scholarly journals Que Fatores Determinam os Níveis de Atividade Física após Programa de Reabilitação Cardíaca?

2013 ◽  
Vol 26 (6) ◽  
pp. 689
Author(s):  
Diogo Soares ◽  
Sofia Viamonte ◽  
Sandra Magalhães ◽  
Maria Miguel Ribeiro ◽  
Ana Barreira ◽  
...  
Keyword(s):  
Physical Activity ◽  
Regression Analysis ◽  
Cardiac Rehabilitation ◽  
International Physical Activity Questionnaire ◽  
Linear Regression Analysis ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program ◽  
Physical Activity Questionnaire ◽  
Rehabilitation Programs ◽  
Activity Questionnaire

Introduction: The Cardiac Rehabilitation Programs have gained tremendous importance in the prevention of cardiovascular disease and it’s a challenge to ensure the practice of regular exercise during and after the supervised program. The aim of this study was to determine the factors that influence the physical activity habits at 12 months after the Cardiac Rehabilitation Program.Material and Methods: Prospective study, including 580 patients with ischemic heart disease who were consecutively oriented for Cardiac Rehabilitation Program at Cardiovascular Prevention and Rehabilitation Unit of Centro Hospitalar do Porto, between January 2008 and June 2011. Physical activity levels were measured with International Physical Activity Questionnaire which was calculated at the beginning of the program, 3 and 12 months later. The following variables were chosen and tested as potential determinants of physical activity habits of 12 months after program: age; sex; modifiable risk factors; functional capacity (achieved in treadmill stress test); laboratory analysis (HbA1c, lipid profile, C-Reactive Protein and Brain Natriuretic Peptide). A linear regression analysis was carried to identify the significant determinants and to find the best model adjustment.Results: Advanced age, female gender, functional capacity and low levels of physical activity prior to the Cardiac Rehabilitation Program, as well as a weak evolution of the International Physical Activity Questionnaire during the program were the best univariable predictors of a less favourable evolution of the International Physical Activity Questionnaire during 12 months of follow-up. A multivariable linear regression analysis showed that the best explanatory model included age, gender and evolution of the International Physical Activity Questionnaire during the supervised program (R2 Adj. = 0.318; f = 60.62, p < 0.001).Conclusion: The identification of certain subgroups of patients with lower tendency toward physical activity is beneficial to enable timely and individualized strategies to maximize the therapeutic and preventive potential of the Cardiac Rehabilitation Programs.

scholarly journals Criterion-related validity of the last 7-day, short form of the International Physical Activity Questionnaire in Swedish adults

2006 ◽  
Vol 9 (2) ◽  
pp. 258-265 ◽  
Author(s):  
Ulf Ekelund ◽  
Hanna Sepp ◽  
Sören Brage ◽  
Wulf Becker ◽  
Rupert Jakes ◽  
...  
Keyword(s):  
Physical Activity ◽  
International Physical Activity Questionnaire ◽  
Short Form ◽  
Linear Regression Analysis ◽  
Criterion Validity ◽  
Sitting Time ◽  
Average Intensity ◽  
Physical Activity Questionnaire ◽  
Specificity And Sensitivity ◽  
Activity Questionnaire

AbstractObjectiveTo examine the validity of the short, last 7-day, self-administered form of the International Physical Activity Questionnaire (IPAQ).DesignAll subjects wore an accelerometer for seven consecutive days and completed the IPAQ questionnaire on the eighth day. Criterion validity was assessed by linear regression analysis and by modified Bland–Altman analysis. Specificity and sensitivity were calculated for classifying respondents according to the physical activity guidelines of the American College of Sports Medicine/Centers for Disease Control and Prevention.SettingWorkplaces in Uppsala, Sweden.SubjectsOne hundred and eighty-five (87 males) participants, aged 20 to 69 years.ResultsTotal self-reported physical activity (PA) (MET-min day−1) was significantly correlated with average intensity of activity (counts min−1) from accelerometry (r=0.34, P<0.001). Gender, age, education and body mass index did not affect this relationship. Further, subcomponents of self-reported PA (time spent sitting, time in PA, time in moderate and vigorous activity (MVPA)) were significantly correlated with objectively measured PA (P<0.05). Self-reported time in PA was significantly different from time measured by accelerometry (mean difference: −25.9 min day−1; 95% limits of agreement: −172 to 120 min day−1; P<0.001). IPAQ identified 77% (specificity) of those who met the current PA guidelines of accumulating more than 30 min day−1 in MVPA as determined by accelerometry, whereas only 45% (sensitivity) of those not meeting the guidelines were classified correctly.ConclusionsOur results indicate that the short, last 7-days version of the IPAQ has acceptable criterion validity for use in Swedish adults. However, the IPAQ instrument significantly overestimated self-reported time spent in PA. The specificity to correctly classify people achieving current PA guidelines was acceptable, whereas the sensitivity was low.

Effectiveness of mHealth Interventions on Physical Activity and Physical Fitness in Outpatient and Home-Based Cardiac Rehabilitation Programs: A Systematic Review (Preprint)

2019 ◽  
Author(s):  
Sheeba Nadarajah ◽  
Susan Buchholz ◽  
Kristen Dickins
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Physical Fitness ◽  
Cardiac Rehabilitation ◽  
Text Messaging ◽  
English Language ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program ◽  
Mixed Effect ◽  
Home Based

BACKGROUND Globally, cardiovascular disease is the leading cause of death. Cardiovascular mortality can be decreased by participation in cardiac rehabilitation. Researchers are exploring the use of mHealth technology in cardiac rehabilitation. OBJECTIVE The aim of this systematic review is to examine the effectiveness of randomized controlled trials that use a mHealth intervention as a part of an outpatient and/or home-based cardiac rehabilitation program on improving physical activity and physical fitness outcomes. METHODS For this systematic review, mHealth interventions were limited to text messaging, mobile apps, and use of a mobile phone network for data transmission, used to deliver cardiac rehabilitation program. Using six databases, the search strategy included published English language studies through 2016. Data was extracted independently by two reviewers, and then synthesized. RESULTS The initial search yielded 149 articles, of which 15 articles that represented nine studies met inclusion criteria. Articles were published from 2010 to 2016 and came from two continents. The majority (84%) of participants were male. Generally, the participant mean age was late 50s to early 60s. Text messaging was the most frequently used intervention. The results of the physical activity and physical fitness findings were mixed. Effect sizes for intervention as measured by the 6-minute walk test ranged from 0.46 to 0.58 and peak VO2 ranged from 0.03 to 1.35. CONCLUSIONS Globally, use of mHealth in outpatient and/or home-based cardiac rehabilitation is being studied with greater attention. However, these studies are limited by geography, gender, and age. Therefore, further research in the area of cardiac rehabilitation and mHealth is recommended, especially in developing countries, among women, and older adults.

scholarly journals Criterion validity and reliability of the International Physical Activity Questionnaire – Hungarian short form against the RM42 accelerometer

2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Pongrác Ács ◽  
Réka Veress ◽  
Paulo Rocha ◽  
Tamás Dóczi ◽  
Bence László Raposa ◽  
...  
Keyword(s):  
Physical Activity ◽  
Concurrent Validity ◽  
International Physical Activity Questionnaire ◽  
Short Form ◽  
Sitting Time ◽  
Validity And Reliability ◽  
Retest Reliability ◽  
Physical Activity Questionnaire ◽  
Test Retest Reliability ◽  
Activity Questionnaire

Abstract Background Physical inactivity is a global phenomenon in European welfare countries. Proper monitoring is essential to measure the physical activity level of the population. Methods In the Hungarian cohort of the European Physical Activity and Sport Monitoring System (EUPASMOS) project, our participants (N = 598) completed sociodemographic questions and the International Physical Activity Questionnaire – short form (IPAQ-SF) survey. The validity and reliability of the subjective measurement tool were examined, IPAQ-SF outcomes were contrasted against triaxial RM42 accelerometer wore for 7 consecutive days. Results The IPAQ-SF showed moderate internal consistency (Cronbach Alpha = 0.647). The concurrent validity of the IPAQ-SF to triaxial accelerometer indicated a significant weak-to-moderate correlation (R = 0.111–0.338, p = 0.042; p < 0.001). The test-retest reliability showed a significant correlation between two measurements (R = 0.788–0.981, p < 0.001). Conclusion The Hungarian version of the IPAQ-SF had excellent test-retest reliability, but low-to-fair concurrent validity for moderate and vigorous physical activity, walking and sitting time, as compared to the objective criterion measure among Hungarian adults.

RELAÇÕES ENTRE SEDENTARISMO E MOBILIDADE COM E SEM DUPLA TAREFA EM IDOSOS USUÁRIOS DA ATENÇÃO BÁSICA EM SAÚDE

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Cintia Sulino Gomes ◽  
Mariana Thays Carvalho ◽  
Vitoria Helena Maciel Coelho ◽  
Isabel Aparecida Porcatti de Walsh ◽  
Lislei Jorge Patrizzi Martins ◽  
...  
Keyword(s):  
Physical Activity ◽  
International Physical Activity Questionnaire ◽  
Minas Gerais ◽  
Physical Activity Questionnaire ◽  
Activity Questionnaire

Os efeitos do sedentarismo nos sistemas musculoesquelético eneuromuscularpodem influenciar negativamente o desempenho dosidosos em atividades com dupla-tarefa, o que aumenta o risco dequedas, declínio funcional e morte. O objetivo foi investigar as relaçõesentre sedentarismo e mobilidade com e sem dupla tarefa em idososusuários da atenção básica em saúde. Trata-se de estudo transversal,com 139 idosos que frequentam três unidades matriciais de saúdealeatoriamente selecionadas, em Uberaba, Minas Gerais. O sedentarismofoi avaliado pelo International Physical Activity Questionnaire(IPAQ), sendo classificados como sedentários os idosos inativos ouinsuficientemente ativos. O estado cognitivo foi avaliado pela ProvaCognitiva de Leganés. A mobilidade com e sem dupla tarefa, bemcomo, a força muscular foram avaliadas por testes de desempenhofísico. As características sociodemográficas e o número de medicamentosforam avaliados por autorrelato. Os modelos multivariadosforam testados por regressão linear múltipla em blocos, com intervalode confiança de 95%. A maioria era mulheres (81,3%); idade média66,96 (8,24) anos; 17,3% eram sedentários. Pior desempenho namobilidade com dupla tarefa motora (p=0,040) e com dupla tarefacognitiva (p=0,040) foi observado entre os idosos sedentários. Osedentarismo foi preditor de baixa mobilidade com dupla-tarefa motorae cognitiva controlado por variáveis sociodemográficas, entretanto,tais efeitos não se mantiveram após inclusão de variáveis de saúde.Não foram observadas relações entre sedentarismo e mobilidadesem dupla tarefa. Conclui-se que o sedentarismo influencia a mobilidadecom dupla tarefa motora e cognitiva em idosos, porém outrascondições de saúde podem interferir nessas relações.

Αξιολόγηση θρέψης σε υγιείς μετεμμηνοπαυσιακές Ελληνίδες

2018 ◽  
Author(s):  
Χρήστος Παπαβαγγέλης
Keyword(s):  
Physical Activity ◽  
Principal Component Analysis ◽  
International Physical Activity Questionnaire ◽  
Principal Component ◽  
Component Analysis ◽  
Physical Activity Questionnaire ◽  
Activity Questionnaire

Εισαγωγή: Η εμμηνόπαυση θέτει τις γυναίκες σε υψηλό κίνδυνο εμφάνισης χρόνιων νοσημάτων, όπως παχυσαρκία και καρδιαγγειακά νοσήματα. Παρόλα αυτά, εξαιρετικά λίγες μελέτες έχουν διεξαχθεί σε πληθυσμό μετεμμηνοπαυσιακών γυναικών με σκοπό την εκτίμηση της επίδρασης της διατροφής σε δομικούς και λειτουργικούς δείκτες αγγειακής λειτουργίας. Σκοπός: Κύριο σκοπό της παρούσας διατριβής αποτέλεσε η αξιολόγηση των διατροφικών συνηθειών μιας ομάδας υγιών μετεμμηνοπαυσιακών γυναικών. Παράλληλα, η διερεύνηση της υπάρχουσας σχέσης μεταξύ του Μεσογειακού τρόπου ζωής και της έκβασης δομικών και λειτουργικών αρτηριακών δεικτών σε υπο-ομάδα γυναικών αποτέλεσε επιπρόσθετο στόχο. Μεθοδολογία: Δείγμα της μελέτης αποτέλεσαν 638 γυναίκες που προσήλθαν στο εξωτερικό ιατρείο Κλιμακτηρίου και Εμμηνόπαυσης του Αρεταίειου Νοσοκομείου Αθηνών. Κριτήρια ένταξης ήταν η ύπαρξη εμμηνόπαυσης, δηλαδή απουσία έμμηνου ρύσεως για τουλάχιστον 12 συνεχόμενους μήνες και επίπεδα FSH >25 mIU/mL και οιστραδιόλης <50 pg/mL. Καταγράφηκαν τα δημογραφικά χαρακτηριστικά και το ιατρικό και γυναικολογικό ιστορικό των γυναικών. Επίσης, πραγματοποιήθηκε αξιολόγηση της σωματικής δραστηριότητας μέσω του International Physical Activity Questionnaire και διατροφική αξιολόγηση μέσω έγκυρου ερωτηματολογίου συχνότητας κατανάλωσης τροφίμων και υπολογίστηκε η προσκόλληση στη μεσογειακή δίαιτα μέσω του δείκτη MedDietScore. Τέλος, μετρήθηκαν ανθρωπομετρικά χαρακτηριστικά, πραγματοποιήθηκε κλινική εξέταση και αξιολογήθηκαν βιοχημικοί και ορμονικοί δείκτες. Αποτελέσματα: Η μέση ηλικία του δείγματος ήταν 57,7 ±7,6 έτη, ενώ ο ΔΜΣ ήταν 27,9 ± 5,0 kg/m2. Η μέση προσκόλληση στη μεσογειακή δίαιτα των συμμετεχουσών, σύμφωνα με το MedDietScore ήταν 36,1 ±4,7. Από την εφαρμογή πολλαπλής λογιστικής παλινδρόμησης παρατηρήθηκε ότι η Μεσογειακή δίαιτα σχετίστηκε αρνητικά με το ΔΜΣ και την περιφέρεια μέσης των γυναικών του δείγματος, μετά από προσαρμογή για συγχυτικούς παράγοντες. Ειδικότερα, οι γυναίκες υψηλής και μέτριας προσκόλλησης στη Μεσογειακή δίαιτα είχαν σημαντικά χαμηλότερους δείκτες παχυσαρκίας, υψηλότερο επίπεδο φυσικής δραστηριότητας και υψηλότερο μορφωτικό επίπεδο, σε σύγκριση με τις γυναίκες χαμηλής προσκόλλησης στο συγκεκριμένο διαιτητικό πρότυπο. Παράλληλα, μετά την εφαρμογή της Principal Component Analysis σε υπο-ομάδα 481 γυναικών του δείγματος δημιουργήθηκαν 8 διατροφικά πρότυπα, εκ των οποίων ένα διατροφικό πρότυπο πλούσιο σε διαιτητικές ίνες και σύνθετους υδατάνθρακες σχετίστηκε αρνητικά με το ΔΜΣ και την περιφέρεια μέσης των γυναικών, ενώ ένα ανθυγιεινό διατροφικό πρότυπο σχετίστηκε θετικά με το ΔΜΣ και την περιφέρεια μέσης των γυναικών, μετά την προσαρμογή για συγχυτικούς παράγοντες. Αναφορικά με την αγγειακή λειτουργία, παρατηρήθηκε σημαντική αρνητική συσχέτιση μεταξύ της ταχύτητας σφυγμικού κύματος αρτηρίας και της κατανάλωσης ροφημάτων καφέ/τσαγιού (r=-0.233, p<0.001). Ακόμη, παρατηρήθηκε θετική συσχέτιση μεταξύ του πάχους κοινής καρωτίδας και της κατανάλωσης επεξεργασμένων δημητριακών (r=0.116, p=0.04). Έπειτα από πολλαπλή γραμμική παλλινδρόμηση, η κατανάλωση ξηρών καρπών και ροφημάτων καφέ/τσαγιού σχετίστηκαν σημαντικά αρνητικά με το πάχος κοινής καρωτίδας (b-coefficient=-0.018, p=0.05) και την ταχύτητα σφυγμικού κύματος (b-coefficient= -0.327, p=0.002), αντίστοιχα. Ενώ, η κατανάλωση πατάτας σχετίστηκε σημαντικά θετικά με το πάχος κοινής καρωτίδας (b-coefficient=0.106, p<0.001). Συμπεράσματα: Η ύπαρξη διαφορετικών διατροφικών προτύπων σχετίστηκε, θετικά ή αρνητικά, με το σωματικό βάρος και την περιφέρεια μέσης στις μετεμμηνοπαυσιακές γυναίκες. Ειδικότερα, παρατηρήθηκε προστατευτική δράση της Μεσογειακής δίαιτας στους δείκτες παχυσαρκίας και η ύπαρξη σημαντικής συσχέτισης μεταξύ ορισμένων διατροφικών συνηθειών και δεικτών αγγειακής λειτουργίας

scholarly journals Atividade física em trabalhadores de Centros de Atenção Psicossocial do Sul do Brasil: tendências temporais

2014 ◽  
Vol 30 (12) ◽  
pp. 2656-2668
Author(s):  
Jeferson Santos Jerônimo ◽  
Vanda Maria da Rosa Jardim ◽  
Luciane Prado Kantorski ◽  
Marlos Rodrigues Domingues
Keyword(s):  
Physical Activity ◽  
International Physical Activity Questionnaire ◽  
Self Report ◽  
Physical Activity Questionnaire ◽  
Activity Questionnaire

O objetivo foi apresentar tendências temporais de atividade física e fatores associados em trabalhadores de Centros de Atenção Psicossocial (CAPS) da Região Sul do Brasil entre 2006 e 2011. Pesquisa transversal, parte do estudo Avaliação dos CAPS da Região Sul do Brasil/CAPSUL. Foram coletadas variáveis de saúde física, saúde mental por meio do Self-Report Questionnaire (SRQ-20) e atividade física usando-se o International Physical Activity Questionnaire (IPAQ). Participaram 435 trabalhadores de CAPS em 2006 e 546 trabalhadores em 2011. As prevalências totais de atividade física (≥ 150 minutos semanais) foram 23,2% em 2006 e 17,6% em 2011, e de distúrbios psiquiátricos menores 11% e 8,4%. Não houve diferença na atividade física de homens e mulheres. Em 2006, sujeitos com menor escolaridade (p = 0,03) e menor renda (p = 0,01) apresentaram maior nível de atividade física. Em 2011, trabalhadores de CAPS localizados em municípios de grande porte apresentaram maior nível de atividade física (p = 0,02). São necessárias intervenções promotoras de atividade física nessa população, principalmente em trabalhadores de CAPS residentes em municípios de pequeno porte.

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