scholarly journals Anxiety and Bodily Pain in Older Women Participants in a Physical Education Program. A Multiple Moderated Mediation Analysis

2020 ◽  
Vol 12 (10) ◽  
pp. 4067
Author(s):  
Óscar Chiva-Bartoll ◽  
Honorato Morente-Oria ◽  
Francisco Tomás González-Fernández ◽  
Pedro Jesús Ruiz-Montero
Keyword(s):  
Physical Education ◽  
Coping Strategies ◽  
Older Women ◽  
Education Program ◽  
Bodily Pain ◽  
Depression Scale ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Pain Coping ◽  
Cross Sectional

(1) Background: Bodily pain is normally associated with the consequences of ageing, whereas anxiety shows a high prevalence in elderly people, decreasing the health-related quality of life (HRQoL). Pain coping strategies are used to reduce the consequences of pain, specifically in older people. This study analyzed if the passive and active pain coping strategies were significant moderators in the link between anxiety and bodily pain with a physical component as a mediator. (2) Methods: This cross-sectional study consisted of older women between 60 and 90 years old from small villages with under 5000 inhabitants, of whom 53.8% of the total were participants of a physical education program. Participants of the present study completed all sociodemographic (living alone/accompanied, marital and educational status, number of illnesses, and level of physical activity (PA)) and clinical (anxiety, HRQoL, and pain coping strategies) questionnaires. Anxiety was assessed by the Hospitality Anxiety and Depression Scale (HAD), passive and active strategies by the Vanderbilt Pain Management Inventory (VPMI), and bodily pain and the physical component by the SF-36 questionnaire. (3) Results: The physical component positively predicted bodily pain (p < 0.001) and passive strategies significantly moderated the effect of anxiety on the physical component (p = 0.034). (4) Conclusions: These outcomes help to understand the link between anxiety and bodily pain in older women and the moderation of pain coping strategies in this relationship. In addition, the physical component should be considered when physical education programs aimed at the reduction of bodily pain through the management of anxiety are designed.

scholarly journals Why Being Physically Active or Inactive Affects Older Women’s Physical Role?

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Pedro Jesús Ruiz-Montero ◽  
Laura Rubio ◽  
Cristina G. Dumitrache ◽  
Óscar Chiva-Bartoll
Keyword(s):  
Coping Strategies ◽  
Physical Function ◽  
General Health ◽  
Bodily Pain ◽  
Cross Sectional Study ◽  
Sociodemographic Characteristics ◽  
Pain Coping ◽  
Cross Sectional ◽  
Physical Role ◽  
Passive Strategies

Background. Active aging is aimed at promoting quality of life in older adults. Nevertheless, the relationship between physical role and the practice of physical activity (PA) can be influenced by bodily pain feeling and by a low level of health-related quality of life (HRQoL). Passive and active strategies are susceptible to being modified and constitute an important psychological predictor of adaptation to pain. This cross-sectional study (1) analyzed the differences between inactive/active older adult women in terms of clinical and sociodemographic characteristics, pain coping strategies, and HRQoL; (2) studied the associations between pain coping strategies, the dimensions of the HRQoL questionnaire, and physical role; and (3) determined if passive strategies, bodily pain, physical function, and general health were significant mediators in the link between being inactive/active and physical role. Methods. Participants of the present cross-sectional study completed measures of clinical and sociodemographic characteristics, HRQoL using the Short-Form Health Survey-36, and active and passive strategies using the Vanderbilt Pain Management Inventory (VPMI). Results. A total of 157 inactive ( 69.9 ± 7.1   years ) and 183 active ( 68.8 ± 5.3   years ) women from rural areas were included in the study. Both groups significantly differed in the majority of the clinical and sociodemographic characteristics measured, pain coping strategies, and HRQoL. Bodily pain, physical function, and general health predicted physical role. Moreover, passive strategies, bodily pain, physical function, and general health mediated the link between inactive/active participants and physical role. Conclusions. Being physically active or inactive contributes to a better understanding of the link between PA, pain coping strategies, and physical role in older women.

scholarly journals Do Health-Related Quality of Life and Pain-Coping Strategies Explain the Relationship between Older Women Participants in a Pilates-Aerobic Program and Bodily Pain? A Multiple Mediation Model

2019 ◽  
Vol 16 (18) ◽  
pp. 3249 ◽  
Author(s):  
Pedro Jesús Ruiz-Montero ◽  
Gerardo José Ruiz-Rico Ruiz ◽  
Ricardo Martín-Moya ◽  
Pedro José González-Matarín
Keyword(s):  
Quality Of Life ◽  
Coping Strategies ◽  
Older Women ◽  
Clinical Characteristics ◽  
Bodily Pain ◽  
Pain Coping ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

This study (1) analyzes the differences between non-participating and participating older women in terms of clinical characteristics, pain coping strategies, health-related quality of life and physical activity (PA); (2) studies the associations between non-participants and participants, clinical characteristics, pain coping strategies, HRQoL and bodily pain and PA; and (3) determines whether catastrophizing, physical role, behavioural coping, social functioning and emotional role are significant mediators in the link between participating in a Pilates-aerobic program (or not) and bodily pain. The sample comprised 340 older women over 60 years old. Participants of the present cross-sectional study completed measures of clinical characteristics: HRQoL using the SF-36 Health Survey, pain-coping strategies using the Vanderbilt Pain Management Inventory (VPMI) and PA using the International Physical Activity Questionnaire (IPAQ). Significant differences between non-participants and participants, were found in clinical characteristics, pain-coping strategies (both, p < 0.05), HRQoL (p < 0.01), and PA (p < 0.001). Moreover, catastrophizing support mediated the link between non-participants and participants and bodily pain by 95.9% of the total effect; 42.9% was mediated by PA and 39.6% was mediated by behavioural coping. These results contribute to a better understanding of the link between PA and bodily pain.

scholarly journals Is city of residence a factor differentiating sitting time in adolescents?

2018 ◽  
Vol 23 ◽  
pp. 1-9
Author(s):  
Roberval Pizano ◽  
Christianne de Faria Coelho Ravagnani ◽  
Robert Weaver ◽  
Maria Sylvia Vitalle
Keyword(s):  
Physical Education ◽  
Sport Participation ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Sitting Time ◽  
São Paulo ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Socioeconomic Stratum

The aim of this cross-sectional study was to examine the association between city of residence and other factors related to sitting time in adolescents. Students (n = 1,089), between 14 and 18 years, completed self-reported questionnaires to collect data about sitting time, general fitness, physical education and sport participation, socio-economic stratum and householder ́s education in Botucatu (SP), Cáceres (MT) and São Paulo (SP). The choice of municipalities occurred for convenience and the selection of schools and students was performed randomly. Multi-level mixed linear regression models were used to estimate the relationship between the independent variables and sitting time (min.day-1) during weekdays and weekend days. Hierarchal models were estimated to account for the nested nature of student within schools. Regarding cities of residence, there was no association with sitting time on both weekday (São Paulo, β = 36.87, CI: 25.6; 233.62 and Cáceres, β = 66.94, CI: 22.1; 156.01) and weekend (São Paulo, β = 104.01, CI: 64.5;138.20 and Cáceres, β = 90.23, CI: 33.2; 213.64), when compared to Botucatu. Socio economic indicators were related to sitting time in different ways considering week or weekend. Students with higher householder education degrees had more sitting time on weekdays. On weekend students in higher levels of socioeconomic stratum presented less sitting time. Adolescents with very good perception of general fitness had -65.29 minutes of sitting time on weekday and -70.1 minutes of sitting time on weekend. In the present study, city of residence was not related to sitting time in adolescents. However, other factors such as gender, socioeconomic stratum and educational status, participation in sports and physical education and perceptions of fitness were related to students sitting time.

scholarly journals Sexual Dysfunction in Female Hemodialysis Patients: A Cross Sectional Study in Iran

2019 ◽  
Author(s):  
Seyed Mansour Gatmiri ◽  
Marjan Bordbar ◽  
Firoozeh Raisi ◽  
Anahid Nourian
Keyword(s):  
Sexual Dysfunction ◽  
Economic Status ◽  
Demographic Data ◽  
Depression Scale ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Medical Sciences ◽  
Biochemical Tests ◽  
Cross Sectional

There has been little attention to sexual dysfunction (SD) in women undergoing hemodialysis (HD), therefore few studies are found in this field. The aim of this study was to determine the incidence of SD, assess its association with biochemical factors, employment and educational status, economic situation, depression, anxiety, and medication. End stage renal disease (ESRD) married women aged 18 to 60 years presenting to Tehran University of Medical Sciences (TUMS) hospitals’ (Imam Khomeini, Sina, and Baharloo) from April to September 2017 were included in the study. Female Sexual Function Index (FSFI) questionnaire was used to evaluate SD. Patients were divided into two groups with SD (scores≤28) and without SD (scores˃28). Hospital Anxiety and Depression Scale (HADS) questionnaire was used to investigate anxiety and depression; patients with scores equal to or more than 11 were implied as depressed or anxious. Demographic data, duration of dialysis, ESRD causes and biochemical tests were also collected. Thirty patients (81.1%) out of 37 showed SD who were older, had lower educational and economic status, had higher hemoglobin levels and used erythropoietin products and Venofer® (iron sucrose injection) less; most of these patients were housewives. The incidence of SD among patients was high. Erythropoietin and Venofer use was less frequent in patients with SD compared to the other group. This suggests that these two products have a role in treatment of SD rather than the treatment of anemia. © 2019 Tehran University of Medical Sciences. All rights reserved. Acta Med Iran 2019;57(4):244-252.

MO673THE ASSOCIATION BETWEEN UREA KINETIC MODELING WITH ANXIETY AND DEPRESSION AMONG PATIENTS ON MAINTENANCE HEMODIALYSIS AT UST HOSPITAL: A CROSS- SECTIONAL STUDY

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Maureen Balmes - Garcia ◽  
Dexter Clifton Pe ◽  
Joseree Ann Catindig ◽  
Gabriel Alejandro Baroque
Keyword(s):  
Clinical Symptoms ◽  
Depression Scale ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Maintenance Hemodialysis ◽  
Sectional Study ◽  
Hospital Anxiety ◽  
Cross Sectional ◽  
Psychological Condition

Abstract Background and Aims Depression and anxiety are common psychiatric disorders that affect patients with chronic kidney disease on maintenance hemodialysis. Possible explanation for the development of this mental disorders includes physical and emotional stress, time restrictions, functional limitations, co-morbidities, adverse effects of medications and lack of adherence to dialysis treatment and its efficacy. Studies have shown that by improving hemodialysis adequacy, as measured by the urea kinetic remodelling (Kt/V), the clinical symptoms of the patient improve as well as their psychological condition. This study aimed to evaluate the relationship between psychological symptoms and hemodialysis adequacy. Method This cross-sectional study was conducted on 87 hemodialysis patients at the University of Santo Tomas Hospital. Anxiety and depression was assessed using the validated Filipino version of Hospital Anxiety and Depression scale (HADS-P). Anxiety and depression was defined as score of 8. Descriptive statistics were used to summarize the general and clinical characteristics of the participants. Frequency counts and proportions were used as descriptors for nominal variables, median and range for ordinal variables, and mean and standard deviation for interval/ratio variables. Chi square test was used to assess the association between age, sex, marital status, duration of dialysis and Kt/V. Results The prevalence of anxiety and depression were 34.8% and 21.7%, respectively (n=87). This study identified that younger patients, those belonging to age 20-35 y/o were more depressed (33.3%) and anxious (66.7%). Similarly, females also tend to be more anxious (42.5%) and depressed (22.5%). On the other hand, single patients tend to be more anxious (41.7%) while married are more depressed (22.8%). As to educational status, post graduate patients were more anxious (66.7%) and those with low educational attainment were more depressed (50%). Newly initiated patients (&lt;1 year) were more anxious (57.1%) and those with longer years on hemodialysis (4-6 years) being more depressed (30.4%). As to laboratory parameters, anemic patients are both anxious and depressed. Hypoalbuminemic patients were also anxious and depressed. Patients with adequate hemodialysis were more anxious and depressed. Conclusion Anxiety and depression are common psychiatric disorder that are associated with decrease quality of life. Addressing and including these conditions will help to improve their psychological condition.

scholarly journals Quality of life in primary caregivers of patients in peritoneal dialysis and hemodialysis

2021 ◽  
Author(s):  
Joel Monárrez-Espino ◽  
José Alberto Delgado-Valles ◽  
Gastón Ramírez-García
Keyword(s):  
Quality Of Life ◽  
Peritoneal Dialysis ◽  
Bodily Pain ◽  
Depression Scale ◽  
Primary Caregivers ◽  
Cross Sectional Study ◽  
Role Functioning ◽  
Cross Sectional ◽  
Middle Income

Abstract Background: Peritoneal dialysis (PD) is gaining track as an efficient/affordable therapy in poor settings. Yet, there is little data regarding differences in quality of life (QoL) of primary caregivers (PCG) of patients in PD and hemodialysis (HD). Aim: To compare the QoL of PCG of patients in PD and HD from an upper middle-income population in a Mexican city. Methods: Cross-sectional study was carried out with PCG of patients in PD (n=42) and HD (n=95) from 4 hospitals (response rate=70.2%). The SF 36-item QoL questionnaire, the Zarit burden interview, and the Goldberg anxiety/depression scale were used. Mean normalized scores for each QoL domain were compared by dialysis type. Adjusted odds were computed using logistic regression to determine the probability of low QoL (<70% of maximum possible score resulting from the added scores of the 8 dimensions). Results: The PD group had higher mean scores for emotional role functioning (+10.6; p=0.04), physical functioning (+9.2; p=0.002), bodily pain (+9.2; p=0.07), social functioning (+5.7; p=0.25), and mental health (+1.3; p=0.71); the HD group had higher scores for physical role functioning (+7.9, p=0.14), general health perception (+6.1; p=0.05), and vitality (+3.3; p=0.36). A non-significant OR was seen in multivariate regression (1.51; 95% CI 0.43-5.31). Zarit scores were similar, but workload levels were lower in the PD group (medium/high: PD 7.2%, HD 14.8%). Anxiety (HD 50.5%, PD 19%; p<0.01) and depression (HD 49.5%, PD 16.7%; p<0.01) were also lower in the PD group. Conclusion: Adjusted analysis showed no differences in the probability of low QoL between the groups. These findings add to the value of PD, and strengthen its importance in resource-limited settings.

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