scholarly journals Effects of a Home-Based Exercise Intervention (E-Fit) on Bone Density, Muscle Function, and Quality of Life in Girls with Adolescent Idiopathic Scoliosis (AIS): A Pilot Randomized Controlled Trial

2021 ◽  
Vol 18 (20) ◽  
pp. 10899
Author(s):  
Rufina Wing-Lum Lau ◽  
Ka-Yee Cheuk ◽  
Bobby Kin-Wah Ng ◽  
Elisa Man-Shan Tam ◽  
Alec Lik-Hang Hung ◽  
...  
Keyword(s):  
Physical Activity ◽  
Interaction Effect ◽  
Muscle Function ◽  
Significant Interaction ◽  
Exercise Intervention ◽  
Control Group ◽  
Activity Levels ◽  
Significant Interaction Effect ◽  
Home Based

Background: Adolescent idiopathic scoliosis (AIS) patients have lower physical activity levels than normal adolescents, and there is an association with poorer bone and muscle health. This study evaluated the effects of a home-based exercise intervention (E-Fit) on bone mineral density (BMD), muscle function, and quality of life (QoL) in AIS-affected girls. Methods: A total of 40 AIS females aged 11 to 14 years were randomly assigned to the E-Fit or control group. The E-Fit group performed modified 7-min high-intensity interval training (HIIT) 5 days per week for 6 months. Outcome measures including BMD using dual-energy X-ray absorptiometry (DXA), muscle strength and endurance tests, physical activity levels, and QoL using self-reported questionnaires were assessed at baseline and at 6-month and 12-month follow-up. Results: In total, 14 patients in the E-Fit and 16 in the control group completed the study. The E-Fit group showed a marginally significant interaction effect in the whole body areal BMD at the 6- (p = 0.096) and 12-month follow-ups (p = 0.085). The left arm lean mass in the E-Fit group showed a statistically significant interaction effect between the 6- and 12-month follow-ups (p = 0.046). The E-Fit group showed improvements in physical activity participation, as measured by the Modified Baecke Questionnaire (MBQ), with a significant interaction effect in work index (p = 0.043), sport index (p = 0.050), and total score (0.016) from baseline to the 12-month follow-up. Improvement on self-image were noted in E-Fit group across time. Conclusion: The present results provided some evidence to support the positive benefits of E-Fit for bone health and muscle function in AIS girls.

Feasibility and effects of 6-month home-based digitally supported E-Fit program utilizing high-intensity interval exercises in girls with adolescent idiopathic scoliosis: a randomized controlled pilot study

2021 ◽  
Author(s):  
RWL Lau ◽  
KY Cheuk ◽  
EMS Tam ◽  
SSC Hui ◽  
JCY Cheng ◽  
...  
Keyword(s):  
Physical Activity ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Interaction Effect ◽  
Significant Interaction ◽  
Control Group ◽  
Significant Interaction Effect ◽  
Home Based ◽  
High Intensity Interval

Adolescent idiopathic scoliosis (AIS) patients have lower physical activities when compared with healthy controls, and are associated with lower bone mineral density (BMD), muscle strength and poorer quality of life (QoL). We aimed to assess the feasibility and effects of 6-month home-based digitally supported E-Fit comprised of high-intensity interval exercises for AIS patients. 40 AIS girls aged 11-14 were randomly assigned to E-Fit or control group. E-Fit group participated in an online 6-month home-based exercise program. At baseline, 6-months and 12-months follow-up, BMD using dual-energy X-ray absorptiometry, muscle functions, physical activity using Modified Baecke Questionnaire (MBQ), and QoL using Scoliosis Research Society-22 (SRS-22r) and feedback questionnaire were investigated. 14 in E-Fit and 16 in control group completed the study. Both groups had similar baseline characteristics. At 6-months, E-Fit group showed better improvement and significant interaction effect in left femoral neck bone mineral content (p=0.021) and isometric curl up test (p=0.04). Left arm lean mass showed better improvement between 6-months and 12-months follow-up (p=0.046) and whole-body areal BMD had significant interaction effect at 12-months follow-up (p=0.077). Improvement on self-image, work and sports participation were noted in E-Fit group across time. 70% of E-Fit participants were positive towards domestic application via online platform. E-Fit showed some benefits on bone health, muscle functions, physical activity and QoL measures. Current study indicated some potential physical and psychological benefits of E-Fit for AIS girls. E-Fit was feasible to conduct online at home and might have value of promoting exercise habits among relatively inactive AIS girls.

scholarly journals Impact of Cardiac Rehabilitation on Functional Capacity and Physical Activity after Coronary Revascularization: A Scientific Review

2020 ◽  
Vol 2020 ◽  
pp. 1-9 ◽  
Author(s):  
Niramayee V. Prabhu ◽  
Arun G. Maiya ◽  
Nivedita S. Prabhu
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Functional Capacity ◽  
Coronary Revascularization ◽  
Activity Levels ◽  
Home Based ◽  
Related Quality ◽  
Health Related

Background. Coronary revascularization procedures often cause lowered exercise capacity and declining physical activity levels. These outcomes are paramount in predicting morbidity and mortality after these procedures. Cardiac rehabilitation (CR) focuses on incrementing cardiovascular endurance, exercise capacity, muscle strength, levels of physical activity, and quality of life through health education and lifestyle modification in post-coronary revascularization patients. Objective. To review the impact of cardiac rehabilitation on functional capacity, levels of physical activity, and health related quality of life in patients following coronary revascularization. Methods. A structured literature search in PubMed, Scopus, CINAHL, and ProQuest for studies focused on CR and its effects on functional capacity, physical activity, and quality of life after coronary revascularization. Results. A total of 2,010 studies were retrieved. Deduplication and eligibility screening included 190 studies after the application of filters. A sum of 21 studies were considered for this review. Most studies reported that exercise and physical activity programs were centre-based and home-based and via telerehabilitation. Treadmill and cycle ergometry training with callisthenics and flexibility exercises in phase 2 CR exhibited significant improvement in functional capacity and physical activity levels in patients after coronary revascularization procedures. Conclusion. Although centre-based supervised CR programs do improve functional capacity after coronary revascularization, home-based or telerehabilitation-based CR programs are feasible, improve patient compliance in improving physical activity, and thereby increase functional capacity. Patient education improves levels of physical activity, health related quality of life, and adherence to home- and centre-based CR programs.

A randomized trial of exercise on quality of life in men with metastatic prostate cancer: The ExPeCT Trial.

2019 ◽  
Vol 37 (31_suppl) ◽  
pp. 97-97
Author(s):  
Grainne Sheill ◽  
Lauren Brady ◽  
Emer M. Guinan ◽  
Juliette M. Hussey ◽  
Brian Hayes ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Prostate Cancer ◽  
Aerobic Exercise ◽  
Metastatic Prostate Cancer ◽  
Exercise Intervention ◽  
Randomised Control Trial ◽  
Activity Levels ◽  
Physical Activity Levels

97 Background: All patients living with cancer, including those with metastatic cancer, are encouraged to be physically active. This paper examines the feasibility of an aerobic exercise intervention for men with metastatic prostate cancer. Methods: ExPeCT (Exercise, Prostate Cancer and Circulating Tumour Cells), was a multi-centre randomised control trial for men living with metastatic prostate cancer. Participants were randomized to either control or exercise arms. Participants in the exercise arm completed six- months of prescribed aerobic exercise. Quality of life assessments were completed at baseline, at 3 months and at 6 months using a standardised questionnaire derived from the Harvard Health Professionals Follow-up study. Physical activity was measured using a self-administered physical activity questionnaire. Exercise adherence data was collected via Polar heart rate monitors, worn by the patient for every exercise session undertaken. Results: A total of 61 patients were included (69.4±7.3 yr, Body Mass Index 29.2±5.8 kg/m2). The median time since diagnosis was 34 months (IQR 7-54). A total of 35 (55%) of participants had >1 region affected by metastatic disease. A total of 54 (81%) of participants completed the 3 month assessment and 52 (78%) of the participants completed the 6 month assessment. Adherence to the supervised sessions was 83% (329 out of 396 sessions attended). Participants were adherent to both the intensity (82%) and duration (83%) of the prescribed exercise programme during class sessions. No adverse events were reported by participants enrolled in this study. There was no significant difference in physical activity levels, sedentary time or quality of life between either group at baseline, 3 months or 6 months. Systolic blood pressure was significantly lower in the exercise group when compared to the control group at 3 months (p=.008) and 6 months (p=.011). Conclusions: The exercise intervention was tolerated well by a group of patients with a high burden of metastatic prostate cancer however did not lead to change in physical activity levels or quality of life. This trial provides proof of principle evidence for future exercise studies involving this patient group. Clinical trial information: NCT02453139.

Home Based Exercise Intervention in Pregnant Indian Women: Effects on Weight and Obesity Markers

2018 ◽  
Vol 25 (2) ◽  
pp. 131-139
Author(s):  
Alka Pawalia ◽  
Sivachidambaram Kulandaivelan ◽  
Satya Savant ◽  
Vikram Singh Yadav
Keyword(s):  
Physical Activity ◽  
Exercise Intervention ◽  
Physical Activity Intervention ◽  
Exercise Group ◽  
Home Exercise ◽  
Control Group ◽  
Weight Retention ◽  
Singleton Pregnancy ◽  
Supervised Exercise ◽  
Home Based

Abstract Background and Aims: The purpose of this study was to investigate the effect of a home based physical activity intervention during pregnancy on weight and various obesity markers resulting in metabolic syndrome in future. Methods: The paper presents a pilot experimental study (pre-post comparison) from a larger ongoing trial, with40 pregnant women (20 each) having singleton pregnancy of >16 weeks of gestation, BMI >18.5 Kg/m2 and declared fit by gynecologist for physical activity during pregnancy. They were assigned to either home exercise group receiving antenatal weight loss intervention delivered via 2 exercise demonstration sessions and informative brochures with advised regular 30 minutes walking during pregnancy, while control group was advised once at initial recruitment for maintaining active lifestyle during pregnancy. The data was analyzed using IBM-SPSS-(version 21) software. Results: Though the exercise group had less weight gain and weight retention than the control group, the pregnancy home intervention alone was not effective in controlling obesity parameters like body mass index (BMI), waist circumference (WC), hip circumference (HC) and waist to hip ratio (W/H).Conclusion: Home based pregnancy exercise intervention should include other adjunct components, which could be diet advice or timely supervised exercise sessions to have appreciable obesity control during pregnancy.

scholarly journals Effectiveness of a Home-Based Postal and Telephone Physical Activity and Nutrition Pilot Program for Seniors

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Andy H. Lee ◽  
Jonine Jancey ◽  
Peter Howat ◽  
Linda Burke ◽  
Deborah A. Kerr ◽  
...  
Keyword(s):  
Physical Activity ◽  
Intervention Group ◽  
Postal Questionnaire ◽  
Dietary Guidelines ◽  
Control Group ◽  
Pilot Program ◽  
Activity Levels ◽  
Fibre Intake ◽  
Home Based ◽  
Walking Activity

Objective. To evaluate the effectiveness of a 12-week home-based postal and telephone physical activity and nutrition pilot program for seniors.Methods. The program was delivered by mailed material and telephone calls. The main intervention consisted of a booklet tailored for seniors containing information on dietary guidelines, recommended physical activity levels, and goal setting. Dietary and walking activity outcomes were collected via a self-administered postal questionnaire pre- and postintervention and analysed using linear mixed regressions. Of the 270 seniors recruited, half were randomly selected for the program while others served as the control group.Results. The program elicited favourable responses. Postintervention walking for exercise/recreation showed an average gain of 27 minutes per week for the participants in contrast to an average drop of 5 minutes for the controls (P<.01). Little change was evident in errand walking for both groups. The intervention group (n=114) demonstrated a significant increase in fibre intake (P<.01) but no reduction in fat intake (P>.05) compared to controls (n=134).Conclusions. The participants became more aware of their health and wellbeing after the pilot program, which was successful in increasing time spent walking for recreation and improving fibre intake.

Physical and Psychosocial Function in Residential Aged-Care Elders: Effect of Nintendo Wii Sports Games

2014 ◽  
Vol 22 (2) ◽  
pp. 235-244 ◽  
Author(s):  
Justin W.L. Keogh ◽  
Nicola Power ◽  
Leslie Wooller ◽  
Patricia Lucas ◽  
Chris Whatman
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Intervention Group ◽  
Aged Care ◽  
Residential Aged Care ◽  
Control Group ◽  
Activity Levels ◽  
Nintendo Wii ◽  
Physical Activity Levels

This mixed-methods, quasi-experimental pilot study examined whether the Nintendo Wii Sports (NWS) active video game (exergame) system could significantly improve the functional ability, physical activity levels, and quality of life of 34 older adults (4 men and 30 women, 83 ± 8 yr) living in 2 residential aged-care (RAC) centers. Change score analyses indicated the intervention group had significantly greater increases in bicep curl muscular endurance, physical activity levels, and psychological quality of life than the control group (p< .05). Analysis of the quotes underlying the 3 themes (feeling silly, feeling good; having fun; and something to look forward to) suggested that intervention group participants developed a sense of empowerment and achievement after some initial reluctance and anxiousness. They felt that the games were fun and provided an avenue for greater socialization. These results add some further support to the utilization of NWS exergames in the RAC context.

scholarly journals Effects of Scheduled Exercise on Cancer-Related Fatigue in Women with Early Breast Cancer

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Anne Marie Lunde Husebø ◽  
Sindre Mikal Dyrstad ◽  
Ingvil Mjaaland ◽  
Jon Arne Søreide ◽  
Edvin Bru
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Adjuvant Chemotherapy ◽  
Cancer Patients ◽  
Exercise Intervention ◽  
Activity Level ◽  
Control Group ◽  
Activity Levels ◽  
Breast Cancer Patients ◽  
Cancer Related Fatigue

While physical activity during cancer treatment is found beneficial for breast cancer patients, evidence indicates ambiguous findings concerning effects of scheduled exercise programs on treatment-related symptoms. This study investigated effects of a scheduled home-based exercise intervention in breast cancer patients during adjuvant chemotherapy, on cancer-related fatigue, physical fitness, and activity level. Sixty-seven women were randomized to an exercise intervention group (n=33, performed strength training 3x/week and 30 minutes brisk walking/day) and a control group (n=34, performed their regular physical activity level). Data collection was performed at baseline, at completion of chemotherapy (Post1), and 6-month postchemotherapy (Post2). Exercise levels were slightly higher in the scheduled exercise group than in the control group. In both groups, cancer-related fatigue increased at Post1but returned to baseline at Post2. Physical fitness and activity levels decreased at Post1but were significantly improved at Post2. Significant differences between intervention and control groups were not found. The findings suggest that generally recommended physical activity levels are enough to relief cancer-related fatigue and restore physical capacity in breast cancer patients during adjuvant chemotherapy, although one cannot rule out that results reflect diminishing treatment side effects over time.

scholarly journals How to improve technical and tactical actions of dominant and non-dominant players in children’s football?

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254900
Author(s):  
Mirjam Hintermann ◽  
Dennis-Peter Born ◽  
Jörg Fuchslocher ◽  
Raphael Kern ◽  
Michael Romann
Keyword(s):  
Interaction Effect ◽  
Significant Interaction ◽  
Skill Development ◽  
Football Players ◽  
Percentage Increase ◽  
Significant Interaction Effect

As young football players develop important technical and tactical skills during competitive matches, this study investigated quantity and quality of technical and tactical actions in real game conditions in a 4v4 compared to the traditional 7v7 match format. In total, three matches of each format were played by 103 young football players (10.3±0.6 years) and video monitored for subsequent manual tagging of technical and tactical events. Based on the number of technical and tactical actions in the 7v7 matches, players were classified as dominant or non-dominant and changes in these subgroups were assessed during the 4v4 match format. The 4v4 match format significantly (P<0.001) increased total number of actions per player per minute compared to the 7v7 matches (5.59±1.44 and 2.78±0.73, respectively) and the number of successful (2.88±0.92 and 1.15±0.49, respectively) and unsuccessful (1.05±0.42 and 0.67±0.23, respectively) actions. Both dominant and non-dominant players increased their number of actions during the 4v4 compared to 7v7 match format. Despite a missing significant interaction effect, there was a larger percentage increase in number of actions for the non-dominant players (143%) compared to dominant players (72%) in 4v4. The 4v4 match format shows twice as many technical and tactical actions in real game conditions and, therefore, may improve players’ skill development.

scholarly journals In-depth analyses of the effects of a diet and resistance exercise intervention in older adults: who benefits most from ProMuscle in Practice?

2021 ◽  
Author(s):  
Berber G Dorhout ◽  
Esmée L Doets ◽  
Ellen J I van Dongen ◽  
Lisette C P G M de Groot ◽  
Annemien Haveman-Nies
Keyword(s):  
Older Adults ◽  
Resistance Exercise ◽  
Lean Body Mass ◽  
Body Mass ◽  
Interaction Effect ◽  
Significant Interaction ◽  
Exercise Intervention ◽  
Significant Interaction Effect ◽  
Leg Extension ◽  
Leg Press

Abstract Background The ProMuscle in Practice intervention, comprising resistance exercise and an increased protein intake, was effective in improving muscle strength, lean body mass, and physical functioning in older adults aged ≥65 years (N=168). However, a heterogeneous response to such interventions is common. Therefore, we explored the differences in responsiveness to the intervention in subgroups based on demographic characteristics and mobility-impairing disorders. Methods Multiple regression analyses were performed to study mean changes between baseline and 12 weeks on the Short Physical Performance Battery, chair rise test, lean body mass, knee extension strength, leg press strength, and leg extension strength. The interaction term treatment x subgroup was included to study differences in effects between subgroups. Subgroups comprised age (≤75 vs. &gt;75 years), sex (men vs. women), presence of frailty, presence of sarcopenia, and presence of osteoarthritis. Results A significant interaction effect including age was found on lean body mass (β=-0.8, 95% CI: -1.5; -0.2), favoring participants aged ≤75 years. A significant interaction effect including sex was found on leg press strength (β=15.5, 95% CI: 0.6; 30.3), favoring women. Participants with or without frailty, sarcopenia, or osteoarthritis responded equally to the intervention in terms of absolute effects. Conclusions Participants aged ≤75 years and women benefited to a great extent from the intervention, as they improved significantly on nearly every outcome. Effects in participants with and without a mobility-impairing disorder were comparable, indicating that the intervention is suitable for both groups.

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