scholarly journals Perceptions and attitudes towards gym use and physical activity in young men with haemophilia

2020 ◽  
Vol 7 (1) ◽  
pp. 85-91
Author(s):  
Luke Pembroke ◽  
Laurence Woollard
Keyword(s):  
Physical Activity ◽  
Health Care Professionals ◽  
Qualitative Interviews ◽  
Weight Bearing ◽  
Joint Damage ◽  
Young Men ◽  
Physically Active ◽  
Personal Trainers ◽  
Perceptions And Attitudes ◽  
Personal Fitness

AbstractIntroductionA growing body of evidence supports the recommendation of both physiotherapy and physical activity in people with haemophilia. Physical benefits include increasing strength and flexibility and reducing the risks of osteoporosis, arthropathy, and intramuscular and joint bleeds; social benefits have also been observed. However, anecdotal evidence suggests that people with haemophilia may still be averse to engaging with physical activity due to fears of causing bleeding, joint pain and joint damage.MethodologyQualitative interviews were conducted with young men with haemophilia treated at comprehensive care centres in London, to explore and identify the reasons behind risk-averse behaviours towards exercise and physical activity. The interview questions were designed to prompt discussion and capture opinions relating to participants’ physical activity and gym membership/use, and the degree to which their haemophilia impacts on both.ResultsTen participants were interviewed. Preferred activities were variable, with five participants describing themselves as very physically active, three moderately active, and two reporting little physical activity; four described themselves as ‘not gym-confident’. Seven participants described themselves as highly or moderately motivated to undertake physical activity, with motivations including weight loss and getting fit for summer holidays. However, there was some anxiety around weight-bearing exercise due to the fear of pain or injury. All participants had been exposed to personal trainers (PTs) and recognised the importance of being properly introduced to training equipment but felt that PTs were too expensive for them. The majority of participants reported sports-related injuries and self-perceived limitations on activity due to their personal/individual experience of living with haemophlia. Physiotherapists were often the first point of contact for advice and support on safe physical activity. All participants recognised the benefits of physical activity and had been encouraged in this by their physiotherapists.ConclusionYoung men with haemophilia are keen to use the gym as part of their personal fitness regimens. The ongoing safety concerns of health care professionals warrants further research.

INCREASED LEVELS OF INTERLEUKIN-10 EXPRESSION COMPARED TO INTERLEUKIN-6 IN LEUKOCYTES OF HEALTHY SUBJECTS. COULD IT BE USEFUL IN THE FUTURE OF THE DEPRESSION DIAGNOSIS?

2018 ◽  
Vol 16 (3) ◽  
pp. 243-248
Author(s):  
Agata Grzybkowska ◽  
Katarzyna Anczykowska ◽  
Joanna M. Pyczek ◽  
Małgorzata Żychowska
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Peripheral Blood ◽  
Depressive Disorders ◽  
Venous Blood ◽  
Young Men ◽  
Peripheral Blood Leukocytes ◽  
Blood Leukocytes ◽  
Physically Active ◽  
Relative Expression

It is a well known, that the physical activity promotes mental health. Physically active people relatively rarely suffer from psychosomatic and depressive disorders. It is possible that the differences in gene activity in peripheral blood leukocytes may be associated with depression, especially genes participating in inflammatory response. Thus, the aim of our study was to investigate the levels of IL6 and IL10 mRNA and IL10/IL6 ratio in peripheral blood leukocytes in healthy, physically active individuals. One hundred healthy young men (20-23 years old) participated in this study. All of them declared regular physical activity. Participants were non-smokers, and consumed alcohol occasionally. To access genes expression, 2 ml of venous blood was collected. RNA isolation was performed and then the relative expression of IL6 and IL10 was calculated using quantitative real-time polymerase chain reaction (Q-RT-PCR). Pro and anti-inflammatory balance was calculated as 2^relative of IL10/ 2^relative expression of IL6. Low expression of tested genes was found in healthy young men. Mean expression for IL6 was 2^0.051 (n=90) and for IL10 2^0.08 (n=98). Mean ratio IL10/IL6 was 2^1.58. Higher expression of IL10 compared to IL6 may be essential not only for the physical performance but also for the mental health. Diverse reports in the literature may be associated with choosing various control groups, i.e. sedentary or older individuals. It is possible, that measuring the expression of IL6 and IL10 (especially the ratio IL10/IL6) in peripheral blood leukocytes may be useful in the assessment of depressive disorders. Thus, molecular study of active young men can confirm the need for physical activity among people suffering from depression, but further studies are needed, particularly among people with psychosomatic disorders.

scholarly journals “You Have to Keep Moving, Be Active”: Perceptions and Experiences of Habitual Physical Activity in Older Women With Osteoporosis

2016 ◽  
Vol 96 (3) ◽  
pp. 361-370 ◽  
Author(s):  
Ing-Mari Dohrn ◽  
Agneta Ståhle ◽  
Kirsti Skavberg Roaldsen
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Older Women ◽  
Health Care Professionals ◽  
Fear Of Falling ◽  
Physical Therapists ◽  
Physically Active ◽  
Qualitative Interview Study ◽  
Impaired Balance ◽  
Context Specific

Background Physical activity (PA) is essential for older adults with osteoporosis, and health care professionals play important roles in promoting PA and encouraging patients to make healthy choices. However, many factors influence habitual PA, and there is only limited knowledge about the perceptions and experiences of PA among older women with osteoporosis. Objectives The purpose of this study was to describe perceptions and experiences of PA and the factors that influence habitual PA among older adults with osteoporosis, impaired balance, and fear of falling. Design This was a qualitative interview study applying interpretive content analysis with an inductive approach. Methods Informants were a purposeful sample of 18 women, aged 66 to 86 years, with osteoporosis, impaired balance, and fear of falling. Individual, semistructured, face-to-face interviews were recorded, transcribed, condensed, and coded to find subthemes and themes. Results The overall theme found was “Physical activity—a tool for staying healthy with osteoporosis.” This overall theme comprised 2 main themes interpreting the challenges and possibilities of being physically active with osteoporosis. These themes were not separate but rather linked to each other like 2 sides of the same coin, with factors that could act as both barriers to and facilitators of PA. Personal preferences and osteoporosis-related concerns influenced habitual PA, and individualization was perceived as important. Limitations Some results may be context specific and limit the transferability to people with other cultural or socioeconomic backgrounds. Conclusions The women perceived that PA was an important tool to maintain health with osteoporosis and believed that they had a responsibility to use this tool. They had adapted to disease-specific limitations and developed strategies to overcome challenges and barriers to PA. Lack of PA promotion and conflicting advice about PA from physicians created uncertainty. Encouragement and guidance from physical therapists, individually or in groups, were very important.

scholarly journals Perspectives on Physical Activity Among People with Multiple Sclerosis Who Are Wheelchair Users

2015 ◽  
Vol 17 (3) ◽  
pp. 109-119 ◽  
Author(s):  
Yvonne C. Learmonth ◽  
Ian M. Rice ◽  
Teresa Ostler ◽  
Laura A. Rice ◽  
Robert W. Motl
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Health Care Professionals ◽  
Physically Active ◽  
Wheelchair Users ◽  
Exercise Interventions ◽  
Exercise Participation ◽  
Mobility Devices ◽  
Environmental Adaptations ◽  
Physical Activity And Exercise

Background: People with advanced multiple sclerosis (MS) are less physically active than those with milder forms of the disease, and wheelchair use has a negative association with physical activity participation. Thus, wheelchair users with MS are doubly disadvantaged for accruing the benefits of physical activity and exercise. Appropriate physical activity and exercise interventions are needed for this population. Methods: We undertook a qualitative study to explore the meanings, motivations, and outcomes of physical activity in wheelchair users with MS. We sought to understand daily opportunities to accumulate physical activity and exercise, and to identify perceived barriers, facilitators, and benefits that might inform the design of future interventions. Results: We interviewed 15 wheelchair users (mean age, 52 ± 8.8 years; n = 12 women). Data were transcribed and analyzed to identify and explore common themes. Our first theme was the reduced opportunity to participate in physical activity due to participants' dependence on mobility devices, environmental adaptations, and tangible support. Our second theme was the importance of incorporating physical activity and exercise into the everyday environment, highlighting the need for adaptive exercise and accessible environments. This indicated the need to incorporate behavior change modulators into physical activity and exercise interventions for those with advanced MS. Health-care professionals played an important role in promoting increased physical activity and exercise participation in those with advanced MS. Conclusions: Our findings may inform future interventions to increase initiation and maintenance of physical activity and exercise among people with advanced MS.

scholarly journals Acceptability and Usefulness of a Dyadic, Tailored, Web-Based, Psychosocial and Physical Activity Self-Management Program (TEMPO): A Qualitative Study

2020 ◽  
Vol 9 (10) ◽  
pp. 3284
Author(s):  
Sylvie D. Lambert ◽  
Lindsay Rosamond Duncan ◽  
Janet Ellis ◽  
Jamie Lynn Schaffler ◽  
Ekaterina Loban ◽  
...  
Keyword(s):  
Physical Activity ◽  
Prostate Cancer ◽  
Health Care Professionals ◽  
Qualitative Interviews ◽  
Cost Effective ◽  
Physical Symptom ◽  
Management Program ◽  
Self Management ◽  
Convenience Sample ◽  
Web Based

Caregivers of men with prostate cancer report high burden, and there is a need to develop cost-effective programs to support them in their roles. This study reports on the acceptability of a dyadic, Tailored, wEb-based, psychosocial and physical activity (PA) self-Management PrOgram called TEMPO. TEMPO was accessed by a convenience sample of 19 men with prostate cancer and their caregivers (n = 18), as well as six health care professionals (HCPs). User feedback was gathered via semi-structured qualitative interviews. Data were analyzed using thematic analysis. Most dyads were satisfied with TEMPO, particularly with the dyadic feature of TEMPO, the focus on goal setting to integrate self-management, and the extensive health library. The patients and caregivers motivated each other as they worked through TEMPO. Most goals to achieve during TEMPO pertained to increasing PA, followed by learning physical symptom management. One unanticipated benefit of TEMPO for the dyads was improved communication. HCPs agreed that TEMPO was a novel approach to online cancer self-management and they echoed the benefits reported by dyads. Key suggestions for improving TEMPO were to reduce repetition, tailor content, add more exercise ideas, and have more printing options. This study provides a strong foundation on which to plan a larger trial.

‘I don't want to be, feel old’: older Canadian men's perceptions and experiences of physical activity

2018 ◽  
Vol 40 (1) ◽  
pp. 126-143 ◽  
Author(s):  
Laura Hurd Clarke ◽  
Lauren Currie ◽  
Erica V. Bennett
Keyword(s):  
Physical Activity ◽  
Subjective Experience ◽  
Qualitative Interviews ◽  
Community Dwelling ◽  
Social Connections ◽  
Participation Rates ◽  
Psychological Benefits ◽  
Physically Active ◽  
The Social ◽  
Age Relations

AbstractRelatively few older adults are physically active despite extensive research exploring barriers and facilitators and concomitant interventions designed to enhance participation rates. Building on the growing literature that considers the subjective experience of being physically active, we explored the meanings that older Canadian men attributed to physical activity broadly defined. Thus, we examined their experiences and perceptions of exercise, sport and/or leisure-time physical activities. Data are presented from qualitative interviews with 22 community-dwelling Canadian men aged 67–90. Our analysis resulted in three overarching categories that subsumed the men's understanding of physical activity. ‘I do it for my health’ described how the men stated that their primary reason for engaging in exercise was to maintain their health and body functionality so that they could age well and continue to participate in sport and leisure. ‘It feels good’ referred to the various ways that the men derived pleasure from being active, including the physical sensations, psychological benefits and social connections they derived from their participation. ‘It gets tougher’ detailed the ways that the men were finding physical activity to be increasingly difficult as a result of the onset of health problems, declining body functionality and the social realities of ageing. We discuss our findings in light of the extant literature concerning age relations, ageism, and the third and fourth ages.

scholarly journals Health care provider confidence and exercise prescription practices of Exercise is Medicine Canada workshop attendees

2017 ◽  
Vol 42 (4) ◽  
pp. 384-390 ◽  
Author(s):  
Myles W. O’Brien ◽  
Christopher A. Shields ◽  
Paul I. Oh ◽  
Jonathon R. Fowles
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Health Care Professionals ◽  
Exercise Prescription ◽  
Allied Health Professionals ◽  
Personal Trainers ◽  
Prescription Practices ◽  
Physical Activity Counselling ◽  
Before And After ◽  
Physical Activity And Exercise

The Exercise is Medicine Canada (EIMC) initiative promotes physical activity counselling and exercise prescription within health care. The purpose of this study was to evaluate perceptions and practices around physical activity counselling and exercise prescription in health care professionals before and after EIMC training. Prior to and directly following EIMC workshops, 209 participants (physicians (n = 113); allied health professionals (AHPs) (n = 54), including primarily nurses (n = 36) and others; and exercise professionals (EPs) (n = 23), including kinesiologists (n = 16), physiotherapists (n = 5), and personal trainers (n = 2)) from 7 provinces completed self-reflection questionnaires. Compared with AHPs, physicians saw more patients (78% > 15 patients/day vs 93% < 15 patients/day; p < 0.001) and reported lower frequencies of exercise counselling during routine client encounters (48% vs 72% in most sessions; p < 0.001). EPs had higher confidence providing physical activity information (92 ± 11%) compared with both physicians (52 ± 25%; p < 0.001) and AHPs (56 ± 24%; p < 0.001). Physicians indicated that they experienced greater difficulty including physical activity and exercise counselling into sessions (2.74 ± 0.71, out of 5) compared with AHPs (2.17 ± 0.94; p = 0.001) and EPs (1.43 ± 0.66; p < 0.001). Physicians rated the most impactful barriers to exercise prescription as lack of patient interest (2.77 ± 0.85 out of 4), resources (2.65 ± 0.82 out of 4), and time (2.62 ± 0.71 out of 4). The majority of physicians (85%) provided a written prescription for exercise in <10% of appointments. Following the workshop, 87% of physician attendees proposed at least one change to practice; 47% intended on changing their practice by prescribing exercise routinely, and 33% planned on increasing physical activity and exercise counselling, measured through open-ended responses.

Dimensions of Subjective Well-Being and Effects of Physical Activity in Chinese Older Adults

2007 ◽  
Vol 15 (4) ◽  
pp. 382-397 ◽  
Author(s):  
Po-Wen Ku ◽  
Jim McKenna ◽  
Kenneth R. Fox
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Qualitative Interviews ◽  
Well Being ◽  
Community Dwelling ◽  
Subjective Well Being ◽  
Physically Active ◽  
Chinese Older Adults ◽  
Older Chinese

Subjective well-being (SWB) and its relationship with physical activity have not been systematically investigated in older Chinese people. This study explored these issues using qualitative interviews with a purposive sample of 23 community-dwelling Chinese older adults (age 55–78 y, 12 women); 16 were physically active and 7 physically inactive. Using cross-case analyses, 7 dimensions of SWB emerged: physical, psychological, developmental, material, spiritual, sociopolitical, and social. Although elements of SWB may be shared across cultures, specific distinctions were identified. Active respondents reported the unique contributions of physical activity to the physical, psychological, developmental, and social elements of SWB. The findings suggest that physical activity could enhance the quality of life in Chinese older adults.

scholarly journals Physical Activity During and After Adjuvant Treatment for Breast Cancer: An Integrative Review of Women’s Experiences

2016 ◽  
Vol 17 (1) ◽  
pp. 16-30 ◽  
Author(s):  
Maria Browall ◽  
Sara Mijwel ◽  
Helen Rundqvist ◽  
Yvonne Wengström
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Health Care ◽  
Adjuvant Treatment ◽  
Health Care Professionals ◽  
Well Being ◽  
Breast Cancer Patients ◽  
Positive Health ◽  
Active Lifestyle ◽  
Physically Active

Background: In oncology, physical activity (PA) is recognized to improve psychological and physiological functions. Motivating women with breast cancer to sustain a physically active lifestyle is important for promoting positive health after diagnosis. To review and synthesize what is known about how women with breast cancer experience supervised and unsupervised PA during and after adjuvant treatment. PubMed, PsycINFO, and CINAHL were searched, yielding 994 citations. The final review included 17 articles published between 2004 and 2014 in English. The CASP (Critical Appraisal Skills Programme) instrument was used to appraise quality. Results: Exercise is experienced as a positive element with multiple benefits. However, maintaining a physically active lifestyle during and after chemotherapy is sometimes challenging. Reported benefits of PA include feeling empowered, and improving and reclaiming health. Facilitators to PA comprised exercising with peers and skilled instructors. Barriers included social factors and lack of information. Conclusions: Findings highlight the importance of incorporating PA programs from a patient experience perspective as routine treatment. Health care professionals play a crucial “gateway” role in providing information on implementation and benefits of PA. Providing support and educated advice about how to safely start or continue regular PA to minimize symptoms, reduce morbidity, and increase well-being during or after treatment is vital for women with breast cancer. Implications for Practice: Health care professionals need increased knowledge of the breast cancer patients’ perspectives on facilitators and barriers to PA during and after treatment, in order to provide sufficient support for women to stay physically active during a breast cancer illness.

Correlates of Weight-Bearing Physical Activity Among Adolescent Girls: Results From a National Survey of Girls and Their Parents

2008 ◽  
Vol 5 (1) ◽  
pp. 132-145 ◽  
Author(s):  
Simani M. Price ◽  
Judith McDivitt ◽  
Deanne Weber ◽  
Lisa S. Wolff ◽  
Holly A. Massett ◽  
...  
Keyword(s):  
Physical Activity ◽  
Adolescent Girls ◽  
Self Efficacy ◽  
Weight Bearing ◽  
Later Life ◽  
Physical Activities ◽  
After School ◽  
Health Campaign ◽  
Physically Active ◽  
Nationally Representative

Background:Despite the potential benefits of reducing the risk of osteoporosis in later life, research on adolescent girls’ weight-bearing physical activity (WBPA) is limited. This study explores correlates for WBPA in this population.Methods:A nationally representative telephone survey sponsored by the National Bone Health Campaign was conducted with 1000 girls age 9 to 12 years and a parent. Girls’ physical activities were coded as weight bearing or not and correlated with cognitive, social, and environmental variables.Results:Regression analysis revealed that WBPA was significantly associated with self-reported parents’ education, parental self-efficacy, girls’ normative beliefs about time spent in physical activity, being physically active with a parent, having physically active friends, and perceived availability of after-school physical activities.Conclusions:Interventions encouraging parents to participate in WBPA with their daughters and increasing parents’ positive attitudes and self-efficacy in getting their daughters to be physically active should be tested.

scholarly journals Process of Behavioral Change as it Relates to Intentional Physical Activity

AAOHN Journal ◽  
2007 ◽  
Vol 55 (9) ◽  
pp. 372-378 ◽  
Author(s):  
Tracey L. Yap ◽  
L. Sue Davis
Keyword(s):  
Physical Activity ◽  
Occupational Health ◽  
Health Care Professionals ◽  
Behavioral Change ◽  
Behavior Changes ◽  
Physically Active ◽  
Agrarian Society ◽  
Health Nurse ◽  
Control And Prevention ◽  
Occupational Health Nurse

During the past 100 years, America has changed from an agrarian society, where the intent of physical activity was to produce needed materials, to a postindustrial society, where 60% of American adults are not regularly physically active and 25% are not active at all (Centers for Disease Control and Prevention, 1999). With sedentary lifestyle and its attendant consequences on the rise, the occupational health nurse can increase individuals' knowledge, facilitate their decision making, and motivate them to try new behaviors and change existing behaviors. The occupational health nurse can use a model to organize individual workers' information and clarify strategies to promote behavior change. The goal is to decrease the morbidity and mortality associated with sedentary lifestyles of American workers by using the model when individuals present to the occupational health service. Individuals benefit from health care professionals who understand personal risks and communicate strategies to address barriers and concerns when they consider behavior changes such as increasing physical activity.

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