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1.
Medicine (Baltimore) ; 98(39): e17287, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31574848

RESUMO

Evidence suggests that mental health is associated with multiple factors such as physical activity, sedentary behavior, and physical function in older adults. The present study used latent profile analysis to identify classes of older adults based on their health profile among a representative sample of Korean older adults with hypertension. Differences in mental health between these classes were also examined.Seven hundred and sixty seven participants (mean age = 70.23, SD = 6.08; men 45.6%) were included in the analysis.There were 3 latent classes (class 1: a physically inactive lifestyle with low physical function and body perception; class 2: a physically moderate lifestyle with moderate physical function and low body perception; class 3: a physically active lifestyle with high physical function and body perception). According to class comparisons, older adults in class 3 had significantly lower anxiety/depression levels than classes 1 and 2. Older adults in class 3 had significantly lower stress levels than class 1.It is possible that among older adults, having a positive attitude of one's body shape may also be important for improving anxiety/depression along with having a physically active lifestyle and maintaining physical function.


Assuntos
Imagem Corporal/psicologia , Força da Mão , Hipertensão/psicologia , Postura Sentada , Caminhada , Idoso , Idoso de 80 Anos ou mais , Ansiedade/psicologia , Estudos Transversais , Depressão/psicologia , Exercício/psicologia , Feminino , Humanos , Hipertensão/fisiopatologia , Análise de Classes Latentes , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Inquéritos Nutricionais , Percepção , República da Coreia , Estresse Psicológico/psicologia
2.
Ig Sanita Pubbl ; 75(3): 181-187, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31645060

RESUMO

The American College of Sports Medicine states that 150 minutes per week of moderate aerobic activity improves quality of life, also in patients treated for cancer. Physical activity before, during, and after oncological treatments increases rates of survival, interval free from sickness, and side effects of treatment. The importance of physical exercise is often underestimated in Oncology, above all because of the need for an individualized approach and for a lack of recommendations that are valid for everyone. The literature now states that rehabilitation and exercise are as important as medical care. The National Cancer Institute in Aviano (Italy) has started a rehabilitation program for patients treated for breast cancer, followed by an assisted path to encourage physical activity. Thanks to various co-production processes, this program allows women to benefit from a personalised plan and it will be possible to assist patients and encourage physical activity through use of a mobile app. A synergy between the health and fitness worlds has been created, through co-production, accustoming patients to exercise during and following treatments.


Assuntos
Neoplasias da Mama , Exercício , Tutoria , Qualidade de Vida , Neoplasias da Mama/psicologia , Exercício/fisiologia , Exercício/psicologia , Terapia por Exercício , Feminino , Humanos , Itália
3.
Orthopade ; 48(12): 1030-1035, 2019 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-31659423

RESUMO

Physical activity and exercise is widely connected with positive effects on human health. However, exercise may also pose as a risk factor for health under specific circumstances. Primarily, the risks connected with exercise are physical risks, but also psychological risks may appear, especially when exercise is conducted excessively. Psychological risks include eating disorders, illegal and legal substance use and exercise dependence. The aims of the present article are to focus on potential risks and side effects of exercise and physical activity and to put the risks in the context of the positive effects of exercise on health.


Assuntos
Comportamento Aditivo/psicologia , Exercício/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Comportamento Aditivo/complicações , Exercício/fisiologia , Transtornos da Alimentação e da Ingestão de Alimentos/complicações , Humanos , Fatores de Risco , Transtornos Relacionados ao Uso de Substâncias/complicações
4.
Einstein (Sao Paulo) ; 18: eAO4745, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31664322

RESUMO

OBJECTIVE: To estimate the prevalence of and factors associated with the use of methylphenidate for cognitive enhancement among undergraduate students. METHODS: Simple random sample of students of the Universidade Federal de Minas Gerais (n=438), invited to answer an online questionnaire about the use of methylphenidate. Data collection occurred from September 2014 to January 2015. The sample was described by means of proportions, means and standard deviations. A multivariate analysis was performed using the Classification and Regression Tree algorithm to classify the cases of use of methylphenidate for cognitive enhancement in groups, based on the exposure variables. RESULTS: Out of 378 students included, 5.8% (n=22) reported using methylphenidate for cognitive enhancement; in that, 41% (9/22) in the 4 weeks prior to the survey. The housing situation was the variable most often associated with the use of methylphenidate for cognitive enhancement. Eleven students reported using methylphenidate for cognitive enhancement and other purposes 4 weeks prior to the survey, 27% of whom had no medical prescription to purchase it. CONCLUSION: The use of methylphenidate for cognitive enhancement is frequent among Brazilian undergraduate students and should be considered a serious public health problem, especially due to risks of harm and adverse effects associated with its use.


Assuntos
Estimulantes do Sistema Nervoso Central/administração & dosagem , Nootrópicos/administração & dosagem , Nootrópicos/uso terapêutico , Estudantes/estatística & dados numéricos , Universidades/estatística & dados numéricos , Adulto , Brasil/epidemiologia , Estudos Transversais , Árvores de Decisões , Exercício/psicologia , Feminino , Humanos , Masculino , Metilfenidato/administração & dosagem , Uso Off-Label/estatística & dados numéricos , Prevalência , Características de Residência/estatística & dados numéricos , Fatores de Risco , Fatores Socioeconômicos , Estudantes/psicologia , Inquéritos e Questionários , Adulto Jovem
5.
Rev Saude Publica ; 53: 75, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31553378

RESUMO

OBJECTIVE: To investigate the association between exposure to green areas in the surroundings of the residence and the presence of common mental disorders among adults, according to different income strata. METHODS: Cross-sectional study with 2,584 participants from the Pró-Saúde Study (2006), residing in the city of Rio de Janeiro. Common Mental Disorders were measured using the General Health Questionnaire (GHQ-12) and exposure to green areas was measured using the normalized difference vegetation index, in buffers with radiuses between 100 and 1,500 meters around the residence. We used the mean and maximum normalized difference vegetation index categorized into quartiles. The study population was divided into three subgroups, according to the income: low, intermediate, and high. Odds ratios and their 95% confidence intervals were estimated with logistic regression models. The models were adjusted by sex and age, with and without inclusion of physical activity practice. RESULTS: The proportion of common mental disorders was 30% and 39% among men and women, respectively. The results of the adjusted models showed an inverse association between the presence of green areas in the surroundings of the residence and the occurrence of common mental disorders, in the buffer of 200 meters in the intermediate-income group and in the buffers of 400 and 1,500 meters in the low-income group. The odds ratio ranged from 0.52 (buffer of 1,500 meters) to 0.68 (buffer of 200 meters). The association found was independent of physical activity practice. CONCLUSIONS: The evidence found suggests the existence of a beneficial effect of urban green areas on the mental health of lower-income individuals. These findings can help in understanding how the urban environment can affect the mental health of the population.


Assuntos
Jardins/estatística & dados numéricos , Transtornos Mentais/epidemiologia , Transtornos Mentais/psicologia , Saúde Mental/estatística & dados numéricos , Parques Recreativos/estatística & dados numéricos , Características de Residência/estatística & dados numéricos , Adulto , Distribuição por Idade , Idoso , Brasil/epidemiologia , Estudos Transversais , Exercício/psicologia , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Distribuição por Sexo , Fatores Socioeconômicos
7.
BMC Public Health ; 19(1): 1097, 2019 Aug 13.
Artigo em Inglês | MEDLINE | ID: mdl-31409381

RESUMO

BACKGROUND: This study aimed to describe the design and present the baseline characteristics of a web-based lifestyle intervention program, which comprises of sequentially and simultaneously delivered intervention modules targeting physical activity (PA) and fruit and vegetable consumption (FVC) in Chinese college students. METHODS: The study adopted a randomized placebo-controlled trial, using the Health Action Process Approach (HAPA) and the Compensatory Carry-Over Action Model (CCAM) as the theoretical backdrops. 556 Chinese college students participated in the 8-week web-based lifestyle intervention program. All eligible participants were randomly assigned to one of four groups: 1) the PA-first arm which received a 4-week intervention addressing PA followed by a 4-week intervention addressing FVC; 2) the FVC-first arm which received a 4-week intervention addressing FVC followed by a 4-week intervention addressing PA; 3) the PA + FVC simultaneous arm that received an 8-week intervention addressing both PA and FVC at the same time; and 4) the placebo-control arm that received 8 weeks of general health information, which is not relevant for changing actual PA and FVC behaviors. Data collection includes four time-points: at the beginning and end of the intervention, and a 3-month and 12-month follow-up after the intervention. RESULTS: At baseline, 41.7% of participants were male and 58.3% were female. 41.0% of the participants did not meet the standard PA-recommendations, while 69.6% did not adhere to the standard FVC-recommendations. In total, only 19.6% of participants met both PA and FVC recommendations. Baseline characteristics across the four groups had no significant differences (all P = .17-.99), indicating successful randomization. CONCLUSIONS: The preliminary results indicate a high prevalence of unhealthy lifestyles in college students in China, which further supports the need for web-based health intervention programs. This is also the first study that examines the comparative effectiveness of simultaneously and sequentially delivered lifestyle interventions in the Chinese population. These findings may contribute to the creation of future web-based health behavior change interventions. TRIAL REGISTRATION: ClinicalTrails.gov: NCT03627949 , 14 August, 2018.


Assuntos
Promoção da Saúde/métodos , Internet , Estilo de Vida , Estudantes/psicologia , Adolescente , China , Dieta/psicologia , Dieta/estatística & dados numéricos , Exercício/psicologia , Feminino , Frutas , Humanos , Masculino , Projetos de Pesquisa , Estudantes/estatística & dados numéricos , Universidades , Verduras , Adulto Jovem
8.
Rev Esp Salud Publica ; 932019 Aug 12.
Artigo em Espanhol | MEDLINE | ID: mdl-31406103

RESUMO

OBJECTIVE: Acquiring the habit of doing regular physical activity in adolescents has shown positive effects in the prevention of diseases and the maintenance of physical and psychological health. The objective was to explore the topics related to physical activity of a group of adolescents, to identify the barriers and motivators of regular physical activity practice. METHODS: Qualitative research of phenomenological explanatory design. The information was obtained through four Discussion Groups conducted with: a) expert professionals (6 participants); b) adolescents of both sexes (10 participants); c) female adolescents (6 participants); d) male adolescents (9 participants). RESULTS: Perceived barriers and motivations were detected in all groups of adolescents, contributing a total of 104 units of analysis. The group of experts emphasized the need to involve the family, the school, and the agents that surround the teenagers. The adolescents showed barriers related to incompatibilities due to lack of time, participation in leisure activities and demotivation due to routine and imposed activities (37; 35.5%). Motivation was related to participation in team sports and the positive influence of friends (28; 28%). The girls also showed concern about their body image and diet (39; 37.5%). CONCLUSIONS: Barriers were identified in relation to the close environment of the adolescents in three main areas: family, friends and school. Motivators were linked to social and multicultural components. Priority actions in this group are to promote activities that include team sports as a mean to enhance social support.


Assuntos
Comportamento do Adolescente/psicologia , Exercício/psicologia , Promoção da Saúde/métodos , Atividades de Lazer , Apoio Social , Adolescente , Atitude Frente a Saúde , Feminino , Hábitos , Humanos , Masculino , Motivação , Pesquisa Qualitativa , Instituições Acadêmicas , Espanha
9.
BMC Psychol ; 7(1): 52, 2019 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-31391101

RESUMO

BACKGROUND: Explicit attitudes as well as implicit attitudes have been shown to be associated with physical activity (PA). These two types of attitudes can, however, be discrepant towards the same object or behavior. This study investigated whether there is a discrepancy between explicit and implicit attitudes (IED) regarding physical activity (PA), and whether IED moderates the relationship between explicit attitude and PA, and explicit attitude and PA intention. METHODS: At baseline (T0) and one (T1) and three months (T2) thereafter, students' (N = 340) PA levels, intention, explicit attitudes, further PA determinants, e.g. self-efficacy, were assessed. Implicit attitudes towards PA were assessed by means of a tailored Single-Category Implicit Association task. RESULTS: IED was present but weak. Multiple hierarchical regressions revealed that IED did not moderate the relationship between explicit attitudes and PA or intention. Yet, IED was negatively associated with T0-PA and T1-PA. CONCLUSION: The study revealed the important insight that IED is detrimental for PA. Interventions targeting attitudes to increase PA, should ensure that implicit and explicit attitudes regarding PA are concordant.


Assuntos
Atitude , Exercício/psicologia , Feminino , Humanos , Intenção , Masculino , Autoeficácia , Estudantes , Adulto Jovem
10.
BMC Public Health ; 19(1): 1181, 2019 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-31462313

RESUMO

BACKGROUND: Research on Hispanics' activity preferences suggest that they prefer engaging in group-oriented physical activities, such as organized exercise. Yet, little is known about pathways to participation in organized exercise among Hispanics. This study used a reasoned action approach (RAA) framework to explore beliefs and determinants of organized exercise among Hispanics. Specifically, we examined the impact of participants' intentions on reported organized exercise behavior, and the relation between intentions and attitudes, subjective norms, perceived behavioral control, and self-efficacy. METHODS: Our mixed-methods study was part of a larger pre-post design intervention study. Participants completed an interview containing open- and closed-ended questions to identify salient beliefs and practices about attending organized exercise activities. We conducted two separate regression models to assess the effects of intentions on behavior (n = 330) and the associations of RAA constructs on intentions (n = 101), both adjusting for demographics. Qualitative analysis of a sub-sample (n = 105) of responses to open-ended questions identified salient beliefs related to organized exercise attendance. RESULTS: Our results showed that intentions predicted behavior at follow up (IRR = 2.03, p < .05), and that attitudes and perceived behavioral control were associated with intentions (ß = .36, p < .05; ß = .36, p <. 05, respectively). Qualitative findings suggest participants value health and the behavioral benefits of attending organized exercise activities; feel approval from family and friends; and identify transportation, time, distance, and costs as factors that influence their attendance to organized exercise activities. CONCLUSIONS: Consistent with theoretical expectations, we identified statistically significant determinants of intentions and attendance to organized exercise. Findings can inform the development of persuasive messages and interventions to promote exercise in low-income Hispanic populations facing obesity disparities.


Assuntos
Exercício/psicologia , Hispano-Americanos/psicologia , Adolescente , Adulto , Idoso , Feminino , Hispano-Americanos/estatística & dados numéricos , Humanos , Intenção , Masculino , Pessoa de Meia-Idade , Teoria Psicológica , Pesquisa Qualitativa , Autoeficácia , Inquéritos e Questionários , Adulto Jovem
11.
Tidsskr Nor Laegeforen ; 139(11)2019 Aug 20.
Artigo em Norueguês, Inglês | MEDLINE | ID: mdl-31429227

RESUMO

BACKGROUND: Many questionnaires for measuring the quality of life for patients with obesity require comprehensive calculation before they are used. There is a need for questionnaires that permit simple assessment of the responses during a patient consultation. We have developed the questionnaire Patient-Reported Outcomes in Obesity (PROS). The objective of the study was to test the reliability and validity of the questionnaire. MATERIAL AND METHOD: The questionnaire was used to ask patients about the extent to which they perceived their weight or body shape as bothersome. A group of patients with an average body mass index (BMI) of 42 (n = 109) completed the PROS questionnaire and The Impact of Weight Quality of Life questionnaire (IWQOL-Lite) before undergoing obesity surgery. Another group with an average body mass index of 29 (n = 95) completed the PROS questionnaire 1-5 years after having undergone obesity surgery. 67,7 % of the patients were > 40 years and 79 % were women. For the statistical analysis we used Cronbach's alpha, factor analysis, Spearman's rank test and independent t-test. RESULTS: Cronbach's alpha for the total PROS score was 0.90, and the factor analysis showed a significant factor (eigenvalue = 4.7) that explained 58.4 % of the variance. The test-retest correlation was 0.93 (p < 0.001). The correlation coefficients between the PROS score, the total IWQOL-Lite score (rs = -0.91) and body mass index (rs = 0.60) were all significant (p < 0.001). The t-test showed an effect size (difference in standard deviation) between the non-surgery and the surgery groups of 1.9 (95 % CI 1.6-2.5) for the PROS questionnaire and 2.1 (95 % CI 1.7-2.5 for the total IWQOL-Lite score. INTERPRETATION: The PROS questionnaire is a reliable and valid questionnaire for measurement of obesity-specific quality of life.


Assuntos
Obesidade/psicologia , Medidas de Resultados Relatados pelo Paciente , Qualidade de Vida , Adulto , Cirurgia Bariátrica , Índice de Massa Corporal , Estudos Transversais , Escolaridade , Exercício/psicologia , Feminino , Humanos , Relações Interpessoais , Masculino , Estado Civil , Pessoa de Meia-Idade , Dor/psicologia , Reprodutibilidade dos Testes , Autoimagem , Comportamento Sexual/psicologia , Sono , Discriminação Social/psicologia , Trabalho/psicologia
12.
J Sport Exerc Psychol ; 41(4): 215-229, 2019 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-31461243

RESUMO

Research suggests 5 forms of social support: companionship, emotional, informational, instrumental, and validation. Despite this, existing measures of social support for physical activity are limited to emotional, companionship, and instrumental support. The purpose was to develop the Physical Activity and Social Support Scale (PASSS) with subscales that reflected all 5 forms. Participants (N = 506, mean age = 34.3 yr) who were active at least twice per week completed a 235-item questionnaire assessing physical activity behaviors, social support for physical activity, general social support, and other psychosocial questions. Exploratory and confirmatory factor analyses were used to develop and validate the PASSS. Exploratory factor analysis supported a 5-factor, 20-item model, χ2(100) = 146.22, p < .05, root mean square error of approximation = .05. Confirmatory factor analysis indicated good fit, Satorra­Bentler χ2(143) = 199.57, p < .001, root mean square error of approximation = .04, comparative-fit index = .97, standardized root mean square residual = .06. Findings support the PASSS to measure all 5 forms for physical activity.


Assuntos
Exercício/psicologia , Psicometria/instrumentação , Apoio Social , Adulto , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Inquéritos e Questionários , Adulto Jovem
13.
Rech Soins Infirm ; 137(2): 18-25, 2019 06.
Artigo em Francês | MEDLINE | ID: mdl-31453668

RESUMO

Therapeutic patient education assessment is an integral part of cardiac rehabilitation programs. A particularly important assessment is that regarding the pursuit of physical activity after rehabilitation. There are few tools to evaluate the pursuit of physical activities, and we may believe that the use of a field test such as the 6-minute walk test can give some indications.Objective : This research studies the utility of the 6-minute walk test as a tool for evaluating the maintenance of physical activity after rehabilitation.Methods : We conducted a retrospective study on 168 patients (133 men and 35 women) aged 60.65 years (+/-9.7). First, we studied the data from an exercise stress test and a 6-minute walk test at the beginning and end of rehabilitation. Then, we studied the data from a 6-minute walk test and an IPAQ questionnaire conducted six months after the end of the rehabilitation.Results : The 6-minute walk test is significantly correlated to the initial and final Exercise Stress Test (r= 0.5456, p<0.001 for the initial Exercise Stress Test ; r= 0.604, p<0.001 for the final Exercise Stress Test), which confirms the validity of this test in cardiac rehabilitation. We observed a slight correlation between the 6-minute walk test and the IPAQ questionnaire (r= 0.3923, p<0.001) six months after rehabilitation. According to the IPAQ results, patients who engage in significant physical activity throughout the week maintain their walking distance in the 6-minute walk test.Conclusion : The 6-minute walk test is a reliable test in cardiac rehabilitation. It can be combined with an IPAQ questionnaire to assess patients' observance of physical activity after rehabilitation.


Assuntos
Reabilitação Cardíaca , Exercício/psicologia , Teste de Caminhada , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
14.
BMC Public Health ; 19(1): 1036, 2019 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-31375090

RESUMO

BACKGROUND: This study aims to investigate the mechanisms through which neighborhood social reciprocity influences older adults' mental health in China. METHODS: This study used data from the 2011-2015 waves of the China Health and Retirement Longitudinal Study. It estimated the effects of neighborhood social reciprocity on older adults' mental health and tested the mediating effects of the frequencies of physical activity, social interaction with neighbors, and volunteering experience. RESULTS: The results indicated that more neighborhood social reciprocity related to better mental health. The effects of the three mediators were statistically significant and enhanced mental health. In addition, the effects of the mediators were strengthened by neighborhood social reciprocity, and vice versa. CONCLUSIONS: In China, neighborhood social reciprocity influenced older adults' mental health directly and through the mechanisms of the frequencies of physical activity, social interaction with neighbors, and volunteering experience.


Assuntos
Exercício/psicologia , Relações Interpessoais , Saúde Mental/estatística & dados numéricos , Características de Residência/estatística & dados numéricos , Voluntários/psicologia , Idoso , China , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Voluntários/estatística & dados numéricos
15.
BMC Public Health ; 19(1): 1041, 2019 Aug 03.
Artigo em Inglês | MEDLINE | ID: mdl-31376838

RESUMO

BACKGROUND: Adolescents engage in various combinations (typologies) of physical activity and sedentary behaviors, which impact their health and wellbeing in different ways. As such, there is a need to understand the factors that may inhibit or facilitate engagement in combinations of activity-related behaviors to help inform effective intervention strategies targeting those most in need. The aim of this study was to identify ecological correlates of adolescent physical activity and sedentary behavior typologies. METHODS: Cross-sectional study of 473 adolescents (15.0 ± 1.6 years, 41.4% boys) from 18 secondary schools in Melbourne, Australia. Intrapersonal, interpersonal and neighborhood-physical environmental factors were assessed via self-report surveys and Geographic Information Systems. Multinomial logistic regression models determined the relative risk ratio of membership of three homogenous activity-related behavior typologies based on the potential correlates. RESULTS: Higher levels of self-efficacy for physical activity, parental screen-time restriction rules, parental support for physical activity, sibling screen-time co-participation and perceptions of neighborhood pedestrian/traffic safety were associated with greater likelihood of adolescents being in the typology defined as highly active and low sedentary compared to the physically inactive, highly sedentary typology. Higher frequency of co-participation in screen-time with friends was associated with greater likelihood of adolescents being in the typology defined as moderately active, high screen-time compared to physically inactive, highly sedentary. CONCLUSIONS: A range of intrapersonal, interpersonal and environmental correlates appear to play a role in adolescent activity-related typology membership. The findings may inform public health interventions targeting unique adolescent subgroups most at risk of poor health outcomes based on their engagement in combinations of activity-related behaviors.


Assuntos
Comportamento do Adolescente , Fenômenos Ecológicos e Ambientais , Exercício/psicologia , Adolescente , Austrália , Estudos Transversais , Feminino , Amigos/psicologia , Humanos , Masculino , Pais/psicologia , Características de Residência/estatística & dados numéricos , Tempo de Tela , Comportamento Sedentário , Autorrelato
16.
BMC Public Health ; 19(1): 1053, 2019 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-31387577

RESUMO

BACKGROUND: Many effective physical activity (PA) interventions have focused on individual factors or a single theoretical model, limiting our understanding of the determinants of PA practice and their interactions in the cancer trajectory. The present mixed-method study aims to capture social and psychological determinants of PA practice from diagnosis to remission among cancer patients, and to identify key levers for PA practice. METHODS/DESIGN: A nested sequential mixed-method design QUAN (QUAL+QUAL) will be used, with qualitative studies embedded in the quantitative study to broaden our understanding of the determinants of PA practice. The design is sequential, since qualitative data on medical staff will be collected before patient inclusion (Phase 1), followed by quantitative patient data collection lasting one year (Phase 2) and a final qualitative data collection one year after inclusion (Phase 3). Phase 1 will be a case study in the two hospitals involved in the study, exploring knowledge of and support for PA practice among medical staff. Through interviews and documental analyses, the PA support dynamic will be evaluated with regard to PA prescription. Phase 2 will be a one-year observational study among 693 cancer patients. Quantitative medical, social, dispositional and psychological data, PA practices and preferences, will be collected at diagnosis, and six months and one year thereafter. Phase 3 will be a retrospective study, evaluating societal and policy factors, as well as unexpected factors playing a role in PA levels and preferences among cancer patients. For this phase thirty patients will be identified six months after inclusion on the basis of their PA profiles. Quantitative data will provide the main dataset, whilst qualitative data will complete the picture, enabling determinants of PA practice and their interactions to be captured throughout the cancer trajectory. DISCUSSION: The present study aims to identify key levers and typical trajectories for PA practice among cancer patients, adapted to different times in the course of cancer and taking into account "what works", "for whom", "where" and "how". The challenge is the tailoring of PA interventions to patients at different times in their cancer trajectory, and the implication of medical staff support. TRIAL REGISTRATION: Clinical Trial NCT03919149 , 18 April 2019. Prospectively registered.


Assuntos
Exercício/psicologia , Neoplasias/terapia , Determinantes Sociais da Saúde , França , Humanos , Neoplasias/diagnóstico , Pesquisa Qualitativa , Indução de Remissão , Projetos de Pesquisa , Estudos Retrospectivos
17.
BMC Public Health ; 19(1): 980, 2019 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-31337374

RESUMO

The general aim of the present study was to examine how physical activity, participation in sports, and beliefs about personal physical activity and physical fitness are associated with adolescents' psychosomatic health complaints (PHC) in relation to their lifestyles. METHODS: A total of 3284 11-19-year-old adolescents (average age 14.9 ± 2.0; 48.6% male) participated in the population-based cross-sectional study. Self-administered questionnaires addressed lifestyle, sports participation, physical activity, physical fitness perception, and PHC. RESULTS: Female gender (OR = 1.92; 95% CI = 1.57-2.35), smoking (OR = 1.31; 95%PI = 1.01-1.68), alcohol consumption (OR = 1.60; 95%PI = 1.30-1.97), unhealthy foods (OR = 1.14; 95%PI = 1.04-1.26), hours of internet use (OR = 1.14; 95%PI = 1.07-1.21), and poor personal fitness perception (OR = 1.60; 95% CI = 1.27-2.02) were associated with PHC in adolescents. Lower physical activity and self-perceived insufficient physical activity, perception of physical fitness as being poor, and not participating in sports were associated with greater somatic and psychological complaints controlling for age, gender, and BMI. Participation in sports and physical activity did not change PHC in adolescents involved in unhealthy behaviour. However, a positive perception of one's own physical activity and physical fitness decreased PHC in adolescents who reported an unhealthy lifestyle. CONCLUSIONS: Adolescents demonstrating poorer health-related behavioural profiles showed higher PHC. Physical activity and sports participation were related to lower PHC. Positive physical activity and physical fitness perception changed the associations between PHC and unhealthy lifestyle: adolescents perceiving themselves as sufficiently physically active and those evaluating their physical fitness as good showed lower PHC, despite the presence of unhealthy habits (high screen time, drinking alcohol, smoking, and consuming unhealthy foods). It is important to study cognitive factors when exploring the associations between adolescent lifestyles and PHC. These results are important for health promotion and education programmes aimed at improving healthy lifestyle and psychosocial well-being in adolescents.


Assuntos
Exercício/psicologia , Aptidão Física/psicologia , Transtornos Psicofisiológicos/epidemiologia , Autoimagem , Adolescente , Consumo de Bebidas Alcoólicas/epidemiologia , Criança , Estudos Transversais , Feminino , Humanos , Estilo de Vida , Masculino , Fumar/epidemiologia , Esportes/psicologia , Inquéritos e Questionários , Adulto Jovem
18.
BMC Public Health ; 19(1): 894, 2019 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-31286918

RESUMO

BACKGROUND: Small island Caribbean countries such as Jamaica are now facing an epidemic of obesity and decreased physical activity (PA) levels. Public parks have been shown to be important resources for PA that also provide psychological and social benefits associated with increased PA. There are no studies that document PA in parks in the Caribbean. METHODS: This study utilized a mixed method approach by using the System for Observing Play and Recreation in Communities (SOPARC) to obtain baseline data on park usage patterns in Emancipation Park, a large urban public park in Jamaica. In addition, in-depth interviews were conducted to gain additional insights on the park's use for PA. RESULTS: The park was used mostly by females, in the evenings and by persons 18-64 years old. Females had significantly lower mean energy expenditure (EE) than males (0.078 versus 0.080 kcal/kg/min, p < 0.05). In-depth interviews revealed that safety, a central location within a business district, aesthetic appeal, a walking track and individual health benefits were key reasons for persons engaging in PA at the park. CONCLUSIONS: This is the first study to describe the usage of a public park for PA in Jamaica. The study elicited aspects of park use for PA in a major urban park in Jamaica from different vantage points by using direct systematic observation augmented with a qualitative approach. It revealed important differential park use for PA by sex, age group and EE levels, and provided insights into factors that motivate and hinder park usage for PA. This can be used by policymakers in Jamaica to inform PA interventions to reduce obesity, provide baseline data for comparisons with other parks in developing countries and to advocate for well-designed public parks.


Assuntos
Exercício/psicologia , Parques Recreativos/estatística & dados numéricos , Recreação/psicologia , Adolescente , Adulto , Metabolismo Energético , Planejamento Ambiental , Feminino , Geografia , Humanos , Jamaica , Masculino , Pessoa de Meia-Idade , Motivação , Projetos de Pesquisa , Fatores Sexuais , Adulto Jovem
19.
BMC Public Health ; 19(1): 917, 2019 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-31288781

RESUMO

BACKGROUND: Specialized, individualized exercise programs that increase self-efficacy (SE) are essential for the development and maintenance of regular exercise. The objective of this study is to examine the effect of customized exercise programs (CEPs) implemented by physical therapists in improving exercise-related SE and promoting behavioral changes among elderly individuals who do not exercise regularly compared with commonly prescribed exercises. METHODS: In this randomized controlled study, the sampling frame consisted of participants in an annual town-sponsored medical check-up. The inclusion criteria were no regular exercise and age of 65-74 years at enrollment. The subjects in the intervention group (CEP group) were instructed to perform individualized exercises prescribed based on an original algorithm. Data collection was performed at baseline and 3, 6, 9, and 12 months after exercise instruction. The primary outcome was SE for exercise at the last time point. Secondary outcomes were SE for exercise, stage of change in exercise behavior, knee pain, and low back pain at each evaluation time point. RESULTS: Fifty subjects (CEP group n = 26; control group n = 24) were randomized. In the CEP group, 25 of 26 subjects were analyzed at 3 months, 26 of 26 subjects were analyzed at 6 and 9 months, and 25 of 26 subjects were analyzed at 12 months. In the control group, 23 of 24 subjects were analyzed at 3, 6, 9, and 12 months. SE for exercise improved 24.0% (CEP group 30.8%; control group 16.7%) compared to baseline. No significant differences were observed in the primary outcome. SE for exercise was significantly lower at 9 and 12 months compared with baseline in the control group. Stage of change for exercise behavior was significantly higher at 3 months compared with baseline in the CEP group and at 6 months in the control group. Knee pain was worse at 3 months compared with baseline in the control group. CONCLUSIONS: This study suggested that exercise instruction with CEPs contributes to the maintenance of SE for exercise and is useful for changing exercise behavior in elderly individuals who do not regularly exercise. TRIAL REGISTRATION: UMIN000027240 , registered on 03/05/2017.


Assuntos
Terapia por Exercício/organização & administração , Exercício/psicologia , Fisioterapeutas , Autoeficácia , Idoso , Feminino , Humanos , Masculino , Avaliação de Programas e Projetos de Saúde
20.
BMC Public Health ; 19(1): 916, 2019 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-31288796

RESUMO

BACKGROUND: Previous research shows that physical activity has a protective effect on mental distress in adults, but the relationship is less researched and seems more ambiguous for adolescents. Studies in this field have typically been cross-sectional by design and based on self-reported physical activity measures, which are known to be vulnerable to response bias. The aim of this study was to investigate the relationship between change in objectively assessed physical activity as measured by accelerometer and change in mental distress among adolescents using longitudinal data from The Tromsø Study: Fit Futures. METHOD: This study was based on data from 676 upper-secondary school students (mean age 16.23 years at baseline, 45.26% boys) from The Tromsø Study: Fit Futures. Physical activity, mental distress and covariates were measured at baseline (T1) and follow-up (T2) 2 years later. Physical activity was objectively measured with an ActiGraph GT3X accelerometer over 7 days. Mental distress was measured with the Hopkins Symptom Checklist-10 (HSCL-10). Change score variables were computed as the difference between T1 and T2 in number of steps, number of minutes of moderate to vigorous physical activity (MVPA) and mental distress between T1 and T2, and analyzed using linear regression analysis. RESULTS: Changes in steps per day were not associated with changes in mental distress in neither the crude, partially, nor fully adjusted model. Neither was changes in minutes of MVPA per day. Interaction effects between change in both steps per day and minutes of MVPA and gender were also not statistically significant, nor was the interaction effects between baseline levels of mental distress and physical activity. CONCLUSION: The results of our study indicate that for adolescents in the sample, change in physical activity is unrelated to change in mental distress over a two-year period.


Assuntos
Exercício/psicologia , Estresse Psicológico/psicologia , Acelerometria , Adolescente , Estudos Transversais , Feminino , Humanos , Masculino , Autorrelato , Estresse Psicológico/epidemiologia
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