scholarly journals Persistent Uncontrolled Asthma: Long-Term Impact on Physical Activity and Body Composition

2021 ◽  
Vol Volume 14 ◽  
pp. 229-240
Author(s):  
Mustafa Abdo ◽  
Benjamin Waschki ◽  
Anne-Marie Kirsten ◽  
Frederik Trinkmann ◽  
Heike Biller ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Composition ◽  
Uncontrolled Asthma ◽  
Long Term Impact

scholarly journals Persistent Uncontrolled Asthma: Long-Term Impact on Physical Activity and Body Composition

2021 ◽  
Author(s):  
Mustafa Abdo ◽  
Benjamin Waschki ◽  
Anne-Marie Kirsten ◽  
Frederik Trinkmann ◽  
Heike Biller ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Composition ◽  
Independent Predictor ◽  
Symptom Control ◽  
Asthma Severity ◽  
The Body ◽  
Uncontrolled Asthma ◽  
Asthma Patients

Abstract Rational Asthma, obesity and physical activity (PA) are interrelated. However, longitudinal data with objective PA measures and direct assessment of body composition are still lacking.Objectiveto study the impact of asthma severity and symptom control on PA and body composition.MethodsIn a longitudinal cohort study, we assessed the body composition of 233 asthma patients and 84 healthy controls using bioelectrical impedance analysis. PA (i.e. average daily steps and time of at least moderate activity, steps/min) was measured by accelerometry for one week. Asthma control was assessed by ACT score, ACQ-5 score and history of severe exacerbations. After two years of follow up, we studied changes in physical activity and body composition in relation to asthma control.ResultsPatients with severe asthma had increased fat mass and decreased muscle mass compared to patients with mild-moderate asthma or healthy controls. Both fat mass and muscle mass correlated better with asthma control than the body mass index (BMI). In multivariate regressions adjusted for confounders including asthma severity and corticosteroid therapy, physical activity was an independent predictor of body composition (R2 ≥ 0.61, p < 0.001). Persistent uncontrolled asthma patients (n=64) had lower physical activity at both baseline (6614 steps/118 min) and follow up (6195/115). Despite having stable BMI, they also had significant muscle loss (-1.2%, -0.88 kg, p<0.01) and fat accumulation (+1%, +1.1 kg, p<0.01). By contrast, temporarily uncontrolled or controlled asthma patients had higher physical activity at baseline (8670/156) and follow up (9058/153) with almost unchanged body composition.ConclusionPersistent uncontrolled asthma is associated with sustained physical inactivity and adverse changes in body composition that might be overlooked by relying solely on BMI. Physical activity is an independent predictor of body composition and reliable long-term marker of symptom control.

Utilization of Collaborations to Engage Children in Physical Activity: A Community-Based Research Approach

2017 ◽  
Vol 6 (4) ◽  
pp. 323-328
Author(s):  
Sheri J. Brock ◽  
Danielle Wadsworth ◽  
Shelby Foote ◽  
Mary E. Rudisill
Keyword(s):  
Physical Activity ◽  
The United States ◽  
Research Approach ◽  
Collaborative Partnerships ◽  
Community Based ◽  
Community Partners ◽  
Community Based Research ◽  
Quality Product ◽  
Long Term Impact

Institutions of higher education have a responsibility to prioritize the needs of society and local communities. One essential need prevalent in all communities is to address the rise of obesity and health risks due to lack of participation in physical activity. In the United States, children spend a small percentage of time engaged in physical activity, and engagement decreases further in adolescence and adulthood. Collaborative partnerships between kinesiology faculty at universities and community organizations are one avenue for engaging children in physical activity. Partnerships must be multilevel and community wide to evoke change and have long-term impact and sustainability. Within the context of community-based research, we propose a three-step framework for establishing collaborative partnerships: (1) determining the needs of partners; (2) discussing expertise, services, and philosophy; and (3) providing a quality product. In addition, we outline and illustrate our experiences when collaborating with community partners to promote physical activity.

Serum Myostatin Levels Are Higher in Fitter, More Active, and Non-Frail Long-Term Nursing Home Residents and Increase after a Physical Exercise Intervention

Gerontology ◽  
2018 ◽  
Vol 65 (3) ◽  
pp. 229-239 ◽  
Author(s):  
Haritz Arrieta ◽  
Gotzone Hervás ◽  
Chloe Rezola-Pardo ◽  
Fátima Ruiz-Litago ◽  
Miren Iturburu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Composition ◽  
Nursing Home ◽  
Physical Fitness ◽  
Physical Activity Level ◽  
Exercise Intervention ◽  
Nursing Home Residents ◽  
Exercise Program ◽  
Activity Level

Background: Myostatin has been proposed as a candidate biomarker for frailty and sarcopenia. However, the relationship of myostatin with these conditions remains inconclusive. Objective: To determine the association of serum myostatin concentration with body composition, physical fitness, physical activity level, and frailty in long-term nursing home residents. We also aimed to ascertain the effect of an exercise program on myostatin levels. Methods: We obtained study data on 112 participants from long-term nursing homes. Participants were randomly assigned to a control or an intervention group and performed a 6-month multicomponent exercise program. Serum myostatin levels were analyzed by ELISA. Assessments also included body composition (anthropometry and bioelectrical impedance), physical fitness (Senior Fitness Test), physical activity level (accelerometry), and frailty (Fried frailty criteria, Clinical Frailty Scale, and Tilburg frailty indicator). Results: The concentration of myostatin at baseline was positively correlated with: a leaner body composition (p < 0.05), and a higher number of steps per day and light and moderate-vigorous physical activity in women (p < 0.005); greater upper and lower limb strength, endurance, and poorer flexibility (p < 0.05) in men; and better performance (less time) in the 8-ft timed up-and-go test in both women (p < 0.01) and men (p < 0.005). We observed higher concentrations of serum myostatin in non-frail than in frail participants (p < 0.05). Additionally, we found that the implemented physical exercise intervention, which was effective to improve physical fitness, increased myostatin concentration in men (p < 0.05) but not in women. The improvements in physical condition were related with increases in serum myostatin only in men (p < 0.05–0.01). Conclusions: Higher serum levels of myostatin were found to be associated with better physical fitness. The improvements in physical fitness after the intervention were positively related to increases in myostatin concentrations in men. These results seem to rule out the idea that high serum myostatin levels are indicative of frailty in long-term nursing home residents. However, although the direction of association was opposite to that expected for the function of myostatin, the use of this protein as a biomarker for physical fitness, rather than frailty, merits further study.

scholarly journals Physical activity, cardiorespiratory fitness, and cardiovascular outcomes in individuals with atrial fibrillation: the HUNT study

2020 ◽  
Vol 41 (15) ◽  
pp. 1467-1475 ◽  
Author(s):  
Lars E Garnvik ◽  
Vegard Malmo ◽  
Imre Janszky ◽  
Hanne Ellekjær ◽  
Ulrik Wisløff ◽  
...  
Keyword(s):  
Physical Activity ◽  
Atrial Fibrillation ◽  
Cardiorespiratory Fitness ◽  
Lower Risk ◽  
Mortality And Morbidity ◽  
All Cause Mortality ◽  
Cox Proportional Hazard Regression ◽  
Long Term Impact ◽  
Cvd Mortality

Abstract Aims Atrial fibrillation (AF) confers higher risk of mortality and morbidity, but the long-term impact of physical activity (PA) and cardiorespiratory fitness (CRF) on outcomes in AF patients is unknown. We, therefore, examined the prospective associations of PA and estimated CRF (eCRF) with all-cause mortality, cardiovascular disease (CVD) mortality, morbidity and stroke in individuals with AF. Methods and results We followed 1117 AF patients from the HUNT3 study in 2006–08 until first occurrence of the outcomes or end of follow-up in November 2015. We used Cox proportional hazard regression to examine the prospective associations of self-reported PA and eCRF with the outcomes. Atrial fibrillation patients meeting PA guidelines had lower risk of all-cause [hazard ratio (HR) 0.55, 95% confidence interval (CI) 0.41–0.75] and CVD mortality (HR 0.54, 95% CI 0.34–0.86) compared with inactive patients. The respective HRs for CVD morbidity and stroke were 0.78 (95% CI 0.58–1.04) and 0.70 (95% CI 0.42–1.15). Each 1-metabolic equivalent task (MET) higher eCRF was associated with a lower risk of all-cause (HR 0.88, 95% CI 0.81–0.95), CVD mortality (HR 0.85, 95% CI 0.76–0.95), and morbidity (HR 0.88, 95% CI 0.82–0.95). Conclusion Higher PA and CRF are associated with lower long-term risk of CVD and all-cause mortality in individuals with AF. The findings support a role for regular PA and improved CRF in AF patients, in order to combat the elevated risk for mortality and morbidity.

scholarly journals Fidelización de usuarios mayores en centros de fitness: Gestión de clientes por programas de actividad física (The Loyalty of older people in fitness centers: Managing customers for physical activity programs)

Retos ◽  
2015 ◽  
pp. 103-106
Author(s):  
Jerónimo García Fernández ◽  
Francisco Pires Vega
Keyword(s):  
Physical Activity ◽  
Older People ◽  
Mental State ◽  
Central Point ◽  
Personal Problems ◽  
Fitness Centers ◽  
Physical Activity Programs ◽  
Long Term Impact ◽  
Consequent Increase

Los centros de fitness, son hoy en día lugares donde los socios realizan actividad física «controlada», donde mejoran su estado físico y mental, incluso en donde se socializan con otros socios de todas las edades. Estos centros, han sido normalmente gestionados por personas sin formación en la materia y con el único interés de tener socios, sin tener en cuenta la repercusión a largo plazo. Este interés, sumado a problemas de gestión del centro, y a problemas personales de los socios, ha propiciado que existan altas tasas de deserción en este tipo de centros indoor, con la consecuente elevación de los gastos en marketing, no obteniendo así, una rentabilidad sostenible. Proponemos, un programa de actividad física con el que se podría mejorar estas tasas de fidelización, siendo el punto central de la gestión de los centros de hoy en día, la satisfacción y la lealtad a los centros de fitness.Palabra clave: Fidelización, Mayores, Centros de Fitness, Programa de Actividad física por objetivos.Abstract: The fitness centers are now places where partners perform «controlled» physical activity, which improves their physical and mental state, and where they socialize with other partners of all ages. These centers have been typically managed by people without training in this subject and with the only interest of obtaining partners without taking into account the long-term impact. This problem, together with management problems of the center and personal problems of the members, have meant that there are high desertion rates in this type of indoor facilities, with the consequent increase in expenditure on marketing and a non-sustainable profitability. We propose a program of physical activity that could improve the rate of loyalty, being the central point of management of sports centers today, the satisfaction and loyalty to the fitness centers.Key words: Loyalty, Senior, Fitness Centres, Physical Activity Programs Through Objectives.

A 5-Year Follow-Up of The Benefits of an Exercise Training Program in Liver Recipients Transplanted Due to Familial Amyloidotic Polyneuropathy

2018 ◽  
Vol 28 (4) ◽  
pp. 330-337
Author(s):  
Maria Teresa Tomás ◽  
Xavier Melo ◽  
Élia Mateus ◽  
Mafalda Gonçalves ◽  
Eduardo Barroso ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Composition ◽  
Exercise Training ◽  
Muscle Mass ◽  
Normal Activity ◽  
Familial Amyloidotic Polyneuropathy ◽  
Walking Capacity ◽  
And Function

Background: Supervised (SE) and home-based exercise (HBE) training regimes are effective on reconditioning patients with familial amyloidotic polyneuropathy (FAP) after liver transplantation, but research of the long-term retention of the benefits attained in patients with FAP has not yet been conducted. Purpose: In this 5-year follow-up study, we aimed to determine whether the exercise training gains in body composition, physical activity, and function promoted by a 24-week SE or HBE training regimes are retained in patients with FAP who resume normal activity. Methodology: Sixteen liver-transplanted patients with FAP were reassessed for body composition (dual X-ray absorptiometry), physical activity (questionnaire), and function (handgrip strength and 6-minute walk test). Results: Total body fat increased with both exercise regimes during follow-up ( P < .05; η2 = 0.432-0.625) as well as femoral neck bone density ( P = .048; η2 = 0.119). However, gains in upper limbs muscle quality during follow-up ( P < .001; η2 = 0.597) were only found in the SE group ( P = .042; η2 = 0.245). Both exercise regimes showed retaining aptitudes in walking capacity ( P < .05; η2 = 0.329-0.460) and muscle mass ( P = .05; η2 = 0.245). Still, none could retain the physical activity levels. Conclusion: Long-term resumption of normal activity following a 24-week SE or HBE regime in patients with FAP resulted in loss of exercise induced increases in physical activity but counterweighted postoperative losses in bone mineral density and substantially retained the benefits in walking capacity, muscle mass, and quality, in particular, in the SE group.

scholarly journals Long-term effects of dietary glycemic index on adiposity, energy metabolism, and physical activity in mice

2008 ◽  
Vol 295 (5) ◽  
pp. E1126-E1131 ◽  
Author(s):  
Kelly B. Scribner ◽  
Dorota B. Pawlak ◽  
Cristin M. Aubin ◽  
Joseph A. Majzoub ◽  
David S. Ludwig
Keyword(s):  
Physical Activity ◽  
Insulin Resistance ◽  
Body Composition ◽  
Energy Expenditure ◽  
Glycemic Index ◽  
Respiratory Quotient ◽  
Activity Level ◽  
Metabolic Effects ◽  
Oral Glucose

A high-glycemic index (GI) diet has been shown to increase adiposity in rodents; however, the long-term metabolic effects of a low- and high-GI diet have not been examined. In this study, a total of 48 male 129SvPas mice were fed diets high in either rapidly absorbed carbohydrate (RAC; high GI) or slowly absorbed carbohydrate (SAC; low GI) for up to 40 wk. Diets were controlled for macronutrient and micronutrient content, differing only in starch type. Body composition and insulin sensitivity were measured longitudinally by DEXA scan and oral glucose tolerance test, respectively. Food intake, respiratory quotient, physical activity, and energy expenditure were assessed using metabolic cages. Despite having similar mean body weights, mice fed the RAC diet had 40% greater body fat by the end of the study and a mean 2.2-fold greater insulin resistance compared with mice fed the SAC diet. Respiratory quotient was higher in the RAC group, indicating comparatively less fat oxidation. Although no differences in energy expenditure were observed throughout the study, total physical activity was 45% higher for the SAC-fed mice after 38 wk of feeding. We conclude that, in this animal model, 1) the effect of GI on body composition is mediated by changes in substrate oxidation, not energy intake; 2) a high-GI diet causes insulin resistance; and 3) dietary composition can affect physical activity level.

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