto , Anciano , Anciano de 80 o más Años , Instituciones de Atención Ambulatoria , China , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Motivación , Encuestas y Cuestionarios
4.
Clin Ter ; 170(1): e74-e77, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31850488

RESUMEN

BACKGROUND: The beneficial effect of physical activity on a large spectrum of diseases is well known, with particular importance for elderly people. Among the different types of activity, adapted physical activity (APA) has been applied in a number of disease-related physical deficit. OBJECTIVE: The purpose of this study is to determine the outcome of a six months APA program in elder patients with osteoarthritis concerning physical and functional health and as second endpoint to determine the potential effect of AFA on reducing the risk of institutionalization. METHODS: The clinical indexes used to assess the outcome included the Blaylock Risk Assessment Screening Score (BRASS), the Psychological General Well Being Index (PGWBI), the Cumulative Illness Rating Scale (CIRS), the Short Physical Performance Battery (SPPB), and the visual analogue scale (VAS). RESULTS: A significant difference (p = 0.047) between the pre-APA and the post-APA value was found for BRASS, and highly significant differences (p <0.0001) were found for SPBB and VAS. CONCLUSIONS: These findings show that a six months APA program in elder patients with osteoarthritis improves physical function, reduces pain intensity and decreases the risk of institutionalization. Moreover the positive outcome of APA we found in elder patients with osteoarthritis suggests a more frequent use of such rehabilitation approach, also evaluating its economic impact on this disease.


Asunto(s)
Terapia por Ejercicio/métodos , Terapia por Ejercicio/psicología , Ejercicio Físico/psicología , Anciano Frágil/psicología , Anciano Frágil/estadística & datos numéricos , Osteoartritis/psicología , Osteoartritis/rehabilitación , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad
5.
Int Rev Neurobiol ; 147: 95-120, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31607364

RESUMEN

The world's population is aging and promoting healthy cognitive aging is a public health priority and challenge. Physical activity is a modifiable lifestyle factor that has been identified as positively impacting the cognitive health of older adults with and without cognitive impairment. This chapter current evidence from epidemiological and intervention studies (i.e., randomized controlled trials) on the role of physical activity and exercise in promoting cognitive health in older adults both with and without cognitive impairment. Biological sex as a potential moderator of exercise efficacy is also discussed. We conclude with future directions for this rapidly expanding line of research.


Asunto(s)
Envejecimiento Cognitivo/psicología , Disfunción Cognitiva/terapia , Terapia por Ejercicio/psicología , Ejercicio Físico/psicología , Humanos , Caracteres Sexuales
6.
Artículo en Inglés | MEDLINE | ID: mdl-31561424

RESUMEN

The association between physical activity (PA) and mental well-being in individuals with a cardiovascular disease (CVD) is poorly studied. The objective of this study was to assess the association between mental well-being and adherence to the recommended guidelines for PA in a Scottish adult population with CVD. The study used data from 3128 adults who had CVD conditions (1547 men and 1581 women; mean age 63.29 years) who participated in the Scottish Health Survey between 2014 and 2017. The Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) was used as a surrogate measure of mental health. PA was classified as "met" or "unmet" on the basis of the recommended PA guidelines (150 min of moderate activity or 75 min of vigorous activity per week). The relationship between PA guidelines being met and the WEMWBS score was explored using hierarchical linear regression accounting for a set of health and sociodemographic characteristics. Of the participants, ~41.8% met the recommended PA levels. Among those with CVD, the mean (SD) WEMWBS scores of individuals who did not have a long-standing illness (51.14 ± 7.65 vs 47.07 ± 9.54; p < 0.05), diabetes (48.44 ± 9.05 vs 46.04 ± 10.25; p < 0.05), or high blood pressure (48.63 ± 9.08 vs 47.52 ± 9.47; p < 0.05) were significantly higher than those of individuals with such conditions. Meeting PA recommendations was significantly associated with a higher mean WEMWBS score (50.64 ± 7.97 vs 46.06 ± 9.75; p < 0.05). Multiple regression analysis of health-related behaviors improved the prediction of mental well-being over and above meeting the recommended PA levels. Mental well-being was strongly correlated with PA adherence in CVD patients. It seems that for patients with CVD, PA should be tailored to meet patients' health conditions in order to promote mental well-being and improve overall health.


Asunto(s)
Rehabilitación Cardiaca/métodos , Enfermedades Cardiovasculares/psicología , Enfermedades Cardiovasculares/terapia , Terapia por Ejercicio/psicología , Terapia por Ejercicio/normas , Ejercicio Físico/psicología , Adhesión a Directriz/estadística & datos numéricos , Adolescente , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Persona de Mediana Edad , Escocia , Adulto Joven
7.
Transplant Proc ; 51(6): 1822-1830, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31399167

RESUMEN

OBJECTIVES: The aim of the study was to compare the effects of a physical activity program on daily physical activity and quality of life in kidney transplant (KTx) recipients and in patients with chronic kidney disease (CKD). MATERIALS AND METHODS: The study group consisted of 24 KTx recipients and 15 patients with stage 3 to 4 CKD. Habitual physical activity was monitored for 72 hours. Individualized structured programs of increased physical activity were prepared based on baseline physical performance. The measurements were repeated after 1 and 3 months. Participants completed the 36-item Short Form Health Survey questionnaire and an International Physical Activity Questionnaire at baseline and after 1, 2, and 3 months. RESULTS: Physical activity duration and total energy expenditure significantly increased after 3 months in both KTx recipients (from 126 ± 87 to 200 ± 132 min/d, P = .001, and from 1.73 ± 0.37 to 2.24 ± 0.59 cal/min, P < .001, respectively) and CKD patients (from 79 ± 78 to 129 ± 114 min/d, P < .001, and from 1.5 ± 0.5 to 1.92 ± 0.47 cal/min, P < .001, respectively). Short Form Health Survey total score and physical component scale score improved significantly in both groups. Mental component scale score increased significantly only in KTx patients. CONCLUSION: Increased physical activity induces similar beneficial effects on total and physical activity component of quality of life and habitual daily activity in CKD and KTx patients.


Asunto(s)
Terapia por Ejercicio/psicología , Ejercicio Físico , Trasplante de Riñón/rehabilitación , Calidad de Vida , Insuficiencia Renal Crónica/rehabilitación , Adulto , Terapia por Ejercicio/métodos , Femenino , Humanos , Trasplante de Riñón/psicología , Masculino , Persona de Mediana Edad , Periodo Posoperatorio , Insuficiencia Renal Crónica/psicología , Insuficiencia Renal Crónica/cirugía , Encuestas y Cuestionarios , Receptores de Trasplantes/psicología , Resultado del Tratamiento
8.
Res Q Exerc Sport ; 90(4): 619-628, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31437112

RESUMEN

Flexible nonlinear periodization (FNLP) was designed to optimize sport-specific resistance training by matching bout demand to pre-exercise mental and physical states ("readiness to train"). Before applying this participant-responsive framework to aerobic prescriptions for inactive adults, operational definitions of readiness are needed. Purpose: To identify themes underlying readiness to perform aerobic bouts considered to be low-demand bouts (LDB) and high-demand bouts (HDB) in adults with obesity. Method: Using Qualtrics, 1,059 respondents initiated the online survey. Quality responses from adults with obesity (N = 112) were analyzed. Respondents described physical and mental states necessary to complete an LDB (10-min slow stroll) and an HDB (60-min jog). Data were assessed using content and thematic analyses. Results: Respondents (57% female) could be classified with class II obesity (35 ± 5 kg/m2) and were 48 ± 12 years old. One theme, body integrity (no pain//illness) emerged for both the LDB and HDB. Regarding affect/arousal, both bouts required the need to feel rested and in a positive mood, but the HDB required higher states of arousal ("pumped up"). Specific to the LDB, a recurring theme suggested that it could be completed under normal or worse (hungry, sick) circumstances. Specific to the HDB were themes relating to physical fitness, proper fueling ("hydrated," "not hungry but not too full"), and enhanced motivation ("determination," "focus," "confidence"). Conclusions: These uncovered themes provide empirical evidence to guide the construction of a readiness checklist that can be further validated and applied in adults with obesity undergoing an FNLP-based aerobic exercise prescription.


Asunto(s)
Terapia por Ejercicio/psicología , Motivación , Obesidad/psicología , Obesidad/terapia , Adulto , Afecto , Terapia Conductista , Lista de Verificación , Femenino , Humanos , Masculino , Persona de Mediana Edad , Obesidad/fisiopatología , Dolor/psicología , Factores de Tiempo
9.
Medicina (Kaunas) ; 55(8)2019 Aug 07.
Artículo en Inglés | MEDLINE | ID: mdl-31394736

RESUMEN

Background and Objective: The transient hypofrontality hypothesis predicts that memory function will be impaired during high-intensity exercise, as a result of a need for metabolic and cognitive resources to be allocated toward sustaining movement, as opposed to performing a cognitive task. The purpose of these experiments was to evaluate this transient hypofrontality hypothesis. Materials and Methods: Experiment 1 involved participants (n = 24; Mage = 21.9 years) completing four counterbalanced visits. Two visits evaluated working memory function, either at rest or during a high-intensity bout of acute exercise. The other two visits evaluated episodic memory function, either at rest or during a high-intensity bout of acute exercise. Experiment 2 (n = 24; Mage = 20.9 years) extended Experiment 1 by evaluating memory function (working memory) across 4 counterbalanced conditions, including at rest and during light (30% of heart rate reserve; HRR), moderate (50% HRR) and high-intensity (80% HRR) acute exercise. Results: Experiment 1 demonstrated that, when compared to rest, both working memory and episodic memory were impaired during high-intensity acute exercise. Experiment 2 replicated this effect, but then also showed that, unlike high-intensity acute exercise, memory function was not impaired during low- and moderate-intensity acute exercise. Conclusions: Our experiments provide support for the transient hypofrontality hypothesis. Both working memory and episodic memory are impaired during high-intensity acute exercise. Working memory does not appear to be impaired during lower exercise intensities.


Asunto(s)
Disfunción Cognitiva/etiología , Terapia por Ejercicio/efectos adversos , Ejercicio Físico/fisiología , Memoria/fisiología , Adolescente , Adulto , Disfunción Cognitiva/psicología , Terapia por Ejercicio/métodos , Terapia por Ejercicio/psicología , Femenino , Humanos , Masculino , Memoria a Corto Plazo/fisiología
10.
Medicina (Kaunas) ; 55(7)2019 Jul 16.
Artículo en Inglés | MEDLINE | ID: mdl-31315290

RESUMEN

Background and objectives: Lymphoma patients experience a psychological and physiological decline that could be reversed by exercise. However, little is known about the effects of the exercise on psychological and physical fitness variables. Therefore, the purpose of this longitudinal study was to assess self-efficacy, fatigue and physical fitness before and after an eight-week exercise intervention. Materials and Methods: Thirty-six participants (54.4 ± 19.1 years) performed a supervised exercise program (~60 min, 2d·wk-1). Each session included a combined progressive training of cardiorespiratory, resistance, flexibility and postural education exercises. Self-efficacy and fatigue were measured with the Regulatory Emotional Self-Efficacy scale and 0-10 rating scale, respectively. Physical fitness was assessed with the body mass index, lower back flexibility, static balance, muscle strength and functional mobility. Results: Adherence to exercise was high (91.2% ± 4.8%) and no major health problems were noted in the patients over the intervention period. At baseline, significant differences were found between Hodgkin's lymphoma and non-Hodgkin's lymphoma patients by age and all dependent measures (p < 0.05). Fatigue significantly decreased and the perceived capability to regulate negative affect and to express positive emotions improved after exercise (p < 0.001). Significant improvements were found for body mass index, trunk lateral flexibility, monopodalic balance, isometric handgrip force and functional mobility (p < 0.001). Fatigue was significantly correlated with handgrip force (r = -0.56, p < 0.001) and functional mobility (r = -0.69, p < 0.001). Conclusions: The supervised exercise program improved psychological and physical fitness without causing adverse effects and health problems. Therefore, exercise to improve fitness levels and reduce perceived fatigue should be considered in the management of lymphoma patients.


Asunto(s)
Terapia por Ejercicio/normas , Linfoma/psicología , Adulto , Anciano , Ejercicio Físico/psicología , Terapia por Ejercicio/métodos , Terapia por Ejercicio/psicología , Fatiga/diagnóstico , Fatiga/etiología , Femenino , Fuerza de la Mano/fisiología , Humanos , Estudios Longitudinales , Linfoma/complicaciones , Linfoma/terapia , Masculino , Persona de Mediana Edad , Aptitud Física/psicología , Psicometría/instrumentación , Psicometría/métodos , Autoeficacia
11.
BMC Gastroenterol ; 19(1): 115, 2019 Jul 02.
Artículo en Inglés | MEDLINE | ID: mdl-31266461

RESUMEN

BACKGROUND: Patients with Inflammatory Bowel Disease (IBD) also suffer from a wide range of additional disorders, which may be caused by the disease, the side effect of the medication, or a lack of physical activity (PA). This results in reduced physical and psychological wellbeing. However, as known from other chronic diseases exercise could be utilized as supportive therapy for IBD patients. Main goals of this article are (a) collecting data of the effects structured physical activity interventions have on validated clinical parameters of IBD and health related symptoms, (b) developing activity recommendations for this clientele. METHODS: A scoping review was conducted, searching for relevant articles published until May 2018, which investigated the effects of structured exercise interventions in IBD patients. The heterogeneity of the outcomes and the interventions did not support a quantitative synthesis thus, a qualitative discussion of the studies is provided. RESULTS: After reviewing 353 records, 13 eligible articles were identified. Five studies investigated aerobic exercise, three studies resistance exercise, three studies mind-body therapies and two studies yoga. The quality of the studies is mixed, and the duration is rather short for exercise interventions. Only few studies assessed validated IBD activity markers or inflammatory biomarkers. Nevertheless, the patients showed an increase in fitness, bone mineral density (BMD), quality of life and a decrease of IBD induced stress and anxiety. No severe adversial events were reported. CONCLUSION: Even though the evidence is limited the application of exercise interventions in IBD patients can be assumed to be safe and beneficial for the patients' overall-health, and IBD specific physical and psychosocial symptoms. But there is still a high demand for more thoroughly conducted studies, focussing on important clinical outcome parameters.


Asunto(s)
Terapias Complementarias/métodos , Terapia por Ejercicio/métodos , Enfermedades Inflamatorias del Intestino/terapia , Adulto , Terapias Complementarias/psicología , Ejercicio Físico , Terapia por Ejercicio/psicología , Femenino , Humanos , Enfermedades Inflamatorias del Intestino/psicología , Masculino , Persona de Mediana Edad , Terapias Mente-Cuerpo/métodos , Entrenamiento de Resistencia/métodos , Resultado del Tratamiento , Yoga
12.
Nord J Psychiatry ; 73(7): 401-408, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31361175

RESUMEN

Background: Increasing attention is focusing on psychosocial interventions for treating patients with dementia. Aims: This observational intervention study investigated the impact of physical exercise and music interventions among patients with dementia on an acute psychogeriatric ward. Materials and methods: The data were collected during February 2009-December 2010 (n = 89; treatment as usual) and during April 2011-March 2013 (n = 86; treatment as usual with physical exercise, e.g. balance, flexibility, strength training, and music interventions, e.g. singing, listening to music and playing instruments). The primary outcome measure was the Neuropsychiatric Inventory and the secondary outcome measures were the Alzheimer's Disease Cooperative Study-Activities of Daily Living, the Barthel Index, and the Mini-Mental State Examination. Results: In both groups, neuropsychiatric symptoms (NPS) decreased (p < .001) but daily functioning deteriorated (p < .001). No significant between-group differences for either outcome variable were found. Based on linear mixed models, fewer exercise sessions associated with more severe symptoms (p = .030), and the time variable (admission/discharge) with a decline in the level of NPS (p < .001). Moreover, female gender (p = .026) and more exercise sessions (p = .039) associated with an increased level of functioning (p = .031) and the time variable (admission/discharge) with a drop in the level of functioning during hospitalization (p < .001). Conclusion: Although no differences were found between the study groups, analysis within the intervention group suggest that physical exercise may have some positive effects for both NPS and the level of functioning in some patients with dementia while no positive effects regarding music interventions were found.


Asunto(s)
Demencia/terapia , Terapia por Ejercicio/métodos , Ejercicio Físico , Psiquiatría Geriátrica/métodos , Musicoterapia/métodos , Servicio de Psiquiatría en Hospital , Actividades Cotidianas/psicología , Anciano , Anciano de 80 o más Años , Demencia/psicología , Ejercicio Físico/fisiología , Ejercicio Físico/psicología , Terapia por Ejercicio/psicología , Femenino , Humanos , Pacientes Internos/psicología , Masculino , Persona de Mediana Edad
13.
Eur J Oncol Nurs ; 41: 16-23, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31358249

RESUMEN

PURPOSE: Older patients with cancer are underrepresented in exercise-based trials. To engage older patients in physical activity (PA), it is necessary to consider age-related decline in health, comorbidities and practicalities. The study aim was to explore attitudes towards PA and exercise among older patients with cancer to inform future exercise-based interventions. METHOD: Individual interviews (N = 23) were conducted in patients ≥ 65 years with advanced lung, biliary tract and pancreatic cancer receiving palliative oncological treatment. Patients were recruited with a purposive sampling strategy. A semi-structured interview guide focusing on attitudes towards PA and exercise, including barriers, facilitators and motivators, was used. Data on the informants' medical history, demographics and PA level was collected. RESULTS: Identified themes were: 1) a general positive perception of physical activity is expressed 2) comorbidities and external circumstances prevent physical activity, 3) fatigue overshadows life, 4) social support is key to short and long-term motivation, 5) fixed conditions keep one focused, 6) familiarity raises confidence and motivation. CONCLUSIONS: Even though perceptions of PA were positive among older patients with cancer, most struggled to stay physically active during oncological treatment. Several factors related to cancer and aging were identified as barriers; most profoundly was the overwhelming feeling of fatigue. Improving physical and mental well-being, fixed conditions (e.g. group-based exercise and supervision) and social support were identified as motivators and facilitators. Preferences for PA varied, but activities that were familiar increased motivation. Exercise programs for older patients with cancer must be adjustable to each patient's limitations, needs and personal resources.


Asunto(s)
Actitud Frente a la Salud , Terapia por Ejercicio/psicología , Motivación , Neoplasias/psicología , Neoplasias/terapia , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Investigación Cualitativa
14.
Clinics (Sao Paulo) ; 74: e322, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31271585

RESUMEN

OBJECTIVES: The aim of this study was to investigate the effects of aquatic exercise on mental health, functional autonomy and oxidative stress parameters in depressed elderly individuals. METHODS: Initially, ninety-two elderly individuals were included in the study and were allocated into the depression group (n=16) and nondepression group (n=14). Both groups engaged in the aquatic exercise program for 12 weeks, including two weekly sessions (45 min/session) at a low intensity (between 50% and 60% of maximal heart rate or Borg scale scores of 13 to 14) throughout the intervention. All outcomes were evaluated at baseline and 12 weeks later. RESULTS: The patients were 63.5±8.8 years old. The following scores were decreased after training in the depressed group: depression (53%), anxiety (48%), and Timed Up & Go (33%). The following scores increased: Berg Balance Scale (9%) and flexibility (44%). Regarding the blood-based parameters, there were decreases in protein carbonylation (46%) and nitric oxide (60%) and increases in glutathione (170%) and superoxide dismutase (160%) in the depression group (p<0.005). CONCLUSIONS: The aquatic exercise program reduces depression and anxiety, improves functional autonomy and decreases oxidative stress in depressed elderly individuals.


Asunto(s)
Terapia por Ejercicio/métodos , Ejercicio Físico/psicología , Salud Mental , Estrés Oxidativo , Anciano , Anciano de 80 o más Años , Ansiedad/psicología , Ejercicio Físico/fisiología , Terapia por Ejercicio/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Aptitud Física/fisiología , Deportes Acuáticos/psicología
15.
NeuroRehabilitation ; 44(4): 569-577, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31256088

RESUMEN

BACKGROUND: Randomized clinical trials (RCTs) used the Nintendo Wii (NW) in the treatment of Parkinson Disease, however, no meta-analysis was developed to determine the effects in these patients. OBJECTIVE: To analyze RCTs that investigated the effects of NW versus traditional physiotherapy on balance rehabilitation and quality of life of patients with PD. METHODS: Electronic research was conducted between December 2018 and January 2019 in the MEDLINE, PEDro, CENTRAL, LILACS and SciELO databases. The methodological quality was evaluated by the PEDro scale and the completeness of the description of the interventions by the TIDieR checklist. Weighted mean differences (WMD) and 95% confidence interval (CI) were calculated. RESULTS: Five studies were included and presented an average of 5.4 (1.5) on the PEDro scale and 6.7 (1.4) on the TIDieR. Compared to traditional physiotherapy, combined NW and traditional physiotherapy resulted in improvement in balance WMD 1.24 (95% CI: CI: 0.2 to 2.3 N = 72) and quality of life WMD- 8.9 (95% CI: -15.2 to -2.6 N = 56). CONCLUSION: combined NW and traditional physiotherapy was more effective on balance rehabilitation and quality of life of patients with PD, but the values demonstrated a poor methodological quality and a low level of completeness of the intervention descriptions.


Asunto(s)
Terapia por Ejercicio/métodos , Terapia por Ejercicio/psicología , Enfermedad de Parkinson/psicología , Enfermedad de Parkinson/rehabilitación , Equilibrio Postural/fisiología , Juegos de Video/psicología , Humanos , Enfermedad de Parkinson/fisiopatología , Calidad de Vida/psicología , Resultado del Tratamiento
16.
Int Urol Nephrol ; 51(7): 1249-1260, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31161521

RESUMEN

PURPOSE: Patients with end-stage renal disease (ESRD) seem to have a negative attitude towards physical activity, which is mainly favored by the lack of counseling provided by the medical and nursing staff. The aim of this study was to investigate the attitudes of both ESRD patients and medical staff on the participation and promotion of physical activity and identify the obstacles that discourage patients' involvement in intervention programs. STUDY DESIGN: Subjective assessment questionnaires and the International Physical Activity Questionnaire were administrated to hemodialysis patients and medical staff, to investigate the association between patient's barriers to physical activity, the total intensity level of physical activity, and attitudes of both ESRD patients and medical staff on the participation and promotion of physical activity. RESULTS: A total of 103 ESRD patients (61 men, 59.2%), 20 nephrologists (12 men, 60.0%), and 72 nurses (61 women, 84.7%) participated in the study. Most commonly reported patient's barriers were fatigue on dialysis (97.4%) and non-dialysis days (55.1%). Healthcare staff showed positive attitude towards renal rehabilitation exercise programs. However, most of physicians (85.0%) and nurses (83.3%) did not have previous experience with interventional exercise rehabilitation programs. Binary logistic regression revealed significant association between patients' inactivity, demographic data, and barriers towards physical activity, such as fatigue and pain in dialysis and non-dialysis days (p < 0.05), family's and physician's concern (p < 0.05), too many medical problems (p < 0.05), the fear of getting hurt (p = 0.01), and unwillingness for exercise (p < 0.05). Interestingly, healthcare staff's negative attitudes toward patient's physical activity seem to be strongly associated with patient's inactivity status. CONCLUSION: Healthcare staff negative attitudes and multiple related barriers especially fatigue on dialysis and non-dialysis days, towards ESRD patient's physical activity, suppress desire for exercise and active patients' status, leading them to abstain from it.


Asunto(s)
Actitud del Personal de Salud , Actitud Frente a la Salud , Terapia por Ejercicio , Ejercicio Físico , Fallo Renal Crónico , Participación del Paciente/psicología , Diálisis Renal , Adulto , Consejo , Ejercicio Físico/fisiología , Ejercicio Físico/psicología , Terapia por Ejercicio/métodos , Terapia por Ejercicio/psicología , Fatiga/etiología , Fatiga/psicología , Femenino , Humanos , Fallo Renal Crónico/psicología , Fallo Renal Crónico/rehabilitación , Fallo Renal Crónico/terapia , Masculino , Persona de Mediana Edad , Nefrólogos/psicología , Personal de Enfermería/psicología , Diálisis Renal/efectos adversos , Diálisis Renal/métodos , Diálisis Renal/psicología , Conducta Sedentaria
17.
BMC Public Health ; 19(1): 697, 2019 Jun 06.
Artículo en Inglés | MEDLINE | ID: mdl-31170967

RESUMEN

BACKGROUND: Many studies have demonstrated positive effects of physical activity on children's health such as improved cardiorespiratory function and decreased obesity. Physical activity has also been found to have positive effects on academic achievement and cognitive function. However, there are few high quality RCT studies on this topic at present and the findings remain controversial. METHODS: This protocol describes cluster randomized controlled trials assessing the impact of school-based exercise intervention among children in Mongolia. The intervention consists of 3-min sessions of high intensity interval training combined with music implemented two times a week at school during study periods. The participants are children in the fourth grade in public elementary schools in the Sukhbaatar district in Ulaanbaatar, Mongolia. The participants are cluster randomized by school and allocated either to the intervention or control group. The primary outcome is academic achievement. Secondary outcomes are obesity/overweight, physical fitness function, lifestyle, mental health, and cognitive function. DISCUSSION: This cluster-RCT is designed and implemented to assess the effectiveness of exercise intervention on academic achievement, cognitive function, and physical and mental health among school-age children in Mongolia. This study will provide evidence to promote physical activities among children in low- and middle- income countries. TRIAL REGISTRATION: UMIN: UMIN000031062 . Registered on 1st February 2018.


Asunto(s)
Éxito Académico , Cognición , Terapia por Ejercicio/psicología , Ejercicio Físico/psicología , Servicios de Salud Escolar , Niño , Análisis por Conglomerados , Terapia por Ejercicio/métodos , Femenino , Humanos , Estilo de Vida , Masculino , Salud Mental , Mongolia , Obesidad/prevención & control , Obesidad/psicología , Sobrepeso/prevención & control , Sobrepeso/psicología , Aptitud Física/psicología , Evaluación de Programas y Proyectos de Salud , Ensayos Clínicos Controlados Aleatorios como Asunto , Instituciones Académicas
18.
Eur J Cancer Care (Engl) ; 28(5): e13126, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31245884

RESUMEN

OBJECTIVE: To explore the lived experiences and social benefits among patients with operable Non-small-cell lung cancer who participated in an exercise intervention. METHODS: Eighteen patients enrolled in an exercise intervention at 2 weeks post-surgery participated in qualitative interviews at three time points. A phenomenological hermeneutical approach comprised the epistemological stance inspired by Ricoeur's philosophy. Analysis and interpretation provided descriptions that captured the meaning of the patients' lived experiences. RESULTS: The exercise intervention was significant in terms of the patients' social capital, and the patients experienced themselves as part of a community. Patients gained access to resources that derived from human interaction in the exercise group, and their illness and treatment became easier to manage when shared with others in the same situation. The intervention helped to create a community for patients after lung cancer surgery, and the patients experienced a feeling of belonging and equality with the other participants. CONCLUSION: The group-based exercise intervention created opportunities for mutual understanding between patients, making illness and treatment easier to manage. The patients experienced support to reformulate their identity during the exercise intervention in their interaction with peers in the group.


Asunto(s)
Carcinoma de Pulmón de Células no Pequeñas/psicología , Comprensión , Terapia por Ejercicio/psicología , Neoplasias Pulmonares/psicología , Capital Social , Adulto , Anciano , Carcinoma de Pulmón de Células no Pequeñas/rehabilitación , Carcinoma de Pulmón de Células no Pequeñas/cirugía , Femenino , Hermenéutica , Humanos , Neoplasias Pulmonares/rehabilitación , Neoplasias Pulmonares/cirugía , Masculino , Persona de Mediana Edad , Investigación Cualitativa
19.
Clin Interv Aging ; 14: 643-658, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31040654

RESUMEN

Introduction: Many health care interventions have been developed that aim to improve or maintain the quality of life for frail elderly. A clear overview of these health care interventions for frail elderly and their effects on quality of life is missing. Purpose: To provide a systematic overview of the effect of health care interventions on quality of life of frail elderly. Methods: A systematic search was conducted in Embase, Medline (OvidSP), Cochrane Central, Cinahl, PsycInfo and Web of Science, up to and including November 2017. Studies describing health care interventions for frail elderly were included if the effect of the intervention on quality of life was described. The effects of the interventions on quality of life were described in an overview of the included studies. Results: In total 4,853 potentially relevant articles were screened for relevance, of which 19 intervention studies met the inclusion criteria. The studies were very heterogeneous in the design: measurement of frailty, health care intervention and outcome measurement differ. Health care interventions described were: multidisciplinary treatment, exercise programs, testosterone gel, nurse home visits and acupuncture. Seven of the nineteen intervention studies, describing different health care interventions, reported a statistically significant effect on subdomains of quality of life, two studies reported a statistically significant effect of the intervention on the overall quality of life score. Ten studies reported no statistically significant difference between the intervention and control groups. Conclusion: Reported effects of health care interventions on frail elderly persons' quality of life are inconsistent, with most of the studies reporting no differences between the intervention and control groups. As the number of frail elderly persons in the population will continue to grow, it will be important to continue the search for effective health care interventions. Alignment of studies in design and outcome measurements is needed.


Asunto(s)
Terapia por Ejercicio , Anciano Frágil/psicología , Servicios de Salud para Ancianos , Calidad de Vida , Anciano , Terapia por Ejercicio/métodos , Terapia por Ejercicio/psicología , Humanos
20.
Dtsch Med Wochenschr ; 144(10): e64-e69, 2019 05.
Artículo en Alemán | MEDLINE | ID: mdl-31083730

RESUMEN

BACKGROUND: So far physical activity counseling and exercise referral in primary health care are not well established Germany. The exercise referral scheme "Rezept für Bewegung" ("exercise on prescription", "EoP") represents an appropriate tool. The initiative aims to reinforce the physicians' verbal advice via the written prescription. The aim of this study was to assess patients' perceptions of the counseling and their self-reported intention to increase their level of physical activity. METHODS: 3.9 ±â€Š1.0 months after physical activity counseling and referral 173 patients were invited to fill out a 17-item self-administered questionnaire regarding counseling satisfaction and the impact on physical activity behavior. Study participants were recruited through 12 medical offices in 8 areas of the sports association in Hessen. RESULTS: Data of 51 patients (aged 56.1 ±â€Š13.3; 35 female) were included in the evaluation. Almost 2/3 of patients reported ≤ 60 min/week physical activity prior to counseling. 63 % of the interviewees rated the counseling good to very good. Following the counseling more than 1/2 of the respondents attended a course at a sports club and 51 % increased their physical activity in daily life. Overall satisfaction with counseling was associated with higher rates of sports participation OR 3.16 (95 % CI 1.07 - 9.33). 49 % of the respondents wished more support from their health insurance to find an appropriate course. DISCUSSION: "EoP" may be effective in raising patients' awareness for exercise and health and in increasing participation in physical activity.


Asunto(s)
Terapia por Ejercicio/psicología , Ejercicio Físico/psicología , Conocimientos, Actitudes y Práctica en Salud , Adulto , Anciano , Alemania , Humanos , Persona de Mediana Edad
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