scholarly journals Effectiveness of a Lifestyle Modification Program Delivered under Real-World Conditions in a Rural Setting

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4040
Author(s):  
Cally Jennings ◽  
Elsie Patterson ◽  
Rachel G. Curtis ◽  
Anna Mazzacano ◽  
Carol A. Maher
Keyword(s):  
Physical Activity ◽  
Real World ◽  
Lifestyle Modification ◽  
Healthy Lifestyle ◽  
Vegetable Consumption ◽  
South Australia ◽  
Exercise Group ◽  
Sitting Time ◽  
Rural Setting ◽  
Lifestyle Program

Whilst there is considerable evidence to support the efficacy of physical activity and dietary interventions in disease and death prevention, translation of knowledge into practice remains inadequate. We aimed to examine the uptake, retention, acceptability and effectiveness on physical activity, physical function, sitting time, diet and health outcomes of a Healthy Eating Activity and Lifestyle program (HEALTM) delivered under real-world conditions. The program was delivered to 430 adults living across rural South Australia. Participants of the program attended weekly 2 h healthy lifestyle education and exercise group-based sessions for 8 weeks. A total of 47 programs were delivered in over 15 communities. In total, 548 referrals were received, resulting in 430 participants receiving the intervention (78% uptake). At baseline, 74.6% of participants were female, the mean age of participants was 53.7 years and 11.1% of participants identified as Aboriginal and/or Torres Strait Islander. Follow-up assessments were obtained for 265 participants. Significant improvements were observed for walking, planned physical activity, incidental physical activity, total physical activity, 30 s chair stand, 30 s arm curl, 6 min walk, fruit consumption and vegetable consumption, sitting time and diastolic blood pressure. Positive satisfaction and favourable feedback were reported. The healthy lifestyle program achieved excellent real-world uptake and effectiveness, reasonable intervention attendance and strong program acceptability amongst rural and vulnerable communities.

scholarly journals ExerAdventure: A Mobile 2D Platformer Game to Encourage Fitness

2020 ◽  
Author(s):  
Navdeep Singh ◽  
Sabah Mohammed
Keyword(s):  
Physical Activity ◽  
Real World ◽  
Healthy Lifestyle ◽  
The Real ◽  
Game World

In this paper, we design a mobile 2D platformer game named 'ExerAdventure' where progress inside the game world is dependent on physical activity in the real world. The game has two modes, namely adventure and story mode. This design can motivate people to lead an active and healthy lifestyle.

Abstract MP33: The Deaf Weight Wise Study: A Unique Clinical Trial of Health Behavior Modification with Deaf Adults

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Steven Barnett ◽  
Erika Sutter ◽  
Thomas Pearson ◽  
Keyword(s):  
Public Health ◽  
Repeated Measures ◽  
Lifestyle Modification ◽  
Healthy Lifestyle ◽  
Controlled Trial ◽  
Intervention Group ◽  
Lifestyle Program ◽  
Deaf Adults ◽  
Delayed Group ◽  
Healthy Lifestyle Program

Introduction: Deaf people who use American Sign Language (ASL) comprise linguistic and cultural minority populations without access to language-concordant health information and healthcare. Deaf ASL users are rarely included in health research or public health surveillance. Recent research with Deaf ASL users found a higher prevalence of obesity than in the general population. No randomized trials of lifestyle modification or weight reduction have ever been attempted with Deaf ASL users. Methods: We worked with the Rochester (NY) Deaf community to adapt a 16-week healthy lifestyle program previously shown to be effective with hearing people. We adapted the curriculum and research measures to be culturally and linguistically appropriate. We used a group intervention format recommended by our Deaf partners, and trained group leaders who were Deaf, ASL fluent and had backgrounds in counseling, public health, or healthcare. For this Deaf Weight Wise (DWW) trial, we recruited Deaf adults aged 40-70 with a BMI of 25-45 from community settings, and randomized participants to immediate intervention or intervention delayed 1 year. We will collect data from DWW trial participants over two years. We present analyses of data after 6 months here. Primary outcomes were changes in weight, BMI and scores on two standard measures: Dietary Risk Assessment (DRA) and Physical Activity Assessment (PAA). We used group by time repeated measures ANOVA to examine changes from baseline to 6 months for the immediate group and delayed group (no intervention yet). Hypothesis: The immediate intervention group would have greater reduction in weight and BMI as well as improvement in DRA and PAA scores six months after baseline compared with the delayed intervention group. Results: At baseline, the 104 participants’ mean age was 53.5 years; 68.3% (71 of 104) were female and 91.3% (95/104) were White. Randomization was successful based on baseline data. At 6 months, the immediate group weight changed -3.35kg (1.0 s.e.; p=.002) and BMI changed -1.35 (0.4 s.e.; p≤.0001) compared with the delayed group. Most of the immediate group (58.3%, 28/48) lost ≥ 5% of baseline weight versus 14.3% (8/56) of the delayed group (p≤.0001). Changes in mean DRA (p=.055) and moderate PAA (p=.054) scores numerically favored the immediate group. Conclusions: Deaf Weight Wise is the first randomized controlled trial of a healthy lifestyle program with Deaf ASL users. This culturally appropriate and language accessible behavioral intervention was feasible and highly effective with this underserved and rarely studied population.

Abstract P501: Mobile Daily Physical Activity and Fall Risk Monitor for Lifestyle Management, Disease Prevention and Risk Alert Generation

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Qingxue Zhang
Keyword(s):  
Physical Activity ◽  
Real World ◽  
Fall Risk ◽  
Short Term Memory ◽  
Healthy Lifestyle ◽  
Daily Physical Activity ◽  
Risk Of Death ◽  
Risk Detection ◽  
Health Innovations ◽  
Standing Up

Mobile health monitoring is driving many smart health innovations. In this research, we focus on the daily physical activity and fall risk monitoring, for intelligent activity tracking and fall risk detection purpose. Physical activity is of a tremendous value to cardiac and brain health, and has been widely agreed as a metric to improve human health, foster healthy lifestyle, and mine the impacts on diverse health issues. The risk of death can actually be lowered by 20 to 30% with moderate activities for one and half an hour per week (WHO). Besides, fall risk detection is also of huge importance since each year, there are 29% of older adults having around 29 million falls and causing 7 million fall injuries (CDC). The challenge we target is how to accurately recognize diverse physical activities and fall patterns from the biomechanical dynamics sensed by the phone. More specifically, the phone sensor is leveraged to provide real-time always-on streaming of biomechanical dynamics. Then, the data is learned by a deep learning framework (long short-term memory) for activity type and fall pattern recognition. To consider real-world scenarios, the users can put the phone in either left or write waist pockets. The users have performed 9 different kinds of activities such as walking, standing up, going upstairs and jumping, as well as 8 different kinds of fall patterns such as falling backward, sitting and falling, and falling forward with protection. A total of 11,770 activities performed by 30 subjects aging from 18 to 60 have been used to evaluate the framework, yielding an accuracy as high as 95.4%. This encouraging result shows the potential of the mobile monitor in real-world application scenarios.

scholarly journals Cambios en hábitos saludables relacionados con actividad física y sedentarismo durante un confinamiento nacional por covid-19 (Changes in healthy habits regarding physical activity and sedentary lifestyle during a national lockdown due to covid-19)

Retos ◽  
2021 ◽  
Vol 43 ◽  
pp. 415-421
Author(s):  
Eva Santos-Miranda ◽  
Javier Rico-Díaz ◽  
Aida Carballo-Fazanes ◽  
Cristian Abelairas-Gómez
Keyword(s):  
Physical Activity ◽  
Employment Status ◽  
Leisure Time ◽  
Sedentary Lifestyle ◽  
Healthy Lifestyle ◽  
Sitting Time ◽  
Redes Sociales ◽  
Humanitarian Crisis ◽  
Effective Strategies ◽  
Healthy Habits

  El presente estudio analizó el efecto del confinamiento en España derivado de la COVID-19 en niveles de actividad física diaria, ejercicio físico y comportamientos sedentarios. Tras la declaración del estado de alarma, se difundió un cuestionario por redes sociales con preguntas sociodemográficas, actividad física y comportamientos sedentarios. Posteriormente, se envió por correo electrónico otro cuestionario en relación con la nueva situación de confinamiento. Respondieron a ambos cuestionarios 474 participantes. Se registró un aumento del peso e índice de masa corporal durante el confinamiento (p < .001). Aumentó el número de días en los que se realizaba ejercicio físico en tiempo de ocio (p < .001), pero no el tiempo de práctica semanal total. Se redujo el tiempo de actividad física durante actividades académicas y/o profesionales y el tiempo destinado a desplazamientos (p < .001). Se registró un mayor tiempo de sueño, siestas y sedestación (p < .01). El presente estudio evidencia la necesidad de crear estrategias eficaces encaminadas a aumentar la práctica actividad física y promover los hábitos de vida saludables, especialmente durante la actual crisis humanitaria y posibles futuras.  Abstract. The aim of this study was to analyze the effect of a lockdown in Spain due to COVID-19 on the levels of physical activity, exercise and sedentary lifestyle. After declaring state of alarm in Spain, a questionnaire was distributed via social networks with demographic questions, academic and/or employment status, physical activity and sedentary lifestyle. Subsequently, another questionnaire was sent by email in relation to the new lockdown measures. 474 participants replied to both questionnaires. An increase in weight and body mass index was recorded during lockdown (p <0.001). The number of days in which physical activity was practiced during leisure time increased (p <0.001), but the total time of weekly practice stayed the same. The time of physical activity during academic and the time spent walking was reduced, as well as was the time spent walking (p <0.001). Longer sleep, naps and sitting time was also recorded (p <0.01). The present study shows the need to create effective strategies aimed to increase the practice of physical activity and promote a healthy lifestyle during the current humanitarian crisis and possible future ones.

scholarly journals Determinants for Healthy Lifestyle of Patients with Familial Hypercholesterolaemia

2020 ◽  
Vol 5 (14) ◽  
pp. 75-81
Author(s):  
Salmi Razali ◽  
Bee Wah Yap ◽  
Yung An Chua ◽  
Hapizah M Nawawi
Keyword(s):  
Physical Activity ◽  
Family Support ◽  
Familial Hypercholesterolaemia ◽  
Lifestyle Modification ◽  
Healthy Lifestyle ◽  
Publishing House ◽  
Behavioural Change ◽  
Treatment Level ◽  
The Status ◽  
International Publishing

Lifestyle modification is a pivotal intervention for Familial Hypercholesterolaemia (FH). This study aims to describe the lifestyles (physical activity and healthy diet) and their associations with sociodemography, illness characteristics, psychological elements, family support and level of barrier. 100 participants were given Pro forma questionnaires to assess sociodemography and illness characteristics. The lifestyles, psychological elements, family support and level of barrier were assessed using the Theory of Planned Behaviour questionnaire. The determinants of healthy lifestyles include the status of receiving treatment, level of barrier and intention for behavioural change. The findings may inform the strategy for lifestyle modification of FH patients.Keywords: Familial Hypercholesterolaemia; lifestyle; physical activity; healthy diet.eISSN: 2398-4287© 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer-review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.DOI: https://doi.org/10.21834/ebpj.v5i14.2335

Role of general practice in the utilisation of the NSW Get Healthy Information and Coaching Service

2015 ◽  
Vol 21 (2) ◽  
pp. 182 ◽  
Author(s):  
Blythe J. O'Hara ◽  
Philayrath Phongsavan ◽  
Chris Rissel ◽  
Louise L. Hardy ◽  
Alexis Zander ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factor ◽  
Lifestyle Modification ◽  
Vegetable Consumption ◽  
Support Service ◽  
Health Practitioner ◽  
Referral Source ◽  
Healthy Weight ◽  
Physically Active ◽  
Post Test

A lifestyle-modification telephone-based service is delivered in New South Wales (NSW; the Get Healthy Information and Coaching Service (GHS)) as an important obesity-prevention, population-wide program. The present study examined referrals from general practitioners (GP) versus self-referral to the GHS in terms of risk profile and effectiveness of outcomes. The study used a pre–post test design to assess changes in outcomes within the setting of a telephone-based lifestyle-support service available to NSW adults (18+ years) who self-referred or were referred by their health practitioner and/or GP, and registered for the GHS between February 2009 and August 2013 (n = 22 183). The GHS has two service components: (1) the provision of an information kit (one off contact) on healthy eating, being physically active and achieving and/or maintaining a healthy weight; and (2) a 6-month coaching program that includes 10 telephone calls aimed at achieving and maintaining lifestyle-related goals. Sociodemographic characteristics, referral source and self-reported anthropometric (height, waist and waist circumference (WC)) and behavioural risk factor (physical activity and nutrition-related behaviours) data were collected at baseline and at 6 months. Analysis revealed that GPs effectively recruited hard-to-reach subtargets, as well as adults who are obese and have an increased WC risk. Participants in the GHS coaching program, irrespective of GHS referral source, reported a mean weight loss of –3.8 kg, a decrease in WC of –5.0 cm and increases in both fruit and vegetable consumption and physical activity. In conclusion, GPs have an important role in GHS uptake (through proactive referral or as an adjunct to practice-based interventions) because they can recruit those most at need and facilitate improvements in their patients’ risk factor profiles.

RISIKO PENYEBAB TERJADINYA HIPERTENSI DI DESA BUNGA PUTIH KECAMATAN MARANGKAYU KABUPATEN KUTAI KARTANEGARA

2018 ◽  
Vol 3 (1) ◽  
pp. 19
Author(s):  
Muhammad Rizky Permana
Keyword(s):  
Physical Activity ◽  
Fruits And Vegetables ◽  
Healthy Lifestyle ◽  
Vegetable Consumption ◽  
White Flower ◽  
Rank Test ◽  
Factors Associated ◽  
Independent Variables ◽  
The Village ◽  
Reducing Stress

Results Health Research shows Kalimantan Timur Indonesia was ranked third in Indonesia in the amount of the highest prevalence of hypertension of 29.9%.Data from the health center in 2013 Marangkayu hypertension increased by 21% to 35% in 2015.This study aims to determine the cause of the risk of hypertension in the village of White Flower Marangkayu District of Kutai regency in 2016. The study design used is case control study.The sample in this study were 80 people.The dependent variable studied is hypertension, independent variables studied were Sodium, Fat, Fruit and Vegetable Consumption, Water, Physical Activity, Smoking and Stress with data analysis and the Spearman rank test OR. Concluded associated with hypertension are sodium (p = 0.039 and OR = 2.636), physical activity (p = 0.034 and OR = 2.816), smoking (p = 0.025 and OR = 2.810), and stress (p = 0.045 and OR = 2,500 ).And unrelated is fat (p = 0.816 and OR = 1.118), fruits and vegetables (p = 0.346 and OR = 0.632), and water (p = 0.505 and OR = 0.630). Based on these results concluded that sodium, physical activity, smoking and stress are risk factors associated with hypertension.While the consumption of fats, fruits and vegetables, and water is not a factor associated with hypertension.Suggested to White Flower villagers to change their healthy lifestyle like berolahrga, reduce the consumption of salty foods and cholesterol, not smoking, and reducing stress.

scholarly journals Changes in Health Behaviours in Adults At-Risk of Chronic Disease: Primary Outcomes From The My Health for Life Program

2021 ◽  
Author(s):  
Charrlotte Seib ◽  
Stephanie Moriarty ◽  
Nicole McDonald ◽  
Debra Anderson ◽  
Joy Parkinson
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
At Risk ◽  
Chronic Disease ◽  
Waist Circumference ◽  
Healthy Lifestyle ◽  
Disease Risk ◽  
Vegetable Consumption ◽  
Health Behaviours ◽  
Fruit And Vegetable

Abstract Background Chronic disease is the leading cause of premature death globally, and many of these deaths are preventable by modifying some key behavioural and metabolic risk factors. This secondary data analysis examines changes in health behaviours among men and women at risk of diabetes or cardiovascular disease (CVD) who participated in a 6-month lifestyle intervention called the My health for life program. Methods My health for life is a government-funded multi-component program designed to reduce chronic disease risk factors amongst at-risk adults. The intervention comprises six sessions over a 6-month period, delivered by a trained facilitator or telephone health coach. The analysis presented in this paper stems from 9,372 participants who participated in the program between July 2017 and December 2019. Primary outcomes included fruit and vegetable intake, consumption of sugar-sweetened drinks and take-away, alcohol and tobacco smoking, physical activity, body mass index (BMI), and waist circumference (WC). Variables were summed to form a single Healthy Lifestyle Index (HLI) ranging from 0 to 18, with higher scores denoting healthier behaviours. Longitudinal associations between lifestyle indices, assessed using Gaussian Generalized Estimating Equations (GEE) models with an identity link and robust standard errors. Results Improvements in HLI scores were noted between baseline (Md = 10.0; IQR = 8.3, 11.7] and 26-weeks (Md = 11.7; IQR = 10.0, 13.2] which corresponded with increases in fruit and vegetable consumption and decreases in takeaway frequency, and weight indices (p < .01 for all) but not risky alcohol intake. Modelling showed higher average HLI among those aged 45 or older (β = 0.97, 95% CI = 0.81, 1.13, p < .01) with vocational educational qualifications (certificate/diploma: β = 0.47, 95% CI = 0.19, 0.76, p < .01; bachelor/post-graduate degree β = 1.05, 95% CI = 0.76, 1.34, p < .01) while being male, Aboriginal or Torres Strait Islander background, or not currently working conferred lower average HLI scores (p < .01 for all). Conclusions While participants showed improvements in many healthy lifestyle indices including BMI, waist circumference, physical activity, and dietary indicators, changes in alcohol consumption were less amenable to the program. There is a need for additional research to understand the multi-level barriers and facilitators of behaviour change in this context to tailor the intervention for more-difficult-to-treat groups.

scholarly journals Your Next Move: Improving the health of middle-aged men who are overweight or obese

2020 ◽  
pp. 04-13
Author(s):  
Emma J Hennessey ◽  
Benjamin R Prance ◽  
Alya Jaffer ◽  
Angela M. Kolen
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Waist Circumference ◽  
Healthy Lifestyle ◽  
Program Completion ◽  
Lifestyle Changes ◽  
Urban Setting ◽  
Lifestyle Program ◽  
Study Results ◽  
Old Men

Background: Your NeXt Move: X Fans in Training Program is a healthy lifestyle program tailored for men who are overweight or obese and was based on another intervention implemented in an urban setting. The goal of ‘Your NeXt Move’ was to improve men’s health through exercise and health literacy-based lessons using humor and competition to facilitate positive lifestyle changes. This paper shares the efficacy of the 12-week program regarding weight, body mass index, waist circumference, blood pressure and physical activity in 35 to 65-year-old men who were overweight and obese living in a rural area. Methods: 25 men (49.4±8.3 yrs) provided data for this study. Results: Upon program completion, these men experienced, on average, a significant decrease in body weight (2.1 kg, p = 0.006), BMI (0.7 kg/m2, p=0.006), waist circumference, (3.6 cm, p=0.007), and systolic (7.7 mmHg, p=0.007) and diastolic (4.3 mmHg, p=0.036) blood pressure. They also, on average, increased their daily steps by about 2000, indicating improved levels of physical activity. Conclusion: These findings suggest ‘Your neXt Move’ was successful in improving the physiological health of the men who participated. Keywords: Physical activity; Exercise; waist circumference; Blood pressure; Comradery

scholarly journals The importance of holistic intervention in children and adolescent obesity

2020 ◽  
pp. 179-188
Keyword(s):  
Physical Activity ◽  
Childhood Obesity ◽  
Health Care Professionals ◽  
Weight Control ◽  
Lifestyle Modification ◽  
Healthy Lifestyle ◽  
Eating Habits ◽  
Holistic Approach ◽  
Modern Approach ◽  
Children And Adolescent

Adolescence is a special stage in the development of obesity and implicitly for interventions to control it. From a nutritional point of view, the adolescent with weight problems is going through an extremely vulnerable period, the increased need of nutrients necessary for the correct physical and mental development being often unsatisfied due to poor eating habits. This article refers to the importance of sport and physical activity of any kind as an adjuvant treatment of childhood obesity and was conceived as a plea for the holistic approach to infantile obesity. The study briefly presents the pathological substrate of childhood obesity (statistics, causes, consequences, methods of diagnosis and treatment) and the solutions considered most effective in ameliorating and curing this problem. It highlights the role of movement in implementing specific treatments for childhood obesity, along with the modern approach to nutrition in contrast to lifestyle, and also the influence of family patterns on the manifestation of exercise and eating habits and their transmission from one generation to another. Evidence based on empirical research in the literature regarding intervention programmes in the treatment of childhood obesity is also presented. Healthy lifestyle modification programmes for weight control in children should be directed by health professionals (primary health care professionals, nutrition/diet professionals, teachers, physical activity professionals), who are specially trained in the field of infantile obesity.

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