scholarly journals “With Every Step, We Grow Stronger”: The Cardiometabolic Benefits of an Indigenous-Led and Community-Based Healthy Lifestyle Intervention

2019 ◽  
Vol 8 (4) ◽  
pp. 422 ◽  
Author(s):  
Henry Lai ◽  
Rosalin Miles ◽  
Shannon Bredin ◽  
Kai Kaufman ◽  
Charlie Chua ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Heart Rate ◽  
Indigenous Peoples ◽  
Healthy Lifestyle ◽  
Cardiometabolic Health ◽  
Health And Wellness ◽  
Resting Heart Rate ◽  
Community Based ◽  
Wellness Intervention

Community-based and Indigenous-led health and wellness approaches have been widely advocated for Indigenous peoples. However, remarkably few Indigenous designed and led interventions exist within the field. The purpose of this study was to evaluate an Indigenous-led and community-based health and wellness intervention in a remote and rural Indigenous community. This protocol was designed by and for Indigenous peoples based on the aspirations of the community (established through sharing circles). A total of 15 participants completed a 13-week walking and healthy lifestyle counselling program (incorporating motivational interviewing) to enhance cardiometabolic health. Measures of moderate-to-vigorous physical activity (MVPA; 7-day accelerometry and self-report), predicted maximal aerobic power (VO2max; 6-min walk test), resting heart rate and blood pressure, and other health-related physical fitness measures (musculoskeletal fitness and body composition) were taken before and after the intervention. The intervention led to significant (p < 0.05) improvements in VO2max (7.1 ± 6.3 % change), with the greatest improvements observed among individuals with lower baseline VO2max (p < 0.05, r = -0.76). Resting heart rate, resting systolic blood pressure, and resting diastolic blood pressure decreased significantly (p < 0.05) after the intervention. Self-reported and accelerometry-measured frequency of MVPA increased significantly (p < 0.05), and the total MVPA minutes (~275 min/week) were above international recommendations. Change in VO2max was significantly correlated with change in self-reported (r = 0.42) and accelerometry-measured (r = 0.24) MVPA minutes. No significant changes were observed in weight, body mass index, waist circumference, body fat (via bioelectrical impedance), grip strength, and flexibility. These findings demonstrate that a culturally relevant and safe, community-based, Indigenous-led, health and wellness intervention can lead to significant and clinically relevant improvements in cardiometabolic health and physical activity behaviour, with the greatest changes being observed in the least active/fit individuals.

scholarly journals Physical Activity Practice and Healthy Lifestyles Related to Resting Heart Rate in Health Sciences First-Year Students

2019 ◽  
pp. 155982761987866
Author(s):  
Samuel Honório ◽  
Marco Batista ◽  
Raquel Silva
Keyword(s):  
Physical Activity ◽  
Heart Rate ◽  
Alcohol Consumption ◽  
Healthy Lifestyle ◽  
Eating Habits ◽  
Health Sciences ◽  
First Year ◽  
Healthy Lifestyles ◽  
Resting Heart Rate ◽  
First Year Students

The expression lifestyle describes a frame of expressed behaviors, usually in the form of patterns of consumption, that defines how an individual or social group fits into society. It presents as a focus of interest by researchers in this field, who classically favor the study of alcohol consumption, tobacco, eating habits, and physical activity. The aim of this study was to identify the relationship between physical activity and healthy lifestyles, especially in terms of eating habits, tobacco, alcohol consumption, resting habits, and resting heart rate (RHR) in Health Sciences first-year students. A total of 177 students of both genders participated, of whom 31 (17.5%) were male and 146 (82.5%) were female, with a mean age of 20.20 years, from 18 to 30 years. The data collection instrument used was the Healthy Lifestyle Questionnaire (EVS), using SPSS 21.0 for descriptive statistics and the Cronbach α to evaluate the internal consistency of the questionnaires. A level of significance was adopted with a margin of error of 5% for a probability of at least 95% using the Kolmogorov-Smirnov technique and Mann-Whitney test for comparisons between practitioners’ students and genders. The results obtained demonstrate more favorable results in all variables in students practicing physical activity with significant differences in eating habits and RHR. In terms of gender, there were significant differences in all variables except for eating habits. We conclude that students practicing physical activity present more favorable results in terms of lifestyles combined with lower RHR values, considered as positive factors in terms of quality of life.

scholarly journals UK cardiac rehabilitation fit for purpose? A community-based observational cohort study

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e037980
Author(s):  
Saïd Ibeggazene ◽  
Chelsea Moore ◽  
Costas Tsakirides ◽  
Michelle Swainson ◽  
Theocharis Ispoglou ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Heart Rate ◽  
Cohort Study ◽  
Arterial Stiffness ◽  
Observational Cohort Study ◽  
Habitual Physical Activity ◽  
Community Based ◽  
Observational Cohort ◽  
Exercise Dose

ObjectivesThis study aimed to characterise the exercise performed in UK cardiac rehabilitation (CR) and explore relationships between exercise dose and changes in physiological variables.DesignObservational cohort study.SettingOutpatient community-based CR in Leeds, UK. Rehabilitation sessions were provided twice per week for 6 weeks.ParticipantsSixty patients (45 male/15 female 33–86 years) were recruited following referral to local outpatient CR.Outcome measuresThe primary outcome was heart rate achieved during exercise sessions. Secondary outcomes were measured before and after CR and included incremental shuttle walk test (ISWT) distance and speed, blood pressure, brachial artery flow-mediated dilatation, carotid arterial stiffness and accelerometer-derived habitual physical activity behaviours.ResultsThe mean % of heart rate reserve patients exercised at was low and variable at the start of CR (42%±16 %) and did not progress by the middle (48%±17 %) or end (48%±16 %) of the programme. ISWT performance increased following CR (440±150 m vs 633±217 m, p<0.001); however, blood pressure, body weight, endothelial function, arterial stiffness and habitual physical activity behaviours were unchanged following 6 weeks of CR (p>0.05).ConclusionPatients in a UK CR cohort exercise at intensities that are variable but generally low. The exercise dose achieved using this CR format appears inadequate to impact markers of health. Attending CR had no effect on physical activity behaviours. Strategies to increase the dose of exercise patients achieve during CR and influence habitual physical activity behaviours may enhance the effectiveness of UK CR.

The Effects of an Incremental Approach to 10,000 Steps/Day on Metabolic Syndrome Components in Sedentary Overweight Women

2010 ◽  
Vol 7 (6) ◽  
pp. 737-745 ◽  
Author(s):  
Anthony Musto ◽  
Kevin Jacobs ◽  
Mark Nash ◽  
Gianluca DelRossi ◽  
Arlette Perry
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Heart Rate ◽  
Waist Circumference ◽  
Systolic Blood Pressure ◽  
Fasting Glucose ◽  
Resting Heart Rate ◽  
Overweight Women ◽  
Metabolic Syndrome Components

Background:Pedometer programs can increase physical activity in sedentary individuals, a population that is at risk for developing metabolic syndrome and each of its individual components. Although the popular 10,000 steps/day recommendation has shown to induce many favorable health benefits, it may be out of reach for sedentary individuals. This study observed the effects of incremental increases in steps/day on metabolic syndrome components in sedentary overweight women.Methods:This study was a longitudinal, quasiexperimental design. Participants were recruited from a 12-week work-site pedometer program and grouped as either ‘active’ or ‘control’ after the intervention based on their steps/day improvement. Self-reported physical activity, pedometer assessed physical activity, BMI, resting heart rate, waist circumference, blood pressure, triglycerides, HDLC, and fasting glucose were measured before and after the program.Results:The active group showed significant within-group improvements in waist circumference and fasting glucose. Significant group differences were observed in resting heart rate, BMI, and systolic blood pressure; however, the changes observed in systolic blood pressure were not independent of weight loss.Conclusions:Incremental increases in steps/day induced favorable changes in some MetS components suggesting that this approach is a viable starting point for sedentary individuals that may find it difficult to initially accumulate 10,000 steps/day.

Association between Physical Activity and Blood Pressure in Normotensive Adults

1993 ◽  
Vol 76 (2) ◽  
pp. 701-702
Author(s):  
John E. Martin ◽  
Christi A. Patten ◽  
Colin A. Armstrong
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Habitual Physical Activity ◽  
Resting Heart Rate

In 18 normotensive adults (15 women, 3 men), higher levels of habitual physical activity were significantly associated with lower diastolic blood pressure, but not with systolic blood pressure or resting heart rate.

scholarly journals Study on Health and Physical Fitness for Office Workers in Hong Kong: Phase I

1996 ◽  
Vol 2 (2) ◽  
pp. 39-48
Author(s):  
Pak Kwong CHUNG
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Heart Rate ◽  
Health Status ◽  
Physical Fitness ◽  
Phase I ◽  
Office Workers ◽  
Resting Heart Rate ◽  
Lung Capacity ◽  
Cardiorespiratory Endurance

LANGUAGE NOTE | Document text in Chinese; abstract in English only.The study consisted of two phases: Phase I was designed to investigate the health status and physical fitness levels of office workers and phase II was conducted to examine the training effects of a circuit training on health and physical fitness of the workers. In phase I, health and stress inventories (Pace of Life Index, General Well-Being Scale, and Bacek Sports Questionnaire), health indices (blood total cholesterol, blood pressure, lung capacity, and resting heart rate), and physical fitness assessment (bicycle ergometer test; skinfold measurement, sit-ups test; grip strength test; and sit and reach test) were conducted to 171 (112 males & 59 females, aged 30-49) office workers from 22 local corporations. From Descriptive Statistics analyses, it was found that the overall health status and stress level of the office workers were at acceptable levels. However, the lung capacity of the workers was in the category of "fair". The total cholesterol level of the male 40-year old group was found higher than the optimal level. Most of the fitness indices of the workers were in categories of "average" or "fair" when comparing with that of the general population of U.S.A. The Correlation analyses shown that the female workers, with higher regular physical activity hours, had fewer incidents of low-back pain and lower resting heart rates. It was also found that the lower the percent body fat, the lower the systolic blood pressure and the better the cardiorespiratory endurance. Similar correlations were found in the male workers: the better the cardiorespiratory endurance, the lower the resting heart rate and systolic blood pressure for the workers. Researchers indicated that workers with higher levels of physical fitness would have higher working ability and productivity, it was suggested that local office workers should give priority to regular physical activity. Activities such as aerobic exercises, calisthenics, stretching, and muscular training should be included in the exercise programmes so that a total fitness can be developed.

Higher Healthy Lifestyle Score is associated with lower presence of non-alcoholic fatty liver disease in middle-aged and older Chinese adults: a community-based cross-sectional study

2021 ◽  
pp. 1-9
Author(s):  
Yun-yang Deng ◽  
Qing-wei Zhong ◽  
Hai-li Zhong ◽  
Feng Xiong ◽  
Yue-bin Ke ◽  
...  
Keyword(s):  
Physical Activity ◽  
Liver Disease ◽  
Fatty Liver Disease ◽  
Healthy Lifestyle ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Alcoholic Fatty Liver ◽  
Alcoholic Fatty Liver Disease

Abstract Objective: Previous studies have reported inverse associations between certain healthy lifestyle factors and non-alcoholic fatty liver disease (NAFLD), but limited evidence showed the synergistic effect of those lifestyles. This study examined the relationship of a combination of lifestyles, expressed as Healthy Lifestyle Score (HLS), with NAFLD. Design: A community-based cross-sectional study. Questionnaires and body assessments were used to collect data on the six-item HLS (ranging from 0 to 6, where higher scores indicate better health). The HLS consists of non-smoking (no active or passive smoking), normal BMI (18·5–23·9 kg/m2), physical activity (moderate or vigorous physical activity ≥ 150 min/week), healthy diet pattern, good sleep (no insomnia or <6 months) and no anxiety (Self-rating Anxiety Scale < 50), one point each. NAFLD was diagnosed by ultrasonography. Setting: Guangzhou, China. Participants: Two thousand nine hundred and eighty-one participants aged 40–75 years. Results: The overall prevalence of NAFLD was 50·8 %. After adjusting for potential covariates, HLS was associated with lower presence of NAFLD. The OR of NAFLD for subjects with higher HLS (3, 4, 5–6 v. 0–1 points) were 0·68 (95 % CI 0·51, 0·91), 0·58 (95 % CI 0·43, 0·78) and 0·35 (95 % CI 0·25, 0·51), respectively (P-values < 0·05). Among the six items, BMI and physical activity were the strongest contributors. Sensitivity analyses showed that the association was more significant after weighting the HLS. The beneficial association remained after excluding any one of the six components or replacing BMI with waist circumference. Conclusions: Higher HLS was associated with lower presence of NAFLD, suggesting that a healthy lifestyle pattern might be beneficial to liver health.

scholarly journals Association between Objectively Measured Physical Activity and Arterial Stiffness in Children with Congenital Heart Disease

2021 ◽  
Vol 10 (15) ◽  
pp. 3266
Author(s):  
Laura Willinger ◽  
Leon Brudy ◽  
Renate Oberhoffer-Fritz ◽  
Peter Ewert ◽  
Jan Müller
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Heart Rate ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Arterial Stiffness ◽  
Systolic Blood Pressure ◽  
Congenital Heart ◽  
Z Score ◽  
Objectively Measured

Background: The association between physical activity (PA) and arterial stiffness is particularly important in children with congenital heart disease (CHD) who are at risk for arterial stiffening. The aim of this study was to examine the association between objectively measured PA and arterial stiffness in children and adolescents with CHD. Methods: In 387 children and adolescents with various CHD (12.2 ± 3.3 years; 162 girls) moderate-to-vigorous PA (MVPA) was assessed with the “Garmin vivofit jr.” for 7 consecutive days. Arterial stiffness parameters including pulse wave velocity (PWV) and central systolic blood pressure (cSBP) were non-invasively assessed by oscillometric measurement via Mobil-O-Graph®. Results: MVPA was not associated with PWV (ß = −0.025, p = 0.446) and cSBP (ß = −0.020, p = 0.552) in children with CHD after adjusting for age, sex, BMI z-score, peripheral systolic blood pressure, heart rate and hypertensive agents. Children with CHD were remarkably active with 80% of the study population reaching the WHO recommendation of average 60 min of MVPA per day. Arterial stiffness did not differ between low-active and high-active CHD group after adjusting for age, sex, BMI z-score, peripheral systolic blood pressure, heart rate and hypertensive agents (PWV: F = 0.530, p = 0.467; cSBP: F = 0.843, p = 0.359). Conclusion: In this active cohort, no association between PA and arterial stiffness was found. Longer exposure to the respective risk factors of physical inactivity might be necessary to determine an impact of PA on the vascular system.

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