scholarly journals Physiological and Psychosocial Health among Adults with Mental Disability: A Mini Study

2010 ◽  
Vol 16 (1) ◽  
pp. 73-78
Author(s):  
Ada S. Y. CHAN ◽  
Bik C. CHOW

LANGUAGE NOTE | Document text in English; abstract also in Chinese. Obesity is an important worldwide public health problem and sedentary lifestyle has been associated with increasing rates of overweight and obesity. This presentation aims to study the relationship between psychosocial health, obesity and the lifestyle among the intellectual disability. A total of 16 adults over the age of 18 with mild to moderate intellectual disability (ID) (6 males, 6 females), (N=16, mean age 34.4.23 ± 51 years, SD= 8.67), were recruited from St. James settlements. Pedometer step counts were recorded on 4 consecutive (week) days, BMI and waist circumstance were recorded. Questionnaires regarding adult's outcome expectation, perceived barriers to exercise and performance self efficacy on physical activity were examined. Result showed that adult with intellectual disability mean on total daily step counts was 7458.44 steps, (SD=5048.19), the mean BMI is 26.43, and both performance self efficacy and barrier to exercise among them were not high. The study concluded that both physiological and psychosocial health among adult with intellectual disability were low and more physical activity is needed. 殘疾人士痴肥情況比一般普通成人嚴重,而且平均壽命較短,對健康的需求比較高。可是研究對於在職智障成年人的調查比較少,對於可行而且有效的運動計劃亦缺乏資料。為了提高在職智障成年人士的生心健康,一項了解智障成年人士的運動量以及他們對運動的態度的研究是需要的。是次調查對象為成年智能障礙人士,級別為輕,中度智障(本研究不包括重,極重度智能障礙者),所有參與者人士都是來自於聖雅各福群會,共有16位自願參與者而他們都是18歲以上成人,參與者平均年齡為34.4 (23 ± 51歲,SD 8.67)。我們派發一個數步器(型狀跟傳呼機相似)給參與者,數步器需佩戴在右邊腰身上連續4日,在第五天早上研究人員為參與者除去數步器,並記錄總步行數量。同時我們亦派發一份有關活動量及對活動態度的問卷,內容包括:對運動預期結果,面對運動阻礙,對運動表現自我效能。調查所得出之結果顯示參與者平均每日步數為7458步(SD=5048.19)。脂肪比例為26.4,面對運動阻礙(Mean=1.8, SD=.39)和對運動表現自我效能(Mean=.8, SD=.64)顯示為不太高。結論是成年智障人士需要在工作地方有一個運動課程從而提高他們生理和心理的健康發展、成長。  

2014 ◽  
Vol 8 (2) ◽  
pp. 138-146 ◽  
Author(s):  
Ada Suet Ying Chan

Purpose – The purpose of this paper is to get information on the background, demographic data and the lifestyle of adults with intellectual disability in Hong Kong shelter workshop; to get information on physical activity behaviour and psychosocial behaviour of adults with intellectual disability in Hong Kong sheltered workshop; to assess the concurrent validity and reliability of the baseline interview questionnaire (BIQ-C); and a trial run to test the feasibility on running a larger scale of study in future. Design/methodology/approach – Psychosocial behaviour was assessed by BIQ-C (Heller et al., 2006) with sub-scale self-efficacy, outcome expectation, barrier to exercise; and physical activity assessment by pedometers. The participants completed the BIQ-C with an interviewer on fifth day morning before started work. Both step counts were collected and activity data were recorded in a log book separately during working hours and non-working hours on each four consecutive weekdays. Findings – The percentage of obesity was serious among adults with intellectual disability in HK, especially on women; and adults with intellectual disability had more walking step counts in non-working time compared with that at working time, which was considered “low active” (5,000-7,499 step per day) in physical activity level. Besides, both male and female participants had high outcome expectation, barrier to exercise and low self-efficacy. Results showed that BIQ-C was valid and reliable as an outcome measure to be used for intellectual disability. Research limitations/implications – The sample represented adults with mild to moderate intellectual disability which were based on a centre supervisor ' s confirmation, and then subjects were randomly selected to participate. The results were based on mild to moderate grade participants wearing pedometer for four consecutive days, for those who were unable to wear the pedometer by themselves were excluded from this study (severe intellectual disability). Moreover, the results only reflect the number of steps during weekdays, there was no data on weekends. Practical implications – Assessment tools are valid and reliable among adults with intellectual disability in Hong Kong. Study showed that running a larger scale of intervention is possible and feasible in sheltered workshop. Originality/value – There is relatively little information on the physical activity patterns and psychosocial behaviour of workers with intellectual disability in Hong Kong, intervention may help understanding and promote health in this population.


2015 ◽  
Vol 11 (1) ◽  
pp. 180�
Author(s):  
Christine Tørris ◽  
Mette Kristin Rach ◽  
Line Margrethe Solhaug

<strong>How to establish a healthy lifestyle in an overweight, inactive woman with an intellectual disability</strong><br />Overweight and obesity are associated with increased health risks and shortened life span. The prevalence of overweight and obesity is increasing, and a higher prevalence of obesity has been observed in persons with intellectual disability than in the general population. In this study, we want to establish a healthy lifestyle with a healthy diet and increased physical activity in an obese, inactive women with intellectual disability. Using interventions based on applied behavioural analysis, the women have established new habits in terms of diet and increased physical activity. The number of hours with physical activity per week has doubled, and both weight and waist circumference decreased during the eight weeks of the study. She maintained her new healthy lifestyle, after the study. More research is needed in interventions that can help reduce obesity in persons with intellectual disability.


2012 ◽  
Vol 50 (4) ◽  
pp. 343-351 ◽  
Author(s):  
Thessa Hilgenkamp ◽  
Ruud Van Wijck ◽  
Heleen Evenhuis

Abstract The minimum number of days of pedometer monitoring needed to estimate valid average weekly step counts and reactivity was investigated for older adults with intellectual disability. Participants (N  =  268) with borderline to severe intellectual disability ages 50 years and older were instructed to wear a pedometer for 14 days. The outcome measure was steps per day. Reactivity was investigated with repeated measures analysis of variance, and monitoring frame was assessed by comparing combinations of days with average weekly step counts (with intraclass correlation coefficients [ICCs] and regression analyses). No reactivity was present. Any combination of 4 days resulted in ICCs of 0.96 or higher and 90% of explained variance. The study concludes that any 4 days of wearing a pedometer is sufficient to validly measure physical activity in older adults with intellectual disability.


2015 ◽  
Vol 12 (6) ◽  
pp. 756-763 ◽  
Author(s):  
Nancy M. Gell ◽  
Danielle D. Wadsworth

Background:The study evaluated the effects of a text message intervention on physical activity in adult working women.Methods:Eightyseven participants were randomized to an intervention (n = 41) or control group (n = 46). Pedometer step counts and measures of self-efficacy were collected at baseline, 12 weeks, and 24 weeks. Intervention participants received approximately 3 text messages per week that were motivational, informational, and specific to performing physical activity.Results:ANCOVA results showed a significant difference between groups for mean steps per day at 12 weeks (6540.0 vs. 5685.0, P = .01) and no significant difference at 24 weeks (6867.7 vs. 6189.0, P = .06). There was no change in mean step counts during or after the intervention compared with baseline. There was a significant difference between groups for mean self-efficacy scores at 12 weeks (68.5 vs. 60.3, P = .02) and at 24 weeks (67.3 vs. 59.0, P = .03).Conclusion:Intervention participants had higher step counts after 12 and 24 weeks compared with a control group; however, the difference was significant only at the midpoint of the intervention and was attributable to a decrease in steps for the control group. Text messaging did not increase step counts but may be a cost-effective tool for maintenance of physical activity behavior.


2021 ◽  
Vol 7 ◽  
pp. 237796082110185
Author(s):  
April L. Yerges ◽  
Julia A. Snethen ◽  
Aaron L. Carrel

Introduction Obesity in adolescence is a significant ongoing public health problem that has not improved over the past decade. Objective This descriptive qualitative study explores the perspective of female adolescents who are overweight or obese regarding their views on health and weight within the clinic setting. Methods In-depth interviews were conducted with female adolescents (age 13–19 years old; BMI ≥85th percentile) from the mid-west region of the United States (N = 28). Inductive thematic analysis using Braun & Clarke’s methods was utilized. Results The findings from this study revealed that the adolescents’ view of health encompasses physical, mental, and psychosocial health dimensions, and despite being overweight and obese, the participants felt healthy. Participants discussed the need to eat healthier and increase their daily physical activity, but were unable to transform this into action. Within the clinical setting, the adolescents were sensitive to weight discussions. Conclusion Results from this study can increase providers’ understanding of the adolescent, increase awareness of adolescent sensitivity, and assist researchers in developing age-appropriate interventions for effective treatment and prevention of childhood obesity.


Author(s):  
Shailesh Regmi ◽  
Jagannath P.

Background: The global epidemic of overweight/obesity – termed “globesity” is a major public health problem where rates of obesity have tripled in developing countries over the last 20 years. Factors like studying in private schools, consumption of unhealthy diet, insufficient physical activity and shortened night-time sleep duration are shown to be related with overweight and obesity. Hence, this study aims to assess the prevalence of overweight/obesity and the relationship of BMI with the socio-demographic and lifestyle factors.Methods: A school based descriptive, cross-sectional study was conducted among 400 participants chosen randomly from grade 11 and 12. Measurements of height and weight were taken to calculate BMI and primary data about determinants of obesity was collected through semi structured questionnaire. The data was entered and analyzed using SPSS 16v.Results: Prevalence of overweight and obesity was 4.25% and 2.25% respectively. Consumption of fast food and sugary drinks was found among 99% and 95% of the respondents respectively. Higher screening time for TV/Computer, shortened sleep duration and reduced physical activity led to higher prevalence of overweight/obesity. Factors like type of school [esp. private school, (p=0.019, 95% CI)], type of family (p=0.039, 95% CI), occupation of mother (p=0.019, 95% CI) were statistically significant with BMI.Conclusions: Apart from under-nutrition problem, there exists increasing trend of over-nutrition among higher secondary students in Tulsipur Municipality, Nepal. The shift of under-nutrition problem to over-nutrition says we need to rethink about the consequences of over-nutrition.


2018 ◽  
Vol 3 (4) ◽  

Obesity is a major public health problem worldwide; approximately 600 million adults over 18 years old are obese. Changes in the lifestyle including diet and physical activity are main causes of overweight and obesity. Use of management methods including diet, physical activity and behavioral modifications has been found to be disappointing in the excessively obese population with weight regain problem. Hence, surgery, mainly bariatric surgery, is a choice in case of morbid obesity (where BMI is more than 40 or in case of diabetic patients with BMI of 35 or more). However, the substantial weight loss and improvements in co morbid conditions observed after bariatric surgery are not without health and nutritional risks. Bariatric procedures produce changes in the gastrointestinal anatomy and physiology, leading to changes in the quantity and quality of diet, which may result in nutrient deficiencies. The most common nutritional concerns following bariatric surgery are deficiencies of iron, vitamin B12, folic acid, vitamin D, calcium, and in some patients thiamin, vitamin A, zinc and selenium. In this review nutrient deficiencies after bariatric surgery are discussed.


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