Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.981
Filtrar
1.
BMJ ; 368: l6669, 2020 01 08.
Artigo em Inglês | MEDLINE | ID: mdl-31915124

RESUMO

OBJECTIVE: To examine how a healthy lifestyle is related to life expectancy that is free from major chronic diseases. DESIGN: Prospective cohort study. SETTING AND PARTICIPANTS: The Nurses' Health Study (1980-2014; n=73 196) and the Health Professionals Follow-Up Study (1986-2014; n=38 366). MAIN EXPOSURES: Five low risk lifestyle factors: never smoking, body mass index 18.5-24.9, moderate to vigorous physical activity (≥30 minutes/day), moderate alcohol intake (women: 5-15 g/day; men 5-30 g/day), and a higher diet quality score (upper 40%). MAIN OUTCOME: Life expectancy free of diabetes, cardiovascular diseases, and cancer. RESULTS: The life expectancy free of diabetes, cardiovascular diseases, and cancer at age 50 was 23.7 years (95% confidence interval 22.6 to 24.7) for women who adopted no low risk lifestyle factors, in contrast to 34.4 years (33.1 to 35.5) for women who adopted four or five low risk factors. At age 50, the life expectancy free of any of these chronic diseases was 23.5 (22.3 to 24.7) years among men who adopted no low risk lifestyle factors and 31.1 (29.5 to 32.5) years in men who adopted four or five low risk lifestyle factors. For current male smokers who smoked heavily (≥15 cigarettes/day) or obese men and women (body mass index ≥30), their disease-free life expectancies accounted for the lowest proportion (≤75%) of total life expectancy at age 50. CONCLUSION: Adherence to a healthy lifestyle at mid-life is associated with a longer life expectancy free of major chronic diseases.


Assuntos
Doenças Cardiovasculares , Diabetes Mellitus Tipo 2 , Estilo de Vida Saudável/fisiologia , Expectativa de Vida , Neoplasias , Comportamento de Redução do Risco , Adulto , Consumo de Bebidas Alcoólicas , Índice de Massa Corporal , Doenças Cardiovasculares/prevenção & controle , Doenças Cardiovasculares/psicologia , Diabetes Mellitus Tipo 2/prevenção & controle , Diabetes Mellitus Tipo 2/psicologia , Exercício , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/prevenção & controle , Neoplasias/psicologia , Pesquisa em Enfermagem , Estudos Prospectivos , Fumar
2.
3.
Recurso educacional aberto em Espanhol | ID: oer-3884

RESUMO

1º Jornada «Derecho a la Salud», organizada por el CVSP Nodo Argentina, la Sala de Derecho a la Salud del Colegio de Abogados de Córdoba y la Escuela de Salud Pública y Ambiente de la Facultad de Ciencias Médicas–UNC. La misma se llevó a cabo el día 4 de diciembre del corriente año en el Salón Rojo de la Secretaría de Graduados en Ciencias de la Salud FCM-UNC. La jornada contó con la presencia de Profesionales de la Salud, Profesionales del Derecho, alumnos de postgrado de las Carreras de Ciencias Médicas, Derecho y Ciencias Sociales y público en general. Conferencia dictada por el Prof. Dr. Rubén Torres. Ex Miembro de la OPS. Rector de ISALUD de Buenos Aires.


Assuntos
Qualidade da Assistência à Saúde/organização & administração , Estilo de Vida Saudável/ética , Argentina , Política Nacional de Ciência, Tecnologia e Inovação , Sistemas de Saúde/economia
4.
Rev. salud pública Parag ; 9(2): [P58-P65], Dic 2019.
Artigo em Espanhol | LILACS | ID: biblio-1047140

RESUMO

Las amebas de vida libre (AVL) existen ampliamente distribuidas en la naturaleza, donde el género Acanthamoeba es la más frecuentemente aislada en diversos ambientes del suelo, aire y agua y está asociada a enfermedades en humanos. Su capacidad para vivir en ambientes adversos se debe a su baja demanda de alimentación y a que en su ciclo biológico tiene un estadio en forma de quiste, lo que la hace muy resistente. El hombre, como hospedero puede desarrollar infecciones en el sistema nervioso central, en la piel y los pulmones. A nivel ocular es capaz de afectar la córnea y producir queratitis. Por lo tanto es considerado un importante agente etiológico de patologías humanas. En esta revisión se aborda la biología, patogénesis y los mecanismos de defensa del ser humano frente a la infección por Acanthamoeba. Además a esto, de los factores de riesgo por el uso de lentes de contacto y malos hábitos de higiene del usuario y por último el abordaje diagnóstico microbiológico y molecular. Esta herramienta ha ido mejorando con el avance de la tecnología, indispensable para la temprana identificación y el logro de una oportuna y eficaz intervención clínica y terapéutica. Finalmente exponemos la situación actual en relación a los métodos de diagnóstico con que se cuentan y los escasos reportes clínicos existentes en Paraguay. Palabras clave: Acanthamoeba sp., Lentes de contacto, Queratitis.


Free-living amoeba (FLA) exist widely in nature, where the genus Acanthamoeba is the most frequently isolated in various environments of soil, air and water. It is associated with diseases in human. Its ability to live in adverse environments is due to the low food demand and that in its biological cycle it has a cyst-shaped stage, which makes it very resistant. Man, as a host, can acquire infections in the central nervous system and in the skin and lungs. On the ocular level, it can affect the cornea and cause keratitis. Therefore, it is considered an important etiological agent of human pathologies. This review addresses the biology, pathogenesis and human defense mechanisms against Acanthamoeba infection. In addition to this, the review explores the risk factors related to the use of contact lenses and poor hygienic behavior of the users, and finally the microbiological and molecular diagnosis. This particular tool has been improved with the advancement of technology and is essential for timely identification and the achievement of a good clinical and therapeutic intervention. Finally, we present the current situation in Paraguay regarding the few existing clinical reports and the diagnostic methods available. Key words: Acanthamoeba sp., Contact lenses, Keratitis.


Assuntos
Humanos , Ceratite por Acanthamoeba/diagnóstico , Lentes de Contato/efeitos adversos , Fatores de Risco , Estilo de Vida Saudável
5.
Vasc Health Risk Manag ; 15: 551-558, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31853180

RESUMO

Introduction: As hypertension is a chronic cardiovascular disease that contributes to a high proportion of morbidity and mortality worldwide, favorable knowledge is crucial to control it. Objective: The objective of this study was thus to assess knowledge and associated factors of blood pressure control among hypertensive patients at the chronic illness follow-up Clinic of the University of Gondar comprehensive-specialized hospital, Gondar, Ethiopia. Methods: An institution-based cross-sectional study was conducted from March to April 2018. A systematic random sampling technique was used to select participants. Bi-variable and multivariable logistic regressions were done to assess the relationship between dependent and independent variables. The adjusted odds ratio with a 95% confidence interval was used to determine the presence and strength of association between covariates and the outcome variable. Results: A total of 404 participants took part in the study with a response rate of 97.3%. The overall good knowledge about blood pressure control was 51.7% (95% CI=46.3-56.8). Females were 3.79 (AOR= 3.79, 95% CI: (1.55, 9.28)) more knowledgeable about blood pressure control than males. In the multivariable analysis, the odds of being knowledgeable were 2.80 (AOR= 2.80, 95% CI (1.44, 5.46)), 8.05 (AOR=8.05, 95% CI (2.93, 22.10)), and 7.53 (AOR=7.53, 95% CI (2.52, 22.49)) for can read and write, secondary, preparatory and above education, respectively, compared to cannot read and write. Occupation was significantly associated with the knowledge of plod pressure control. For example, merchants 7.66 (AOR=7.66, 95% CI (3.01, 19.47)), government employee 6.33 (AOR=6.33, 95% CI (1.90, 22.07)), and self-employed 4.58 (AOR=4.58, 95% CI (1.80, 11.70)) times more likely to be knowledgeable than farmers, respectively. Participants with family history of hypertension were 2.36 (AOR=2.36, 95% CI (1.42, 3.92)) times more knowledgeable than their counterparts. Conclusion: In this study, knowledge of blood pressure control was lower compared to the finding of a study done at Bishoftu hospital, Ethiopia. But it is higher than studies in other African countries. Both pharmacological and non-pharmacological awareness is vital for blood pressure control.


Assuntos
Anti-Hipertensivos/uso terapêutico , Pressão Sanguínea/efeitos dos fármacos , Conhecimentos, Atitudes e Prática em Saúde , Estilo de Vida Saudável , Hospitais Universitários , Hipertensão/terapia , Ambulatório Hospitalar , Comportamento de Redução do Risco , Adulto , Idoso , Estudos Transversais , Escolaridade , Etiópia , Feminino , Humanos , Hipertensão/diagnóstico , Hipertensão/fisiopatologia , Hipertensão/psicologia , Masculino , Pessoa de Meia-Idade , Ocupações , Fatores de Risco , Fatores Sexuais
8.
Prensa méd. argent ; 105(9 especial): 495-500, oct 2019. tab, graf
Artigo em Inglês | LILACS, BINACIS | ID: biblio-1046241

RESUMO

In this study, the authors perform a comparative analysis of the psychological and pedagogical aspect of the formation of health culture and the dynamics of the incidence in schoolchildren. The relevance of the study is determined by the fact that, despite the attention to the younger generation, during the educational process, the number of healthy children is decreasing and the incidence of chronic diseases is increasing. The object of the study is the health state of children between 7 and 18 years of age residing in the village of Zavodskoy. The village of Zavodskoy is an urban-type settlement, located near (2 km) the city of Vladikavkaz. The subject of the study is the regularities of the incidence of chronic diseases in schoolchildren. The purpose of the study is to identify the conditions for protecting and improving health in the conditions of the educational process. Based on the literature review and data of the conducted statistical analysis of the dynamics of incidence of chronic diseases for the period of two years, the incidence of chronic diseases in schoolchildren residing in the village of Zavodskoy has been reviewed and systematized. Recommendations on preservation and improvement of health have been provided


Assuntos
Criança , Adolescente , Pacientes Ambulatoriais , Educação em Saúde , Doença Crônica/prevenção & controle , Incidência , Análise Estatística , Estilo de Vida Saudável
9.
Prensa méd. argent ; 105(9 especial): 589-595, oct 2019.
Artigo em Inglês | LILACS, BINACIS | ID: biblio-1046686

RESUMO

Investigating various factors and trends that may influence youth's health is crucial to forecasting potential changes in the situation with national healthcare for the younger generation and developing integrated measures to improve it. The findings from relevant sociological research conducted in Kazakhstan and Russia have helped assess the current situation with youth's health and their knowledge of how to maintain it, and could also be employed in working out relevant recommendations in the area of youth policy and healthcare.


Assuntos
Humanos , Adolescente , Alfabetização em Saúde/tendências , Fatores de Proteção , Fatores Sociológicos , Estilo de Vida Saudável
10.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 11(5): 1122-1128, out.-dez. 2019. tab
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1021889

RESUMO

Objetivo: Descrever os determinantes socioeconômicos e comportamentais que permeiam o envelhecimento ativo dos participantes do grupo de convivência de uma Universidade da Terceira Idade. Método: Pesquisa descritiva, quantitativa, realizada a partir de um questionário, com 183 participantes de grupos de convivência de uma universidade pública de Belém/PA. Resultado: Dos 183 participantes, foi predominante 91% do gênero feminino, 71% com idades entre 60 e 70 anos; 51% apresentaram escolaridade superior a 8 anos; 68% residiam com seus familiares e 55% eram ativos economicamente. Observou-se que 99% referiu mudança após início da participação no grupo, 80% apresentou pelo menos uma comorbidade, 91% praticava atividades físicas e 73% usava racionalmente os medicamentos. Conclusão: Os determinantes socioeconômicos e comportamentais dos participantes do estudo apontam satisfação no convívio grupal, conhecimento, qualidade de vida e a promoção do envelhecimento ativo


Objective: The study's purpose has been to describe the socioeconomic and behavioral determinants that permeate the active aging of a socialization group from a Universidade da Terceira Idade [University of the Old Age]. Methods: It is a descriptive research with a quantitative approach, which was carried out from a questionnaire, with 183 participants from a socialization group at a public university in Belém City, Pará State. Results: From a total of 183 participants, 91% were female, 71% were between 60 and 70 years old; 51% had schooling over 8 years; 68% lived with their families and 55% were economically active. It was observed that 99% reported change after starting their participation in the group, 80% presented at least one comorbidity, 91% practiced physical activities and 73% used drugs rationally. Conclusion: The socioeconomic and behavioral determinants of the study participants indicate satisfaction in socialization group, knowledge, quality of life and the promotion of active aging


Describir los determinantes socioeconómicos y comportamentales que permean el envejecimiento activo de los participantes del grupo de convivencia de una Universidad de la Tercera Edad. Metodo: Investigación descriptiva, cuantitativa, realizada a partir de un cuestionario, con 183 participantes de grupos de convivencia de una universidad pública de Belém/PA. Resultado: De los 183 participantes, fue predominante 91% del género femenino, 71% con edades entre 60 e 70 años; 51% presentaran escolaridad superior a 8 años; 68% residían con sus familiares y 55% eran activos económicamente. Se observó que 99% refirió el cambio después del inicio de la participación en el grupo, 80% tenía al menos una comorbilidad, 91% practicando actividades físicas y 73% utilizan racionalmente los medicamentos. Conclusión: Los determinantes socioeconómicos y comportamentales de los participantes del estudio apuntan satisfacción en la convivencia grupal, conocimiento, calidad de vida y la promoción del envejecimiento activo


Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Envelhecimento , Centros Comunitários para Idosos , Estilo de Vida Saudável , Qualidade de Vida , Brasil
11.
Psychiatr Danub ; 31(Suppl 3): 217-220, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31488729

RESUMO

A number of lifestyle factors have been recognised to play an important role in positively modifying medical and psychiatric diseases and their associated morbidity and mortality. These include, eating healthy food, greater physical activity, cessation of smoking, avoidance of alcohol and illicit substances. Additional lifestyle factors for healthy living include, safe and peaceful environment, optimal sleep, de-stressing and enjoyable activities, social connections/support and healthy mental activities. Physicians from the ancient times, through the middle ages to the early 20th century have recommended adoption of healthy lifestyle factors such as diet and exercise to manage medical and psychiatric disorders without really understanding their scientific basis. In this short paper, we discuss the important role lifestyle factors play in morbidity and mortality related to many important and common medical and psychiatric diseases. We explore how and if positively modifying lifestyle factors can help to improve and or prevent medical and psychiatric disorders with particular emphasis on food, diet and exercise.


Assuntos
Exercício , Comportamentos Relacionados com a Saúde , Estilo de Vida Saudável , Saúde Mental , Humanos
12.
J Nurs Adm ; 49(10): 487-495, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517756

RESUMO

OBJECTIVE: The purpose of this study was to evaluate the effects of the MINDBODYSTRONG for Healthcare Professionals Program on stress, anxiety, depressive symptoms, healthy lifestyle behaviors, and job satisfaction on newly licensed RNs (NLRNs) participating in a nurse residency program. BACKGROUND: The constellation of burnout, depression, and suicide in clinicians is a public health epidemic that affects the quality and safety of healthcare. The National Academy of Medicine's Action Collaborative on Clinician Well-being and Resilience has called for an increase in evidence-based interventions to combat this alarming problem. The MINDBODYSTRONG Program is a novel adaptation of an evidence-based cognitive behavioral skills-building intervention that provides a theory-based approach to improve the mental health, healthy lifestyle beliefs and behaviors, and job satisfaction of NLRNs. METHODS: A 2-group, cluster randomized controlled trial was used with 89 new nurses participating in a new-graduate nurse residency program. The experimental intervention, MINDBODYSTRONG, consisted of 8 manualized weekly 45-minute sessions. Data were collected at baseline, immediately following, and 3 months after intervention that measured stress, depressive symptoms, anxiety, healthy lifestyle beliefs and behaviors, and job satisfaction. Repeated-measures analysis of variance was used for data analysis. RESULTS: The intervention group scored significantly better with moderate to large positive effects on the mental health variables as well as healthy lifestyle beliefs and healthy lifestyle behaviors at both follow-up time points compared with the attention control group. Moderate to large positive effects also were found for job satisfaction. CONCLUSIONS: The MINDBODYSTRONG Program has excellent potential as an evidence-based intervention for improving the mental health, healthy lifestyle beliefs and behaviors, and job satisfaction, in NLRNs.


Assuntos
Terapia Comportamental/métodos , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Estilo de Vida Saudável , Transtornos Mentais/prevenção & controle , Transtornos Mentais/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Satisfação no Emprego , Masculino , Adulto Jovem
13.
Prensa méd. argent ; 105(8): 477-482, sept 2019. tab
Artigo em Inglês | LILACS, BINACIS | ID: biblio-1023276

RESUMO

Physical culture and sports are still an effective means of rehaabilitation and social integration of persons with weakened health. They allow people with disabilities to fully discover all their functional reserves and be active members of society. In this regard, the further development of physical culture and sports work with people with various health problems is very promising. One of the types of such activities are footbal groups, where children and young people with Down's syndrome are becoming more active. For athletes with a mosaic form of Down's syndrome, it is very important, first of all, that there are conditions for practicing football, that is, a gym with inventory, as evidencedby high marks to the quality of the classes. The use of visual training methods (instructions, drawings, schemes) in training improves the interaction of athletes with the coach, facilitates the assimilation of the training material and thereby increases the motor density of the session. It is clear that the personality of the coach plays the leading role in the training process. From how competently he interacts with his athletes, how attentive to the, how uch he carries them into playing sports ultimately depends the result of his activities ad the success of the students. It is also very important attention to the success of young athletes with a mosaic form of Down syndrome. Promotion of football among them and their active encouragement for sportes success is a serious incentive form their further employment in football and increases the popularity not only of this sport, but also of a healthy lifestyle (AU)


Assuntos
Humanos , Criança , Adolescente , Adulto , Satisfação Pessoal , Futebol , Exercício , Síndrome de Down/psicologia , Capacitação , Papel Profissional , Esportes para Pessoas com Deficiência/psicologia , Estilo de Vida Saudável , Tutoria
14.
Res Nurs Health ; 42(5): 324-333, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31389621

RESUMO

Androgen deprivation therapy (ADT) is a treatment used across the prostate cancer disease spectrum and works by suppressing testicular androgen production to castrate levels. Although ADT can provide survival benefits, it is also associated with increased risk for cardiovascular disease, metabolic syndrome, increased visceral fat mass, dyslipidemia, decreased arterial compliance, and diminished health-related quality of life. The Staying Strong And Healthy protocol is a telephone-delivered intervention led by a nurse coordinator to minimize the increased cardiovascular and metabolic risks associated with ADT. This study will evaluate the feasibility of the protocol and provides the foundation for future behavioral interventions across diverse populations of men on ADT.


Assuntos
Antagonistas de Androgênios/efeitos adversos , Antagonistas de Androgênios/uso terapêutico , Doenças Cardiovasculares/induzido quimicamente , Doenças Cardiovasculares/prevenção & controle , Neoplasias da Próstata/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Terapia Comportamental/métodos , Terapia por Exercício/métodos , Estudos de Viabilidade , Estilo de Vida Saudável , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Qualidade de Vida , Telemedicina/métodos , Estados Unidos
15.
BMJ ; 366: l4414, 2019 08 07.
Artigo em Inglês | MEDLINE | ID: mdl-31391187

RESUMO

OBJECTIVES: To examine the association between the Life Simple 7 cardiovascular health score at age 50 and incidence of dementia. DESIGN: Prospective cohort study. SETTING: Civil service departments in London (Whitehall II study; study inception 1985-88). PARTICIPANTS: 7899 participants with data on the cardiovascular health score at age 50. EXPOSURES: The cardiovascular health score included four behavioural (smoking, diet, physical activity, body mass index) and three biological (fasting glucose, blood cholesterol, blood pressure) metrics, coded on a three point scale (0, 1, 2). The cardiovascular health score was the sum of seven metrics (score range 0-14) and was categorised into poor (scores 0-6), intermediate (7-11), and optimal (12-14) cardiovascular health. MAIN OUTCOME MEASURE: Incident dementia, identified through linkage to hospital, mental health services, and mortality registers until 2017. RESULTS: 347 incident cases of dementia were recorded over a median follow-up of 24.7 years. Compared with an incidence rate of dementia of 3.2 (95% confidence interval 2.5 to 4.0) per 1000 person years among the group with poor cardiovascular health, the absolute rate differences per 1000 person years were -1.5 (95% confidence interval -2.3 to -0.7) for the group with intermediate cardiovascular health and -1.9 (-2.8 to -1.1) for the group with optimal cardiovascular health. Higher cardiovascular health score was associated with a lower risk of dementia (hazard ratio 0.89 (0.85 to 0.95) per 1 point increment in the cardiovascular health score). Similar associations with dementia were observed for the behavioural and biological subscales (hazard ratios per 1 point increment in the subscores 0.87 (0.81 to 0.93) and 0.91 (0.83 to 1.00), respectively). The association between cardiovascular health at age 50 and dementia was also seen in people who remained free of cardiovascular disease over the follow-up (hazard ratio 0.89 (0.84 to 0.95) per 1 point increment in the cardiovascular health score). CONCLUSION: Adherence to the Life Simple 7 ideal cardiovascular health recommendations in midlife was associated with a lower risk of dementia later in life.


Assuntos
Doenças Cardiovasculares/prevenção & controle , Demência/epidemiologia , Nível de Saúde , Estilo de Vida Saudável , Adulto , Idoso , Doenças Cardiovasculares/sangue , Demência/prevenção & controle , Feminino , Seguimentos , Humanos , Incidência , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Fatores de Risco
16.
Artigo em Russo | MEDLINE | ID: mdl-31465649

RESUMO

The Moscow residents are prone to lead a healthy lifestyle (29% follow most principles of a healthy lifestyle and 56% follow some of them). During the study six main aspects of a healthy lifestyle were selected and described in detail from the perspective of Muscovites' self-assessment. Factor analysis revealed two types of behavior that characterize attitudes toward a healthy lifestyle by Muscovites: an "active healthy lifestyle" (nutrition, physical activity, work and rest regime) and a "passive healthy lifestyle" (attitudes towards smoking and alcohol). The mental health factor was examined separately. Statistical analysis of the data showed that the respondents well-being is primarily related to sport and ability to cope with stress (p<0,001). The study also identified risk groups for each aspect of a healthy lifestyle based on differences in the main socio-demographic characteristics. Additionally, the aspect of rational medical behavior was analyzed. The analysis showed that not enough attention is paid to this aspect. The results of the study can be considered in developing priority directions of work in the field of the formation of a healthy lifestyle. The specificity of the approach taken in this study is that recommendations are based on determining the main aspects of a healthy lifestyle and their interrelation, as well as discovering risk groups for each of them and their connection to health self-assessment.


Assuntos
Estilo de Vida Saudável , Atitude , Exercício , Comportamentos Relacionados com a Saúde , Humanos , Estilo de Vida , Moscou , Fumar
17.
BMC Public Health ; 19(1): 1140, 2019 Aug 19.
Artigo em Inglês | MEDLINE | ID: mdl-31426771

RESUMO

BACKGROUND: Workplace Health Promotion Programs (WHPP) have been shown to be an efficient way of improving workers' health. These programs can be incorporated in the worker's daily schedule and improve their productivity at work. Improving employees' health also benefits the employers by increasing their return on investment and lowering healthcare costs. The Activate Your Health program, created by Capsana in 2015, is a WHPP targeting multiple lifestyle habits for a three-year period. This WHPP includes tailored web-based interventions and the support of different health professionals throughout the years. We hypothesize that this approach will yield long-term lifestyle changes. The objective of the current paper is to describe the Activate Your Health program's design. METHODS/DESIGN: Eleven companies are taking part in this WHPP and had to choose among five different options of this program and all their employees were encouraged to participate. Each option differs by the number and type of interventions included. The limited option, which is considered the control group, only consists in completing a questionnaire regarding their health status, lifestyle habits and behaviors. On the other end, the extensive option receives a combination of multiple interventions: online menus, health challenges, support in creating a healthy work environment, coaching by health professionals (nurse, nutritionist, and kinesiologist), health screening and flexibility assessment, online resources, social health platform, and activity tracking. The remaining options are in between these options and vary by the amount of intervention. Baseline data are already gathered; two other data collection periods will take place after one and 2 years into the program. The primary outcomes of the current program are physical activity and fitness measures, nutritional data, smoking habits, stress and intention to change. DISCUSSION: The Activate Your Health program will allow us to compare which combinations of interventions are the most effective. It is expected that the extensive option will be the most advantageous to improve lifestyle habits. The results will indicate the strength and weakness of each intervention and how it could be improved. TRIAL REGISTRATION: Clinicaltrails.gov, registration number: NCT02933385 (updated on the 26th of March 2019, initially registered on the 5th of October 2016).


Assuntos
Estilo de Vida Saudável , Saúde do Trabalhador , Adulto , Canadá , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Programas e Projetos de Saúde , Projetos de Pesquisa
18.
BMC Public Health ; 19(1): 1146, 2019 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-31429735

RESUMO

BACKGROUND: UK African and Caribbean (AfC) communities are disproportionately burdened by type 2 diabetes (T2D). Promoting healthy eating and physical activity through structured education is the cornerstone of T2D care, however cultural barriers may limit engagement in these communities. In addition, changes in lifestyle behaviour are shaped by normative influences within social groups and contextual factors need to be understood to facilitate healthful behaviour change. The Behaviour Change Wheel (BCW) and associated COM-B framework offer intervention designers a systematic approach to developing interventions. The aim of this study was to apply the BCW in the design of a culturally sensitive self-management support programme for T2D in UK AfC communities. METHODS: An intervention development study was conducted. Focus groups were held with 41 AfC patients with T2D to understand healthful weight-management, diet and physical activity behaviours. The COM-B framework and BCW were used to evaluate the qualitative data, identify appropriate behaviour change techniques and specify the intervention components. RESULTS: Participants were motivated to avoid diabetes-related consequences although did not always understand the negative impact of their current health behaviours on long-term diabetes outcomes. Barriers to healthful behaviour included gaps in knowledge related to diet, physical activity and weight management guidance. In addition, motivation and social opportunity barriers included an acceptance of larger body sizes, rejection of body mass index for weight guidance and cultural identity being strongly linked to consumption of traditional starches. There was a lack of social opportunity to perform moderate to vigorous physical activity, although walking and dance were culturally acceptable. The resulting Healthy Eating & Active Lifestyles for Diabetes (HEAL-D) intervention uses social support, social comparison, credible sources and demonstration as key behaviour change techniques. CONCLUSION: Use of COM-B and the BCW highlighted the need for an intervention to address motivational and social opportunity barriers to engaging in healthful behaviours, as well as addressing key gaps in knowledge. This framework facilitated the linkage of theoretical behaviour constructs with evidence-based behaviour change techniques, which will enable us to evaluate operationalisation of our chosen BCTs and their impact on behaviour change in a future feasibility study.


Assuntos
Terapia Comportamental/educação , Assistência à Saúde Culturalmente Competente/métodos , Diabetes Mellitus Tipo 2/etnologia , Dieta para Diabéticos/métodos , Educação de Pacientes como Assunto/métodos , Autogestão/educação , Adulto , Grupo com Ancestrais do Continente Africano/educação , Terapia Comportamental/métodos , Região do Caribe/etnologia , Diabetes Mellitus Tipo 2/terapia , Dieta para Diabéticos/etnologia , /métodos , Exercício , Feminino , Grupos Focais , Comportamentos Relacionados com a Saúde/etnologia , Estilo de Vida Saudável , Humanos , Masculino , Pessoa de Meia-Idade , Motivação , Avaliação de Programas e Projetos de Saúde , Autogestão/métodos , Apoio Social , Reino Unido
19.
Diabetes Res Clin Pract ; 155: 107814, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31421138

RESUMO

INTRODUCTION: Emerging evidence suggests us of real-time continuous glucose monitoring systems (RT-CGM), can assist to improve glucose control in Type 2 Diabetes (T2D) treatment, however the impact of these devices on patients' stress levels and behaviour is poorly understood. This study aimed to examine the effects of RT-CGM on tolerance and acceptability of device wear, stress and diabetes management and motivation to change. METHODS: Twenty adults (10 men, 10 women) with T2D (aged 60.6 ±â€¯8.4 years, BMI 34.2 ±â€¯4.7 kg/m2), were randomised to a low-carbohydrate lifestyle plan whilst wearing a RT-CGM or an 'offline-blinded' (Blinded-CGM) monitoring system continuously for 12 weeks. Outcomes were glycaemic control (HbA1c), weight (kg) perceived stress scale (PSS), CGM device intolerance, acceptability, motivation to change and diabetes management behaviour questionnaires. RESULTS: Both groups experienced significant reductions in body weight (RT-CGM -7.4 ±â€¯4.5 kg vs. Blinded-CGM -5.5 ±â€¯4.0 kg) and HbA1c (-0.67 ±â€¯0.82% vs. -0.68 ±â€¯0.74%). There were no differences between groups for perceived stress (P = 0.47) or device intolerance at week 6 or 12 (both P > 0.30). However, there was evidence of greater acceptance of CGM in the RT-CGM group at week 12 (P = 0.03), improved blood glucose monitoring behaviour in the RT-CGM group at week 6 and week 12 (P ≤ 0.01), and a significant time x group interaction (P = 0.03) demonstrating improved diabetes self-management behaviours in RT-CGM. CONCLUSION: This study provides preliminary evidence of improved behaviours that accompany RT-CGM in the context of diabetes management and glucose self-monitoring. RT-CGM may provide an alternative approach to glucose management in individuals with T2D without resulting in increased disease distress.


Assuntos
Automonitorização da Glicemia/métodos , Diabetes Mellitus Tipo 2/sangue , Estilo de Vida Saudável/fisiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto
20.
Surg Clin North Am ; 99(5): 1029-1035, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31446908

RESUMO

Burnout is characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. All physicians, and especially surgeons, are at risk for developing burnout. The best strategies for mitigating burnout mimic a modern approach to medicine: the development of preventive practices to protect, promote, and maintain health and well-being. Job satisfaction, job engagement, and compassion satisfaction help protect from burnout. Individual commitment to self-care in conjunction with support from within health care organizations create the optimal framework in which burnout can be mitigated.


Assuntos
Esgotamento Profissional/prevenção & controle , Fadiga por Compaixão/prevenção & controle , Esgotamento Profissional/psicologia , Estilo de Vida Saudável , Humanos , Satisfação no Emprego , Fatores de Risco , Autocuidado
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA