Environmental and Psychosocial Barriers Affect the Active Commuting to University in Chilean Students.

Biking and walking are active commuting, which is considered an opportunity to create healthy habits. OBJECTIVE: The purpose of this study was to determine the main environmental and psychosocial barriers perceived by students, leading to less Active Commuting (AC) to university and to not reaching the Physical Activity (PA) recommendations. MATERIAL AND METHODS: In this cross-sectional study, 1349 university students (637 men and 712 women) were selected. A self-reported questionnaire was applied to assess the mode of commuting, PA level and barriers to the use of the AC. RESULTS: Women presented higher barriers associated with passive commuting than men. The main barriers for women were "involves too much planning" (OR: 5.25; 95% CI: 3.14-8.78), "It takes too much time" (OR: 4.62; 95% CI: 3.05-6.99) and "It takes too much physical effort " (OR: 3.18; 95% CI: 2.05-4.94). In men, the main barriers were "It takes too much time" (OR: 4.22; 95% CI: 2.97-5.99), "involves too much planning" (OR: 2.49; 95% CI: 1.67-3.70) and "too much traffic along the route" (OR: 2.07; 95% CI: 1.47-2.93). Psychosocial barriers were found in both sexes. CONCLUSIONS: Psychosocial and personal barriers were more positively associated with passive commuting than environmental barriers. Interventions at the university are necessary to improve the perception of AC and encourage personal organization to travel more actively.

Exercise prehabilitation program for patients under neoadjuvant treatment for rectal cancer: A pilot study.

CONTEXT: Prehabilitation is emerging as a method of preparing patients physically and mentally for the often disabling effects of cancer treatment. AIMS: This study aims to assess the feasibility and to explore the potential effects of a prehabilitation program consisting of educational physical exercise sessions in patients with rectal cancer undergoing neoadjuvant chemoradiotherapy treatment (NCRT). SETTINGS AND DESIGN: This was a pilot study with 12 patients (3 males and 9 females, age 61 ± 7 years). SUBJECTS AND METHODS: The program included six educational sessions of exercise during NCRT. Adherence to the intervention; quality of life (QoL); anxiety and depression; body mass index; physical fitness (peak oxygen uptake (VO2peak), handgrip and dynamic leg strength); and physical activity (PA) levels were measured. STATISTICAL ANALYSIS USED: Data are reported as the mean ± standard deviation or medians and interquartile ranges for questionnaire-derived data. Secondary outcome measures were compared using the nonparametric Wilcoxon test. The threshold P value for significance was calculated after correction for multiple comparisons using the Bonferroni method. RESULTS: Adherence to the program was 64 of 72 possible exercise education sessions completed, i.e., 89%. We detected a trend toward a significant improvement in VO2peak after the intervention (P = 0.015), together with reduced scores for both depression (P = 0.017) and the QoL domain "emotional function" (P = 0.027). Mean levels of moderate to vigorous PA tended to increase after the exercise program (P = 0.091). CONCLUSIONS: Exercise might be an effective prehabilitation strategy for surgery during the period of NCRT.

Feasibility of resistance training in adult McArdle patients: clinical outcomes and muscle strength and mass benefits.

We analyzed the effects of a 4-month resistance (weight lifting) training program followed by a 2-month detraining period in 7 adult McArdle patients (5 female) on: muscle mass (assessed by DXA), strength, serum creatine kinase (CK) activity and clinical severity. Adherence to training was ≥84% in all patients and no major contraindication or side effect was noted during the training or strength assessment sessions. The training program had a significant impact on total and lower extremities' lean mass (P < 0.05 for the time effect), with mean values increasing with training by +855 g (95% confidence interval (CI): 30, 1679) and +547 g (95%CI: 116, 978), respectively, and significantly decreasing with detraining. Body fat showed no significant changes over the study period. Bench press and half-squat performance, expressed as the highest value of average muscle power (W) or force (N) in the concentric-repetition phase of both tests showed a consistent increase over the 4-month training period, and decreased with detraining. Yet muscle strength and power detraining values were significantly higher than pre-training values, indicating that a training effect was still present after detraining. Importantly, all the participants, with no exception, showed a clear gain in muscle strength after the 4-month training period, e.g., bench press: +52 W (95% CI: 13, 91); half-squat: +173 W (95% CI: 96, 251). No significant time effect (P > 0.05) was noted for baseline or post strength assessment values of serum CK activity, which remained essentially within the range reported in our laboratory for McArdle patients. All the patients changed to a lower severity class with training, such that none of them were in the highest disease severity class (3) after the intervention and, as such, they did not have fixed muscle weakness after training. Clinical improvements were retained, in all but one patient, after detraining, such that after detraining all patients were classed as class 1 for disease severity.