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1.
Am J Occup Ther ; 75(1): 7501205120p1-7501205120p8, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33399060

RESUMO

IMPORTANCE: Scanning the environment is critical for driving safety. The ScanCourse is a functional assessment that assesses a person's ability to scan the environment for visual information while in motion. Measurement properties for the ScanCourse have been reported; however, its predictive validity is unknown. OBJECTIVE: To determine the predictive validity of the ScanCourse for on-road driving performance and establish clinical cutoff scores. DESIGN: Retrospective chart reviews were conducted over a 6-mo period. SETTING: Four Canadian driver rehabilitation programs. PARTICIPANTS: Charts from patients with neurological or vision conditions were eligible if they contained ScanCourse and on-road driving evaluation results between September 1, 2008, and August 30, 2018. Three hundred twenty-five charts were included for analysis. OUTCOMES AND MEASURES: Area under the curve (AUC) analysis was used to determine the predictive validity of ScanCourse scores for on-road outcomes; cutoff scores were established by optimizing sensitivity and specificity. RESULTS: The ScanCourse had an AUC of .702. The optimal cutoff score was 18/20 with a sensitivity of 76.7% and a specificity of 47.1%. CONCLUSIONS AND RELEVANCE: Assessing the scanning abilities of at-risk drivers who intend to return to driving after sustaining an injury can help identify safety risks and inform interventions. The ScanCourse was found to have acceptable discriminatory ability for on-road driving performance. This study provides evidence supporting its continued use as a screening tool to assess driver fitness with an identified optimal cutoff score for clinical use. WHAT THIS ARTICLE ADDS: Measuring the predictive ability of the ScanCourse assessment in relation to on-road driving performance provides occupational therapists with an evidence-based clinical tool to assist with screening fitness to drive among at-risk people.


Assuntos
Condução de Veículo , Terapeutas Ocupacionais , Exame para Habilitação de Motoristas , Canadá , Exercício Físico , Humanos , Estudos Retrospectivos , Sensibilidade e Especificidade
2.
Maturitas ; 144: 4-10, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33358207

RESUMO

OBJECTIVE: To assess the impact of confinement due to the coronavirus (Covid-19) pandemic on health-related quality of life (HRQoL) and resilience in peri- and postmenopausal women. MATERIAL AND METHODS: We used an online questionnaire which was sent between April 30th and May 13th, 2020 to women aged 40-70 years who were peri- or postmenopausal according to STRAW criteria. We used the 16-item Cervantes short-form scale (Cervantes-SF) to measure HRQoL, and the 14-item Wagnild and Young Resilience Scale (RS-14) to measure resilience. High scores on the Cervantes-SF indicate low HRQoL and high scores on the RS-14 indicate high levels of resilience. Covid-19 status, sociodemographic descriptors, and lifestyle variables were also evaluated. RESULTS: We included 2430 peri- and postmenopausal women with valid questionnaires. All items of the Cervantes-SF were completed in 2151 cases, whilst the RS-14 was completed in 2413 cases. There was a negative correlation between scores on the Cervantes-SF and RS-14 scales (Rho -0.350; p < 0.0001). Multiple linear regression analysis revealed a statistically significant association between Cervantes-SF scores and living with others (ß-coefficient -10.2; p < 0.001), use of antidepressants (ß 9.3; p < 0.001), physical activity (ß -8.6; p < 0.001) and sexual activity (ß -2.7; p < 0.001). Resilience was associated with the use of antidepressants (ß -5.9; p < 0.001), physical activity (ß 3.2; p < 0.001) and sexual activity (ß 1.7; p = 0.005). According to the multivariate analysis, there were no associations between either Covid-19 or menopausal status and HRQoL or resilience scores. CONCLUSIONS: During the period of mandatory Covid-19 confinement, peri- and postmenopausal women who engaged in physical and sexual activity had higher HRQoL and higher levels of resilience, whilst women who were using antidepressants had lower HRQoL and lower levels of resilience. HRQoL was greater in women who lived with others.


Assuntos
Perimenopausa/psicologia , Pós-Menopausa/psicologia , Qualidade de Vida/psicologia , Quarentena/psicologia , Resiliência Psicológica , Adulto , Idoso , Estudos Transversais , Exercício Físico/psicologia , Feminino , Humanos , Pessoa de Meia-Idade , Inquéritos e Questionários
4.
Sports Health ; 13(1): 25-30, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32631208

RESUMO

BACKGROUND: The relationships between sport specialization, physical activity, sleep, and illness in younger athletes are unknown. Therefore, the purpose of this study was to evaluate the independent effects of sport specialization, sleep, and physical activity on illness in middle school athletes. HYPOTHESIS: Decreased sleep, decreased physical activity, and higher levels of sport specialization will be associated with an increased risk of illness among middle school athletes. STUDY DESIGN: Prospective cohort study. LEVEL OF EVIDENCE: Level 4. METHODS: Parents of middle school-aged children reported baseline sport specialization (low, moderate, or high) as well as sleep duration, physical activity, and illnesses every week throughout the academic year. A mixed-effects logistic regression model was used to assess the association between illness and specialization while accounting for sleep and physical activity for the prior week as fixed effects and each individual as a random effect. RESULTS: A total of 233 children (mean age, 12.1 ± 1.2 years; 61% male) participated, of whom 41%, 25%, and 34% were categorized as low, moderate, and high specialization, respectively. The proportion of individuals who experienced illness did not differ by specialization level (low, 76%; moderate, 70%; high, 59%; P = 0.064). In the multivariable model, the odds of illness compared with the low specialization group was not significantly different for moderate (odds ratio [OR], 0.93; 95% CI, 0.70-1.23; P = 0.61) or high specialization (OR, 0.76; 95% CI, 0.56-1.03; P = 0.073). A decreased risk of illness was associated with greater prior week sleep (OR, 0.79; 95% CI, 0.69-0.91; P < 0.001) and physical activity (OR, 0.94; 95% CI, 0.92-0.96; P < 0.001). CONCLUSION: Sport specialization is not associated with an increased risk of illness among middle school athletes, while increased sleep duration and physical activity appear to reduce the risk of illness. CLINICAL RELEVANCE: Interventions to promote physical activity and improve sleep may reduce the risk of illness in early adolescent athletes.


Assuntos
Exercício Físico , Privação do Sono/fisiopatologia , Especialização , Esportes Juvenis/fisiologia , Adolescente , Criança , Transtornos Traumáticos Cumulativos/fisiopatologia , Feminino , Humanos , Masculino , Condicionamento Físico Humano/fisiologia , Estudos Prospectivos , Fatores de Risco
5.
Appetite ; 156: 104853, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-33038479

RESUMO

Eating, physical activity and other weight-related lifestyle behaviors may have been impacted by the COVID-19 crisis and people with obesity may be disproportionately affected. We examined weight-related behaviors and weight management barriers among UK adults during the COVID-19 social lockdown. During April-May of the 2020 COVID-19 social lockdown, UK adults (N = 2002) completed an online survey including measures relating to physical activity, diet quality, overeating and how mental/physical health had been affected by lockdown. Participants also reported on perceived changes in weight-related behaviors and whether they had experienced barriers to weight management, compared to before the lockdown. A large number of participants reported negative changes in eating and physical activity behavior (e.g. 56% reported snacking more frequently) and experiencing barriers to weight management (e.g. problems with motivation and control around food) compared to before lockdown. These trends were particularly pronounced among participants with higher BMI. During lockdown, higher BMI was associated with lower levels of physical activity and diet quality, and a greater reported frequency of overeating. Reporting a decline in mental health because of the COVID-19 crisis was not associated with higher BMI, but was predictive of greater overeating and lower physical activity in lockdown. The COVID-19 crisis may have had a disproportionately large and negative influence on weight-related behaviors among adults with higher BMI.


Assuntos
Dieta , Exercício Físico , Comportamento Alimentar , Saúde Mental , Obesidade , Pandemias , Adulto , Índice de Massa Corporal , Peso Corporal , Exercício Físico/psicologia , Comportamento Alimentar/psicologia , Feminino , Humanos , Hiperfagia/etiologia , Hiperfagia/psicologia , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Motivação , Obesidade/complicações , Obesidade/psicologia , Lanches , Isolamento Social , Inquéritos e Questionários , Reino Unido , Adulto Jovem
6.
Int J Cardiol ; 323: 285-287, 2021 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-32889019

RESUMO

BACKGROUND: We aimed to evaluate the impact of coronavirus disease 2019 (COVID-19)-related lockdown on adherence to lifestyle and drug regimens in stay-at-home chronic coronary syndromes patients living in urban and rural areas. METHODS: A cross-sectional population-based study was perfomed in patients with chronic coronary syndromes. A sample of 205 patients was randomly drawn from the RICO (Observatoire des infarctus de Côte d'Or) cohort. Eight trained interviewers collected data by phone interview during week 16 (April 13 to April 19), i.e. 4 weeks after implementation of the French lockdown (start March 17, 2020). RESULTS: Among the 195 patients interviewed (of the 205, 3 had died, 1 declined, 6 lost), mean age was 65.5 ± 11.1 years. Only six patients (3%) reported drug discontinuation, mainly driven by media influence or family members. All 166 (85%) patients taking aspirin continued their prescribed daily intake. Lifestyle rules were less respected since almost half (45%) declared >25% reduction in physical activity, 26% of smokers increased their tobacco consumption by >25%, and 24% of patients increased their body weight > 2 kg. The decrease in physical activity and the increase in smoking were significantly greater in urban patients (P < .05). CONCLUSIONS: The COVID-19-related lockdown had a negative impact on lifestyle in a representative sample of stay-at-home CCS patients.


Assuntos
/epidemiologia , Doenças Cardiovasculares/epidemiologia , Comportamentos Relacionados com a Saúde , Estilo de Vida , Quarentena/legislação & jurisprudência , Idoso , Doença Crônica , Estudos Transversais , Exercício Físico , Feminino , França/epidemiologia , Humanos , Masculino , Adesão à Medicação/estatística & dados numéricos , População Rural , Fumar/epidemiologia , População Urbana , Ganho de Peso
7.
Support Care Cancer ; 29(1): 289-300, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32358776

RESUMO

PURPOSE: To investigate lifestyle in a population-based sample of long-term (≥ 5 years since diagnosis) young adult cancer survivors (YACSs), and explore factors associated with not meeting the lifestyle guidelines for physical activity (PA), body mass index (BMI), and smoking. METHODS: YACSs (n = 3558) diagnosed with breast cancer (BC), colorectal cancer (CRC), non-Hodgkin lymphoma (NHL), acute lymphoblastic leukemia (ALL), or localized malignant melanoma (MM) between the ages of 19 and 39 years and treated between 1985 and 2009 were invited to complete a mailed questionnaire. Survivors of localized MM treated with limited skin surgery served as a reference group for treatment burden. RESULTS: In total, 1488 YACSs responded (42%), and 1056 YACSs were evaluable and included in the present study (74% females, average age at survey 49 years, average 15 years since diagnosis). Forty-four percent did not meet PA guidelines, 50% reported BMI ≥ 25 and 20% smoked, with no statistically significant differences across diagnostic groups. Male gender, education ≤ 13 years, comorbidity, lymphedema, pain, chronic fatigue, and depressive symptoms were associated with not meeting single and/or an increasing number of lifestyle guidelines. CONCLUSION: A large proportion of long-term YACSs do not meet the lifestyle guidelines for PA, BMI, and/or smoking. Non-adherence to guidelines is associated with several late effects and/or comorbidities that should be considered when designing lifestyle interventions for YACSs.


Assuntos
Sobreviventes de Câncer/estatística & dados numéricos , Exercício Físico/psicologia , Estilo de Vida Saudável , Cooperação do Paciente/estatística & dados numéricos , Sobreviventes/estatística & dados numéricos , Adulto , Índice de Massa Corporal , Neoplasias da Mama/terapia , Sobreviventes de Câncer/psicologia , Neoplasias Colorretais/terapia , Comorbidade , Estudos Transversais , Feminino , Humanos , Masculino , Melanoma/terapia , Pessoa de Meia-Idade , Dor/complicações , Neoplasias Cutâneas/terapia , Fumar/epidemiologia , Inquéritos e Questionários , Sobreviventes/psicologia , Adulto Jovem
8.
Support Care Cancer ; 29(1): 145-154, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32323003

RESUMO

PURPOSE: Existing research indicates that physical activity (PA) is beneficial to men with prostate cancer (PCa). We examined the potential of a single-contact peer-support-based behavioural intervention to promote PA engagement in men treated for PCa. METHODS: A mixed methods design was employed, comprising a two-arm pragmatic trial and semi-structured interviews. The intervention was a 10-min PA-based presentation by a former patient, delivered in group seminars that are provided for patients as standard care. Seminars were alternately allocated to (a) cancer exercise specialist talk + patient speaker talk or (b) cancer exercise specialist talk only. Self-reported PA, exercise motivation, quality of life, fatigue and clinical and demographic characteristics were obtained from n = 148 (intervention: n = 69; control: n = 79) patients immediately prior to the seminar, and at follow-up ≈ 100 days later. Data were analysed using ANCOVA models and χ2 tests. Fourteen semi-structured interviews with intervention participants, which explored how the intervention was experienced, were analysed using a grounded theory-style approach. RESULTS: The intervention had no significant effect on quantitatively self-reported PA (p = 0.4). However, the intervention was statistically and clinically beneficial for fatigue (p = 0.04) and quality of life (p = 0.01). Qualitative analysis showed that the intervention was beneficial to psychological wellbeing and some participants had increased intention to engage in PA as a result of the intervention. CONCLUSIONS: A brief one-off PA-based presentation for men with PCa, delivered by a former patient alongside cancer exercise specialist advice, may result in clinically significant benefits to quality of life and may influence PA intention in certain individuals.


Assuntos
Exercício Físico/psicologia , Prostatectomia/psicologia , Neoplasias da Próstata/cirurgia , Qualidade de Vida/psicologia , Apoio Social , Terapia Comportamental , Aconselhamento , Fadiga/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Motivação , Grupo Associado , Projetos Piloto , Autorrelato
9.
Scand J Med Sci Sports ; 31(1): 70-75, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32969531

RESUMO

COVID-19 outbreak has a profound impact on almost every aspect of life. Universal masking is recommended as a means of source control. Routinely exercising in a safe environment is an important strategy for healthy living during this crisis. As sports clubs and public spaces may serve a source of viral transmission, masking may become an integral part of physical activity. This study aimed to assess the physiological effects of wearing surgical masks and N95 respirators during short-term strenuous workout. This was a multiple cross-over trial of healthy volunteers. Using a standard cycle ergometry ramp protocol, each subject performed a maximal exercise test without a mask, with a surgical mask, and with an N95 respirator. Physiological parameters and time to exhaustion were compared. Each subject served his own control. Sixteen male volunteers (mean age and BMI of 34 ± 4 years and 28.72 ± 3.78 kg/m2 , respectively) completed the protocol. Heart rate, respiratory rate, blood pressure, oxygen saturation, and time to exhaustion did not differ significantly. Exercising with N95 mask was associated with a significant increase in end-tidal carbon dioxide (EtCO2 ) levels. The differences were more prominent as the load increased, reaching 8 mm Hg at exhaustion (none vs N95, P = .001). In conclusion, in healthy subjects, short-term moderate-strenuous aerobic physical activity with a mask is feasible, safe, and associated with only minor changes in physiological parameters, particularly a mild increase in EtCO2 . Subjects suffering from lung diseases should have a cautious evaluation before attempting physical activity with any mask.


Assuntos
/prevenção & controle , Exercício Físico , Máscaras , Pandemias , Adulto , Estudos Cross-Over , Teste de Esforço , Humanos , Masculino , Volta ao Esporte
10.
Support Care Cancer ; 29(1): 359-367, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32367227

RESUMO

PURPOSE: Cardiorespiratory fitness (CRF) seems to be prognostic prior to allogeneic stem cell transplantation (allo-HSCT). Influencing factors of CRF in allo-HSCT candidates have not been studied so far. Aim was to identify potentially influencing factors on CRF. METHODS: To assess CRF, a maximal cardiopulmonary exercise test (CPET) was performed on average 2.6 ± 7.2 days prior to admission. A regression analysis was conducted, with the following predictors: gender, age, body mass index (BMI), time between last therapy and allo-HSCT (t_Therapies), number of cardiotoxic therapies (n_Cardiotox), number of transplantations (n_Transplantations), comorbidity index (HCT-CI), hemoglobin level of the last 3 months (area under the curve), and physical activity. RESULTS: A total of 194 patients performed a CPET. VO2peak was significantly reduced compared with reference data. In total, VO2peak was 21.4 ml/min/kg (- 27.5%, p < 0.05). Men showed a significant larger percentage difference from reference value (- 29.1%, p < 0.05) than women (- 24.4%). VO2peak was significantly (p < 0.05) influenced by age (ß = - 0.11), female gender (ß = - 3.01), BMI (ß = - 0.44), n_Cardiotox (ß = - 0.73), hemoglobin level (ß = 0.56), and physical activity prior to diagnosis (ß = 0.10). CONCLUSIONS: Our study demonstrates a decreased CRF indicating the potential need of prehabilitative exercise. We revealed some influencing factors on CRF. Those patients could benefit the most from exercise.


Assuntos
Aptidão Cardiorrespiratória/fisiologia , Teste de Esforço/métodos , Transplante de Células-Tronco Hematopoéticas/estatística & dados numéricos , Adulto , Idoso , Índice de Massa Corporal , Exercício Físico , Feminino , Hemoglobinas/análise , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Análise de Regressão , Adulto Jovem
11.
Support Care Cancer ; 29(1): 35-48, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32720007

RESUMO

PURPOSE: This systematic review aimed to examine the evidence on adventure therapy (AT) intervention for child, adolescent, and young adult (AYA) cancer patients in order to inform the design of future research and clinical practice. METHODS: This review included studies that tested the AT intervention among child and AYA cancer patients. Nine electronic databases (CINAHL, Cochrane Central Register of Controlled Trials, EMBase, Medline via EbscoHost, OpenGrey, PsycInfo, Web of Science, Scopus, and PubMed) were searched for English-language published studies using a quasi-experimental design, one-group pre-test-post-test experimental study design, or randomized controlled trial (RCT) from 1981 to May 2020. The methodological quality of the included studies was evaluated using JBI Critical Appraisal Checklists for RCTs and for Quasi-Experimental Studies by two researchers independently. A narrative synthesis of intervention characteristics and related health-related outcomes was performed. RESULTS: Eight papers from seven studies were included in the review, namely four RCTs, two quasi-experimental study papers, and two one-group pre-test-post-test experimental study papers. Studies varied in the components and duration of AT. Medium to high methodological quality of included studies was noted in all study designs. Results showed the positive effects of AT on the physical activity, fatigue, psychological distress, and quality of life of child and AYA cancer patients. CONCLUSION: AT is a promising intervention that may improve a number of health-related outcomes in child and AYA cancer patients. Evidence-based AT interventions should be developed and incorporated as part of supportive care for the target population.


Assuntos
Exercício Físico/psicologia , Neoplasias/psicologia , Qualidade de Vida/psicologia , Apoio Social , Adolescente , Adulto , Criança , Pré-Escolar , Família , Fadiga , Nível de Saúde , Humanos , Masculino , Adulto Jovem
12.
Cultur Divers Ethnic Minor Psychol ; 27(1): 118-122, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32833469

RESUMO

Objectives: Short sleep duration compromises adolescents' functioning across many domains, yet risk for short sleep is not evenly distributed among youth in the United States. Significant Black-White disparities in sleep duration have been observed, with Black/African American youth on average sleeping fewer minutes per night than their White/European American peers. However, not all Black adolescents have short sleep, and identification of moderators of effects, including protective and vulnerability factors in the association between race/ethnicity and sleep duration, is warranted. We examined whether engagement in physical activity attenuates the gap in sleep duration between Black and White teenagers. Method: A sample of 246 adolescents (Mage = 15.79 years; 32.9% Black, 67.1% White) reported on their physical activity and participated in 1 week of at-home actigraphic sleep assessment, which was used to derive sleep duration (minutes scored as asleep from sleep onset to wake time). Results: At higher levels of physical activity, relatively long sleep duration was observed for all youth regardless of their race/ethnicity. However, at lower levels of physical activity, an association emerged between race and sleep minutes, illustrating that youth most at risk for shorter sleep were Black adolescents with lower physical activity. Conclusions: Findings suggest that for Black adolescents, physical activity is a protective factor against short sleep duration and, conversely, low physical activity is a vulnerability factor. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Exercício Físico , Sono , Adolescente , Afro-Americanos , Grupo com Ancestrais do Continente Europeu , Humanos , Fatores de Proteção , Estados Unidos
13.
Artigo em Inglês | MEDLINE | ID: mdl-33374109

RESUMO

Regular practice of physical activity plays a fundamental role in preventing and treating cardiovascular diseases such as obesity, hypertension, diabetes, and metabolic syndrome. During the pandemic caused by COVID-19 and the lockdown established, people have reduced considerably their mobility and motor activity, which has led to an increase in unhealthy lifestyle habits, raising the risk of suffering from diseases. This paper consists of reviewing the existing scientific literature on recommendations of physical activity during the pandemic and to establish specific guidelines according to the type of population to which the activity would be directed. A search strategy has been carried out in the different databases: Embase, PubMed, SCOPUS, SPORTDiscus, and Web of Science (WoS), including all the articles published until 14 May 2020, to find essays with recommendations on aerobic activity, muscle strengthening, flexibility-stretching, meditation-relaxation, and balance exercises. The articles found have been evaluated considering the following criteria: type of publication, proposals for physical exercise, language, and, if it appears, volume of activity, frequency, intensity, and rest. The results obtained 29 articles that discuss patterns of physical activity, although there is no common consensus on such recommendations during confinement, nor are they suitable for all people. From these results, we can conclude that physical activity is widely recommended during the confinement caused by COVID-19, mainly through the performance of aerobic, strength, flexibility, and balance exercises.


Assuntos
Exercício Físico , Promoção da Saúde , Pandemias , Controle de Doenças Transmissíveis , Humanos
14.
Artigo em Inglês | MEDLINE | ID: mdl-33374537

RESUMO

The special situation brought about by the coronavirus pandemic and the confinement imposed by the Government, has given rise to numerous changes in working habits. The workers at the universities have had to start a period of teleworking that could give rise to consequences for the musculoskeletal system. The objective of this article is to analyze the impact of the confinement on the musculoskeletal health of the staff of two Spanish universities. A cross-sectional, observational study was carried out on the workers. Data was taken in April-May 2020 and included: The Standardized Kuorinka Modified Nordic Questionnaire, the Perceived Stress Scale and another one on sociodemographic data. This study comprised 472 people. The areas of pain noted during the confinement period concluded that it was less in all cases (p < 0.001). The frequency of physical activity carried out increased significantly during the period of confinement (p < 0.04), especially in women. The type of physical activity done was also seen to modify during this period (p < 0.001), with a preference for strength training and stretching exercises. In conclusion, the confinement gave rise to changes in the lifestyle and in the musculoskeletal pain of the workers at the universities. All of this must be taken into account by health institutions and those responsible for the Prevention of Occupational Risks at Spanish universities.


Assuntos
/epidemiologia , Dor Musculoesquelética , Adulto , Estudos Transversais , Exercício Físico , Feminino , Humanos , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Exercícios de Alongamento Muscular , Dor Musculoesquelética/epidemiologia , Dor Musculoesquelética/etiologia , Treinamento de Resistência , Espanha/epidemiologia , Universidades
15.
Nutrients ; 12(12)2020 Nov 28.
Artigo em Inglês | MEDLINE | ID: mdl-33260711

RESUMO

Social isolation has adverse effects on mental health, physical exercise, and dietary habits. This longitudinal observational study aimed to investigate the effects of mood states and exercise on nutritional choices, on 176 college students (92 males, 84 females; 23 ± 4 years old) during the COVID-19 lockdown. During 21 days, nutrition and exercise were daily monitored, and the mood states assessed. A factor analysis was used to reduce the number of nutritional variables collected. The relationships between exercise, mood and nutrition were investigated using a multivariate general linear model and a mediation model. Seven factors were found, reflecting different nutritional choices. Exercise was positively associated with fruit, vegetables and fish consumption (p = 0.004). Depression and quality of life were, directly and inversely, associated with cereals, legumes (p = 0.005; p = 0.004) and low-fat meat intake (p = 0.040; p = 0.004). Exercise mediated the effect of mood states on fruit, vegetables and fish consumption, respectively, accounting for 4.2% and 1.8% of the total variance. Poorer mood states possibly led to unhealthy dietary habits, which can themselves be linked to negative mood levels. Exercise led to healthier nutritional choices, and mediating the effects of mood states, it might represent a key measure in uncommon situations, such as home-confinement.


Assuntos
Afeto , Dieta/psicologia , Exercício Físico/psicologia , Comportamento Alimentar/psicologia , Pandemias , Isolamento Social/psicologia , Adolescente , Adulto , Depressão , Feminino , Humanos , Itália , Estilo de Vida , Estudos Longitudinais , Masculino , Saúde Mental , Qualidade de Vida , Quarentena , Estudantes , Inquéritos e Questionários , Universidades , Adulto Jovem
16.
Nutrients ; 12(12)2020 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-33266217

RESUMO

The aim was to explore the self-reported impact of the COVID-19 pandemic on nutrition and physical activity behaviour in Dutch older adults and to identify subgroups most susceptible to this impact. Participants (N = 1119, aged 62-98 y, 52.8% female) of the Longitudinal Aging Study Amsterdam living independently completed a COVID-19 questionnaire. Questions on diagnosis, quarantine and hospitalization were asked, as well as impact of the pandemic on ten nutrition and physical activity behaviours. Associations of pre-COVID-19 assessed characteristics (age, sex, region, household composition, self-rated health, BMI, physical activity, functional limitations) with reported impact were tested using logistic regression analyses. About half of the sample (48.3-54.3%) reported a decrease in physical activity and exercise due to the pandemic. An impact on nutritional behaviour predisposing to overnutrition (e.g., snacking more) was reported by 20.3-32.4%. In contrast, 6.9-15.1% reported an impact on behaviour predisposing to undernutrition (e.g., skipping warm meals). Those who had been in quarantine (n = 123) more often reported a negative impact. Subgroups with higher risk of impact could be identified. This study shows a negative impact of the COVID-19 pandemic on nutrition and physical activity behaviour of many older adults, which may increase their risk of malnutrition, frailty, sarcopenia and disability.


Assuntos
Dieta , Exercício Físico , Comportamentos Relacionados com a Saúde , Estado Nutricional , Pandemias , Quarentena , Idoso , Idoso de 80 Anos ou mais , Comportamento Alimentar , Feminino , Fragilidade , Avaliação Geriátrica , Humanos , Vida Independente , Estilo de Vida , Masculino , Desnutrição , Pessoa de Meia-Idade , Países Baixos , Hipernutrição , Sarcopenia , Autorrelato
17.
Lancet Public Health ; 5(12): e672-e681, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33271080

RESUMO

BACKGROUND: It is estimated that 4 million deaths are due to cardiovascular diseases each year in China. Comprehensive understanding about modifiable risk factors and how the risk differs across regions is needed to inform public health policies. We aimed to examine the geographical profile of cardiovascular disease risk across China. METHODS: In this study, we analysed data from a nationwide, population-based screening project, which covered 152 rural counties and 100 urban districts from 31 provinces in China. Between Sept 1, 2015, and Nov 30, 2019, standardised measurements were taken from participants aged 35-75 years who had lived in the region for at least 6 of the preceding 12 months to collect information on blood pressure, blood lipids, blood glucose, physical activity, tobacco smoking, alcohol use, overweight or obesity, and intake frequencies of fruits, vegetables, whole grains, legumes, and red meat. Individuals with a high risk of cardiovascular disease were identified according to medical history and WHO risk prediction charts. FINDINGS: 983 476 individuals were included in this study. Among the participants included, 10·3% (95% CI 10·2-10·3) had a high cardiovascular disease risk after standardising age and sex, with a range of 3·1-24·9% across counties or districts. Among the seven regions in mainland China, the prevalence of high risk of cardiovascular disease was relatively high in northeast China (12·6% [12·4-12·8]) and north China (11·4% [11·3-11·6]), whereas it was low in south China (8·0% [7·8-8·2]). The geographical profiles of the 12 major cardiovascular disease risk factors were different. We found that the regions with high cardiovascular disease risk were facing challenges such as obesity and high blood pressure (north China) and consumption of unhealthy non-staple food (low intake of fruits and vegetables or high intake of red meat; northeast China). By contrast, south China-the region with the lowest cardiovascular disease risk-had the highest prevalence of unhealthy staple food (low intake of whole grains and beans), abnormal metabolism (glucose and lipid), and low physical activity in the country. INTERPRETATION: Risk for cardiovascular diseases varies geographically, and the major contributing risk factors are different across regions in China. Hence, geographically targeted interventions are needed to mitigate the risk and reduce the burden in such a vast country. FUNDING: Ministry of Science and Technology, Ministry of Finance, and National Health Commission of China.


Assuntos
Comportamentos Relacionados com a Saúde , Adulto , Idoso , Consumo de Bebidas Alcoólicas/epidemiologia , Glicemia , Pressão Sanguínea , China/epidemiologia , Dieta , Exercício Físico , Feminino , Humanos , Lipídeos/sangue , Masculino , Pessoa de Meia-Idade , Sobrepeso/epidemiologia , Prevalência , Características de Residência
18.
PLoS One ; 15(12): e0243524, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33315880

RESUMO

BACKGROUND: In the past infectious diseases affected the quality of lifestyle during home confinement. The study conducted examines the influence of home confinement during the COVID-19 pandemic outbreak on lifestyle, mental wellbeing, nutritional status, and sleeping pattern. METHOD: An online multicategorical questionnaire was distributed to collect demographic information combined with the following tools: Food Frequency Questionnaire (FFQ), International Physical Activity Questionnaire (IPAQ), WHO-5 wellbeing score, and Pittsburgh Sleep Quality Index (PSQI). A snowball non-discriminate sampling procedure was conducted to collect data from people attending or working at higher institutions from March 1, 2020 to April 24, 2020. A total of 1723 completed responses (917 males, 37.4 ±13.4 years old and 806 females 32.2 ± 11.5 years old) were collected. RESULTS: The female participants had significantly lower mental health scores than males (53.9% vs. 46.1%). The mental wellbeing scores were higher among participants with medium and high physical activity (PA) levels (p < 0.00). Additionally, the mental wellbeing scores were significantly improved by dietary quality and it's sleeping score (p < 0.001). However, PA was by far the major determinant of the mental health scores. CONCLUSION: Factors such as PA, diet, and sleeping patterns were associated with mental wellbeing during the COVID-19 confinement among Arab participants.


Assuntos
/epidemiologia , Estilo de Vida Saudável/fisiologia , Pandemias , /patogenicidade , Adolescente , Adulto , Idoso , Árabes , /virologia , Exercício Físico , Feminino , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Quarentena , Instituições Acadêmicas , Inquéritos e Questionários , Universidades , Adulto Jovem
19.
Arq Bras Cardiol ; 115(5): 885-893, 2020 11.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33295451

RESUMO

BACKGROUND: Cardiotoxicity may be a consequence of treatments with doxorubicin (DOX). OBJECTIVES: To investigate the effect of aerobic exercise on the prevention of cardiac dysfunction in murines exposed to DOX. METHOD: A comprehensive search was conducted in 9 databases in December 2017. Studies that evaluated the cardiac function of murines exposed to DOX were included. The significance level adopted was 5%. RESULTS: In a comparison between 230 murines that underwent aerobic exercise plus DOX treatment and 222 control murines (DOX treatment only), fractional shortening showed an improvement of 5.33% in favor of the experimental group (p = 0.00001). Left ventricle developed pressure also showed an increase of 24.84 mm Hg in favor of the group of 153 murines that performed exercise in comparison to the control group of 166 murines (p = 0.00001). CONCLUSION: Preclinical studies included in this meta-analysis indicated that exercise is a good nonpharmacological strategy for preserving post-DOX cardiac function.


Assuntos
Cardiopatias , Condicionamento Físico Animal , Animais , Antibióticos Antineoplásicos , Cardiotoxicidade/etiologia , Doxorrubicina/efeitos adversos , Exercício Físico , Camundongos
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