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1.
Rev. bras. med. esporte ; 28(5): 432-435, Set.-Oct. 2022. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1376700

RESUMO

ABSTRACT Objective: To explore the influence of leisure sports tourism activities on the health of elderly tourists. Methods: Through investigating the leisure sports tourism activities of some elderly tourists who participated in travel agencies, the health status and quality of life of elderly tourists who participated in leisure sports tourism activities for a long time (exercising group) were compared with those who did not or occasionally participated in physical exercise (non-exercising group), to understand the influence of leisure sports tourism activities on the health of elderly tourists. Results: Regarding the attitude of participating in sports leisure tourism activities, the survey results show that the elderly tourists reached a basic consensus about participating in sports leisure tourism activities. Different types of landscapes have significant differences in improving tourists' anxiety. The proportion of "very satisfied" in the exercise group was significantly higher than that in the non-exercise group. The duration of the trip has a significant impact on improving tourists' anxiety. Conclusion: We should strengthen the advertising of leisure sport tourism activities, let more elderly tourists participate in leisure sport tourism activities, strengthen the behavioral guidance of elderly tourists in leisure sport tourism activities, and help them improve their health. Level of evidence II; Therapeutic studies - investigation of treatment results.


RESUMO Objetivo: Explorar a influência das atividades de turismo esportivo de lazer sobre a saúde dos turistas idosos. Método: Através da investigação das atividades de turismo de lazer esportivo de alguns turistas idosos que participaram de agências de viagem, o estado de saúde e qualidade de vida dos turistas idosos que participaram de atividades de turismo de lazer esportivo por um longo tempo (grupo de exercícios) foram comparados com aqueles que não participaram ou ocasionalmente participaram de exercícios físicos (grupo não praticante), para entender a influência das atividades de turismo de lazer esportivo sobre a saúde dos turistas idosos. Resultados: Quanto à atitude de participação em atividades de turismo de lazer esportivo, os resultados da pesquisa mostram que os turistas idosos chegaram a um consenso básico sobre a participação em atividades de turismo de lazer esportivo. Diferentes tipos de paisagens têm diferenças significativas para melhorar a ansiedade dos turistas. A proporção de "muito satisfeitos" no grupo de exercícios foi significativamente maior do que a do grupo de não-exercícios. A duração da viagem tem um impacto significativo na melhoria da ansiedade dos turistas. Conclusão: Devemos fortalecer a propaganda das atividades de turismo esportivo de lazer, deixar que mais turistas idosos participem das atividades de turismo esportivo de lazer, fortalecer a orientação do comportamento dos turistas idosos em atividades de turismo esportivo de lazer, e ajudá-los a melhorar sua saúde. Nível de evidência II; Estudos terapêuticos - investigação de resultados de tratamento.


RESUMEN Objetivo: Explorar la influencia de las actividades de turismo deportivo de ocio en la salud de los turistas de edad avanzada. Método: Mediante la investigación de las actividades de turismo deportivo de ocio de algunos turistas de la tercera edad que participaron en agencias de viajes, se comparó el estado de salud y la calidad de vida de los turistas de la tercera edad que participaron en actividades de turismo deportivo de ocio durante un largo periodo (grupo ejercitante) con los que no hicieron ejercicio físico o lo hicieron ocasionalmente (grupo no ejercitante), para comprender la influencia de las actividades de turismo deportivo de ocio en la salud de los turistas de la tercera edad. Resultados: En cuanto a la actitud de participación en actividades de turismo de ocio deportivo, los resultados de la investigación muestran que los turistas de edad avanzada llegaron a un consenso básico sobre la participación en actividades de turismo de ocio deportivo. Los distintos tipos de paisajes presentan diferencias significativas a la hora de mejorar la ansiedad de los turistas. La proporción de "muy satisfechos" en el grupo de ejercicio fue significativamente mayor que en el grupo de no ejercicio. La duración del viaje tiene un impacto significativo en la mejora de la ansiedad de los turistas. Conclusión: Debemos reforzar la publicidad de las actividades de turismo deportivo de ocio, dejar que más turistas de edad avanzada participen en las actividades de turismo deportivo de ocio, reforzar la orientación del comportamiento de los turistas de edad avanzada en las actividades de turismo deportivo de ocio y ayudarles a mejorar su salud. Nivel de evidencia II; Estudios terapéuticos - investigación de resultados de tratamiento.

2.
Occup Ther Health Care ; : 1-21, 2022 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-36112023

RESUMO

This study found that a breast cancer survivor cohort who were 3-4 years post-treatment returned to near baseline activity levels, and their important activity categories were nearly evenly distributed among instrumental activities of daily living, high-demand leisure, and social participation. When describing their experiences, three themes emerged: exercise is important physically and emotionally, participating in important activities feels good, and plans have been made to continue engaging in important activities. Further research is needed to compare activity resumption among those receiving or not receiving occupational therapy-at different timepoints-to understand when occupational therapy can make the greatest impact.

3.
Eur Rev Aging Phys Act ; 19(1): 20, 2022 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-36056330

RESUMO

BACKGROUND: Falls are important causes of injury and mortality in older people, and associated medical costs can be enormous. Physical activity (PA) is a potential preventive factor for falls. However, few studies have examined the effect of different types of PA on fall prevention. This study aimed to evaluate the association between PA levels and the incidence of recurrent falls by type of PA in middle-aged and older people. METHODS: This cohort study targeted 7,561 community-dwelling individuals aged 40-74 years who did not experience recurrent falls in the year before baseline. Information on PA levels, demographics, body size, lifestyle, and fall/disease history was obtained using a self-administered questionnaire in the baseline survey. Levels of total PA, leisure-time PA, and non-leisure-time PA (occupation, commuting, and housework) were estimated using metabolic equivalent (MET) scores (MET-h/day; hours spent on a given activity per day multiplied by its MET intensity). PA levels were categorized into four groups. Falls were recorded as none, once, or twice or more (recurrent falls). The outcome of the study was the incidence of recurrent falls in the past year before a survey conducted 5 years after the baseline survey. Logistic regression analyses were performed to calculate odds ratios for recurrent falls. RESULTS: Higher total PA and non-leisure-time PA levels were associated with a higher risk of recurrent falls (P for trend = 0.0002 and 0.0001, respectively), with the highest total PA and non-leisure-time PA groups having a significantly higher adjusted OR (1.96 [95%CI:1.33-2.88] and 2.15 [95%CI:1.48-3.14], respectively) relative to the lowest group (reference). As for leisure-time PA, the medium group had a significantly lower adjusted OR (0.70 [95%CI:0.49-0.99]) relative to the reference group. By sex, the adjusted OR in the medium leisure-time PA group was significantly lower relative to the reference group in women (0.50 [95%CI: 0.29-0.85]) but not in men. CONCLUSIONS: Medium level leisure-time PA reduces the risk of recurrent falls in middle-aged and older people, whereas higher level non-leisure-time PA is associated with a higher risk of recurrent falls.

4.
Artigo em Inglês | MEDLINE | ID: mdl-36057964

RESUMO

This retrospective cohort study aimed to identify heterogeneous cognition, depression, and life satisfaction trajectory groups, and to examine the independent contributions of watching television and reading to these trajectories among middle-aged and older adults. A sample was taken from the Taiwan Longitudinal Study on Aging (TLSA) with measures of cognition, depression, life satisfaction, watching television, and reading during 12 years of follow-up (N = 4440). Group-based trajectory models and multinomial logistic regressions were used. The findings showed that the cohort was separated into three global cognition groups of low-cognition (n = 376), declining-cognition (n = 805), and maintained-cognition (n = 2718); three episodic memory groups of high-declining (n = 540), middle-stable (n = 2066), and improving groups (n = 1293); three depression groups of low-to-low (n = 2571), median-to-high (n = 960), and high-to-high groups (n = 368); and three life satisfaction groups of low- (n = 1133), middle- (n = 977), and high-level groups (n = 1789). Also, the findings demonstrated that after adjusting for covariates, those who did not watch television or read at the baseline had independently significantly increased odds of having lower global cognitive function, higher depression, and lower life satisfaction over time versus those who watched television or read almost every day. Based on the findings obtained, group-based trajectories of cognition, depression, and life satisfaction scores identified distinct subgroups among TLSA participants. Moreover, the findings suggest that healthcare providers need to develop more targeted population interventions to ensure successful aging. Healthcare providers can encourage older adults, particularly new retirees, to participate in leisure activities (i.e., watching television and reading) to reduce prevalence rates of cognitive impairment and depression.

5.
Front Psychol ; 13: 968343, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36110284

RESUMO

Background: Research on prevalence of cognitive frailty phenotypes in community-dwelling older adults in different countries is important to estimate their prevalence and to determine the influence of cognitive reserve and mental health in order to prevent frailty. The aims of this study were to estimate the prevalence of reversible and potentially reversible cognitive frailty (R-CF, PR-CF) in a Portuguese sample of old adults and explore the associations between these phenotypes and demographic, comorbidity, social support, cognitive reserve and mental health factors. Methods: We assessed frailty (Fried criteria) in 250 community-dwelling older adults (179 women) aged 60 years or over (mean 71.04 years) without dementia, neurological or psychiatric disorders. Subjective cognitive decline and Mild cognitive impairment were diagnosed according to standard criteria. The questionnaires Charlson Index, Medical Outcomes Study Social Support, Cognitive Reserve Index and General Health were used for assessing comorbidity, social support, cognitive reserve and mental health, respectively. Results: Prevalence of R-CF was 14%, and that of PR-CF, 15.2%. Cognitive frailty profiles differed significantly in relation to education, comorbidity, mental health, and cognitive reserve, but not in age or sex. Multivariate logistic regression showed that age, sex, comorbidity, social support, mental health, and cognitive reserve together predicted R-CF and PR-CF (90% specificity 75% sensitivity) with significant OR for mental health and cognitive reserve. Discussion: Cognitive reserve and mental health are important factors predicting R-CF and PR-CF. We recommend assessing these factors for early detection of cognitive frailty and promoting psychological well-being and lifestyles that increase cognitive reserve in adults.

6.
Artigo em Inglês | MEDLINE | ID: mdl-35971651

RESUMO

Engaging in leisure activities promotes mental health. The effect is likely associated with resilience as the broaden-and-build theory suggests positive emotions elicited from leisure increase mental resources for stress coping. The present research examined whether participating in different leisure activities at a given time increases the level of resilience, which in turn reduces psychological problems. It also investigated the changes in people's leisure activities due to the COVID-19 outbreak and the impact of these changes on their mental health. Japanese participants (N = 300) responded to two online surveys conducted before (January 2020) and after the outbreak (February 2021). They selected the leisure activities they had engaged in from 100 choices and reported their levels of resilience and depressive symptoms. An analysis of covariates revealed that the total number of selected activities significantly reduced in the second survey, but the levels of resilience and depressive symptoms remained constant. Regression analysis showed that the reduction in leisure activities did not predict depressive symptoms. However, structural equation modeling established that the relationship between leisure and depression was mediated by resilience, supporting the initial hypothesis. Importantly, this relationship slightly differed by age group, likely because popular activities and their psychological impacts vary depending on age.

7.
Australas J Ageing ; 2022 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-35962524

RESUMO

OBJECTIVES: Losses that occur with age can create barriers to meaningful activity engagement, a crucial aspect of ageing well. Research on this topic is frequently qualitative, with few studies accessing large community samples. This study (a) assessed the frequency specific personal and environmental barriers (such as poor health and limited transport access), identified by older adults in previous research, were endorsed; (b) used latent class analysis (LCA) to identify population subgroups based on combinations of these barriers, and (c) examined associations of subgroups with purpose in life and quality of life. METHODS: Four hundred and thirty-two randomly selected Australian adults aged 65+ years (average age 76.7, 58% female) completed a telephone survey. They were asked whether certain barriers affected engagement and provided data on sense of purpose and quality of life. RESULTS: Physical health/mobility were the most frequently reported barriers, followed by sensory difficulties, financial limitations, and caring responsibilities. The LCA revealed up to three subgroups/classes of participants according to the barriers endorsed. Class 1 had low endorsement of all barriers, including physical health. The majority of Class 2 endorsed physical health barriers and other barriers more frequently than Class 1. Class 3 were comparable to Class 2, but also frequently endorsed community access barriers. Class 1 were younger and reported a greater sense of purpose and higher quality of life. CONCLUSIONS: Physical health/mobility barriers to engagement are those most frequently endorsed by older adults. These barriers may increase vulnerability to, or exacerbate the impact of additional barriers, such as sensory difficulties, access to transport and lack of finances.

8.
Neurology ; 2022 Aug 10.
Artigo em Inglês | MEDLINE | ID: mdl-35948447

RESUMO

OBJECTIVES: Leisure activities are major components of modifiable and healthy lifestyles and are proposed to help prevent the development of dementia. This study aimed to assess the effects of different types of leisure activities, including cognitive, physical, and social activities, on the incidence of all-cause dementia (ACD), Alzheimer's disease (AD), and vascular dementia (VD). METHODS: We performed a systematic review and meta-analysis of the Cochrane, PubMed, Embase, and Web of Science databases to identify longitudinal studies that examined associations between leisure activities and dementia. Relative risks (RRs) and 95% confidence intervals (95% CI) were pooled using random-effects meta-analysis. Subgroup analyses were used to estimate potential effect modifiers. The study was registered with PROSPERO (CRD42019116857). RESULTS: A total of 38 longitudinal studies, with 2154818 participants at baseline, 74700 ACD cases, 2848 AD cases, and 1423 VD cases during follow-up, were included in the meta-analysis. The subgroup analyses showed that physical (RR = 0.83, 95% CI: [0.78-0.88]), cognitive (RR = 0.77 [0.68-0.87]), and social (RR = 0.93 [0.87-0.99]) activities were inversely associated with incidence of ACD. In addition, physical (RR = 0.87 [0.78-0.96]) and cognitive (RR = 0.66 [0.52-0.85]) activities were related with a reduced risk of AD. Physical activity (RR = 0.67 [0.53-0.85]) was associated with a lower incidence of VD. CONCLUSION: Our findings suggest that leisure activities are inversely associated with risk of ACD, AD and VD.

9.
J Fungi (Basel) ; 8(8)2022 Aug 16.
Artigo em Inglês | MEDLINE | ID: mdl-36012848

RESUMO

Beach safety regulation is based on faecal indicators in water, leaving out sand and fungi, whose presence in both matrices has often been reported. To study the abundance, diversity and possible fluctuations of mycobiota, fungi from sand and seawater were isolated from the Portoroz beach (Slovenia) during a 1-year period. Sand analyses yielded 64 species of 43 genera, whereas seawater samples yielded 29 species of 18 genera. Environmental and taxonomical data of fungal communities were analysed using machine learning approaches. Changes in the air and water temperature, sunshine hours, humidity and precipitation, air pressure and wind speed appeared to affect mycobiota. The core genera Aphanoascus, Aspergillus, Fusarium, Bisifusarium, Penicillium, Talaromyces, and Rhizopus were found to compose a stable community within sand, although their presence and abundance fluctuated along with weather changes. Aspergillus spp. were the most abundant and thus tested against nine antimycotics using Sensititre Yeast One kit. Aspergillus niger and A. welwitschiae isolates were found to be resistant to amphotericin B. Additionally, four possible human pollution indicators were isolated during the bathing season, including Meyerozyma, which can be used in beach microbial regulation. Our findings provide the foundations for additional research on sand and seawater mycobiota and show the potential effect of global warming and extreme weather events on fungi in sand and sea.

10.
Artigo em Inglês | MEDLINE | ID: mdl-35954513

RESUMO

The aim of this study was to examine the prevalence and association of school-age children's participation in bullying, focusing on their health characteristics, risk factors, and leisure activities. We performed a secondary analysis of the original data of the 2017 HBSC study to examine participation in bullying once and multiple times among school-age children in Serbia. For this purpose, a nationally representative sample of 3267 children from 64 primary and high schools in the Republic of Serbia was evaluated. The outcome variable of interest in our study was participation in bullying. Further groups of individual variables such as health characteristics, risk factors, and leisure activities were assessed. Multivariate regression analysis indicated that children who felt everyday stomach pain, irritability or bad mood, and nervousness were more likely to participate in bullying at least once compared with those who rarely or never had such symptoms by 1.46, 1.58, and 1.58 times, respectively. School-age children who reported being drunk two to three times, and four or more times in life were more likely to participate in bullying than those who reported never being drunk by 1.53 and 1.74 times, respectively. Children who reported to watch TV or other media for five or more hours per day were 2.34 times more likely to be involved in bullying at least once. Multiple regression analysis showed that students with daily stomach pain, back pain, nervousness, and dizziness were more likely to be involved in multiple bullying by 1.16, 1.62, 1.82, and 1.70 times, respectively. Students who had nightly meetings or reported being drunk four or more times in the last 30 days were more likely to be involved in multiple bullying by 2.54 and 3.47, respectively. Students who reported playing games five or more times per day were 2.70 times more likely to be involved in this multiple bullying. This study highlights the importance of professional and family education programmes for early identification of specific health symptoms in the pediatric population, as well as integration with interventions aimed at reducing alcohol abuse among school-age children.


Assuntos
Bullying , Vítimas de Crime , Criança , Humanos , Humor Irritável , Atividades de Lazer , Dor , Fatores de Risco , Sérvia/epidemiologia
11.
Artigo em Inglês | MEDLINE | ID: mdl-35954970

RESUMO

In preparation for the expected super-aged society in 2025, this study attempted to prepare basic data that can help design development measures for the welfare of the elderly so that everyone can prepare for a healthy and happy retirement. Accordingly, the major factors affecting the quality of life of the elderly in Korea were verified. To this end, the questionnaire consisted of 22 questions in total, and a mobile survey was conducted between September and October 2021; in total, 250 copies were used for the final analysis, and the following conclusions are derived. The major factors that were found to determine the quality of life of the elderly were age, subjective health status, monthly household income, leisure activities, and health inequality fairness. It was found that the higher the age, the lower the quality of life. Further, the higher the subjective health status, monthly household income, participation in leisure activities, and perceptions of health inequality as fair, the more the quality of life of the elderly was affected. Therefore, policy support such as leisure activity, health programs, and medical welfare services for the elderly and sufficient attention from our society are all required.


Assuntos
Disparidades nos Níveis de Saúde , Qualidade de Vida , Idoso , Nível de Saúde , Humanos , Atividades de Lazer , República da Coreia
12.
BMC Geriatr ; 22(1): 577, 2022 07 14.
Artigo em Inglês | MEDLINE | ID: mdl-35836193

RESUMO

BACKGROUND: In 2016, Tamil Nadu was the first state in India to develop a set of Minimum Standards for old age homes. The Minimum Standards stipulate that that residents' dignity and privacy should be respected. However, the concept of dignity is undefined in the Minimum Standards. To date, there has been very little research within old age homes exploring the dignity of residents. This study draws on the concepts of (i) status dignity and (ii) central human functional capabilities, to explore whether old age homes uphold the dignity of residents. OBJECTIVES: The study was designed to obtain insights into human rights issues and experiences of residents, and the article addresses the research question, "to what extent do old age homes in Tamil Nadu support the central human functional capabilities of life, bodily health, bodily integrity and play, and secure dignity for older residents?". METHOD: A cross-sectional qualitative exploratory study design was utilised. Between January and May 2018 face-to-face interviews were conducted using a semi-structured topic guide with 30 older residents and 11 staff from ten care homes located three southern districts in Tamil Nadu, India. Framework analysis of data was structured around four central human functional capabilities. RESULTS: There was considerable variation in the extent to which the four central human functional capabilities life, bodily integrity, bodily health and play were met. There was evidence that Articles 3, 13, 25 and 24 of the Universal Declaration of Human Rights were contravened in both registered and unregistered facilities. Juxtaposing violations of human rights with good practice demonstrated that old age homes have the potential to protect the dignity of residents. CONCLUSION: The Government of India needs to strengthen old age home policies to protect residents. A new legislative framework is required to ensure that all old age homes are accountable to the State. Minimum Standards should include expectations for quality of care and dignity in care that meet the basic needs of residents and provide health care, personal support, and opportunities for leisure, and socializing. Standards should include staff-to-resident ratios and staff training requirements.


Assuntos
Instituição de Longa Permanência para Idosos , Casas de Saúde , Idoso , Estudos Transversais , Humanos , Índia , Respeito
14.
Biomedica ; 42(2): 379-390, 2022 06 01.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-35867929

RESUMO

Introduction: Physical activity during pregnancy can be useful in the prevention of gestational complications. Objective: To estimate the prevalence of physical activity in adult Colombian pregnant women and its associated factors. Materials and methods: A secondary analysis of data from the 2015 National Nutrition Survey in Colombia was conducted. The total sample included 906 pregnant women. Leisure-time, commuting, and global physical activity were measured with the long version of the International Physical Activity Questionnaire. Factors associated with PA were evaluated through negative binomial regression models. Results: The prevalence of physical activity in pregnant women was 12.57% (95% CI=8.41-18.38), 28.66% (95% CI=23.29-34.70), and 36.33% (95% CI=30.92-42.11) in the leisuretime, commuting and global domains, respectively. Factors associated with leisure-time physical activity were living in Bogotá (prevalence ratio, PR=2.41; 95% CI=1.16-4.99), being in the third gestational trimester (PR=2.13; 95% CI=1.17-3.87), obtaining access to physical activity programs (PR=1.75; 95% CI=1.07-2.87), having a high school education (PR=0.51; 95% CI=0.29-0.91), and being in the second (PR=0.45; 95% CI=0.24-0.81), third and fourth quartiles of wealth (PR=0.43; 95% CI=0.23-0.80). Factors associated with physical activity while commuting were having at least one child (PR=1.60; 95% CI=1.14-2.24), living in Bogotá (PR=1.84; 95% CI=1.23-2.73), living with a partner (PR=0.66; 95% CI=0.49-0.89), and completing between one and four prenatal care sessions (PR=0.53; 95% CI=0.37-0.76). Conclusions: The prevalence of physical activity in pregnant Colombian women is worryingly low. Programs and projects aimed at promoting physical activity during pregnancy are needed.


Introducción. La actividad física durante el embarazo puede ser útil para la prevención de complicaciones gestacionales. Objetivo. Estimar la prevalencia de actividad física en mujeres gestantes adultas en Colombia y evaluar los factores asociados con su práctica. Materiales y métodos. Se hizo un análisis secundario de la información recolectada en la Encuesta Nacional de Situación Nutricional en Colombia del 2015. La muestra incluyó 906 mujeres gestantes. La actividad física en los dominios de tiempo libre, transporte y global se evaluó con la versión larga del International Physical Activity Questionnaire. Los factores asociados se evaluaron mediante modelos de regresión binomial negativa. Resultados. La prevalencia del cumplimiento de las recomendaciones de actividad física en las participantes fue de 12,57 % (IC95% 8,41-18,38), 28,66 % (IC95% 23,29-34,70) y 36,33 % (IC95% 30,92-42,11) en los dominios de tiempo libre, transporte y global, respectivamente. Los factores asociados con el dominio de tiempo libre fueron: residir en Bogotá (razón de prevalencia, RP=2,41; IC95% 1,16-4,99), encontrarse en el tercer trimestre de la gestación (RP=2,13; IC95% 1,17-3,87), disponer de programas de actividad física dirigida (RP=1,75; IC95% 1,07-2,87), nivel educativo de secundaria (RP=0,51; IC95% 0,29-0,91), y pertenecer a los cuartiles de riqueza dos (RP=0,45; IC95% 0,24-0,81), tres y cuatro (RP=0,43; IC95% 0,23-0,80). Los factores asociados con el transporte fueron: tener, por lo menos, un hijo (RP=1,60; IC95% 1,14-2,24), residir en Bogotá (RP=1,84; IC95% 1,23-2,73), convivir con compañero sentimental (RP=0,66: IC95% 0,49-0,89) y haber asistido a entre uno y cuatro controles prenatales (RP=0,53; IC95% 0,37-0,76). Conclusiones: La prevalencia de la actividad física en mujeres gestantes colombianas es preocupantemente baja. Se requiere la implementación de programas y proyectos orientados a la promoción de la actividad física durante el embarazo.


Assuntos
Colômbia/epidemiologia
15.
Artigo em Inglês | MEDLINE | ID: mdl-35886212

RESUMO

Public open spaces (POS) enable many leisure activities. However, few studies have evaluated how different exposures to POS with structured physical activities (PA) could affect the leisure-time PA (LTPA) of adults with chronic diseases. This study aimed to analyze the associations between different exposures to POS and LTPA in adults in primary health care in Brazil. In 2019, a cross-sectional study was conducted with a representative sample of 615 users of 15 Basic Health Units in São José dos Pinhais. The POS exposure was measured by the presence and distance (GIS), and the usage and frequency of usage were self-reported. The IPAQ identified walking and moderate-to-vigorous PA (MVPA). Data were analyzed with multilevel Poisson regression adjusted for the possible confounders (sex, age, economic level, chronic diseases). The prevalence of walking and MVPA ≥150 min/week was 12% and 14%, respectively. The usage of POS increased by 52% the likelihood of walking ≥10 min/week (PR: 1.52; 95%CI: 1.02-2.21), while usage ≥2 times/week increased by 2 times the likelihood of this outcome (PR: 2.01; 95%CI: 1.28-3.05). The usage of POS increased by 2.7 times the likelihood of MVPA ≥10 min/week (PR: 2.73; 95%CI: 1.86-3.97), and usage ≥2 times/week increased by 3.5 times the likelihood of this outcome (PR: 3.45; 95%CI: 2.14-5.42). Finally, the usage of POS increased by 3 times the likelihood of MVPA ≥150 min/week (PR: 3.03; 95%CI: 1.92-4.74), while usage ≥2 times/week increased by 3.8 times the likelihood of this outcome (PR: 3.81; 95%CI: 2.19-6.38). In conclusion, only the usage of POS is positively associated with walking and MVPA in the leisure time of adult primary health care users.


Assuntos
Exercício Físico , Atividades de Lazer , Adulto , Brasil , Estudos Transversais , Planejamento Ambiental , Humanos , Atenção Primária à Saúde , Inquéritos e Questionários
16.
Aging Ment Health ; : 1-9, 2022 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-35696367

RESUMO

OBJECTIVES: Based on a prospective design, this study aimed to investigate the relationships of leisure activities with physical and cognitive functions among Chinese older adults. METHODS: The respondents aged 65 years or more were selected from the 2014-2018 of the Chinese Longitudinal Healthy Longevity Survey. Physical function measurement indicators were reflected by activities of daily living (ADL), instrumental activities of daily living (IADL), and physical performance (PP), while cognitive function was assessed by Mini-Mental State Examination. Fine-Gray competing risk regression models were used to analyze the data. RESULTS: Using the figures for 2014 as a baseline for the study, we included 6047, 6216, 5951, and 5916 respondents in the ADL, IADL, PP, and cognitive function analyses, respectively. The prospective results showed that keeping domestic animals or pets was related to a lower risk of ADL disability of respondents after adjustment (SHR: 0.619, 95% CI: 0.486, 0.788). Similarly, taking part in social activities (SHR: 0.781, 95%CI: 0.658, 0.929) and reading books or newspapers (SHR: 0.793, 95% CI: 0.656, 0.958) were associated with a lower risk of IADL disability. Playing cards or mahjong was correlated with a lower risk of cognitive impairment (SHR: 0.669, 95% CI: 0.507, 0.882), while keeping domestic animals or pets was related to a higher risk of cognitive impairment (SHR: 1.279, 95% CI: 1.047, 1.562). CONCLUSION: Participation in leisure activities moderately may decrease the risk of a decline in physical and cognitive functions among Chinese older adults.

17.
Scand J Occup Ther ; : 1-11, 2022 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-35758254

RESUMO

BACKGROUND: Fatigue is common and can be challenging after stroke. AIM: To explore how post-stroke fatigue (PSF) was experienced and handled among people with stroke in their performance of everyday activities and in participation in social activities five years after stroke. METHODS: Nine persons who perceived PSF one year after stroke onset were interviewed five years later. The interviews were analysed using qualitative content analysis. RESULTS: Most participants experienced PSF even five years after stroke and reported longstanding difficulties in everyday activities. Handling fatigue-a long slow process with invisible adjustments in everyday life emerged as the theme. By implementing new strategies in everyday life their PSF lessened over time. Understanding among significant others as to how PSF appears and providing information about PSF early after stroke was perceived important. CONCLUSION: This study adds new knowledge regarding experiences of PSF and long-term support needs. Even if PSF still was reported the participants experienced improvements in everyday life through the application of new strategies. Information about PSF and strategies for managing everyday life should be provided during rehabilitation. SIGNIFICANCE: This study is one out of only a few focussing on long-term PSF and adjustment to its consequences in everyday life.

18.
Ciênc. Saúde Colet ; 27(6): 2187-2196, jun. 2022. tab
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1374994

RESUMO

Abstract This study aimed to identify the types of leisure-time physical activity (LTPA) most practiced and their association with active behavior in other domains and the sociodemographic aspects in Brazilian adults (≥ 18 years old). It was a cross-sectional study, using data from a population-based system (Vigitel, 2017). Binary logistic regression was used. In the 29,323 LTPA practitioners (51.3% men), the five types of activities most performed were: walking (36.6%), weight training (17.7%), soccer (11.7%), jogging (8.3%), and aerobics (6.7%). The LTPA that had the greatest associations with sociodemographic variables were soccer, walking, and aerobics, all with p-value ≤ 0.01. When considering the other domains of physical activity, participants who reported doing household physical activity were more likely to walk and less likely to practice weight training, soccer and aerobics. Those who did active commuting had more of a chance to walking and less of a chance to weight train, while individuals who practiced occupational physical activity were less likely to walk and more likely to play soccer. Important differences in sociodemographic aspects and active behavior in the other domains were found according to the LTPA type.


Resumo Este estudo teve como objetivo identificar os tipos de atividade física de lazer (AFL) mais praticados e sua associação com o comportamento ativo em outros domínios e aspectos sociodemográficos em adultos brasileiros (≥ 18 anos). Foi um estudo transversal, com dados de um sistema de base populacional (Vigitel, 2017). Utilizou-se regressão logística binária. Nos 29.323 praticantes de AFL (51,3% homens), os cinco tipos de atividades mais realizadas foram: caminhada (36,6%), musculação (17,7%), futebol (11,7%), corrida (8,3%) e ginástica (6,7%). As atividades que tiveram maiores associações com as variáveis sociodemográficas foram o futebol, a caminhada e a ginástica, todas com valor p ≤ 0,01. Ao considerar os demais domínios de atividade física, os participantes que relataram fazer atividade física doméstica tiveram mais chance de realizar a caminhada e menos chance de praticar musculação, futebol e ginástica. Aqueles que faziam deslocamentos ativos tiveram mais chance de caminhada e menos chance de musculação, enquanto os indivíduos que realizavam atividade física no trabalho apresentaram menos chance para a caminhada e mais chance para o futebol. Diferenças importantes nos aspectos sociodemográficos e no comportamento ativo nos demais domínios foram encontradas de acordo com o tipo de AFL.

19.
Ciênc. Saúde Colet ; 27(6): 2197-2210, jun. 2022. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1375008

RESUMO

Abstract The article aimed to verify the association between physical activity (PA) and perceived environment among adults from a city in southern Brazil. This is a population-based cross-sectional study with 820 adults living in the city of Criciúma-SC. Perceived environment was assessed using the Neighborhood Environmental Walkability scale and PA in the leisure and transportation domains using the long version of the International PA Questionnaire. It was observed that the neighborhood with public spaces for the practice of physical exercises and dog walking was associated with higher prevalence of compliance with moderate-to-vigorous physical activity (MVPA) guidelines. The fact of having an invitation from friends and/or relatives for PA, sporting events and the habit of dog walking were associated with leisure-time walking. Access to places for the purchase of fresh fruits/ vegetables, light/diet foods, to have sidewalks in most streets, to have pedestrian crossings and sporting events in the neighborhood were associated with higher prevalence of active transportation. Conversely, places for snacks or fast food in the neighborhood were associated with lower prevalence of active transportation. The perception of environmental variables was associated with MVPA, walking and active transportation.


Resumo O objetivo foi verificar a associação entre a prática de atividade física (AF) e a percepção do ambiente em adultos de uma cidade do Sul do Brasil. Estudo transversal de base populacional com 820 adultos, residentes na cidade de Criciúma-SC. A percepção do ambiente foi avaliada pela escala Neighborhood Environmental Walkability, e a AF no domínio do lazer e transporte ativo pela versão longa do Questionário Internacional de AF. Observou-se que o bairro com lugar público para a prática de exercícios físicos e o fato de passear com o cachorro estiveram associados a maiores prevalências de atendimento às recomendações de AF moderada à vigorosa (AFMV). O fato de ter convite de amigos e/ou parentes para AF, a realização de eventos esportivos e o hábito de passear com o cachorro estiveram associados à caminhada no lazer. O acesso a locais para aquisição de frutas/legumes frescos, alimentos light/diet, ter calçadas na maioria das ruas, ter faixas de segurança e ter eventos esportivos no bairro estiveram associados a maiores prevalências de deslocamento ativo. De forma contrária, lugares para lanches ou fast-food no bairro se associaram a menor prevalência de deslocamento ativo. A percepção de variáveis do ambiente esteve associada à AFMV, à prática de caminhada e ao transporte ativo.

20.
BMC Public Health ; 22(1): 1275, 2022 06 30.
Artigo em Inglês | MEDLINE | ID: mdl-35773655

RESUMO

RATIONALE: Leisure activities have wide-ranging benefits for physical and mental health. However, previous studies have often focused on "leisure" as a homogeneous group of activities. This study was therefore designed to take a prospective and comparative approach exploring different types of leisure activities, as well as investigating whether frequency of engagement is associated with strength of benefits. METHOD: Data from the 1970 British Cohort Study Waves 9 (age 42) and 10 (age 46) were analysed (N = 5,639). Eight domains derived from the SF-36 health survey questionnaire were used to measure health functioning (general health, vitality, bodily pain, social functioning, physical functioning, mental health, role limitations due to emotional, and role limitations due to physical problems). Leisure activities included physical activity, culture engagement, arts participation, volunteering or community engagement, and literature activities. Both ordinary least squares and logistic regressions were applied. RESULTS: Physical activity was associated with greater levels of physical functioning, general health, and vitality at higher frequencies, while cultural engagement was associated with social functioning and physical functioning when engaged in several times a year. Arts participation and literature activities had a general negative association with health functioning. Engagements in volunteering/community groups showed varying associations with health functioning (both positive and negative) depending on the levels of engagements. CONCLUSION: This research suggests that the types of leisure activities and levels of engagement can have differential associations with health amongst middle-aged adults. This may be helpful for public health initiatives and programmes such as social prescribing schemes when formulating programmes, especially regarding 'dosage' of engagement. Further, the overall benefits of high engagement frequency suggest that increasing leisure engagement could play an important role in supporting improving health and wellbeing at a population level.


Assuntos
Atividades de Lazer , Saúde Mental , Adulto , Estudos de Coortes , Exercício Físico/psicologia , Humanos , Atividades de Lazer/psicologia , Pessoa de Meia-Idade , Estudos Prospectivos
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