scholarly journals Impact of the Home Confinement Related to COVID-19 on the Device-Assessed Physical Activity and Sedentary Patterns of Spanish Older Adults

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Ángel I. Fernández-García ◽  
Jorge Marin-Puyalto ◽  
Alba Gómez-Cabello ◽  
Ángel Matute-Llorente ◽  
Jorge Subías-Perié ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Behaviour ◽  
Repeated Measures ◽  
Sedentary Time ◽  
Exercise Program ◽  
Sedentary Behaviours ◽  
Home Based ◽  
Phase 0 ◽  
Sedentary Bouts

The main objective of this study was to device-assess the levels of physical activity and sedentary behaviour patterns of older adults during the situation prior to the COVID-19 pandemic, home confinement, and phase-0 of the deescalation. We also aimed to analyse the effectiveness of an unsupervised home-based exercise routine to counteract the potential increase in sedentary behaviour during the periods within the pandemic. A total of 18 noninstitutionalized older adults( 78.4 ± 6.0  y.), members of the Spanish cohort of the EXERNET-Elder 3.0 project, participated in the study. They were recommended to perform an exercise prescription based on resistance, balance, and aerobic exercises during the pandemic. Wrist triaxial accelerometers (ActiGraph GT9X) were used to assess the percentage of sedentary time, physical activity, sedentary bouts and breaks of sedentary time. An ANOVA for repeated measures was performed to analyse the differences between the three different periods. During home quarantine, older adults spent more time in sedentary behaviours ( 71.6 ± 5.3 % ) in comparison with either the situation prior to the pandemic ( 65.5 ± 6.7 % ) or the ending of isolation ( 67.7 ± 7.1 % ) (all p < 0.05 ). Moreover, participants performed less bouts of physical activity and with a shorter duration during home quarantine (both p < 0.05 ). Additionally, no differences in the physical activity behaviours were found between the situation prior to the pandemic and the phase-0 of deescalation. According to our results, the home confinement could negatively affect health due to increased sedentary lifestyle and the reduction of physical activity. Therefore, our unsupervised exercise program does not seem to be a completely effective strategy at least in this period.

scholarly journals Impact of the home confinement related to COVID-19 on the device-assessed physical activity and sedentary patterns of Spanish older adults

2020 ◽  
Author(s):  
Ángel I. Fernández-García ◽  
Jorge Marin-Puyalto ◽  
Alba Gómez-Cabello ◽  
Ángel Matute-Llorente ◽  
Jorge Subías-Perié ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Behaviour ◽  
Sedentary Time ◽  
Sedentary Lifestyle ◽  
Effective Alternative ◽  
List Type ◽  
Home Based ◽  
Exercise Routine ◽  
Unsupervised Training

AbstractObjectivesThe main objective of this study was to device-assess the levels of physical activity and sedentary behaviour patterns of older adults during the situation prior to COVID-19 pandemic, home-quarantine and the ending of isolation. We also aimed analysing the effectiveness of an unsupervised home-based exercise routine to counteract the potential increase in sedentary behaviour during the periods within the pandemic.Methods18 non-institutionalized elderly (78.4±6.0 y.), members of the Spanish cohort of EXERNET-Elder 3.0 project participated in the study. They were recommended to perform an exercise prescription based on resistance, balance and aerobic exercises during the pandemic. Wrist triaxial accelerometers (ActiGraph GT9X) were used to assess the percentage of sedentary time, physical activity and sedentary bouts and breaks of sedentary time. An ANOVA for repeated measures was performed to analyse the differences between the three different periods.ResultsDuring home-quarantine, older adults spent more time in sedentary behaviours (71.6±5.3%) in comparison with either the situation prior to the pandemic (65.5±6.7%) or the ending of isolation (67.7±7.1%) (all p<0.05). Moreover, participants performed less bouts of physical activity and with a shorter duration during home quarantine (both p<0.05). Additionally, no differences in the physical activity behaviours were found between the situation prior to the pandemic and the ending of isolation.ConclusionsAccording with our results, the home-quarantine could negatively affect health due to increased sedentary lifestyle and the reduction of physical activity. Therefore, our unsupervised exercise program does not seem to be a completely effective strategy at least in this period.What is already known on this topicAlthough the available information is scarce and includes subjective methodology (questionnaires), it seems that the COVID-19 pandemic has negatively affected physical activity patterns.It is known that physical activity interventions are effective in improving health and reducing sedentary lifestyle in older adults. Nevertheless, little is known about whether an unsupervised home-based exercise routine is an effective alternative to counteract the potential increase in sedentary behaviour in this specific population during the pandemic lockdown.What are the findings? / What this study addsDespite unsupervised training, during home-quarantine, older adults spent more sedentary time than in the situation prior to COVID-19 and the ending of isolation (phase 0).There were no differences in break of sedentary time patterns between the situation prior to COVID-19 and the periods within the pandemic.During home-quarantine older adults performed fewer and shorter physical activity bouts than in the situation prior to COVID-19 despite unsupervised training.Our unsupervised home-exercise routine was not a completely effective alternative to avoid the increase of sedentary behaviour during home-quarantine.How might it impact on clinical practice in the future?Our findings can be used as a starting point to manage isolation restrictions more effectively and to develop strategies to promote physical activity and reduce sedentary behaviour among older adults during situations of forced lockdowns, as in the present COVID-19 pandemic.

scholarly journals The Physical Activity and Sedentary Behaviour Patterns of Children in Kindergarten and Grade 2

Children ◽  
2018 ◽  
Vol 5 (10) ◽  
pp. 131 ◽  
Author(s):  
Jeff Crane ◽  
Patti-Jean Naylor ◽  
Viviene Temple
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Middle Childhood ◽  
Repeated Measures ◽  
Sedentary Time ◽  
Kindergarten Children ◽  
Activity Levels ◽  
Sedentary Behaviours ◽  
Physical Activity Levels ◽  
Age Range

Accompanying the transition from early to middle childhood are substantial changes in children’s educational and recreational circumstances. These changes may affect physical activity levels. This study examined levels of physical activity and sedentary behaviours in kindergarten (age range 5–6 years) and grade 2 (age range 7–8 years). Participants were 96 kindergarten children recruited in the 2010–2011 and 2011–2012 school years and 94 grade 2 children recruited in the 2012–2013 and 2013–2014 school years. A sub-cohort of children was tracked longitudinally from kindergarten to grade 2. Accelerometers were used to measure physical activity and sedentary behaviour. Independent t-tests revealed that children in grade 2 spent significantly less time engaged in physical activity compared to those in kindergarten (292 min/day compared with 354 min/day) and more in sedentary behaviours (443 min/day compared with 368 min/day). For the longitudinal sample, the pattern was similar. Repeated measures ANOVA revealed a significant decrease in physical activity levels (364 min/day to 292 min/day) and a significant increase in sedentary behaviour (368 min/day to 435 min/day) over time. There is a critical need to invest in strategies to maintain higher levels of physical activity across the primary years and reduce sedentary time, since these behaviours affect health outcomes.

scholarly journals Dog ownership and adults’ objectively-assessed sedentary behaviour and physical activity

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Mohammad Javad Koohsari ◽  
Ai Shibata ◽  
Kaori Ishii ◽  
Sayaka Kurosawa ◽  
Akitomo Yasunaga ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Linear Regression Models ◽  
Sedentary Behaviours ◽  
Dog Ownership ◽  
Intensity Physical Activity ◽  
Activity Measures ◽  
Sedentary Breaks ◽  
Dog Owners ◽  
Sedentary Bouts

Abstract Evidence suggests a positive effect of dog ownership on physical activity. However, most previous studies used self-reported physical activity measures. Additionally, it is unknown whether owning a dog is associated with adults’ sedentary behaviour, an emerging health risk factor. In this study, physical activity and sedentary behaviour were objectively collected between 2013 and 2015 from 693 residents (aged 40–64 years) living in Japan using accelerometer devices. Multivariable linear regression models were used, adjusted for several covariates. The means of total sedentary time and the number of long (≥ 30 min) sedentary bouts were 26.29 min/day (95% CI − 47.85, − 4.72) and 0.41 times/day (95% CI − 0.72, − 0.10) lower for those who owned a dog compared to those not owning a dog, respectively. Compared with non-owners, dog-owners had significantly higher means of the number of sedentary breaks (95% CI 0.14, 1.22), and light-intensity physical activity (95% CI 1.31, 37.51). No significant differences in duration of long (≥ 30 min) sedentary bouts, moderate, vigorous, and moderate-to-vigorous-intensity physical activity were observed between dog-owners and non-owners. A novel finding of this study is that owning a dog was associated with several types of adults’ sedentary behaviours but not medium-to-high-intensity physical activities. These findings provide new insights for dog-based behavioural health interventions on the benefits of dog ownership for reducing sedentary behaviour.

scholarly journals Strategies to Support Physical Activity Participation in Older Adults With Heart Failure

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 454-454
Author(s):  
Katherine Hall ◽  
Amy Pastva ◽  
Heather King ◽  
Sean Lowers ◽  
Julie Miller ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
Older Adults ◽  
Exercise Program ◽  
Functional Independence ◽  
Rehabilitation Program ◽  
Exercise Rehabilitation ◽  
Supervised Exercise ◽  
Home Based ◽  
Health Burdens

Abstract Physical activity (PA) is recommended for people living with heart failure (HF). Despite evidence of its benefits, participation in PA is low in this population, putting them at risk for loss of functional independence and additional health burdens. The aim of this pilot study was to ask older adults living with stable, chronic HF to identify strategies to support regular PA. Patients in an outpatient HF rehabilitation program were recruited to participate in focus groups about their PA knowledge, attitudes, and preferences as part of a stakeholder engagement project. At the beginning of the focus group, participants completed a questionnaire listing 8 potential strategies to optimize PA, and were asked to identify the top 4 strategies that they thought would be most beneficial to support regular PA participation. This was the focus of the current analysis. Thirteen adults with HF (M age=65; 46% female; 62% African American; M BMI=32.6 kg/m2) were enrolled. Top-rated strategies endorsed by participants to support long-term adherence to PA included provision of an exercise guide to support home-based exercise and supplement health provider-supervised exercise sessions (69%), group education classes (64%), completion of fitness assessments at regular intervals (62%), and provision of a transition pathway from an exercise rehabilitation program to a community-based exercise program (62%). The remaining strategies were endorsed by fewer than 50% of participants, and included remote delivery and support options. These results have important implications for future program development and implementation efforts to support PA among older adults with stable, chronic HF.

scholarly journals Effects of a DVD-Delivered Exercise Intervention on Maintenance of Physical Activity in Older Adults

2016 ◽  
Vol 13 (6) ◽  
pp. 594-598 ◽  
Author(s):  
Jason Fanning ◽  
Elizabeth A. Awick ◽  
Thomas R. Wójcicki ◽  
Neha Gothe ◽  
Sarah Roberts ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Repeated Measures ◽  
Exercise Intervention ◽  
Adult Population ◽  
Older Individuals ◽  
Time Treatment ◽  
Home Based ◽  
Significant Patterns

Background:Previous research supports the efficacy of a 6-month DVD-delivered program for enhancing physical activity (PA) in older adults. In the current study, we examined the degree to which intervention-related increases in PA were maintained after a 6-month, no-contact follow-up.Methods:Follow-up assessments of PA via accelerometry and the Godin Leisure-Time Exercise Questionnaire (GLTEQ) were collected in a sample of older adults (N = 238). Repeated measures analyses of variance were conducted to examine changes in PA over the course of the follow-up period.Results:For accelerometer measured PA, there was a significant time × treatment × age group interaction, F1,203 =11.319, P = .001, η2 = .053, such that younger (≤70 years) intervention participants maintained high levels of PA across the follow-up period, while PA in older intervention and young control participants declined significantly. Rates of PA in older control participants remained low over the course of the follow-up period. Analyses of GLTEQ scores revealed similar, though less significant patterns.Conclusions:DVD-based exercise programs may be effective for maintaining PA in younger members of the older adult population; however, there remains a need to develop better strategies for promoting PA maintenance in older individuals when using home-based designs.

Older Adults’ Experiences With the Visual Physio-Feedback Technology and Peer-Led Combined Group and Home-Based Exercises

2020 ◽  
pp. 1-8
Author(s):  
Ladda Thiamwong
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Exercise Program ◽  
Program Completion ◽  
Study Approach ◽  
Home Based ◽  
Cognitive Reframing ◽  
Program Intervention ◽  
Physical Activity Adherence ◽  
Peer Coach

This study aimed to explore older adults’ experience with an in-home Physio-feEdback and Exercise pRogram and explore whether the Physio-feEdback and Exercise pRogram intervention influenced their physical activity adherence. A qualitative study approach was employed, and data were collected using exercise logs, observations, focus groups, and open-ended questions after the program completion. Nineteen participants who engaged in an 8-week Physio-feEdback and Exercise pRogram intervention participated in this study. Thematic analysis was used. Three major concepts of the self-determination theory, including competence, relatedness, and autonomy, were used as guidelines for coding. Results reveal three themes, including: (a) competence-alignment of body and mind and increased awareness about fall risk, (b) relatedness-relationship with peer coach and having fun with friends, and (c) autonomy-integration of exercise into daily activities for staying physically and socially active. Individuals’ need for competence and autonomy can be supported by giving physio-feedback, cognitive reframing, and peer-led exercise, which can enhance physical activity and prevent falls.

scholarly journals COVID-19 era in long-term cardiac rehabilitation programs: how did physical activity and sedentary time change compared to previous years?

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
M Lemos Pires ◽  
M Borges ◽  
R Pinto ◽  
I Ricardo ◽  
N Cunha ◽  
...  
Keyword(s):  
Physical Activity ◽  
Repeated Measures ◽  
Sedentary Time ◽  
Phase Iii ◽  
Face To Face ◽  
Intention To Treat ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Daily Time

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Cardiovascular rehabilitation (CR) was one of the many areas negatively affected by the COVID-19 pandemic. A high number of cardiovascular disease (CVD) patients had their centre-based program suspended. Physical activity (PA) recommendations for CVD patients are well established and its benefits largely documented. However, few studies have objectively measured the PA of these patients throughout the years and specifically during the COVID-19 pandemic.  Purpose To objectively measure PA and sedentary time (ST) during COVID-19 pandemic in comparison with the previous 2 years in CVD patients who were attending a phase III centre-based CR program.  Methods Before COVID-19, eighty-seven CVD patients (mean age 62.9 ± 9.1, 82.8% male) were attending a face-to-face long-term CR program. Of the 87 patients, 78.2% have been on the program for at least 1 year. Every year, PA and ST were objectively assessed by accelerometery. After the CR centre-based program suspension due to COVID-19, efforts were done to create a CR home-based digital model to maintain the continuum of care and avoid losing the previous acquired benefits. After 7 months of suspension, the face-to-face CR centre was reopened and 57.5% (n = 50) patients returned. We completed the assessment of PA and ST of 37 patients (mean age 64.8 ± 8.1, 89.2% male) and compared it as follows: M1) two assessments before COVID-19; M2) last assessment before COVID-19; M3) 7 months after CR program suspension (last trimester of 2020). Patients wore an ActiGraph accelerometer for 7 consecutive days to assess daily and weekly minutes of light PA, moderate-to-vigorous PA and ST. We used repeated-measures ANOVA and Wilcoxon signed rank as a non-parametric alternative. Results Intention-to-treat analysis showed that in M3 patients decreased their average daily time spent in moderate-to-vigorous PA when compared with M2 (M3: 37.90 ± 3.30 min/day vs M2: 45.01 ± 3.14 min/day, p = 0.035), no changes were found between M1 and M2. Average daily time spent in light PA improved significantly from M1 to M2 (M1: 154.81 ± 7.20 min/day vs M2: 169.17 ± 6.44 min/day, p = 0.042) but did not change from M2 to M3. Despite this, in M3, 81.08% of the patients still met the recommendations for moderate-to-vigorous PA (M1: 89.19% and M2: 91.89%). No changes were found in ST. Conclusion Despite a significant decrease on the amount of moderate-to-vigorous PA during the COVID-19 era, most CVD patients, first in the centre-based CR program and after in the home-based CR program, were able to meet PA recommendations throughout the last years. These findings suggest that CVD patients who attend supervised long-term CR programs might be aware of the importance of reaching PA guidelines. Reducing ST by replacing it by PA of any intensity could be an important and reachable target for long-term CR programs.

scholarly journals Sedentary Behaviour and Physical Activity of People with Stroke in Rehabilitation Hospitals

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Anna Sjöholm ◽  
Monica Skarin ◽  
Leonid Churilov ◽  
Michael Nilsson ◽  
Julie Bernhardt ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Stroke Rehabilitation ◽  
Sedentary Time ◽  
Stroke Survivors ◽  
Physically Active ◽  
Sedentary Bouts ◽  
Rehabilitation Hospitals ◽  
Lying Down ◽  
Sedentary Activities

Background. Sedentary behaviour is associated with health risks, independent of physical activity. This study aimed to investigate patterns of sedentary behaviour and physical activity among stroke survivors in rehabilitation hospitals.Methods. Stroke survivors admitted to four Swedish hospital-based rehabilitation units were recruited ≥7 days since stroke onset and their activity was measured using behavioural mapping. Sedentary behaviour was defined as lying down or sitting supported.Results. 104 patients were observed (53% men). Participants spent an average of 74% (standard deviation, SD 21%) of the observed day in sedentary activities. Continuous sedentary bouts of ≥1 hour represented 44% (SD 32%) of the observed day. A higher proportion (30%, SD 7%) of participants were physically active between 9:00 AM and 12:30 PM, compared to the rest of the observed day (23%, SD 6%,P<0.0005). Patients had higher odds of being physically active in the hall (odds ratio, OR 1.7,P=0.001) than in the therapy area.Conclusions. The time stroke survivors spend in stroke rehabilitation units may not be used in the most efficient way to promote maximal recovery. Interventions to promote reduced sedentary time could help improve outcome and these should be tested in clinical trials.

scholarly journals Are Older Adults without a Healthy Diet Less Physically Active and More Sedentary?

Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 1119 ◽  
Author(s):  
Ming-Chun Hsueh ◽  
Ru Rutherford ◽  
Yi-Hsuan Huang ◽  
Hung-Yu Chang Chien ◽  
Chia-Hui Chang ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Behavior ◽  
Sedentary Time ◽  
Healthy Diet ◽  
Sitting Time ◽  
Time Duration ◽  
Sedentary Breaks ◽  
Sedentary Bouts ◽  
Objectively Measured

Few studies on older populations consider several energy balance-related behaviors together. This cross-sectional study compared subjectively and objectively measured physical activity (PA) and sedentary behavior (SB) patterns between older adults with and without a healthy diet. We recruited 127 community-dwelling older Taiwanese adults (69.9 ± 5.0 years); data were collected during April and September 2018. Objectively measured total PA, moderate-to-vigorous PA, light PA, step count, total sedentary time, duration of sedentary bouts, number of sedentary bouts, and number of sedentary breaks were assessed using activity monitors. Subjectively measured PA and SB were measured using the International Physical Activity Questionnaire and Sedentary Behavior Questionnaire for Older Adults. Chi-square tests and independent sample t-tests were performed. For subjective measures, older adults without a healthy diet spent significantly less total leisure time on PA and more leisure sitting time than those with a healthy diet. For objective measures, older adults without a healthy diet spent less time on light PA and had a higher total sedentary time, duration of sedentary bouts, times of sedentary bouts, and times of sedentary breaks than those with a healthy diet. Regardless of the use of objective or subjective measurements, older adults without a healthy diet engaged in a more inactive and sedentary lifestyle. These findings have implications for health promotion practitioners in designing tailored interventions.

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