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Cardiac Autonomic Modulation and Lower Limbs Resistance Exercise in Healthy Elderly: A Cross-Sectional Study 健康老年人心脏自主调节和下肢阻力运动:一项横断面研究
Q3 Health Professions Pub Date : 2023-11-10 DOI: 10.1080/02703181.2023.2279056
Viviane Castello-Simões, Clara Italiano Monteiro, Flavia Cristina Rossi Caruso, Audrey Borghi-Silva, Paula Angélica Ricci, Ramona Cabiddu, Rodrigo Polaquini Simões, Renata Gonçalves Mendes
AbstractAim Assess the cardiac autonomic modulation during and after lower limbs resistance exercise (RE) in elderly compared to young.Methods Fifteen elderly (66 ± 5 years) and 15 young (25 ± 4 years) underwent a RE protocol on the Leg Press at 70% of one repetition maximum. Parasympathetic indices (LnSD1 and LnRMSSD) were obtained through ultra-short-term heart rate variability analyze at resting, peak, and recovery (1, 3, 5, 10, and 15 min); in addition, heart rate recovery (HRR) was obtained.Results At the peak effort: LnSD1 and LnRMSSD were higher in the elderly compared to young (LnSD1: 0.65 ± 0.21 vs. 0.44 ± 0.22, p < 0.05; LnRMSSD: 0.81 ± 0.21 vs. 0.58 ± 0.23, p < 0.05); and at recovery phase: attenuated HRR and lower parasympathetic response were found to elderly compared to young (p < 0.05).Conclusion At the peak of RE, greater parasympathetic modulation was observed in elderly compared to young, and during recovery lower parasympathetic modulation and attenuated HRR were found in elderly.Keywords: Agingautonomic nervous systemcardiovascular systemexercise Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe authors would like to thank the Fundação de Amparo à Pesquisa do Estado de São Paulo–FAPESP (2015/26501-1) and the Conselho Nacional de Desenvolvimento Científico e Tecnológico–CNPq (102489/2022-0) for their financial support, as well as the volunteers for their effort and enthusiastic cooperation throughout the study
摘要:比较老年人和年轻人在下肢阻力运动(RE)期间和之后的心脏自主调节。方法15例老年人(66±5岁)和15例年轻人(25±4岁),以70%的最大重复率进行腿部按压。通过静息、峰值和恢复时(1、3、5、10和15 min)的超短期心率变异性分析获得副交感神经指数(LnSD1和LnRMSSD);此外,还获得了心率恢复(HRR)。结果在工作高峰期:老年人的LnSD1和LnRMSSD高于年轻人(LnSD1: 0.65±0.21比0.44±0.22,p < 0.05;LnRMSSD: 0.81±0.21∶0.58±0.23,p < 0.05);在恢复期,老年人的HRR和副交感神经反应明显低于年轻人(p < 0.05)。结论在RE高峰期,老年人副交感神经调节明显高于年轻人,在恢复过程中,老年人副交感神经调节较低,HRR减弱。关键词:衰老自主神经系统心血管系统运动披露声明作者未报告潜在利益冲突。作者想要感谢 圣保罗健康基金会(2015/26501-1)和国家环境保护协会Científico e Tecnológico-CNPq(102489/2022-0)的资金支持,以及志愿者在整个研究过程中的努力和热情合作
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引用次数: 0
Punching Parkinson’s: The Experience of No-Contact Boxing among Older Adults Living with Parkinson’s Disease 拳击帕金森氏症:老年帕金森氏症患者无接触拳击的经验
Q3 Health Professions Pub Date : 2023-10-26 DOI: 10.1080/02703181.2023.2273859
Jonathan Lin, Nigel Agaceta, Maxime St Croix, Rachel Thede, Patricia Belchior
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引用次数: 0
The Prompt Impact of Health Promotion Activities by Utilizing Online Group Exercises on Community-Dwelling Older People with Psychological Depression 利用网络小组练习的健康促进活动对社区居住的老年心理抑郁症患者的即时影响
Q3 Health Professions Pub Date : 2023-10-06 DOI: 10.1080/02703181.2023.2265980
Masahiro Noguchi, Ayako Yokota, Tsutomu Kibayashi, Yoko Takeuchi, Kuniyo Maitani
AbstractAims Developing new health promotion strategies is crucial, considering the physical inactivity among older people due to COVID-19. This study conducted health promotion activities by utilizing online group exercises to examine their immediate psychological effects.Methods Thirty-six community-dwelling older women performed online group exercises with instructions live-streamed via Zoom. We used a shortened version of the 2nd edition of the Profile of Mood States (POMS 2) to collect data on physical, mental, and cognitive function before and after the activity.Results All 36 participants had an age range of 75 ± 7. They completed the activity without dropping out. Participants were active and had high cognitive function, but 30% showed depressive tendencies before the activity. After the activity, the results of the POMS 2 showed a significant improvement in depressive tendencies.Conclusion Online group exercise can improve negative psychological feelings, such as anxiety, stress, and depression, among community-dwelling older people.Keywords: Older peoplecovid-19online exercisedepressionPOMS2 AcknowledgmentsWe am grateful to the elderly group of Hakusan-city for the main results of this paper were obtained and Editage for carefully proofreading the manuscript.Authors’ contributionsAll authors made substantial contributions to all of the following: (1) the conception and design of the study, or acquisition of data, or analysis and interpretation of data, (2) drafting the article or revising it critically for important intellectual content, (3) final approval of the version to be submitted, and (4) agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.Disclosure statementThe authors report there are no competing interests to declare.Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.
考虑到COVID-19导致的老年人缺乏身体活动,制定新的健康促进策略至关重要。本研究通过在线小组练习来进行健康促进活动,以检验其直接的心理影响。方法36名居住在社区的老年妇女进行在线小组练习,并通过Zoom进行现场直播。我们使用了第二版情绪状态概要(POMS 2)的简化版本来收集活动前后的身体、心理和认知功能数据。结果36例患者年龄75±7岁。他们完成了活动,没有中途退出。参与者活跃,认知功能高,但30%的人在活动前表现出抑郁倾向。活动结束后,POMS 2的结果显示抑郁倾向有显著改善。结论网络团体运动可以改善社区老年人的焦虑、压力、抑郁等负面心理感受。关键词:老年人视频-19在线锻炼抑郁症poms2致谢感谢白山市老年组对本文主要成果的获取和编辑编辑对稿件的认真校对。作者的贡献所有作者对以下所有方面都做出了重大贡献:(1)研究的构思和设计,或数据的获取,或数据的分析和解释,(2)起草文章或对重要的知识内容进行批判性修改,(3)最终批准提交的版本,(4)同意对工作的各个方面负责,确保与工作任何部分的准确性或完整性相关的问题得到适当的调查和解决。作者报告无利益竞争需要申报。其他信息资金作者报告没有与本文所述工作相关的资金。
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引用次数: 0
The Relationship Between Depressive Symptoms and Physical Activity in Rehabilitation Patients: A Cross-Sectional Study 康复患者抑郁症状与身体活动的关系:一项横断面研究
Q3 Health Professions Pub Date : 2023-09-14 DOI: 10.1080/02703181.2023.2254327
Go Owari, Kenichi Kono, Daiki Kanouchi, Masayoshi Uchiyama, Yusuke Nishida
AbstractAim This study investigated the impact of depressive symptoms on the physical activity of older patients in a rehabilitation ward.Methods In this cross-sectional study, patients admitted to a rehabilitation ward were assessed. Physical activity was measured using a triaxial accelerometer, while depressive symptoms, physical function, and cognitive function were evaluated with the Geriatric Depression Scale, Short Physical Performance Battery, and Mini Mental State Examination, respectively. Pearson’s correlation coefficient and multiple regression analysis were employed.Results Among 53 participants, significant negative correlations were found between physical activity and depressive symptoms (r = −0.44, p < 0.01), cognitive function (r = -0.41, p < 0.01), and physical function (r = −0.37, p < 0.01). Depressive symptoms were significantly associated with reduced physical activity (β = −0.34, p < 0.05).Conclusion Depressive symptoms negatively impacted physical activity in older patients in rehabilitation units.Keywords: Older adultsphysical activitydepressive symptoms AcknowledgmentsThe authors would like to thank the subjects who participated in this study.Disclosure statementNo potential conflict of interest was reported by the author(s).Data availability statementThe de-identified individual participant datasets used in this study are available from the corresponding author upon reasonable request.Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.
摘要本研究探讨康复病房老年患者抑郁症状对身体活动的影响。方法在本横断面研究中,对入住康复病房的患者进行评估。使用三轴加速度计测量身体活动,同时分别使用老年抑郁量表、短体能表现电池和迷你精神状态检查评估抑郁症状、身体功能和认知功能。采用Pearson相关系数和多元回归分析。结果在53名参与者中,体力活动与抑郁症状(r = - 0.44, p < 0.01)、认知功能(r = -0.41, p < 0.01)和身体功能(r = - 0.37, p < 0.01)呈显著负相关。抑郁症状与体力活动减少显著相关(β = - 0.34, p < 0.05)。结论抑郁症状对康复病房老年患者的身体活动有负面影响。关键词:老年人体育活动抑郁症状致谢作者感谢参与本研究的受试者。披露声明作者未报告潜在的利益冲突。数据可用性声明本研究中使用的未识别的个人参与者数据集可根据通讯作者的合理要求获得。其他信息资金作者报告没有与本文所述工作相关的资金。
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引用次数: 0
Do Personality Traits Predict Mobility Outcomes among Community-Dwelling Older Adults in Nigeria? 性格特征能预测尼日利亚社区居住老年人的流动性结果吗?
IF 0.9 Q3 Health Professions Pub Date : 2023-02-01 DOI: 10.1080/02703181.2023.2172124
Miracle Ndubuaku, C. Ikele, Ernest C. Nwachukwu, D. Rayner, M. Kalu
Abstract Objectives: To describe the association between personality factors and mobility outcomes among community-dwelling older adults in Nigeria. Methods: This cross-sectional study included 136 older adults [mean age (SD) = 65.1 (5.4)]. The Five-Factor Model of personality was evaluated using the International Personality Item Pool. Participants’ mobility was assessed using gait speed, life-space questionnaire, chair-stand and standing-balance tests. Data was analyzed using multiple linear regression. Results: Extraversion (β = 0.152, p = 0.049), conscientiousness (β = 0.238, p = 0.006), and neuroticism (β = −0.194, p = 0.016) were associated with lower extremity strength. Extraversion (β = 0.201, p = 0.021) and neuroticism (β = −0.201, p = 0.020) were associated with community mobility. No personality factor was a predictor of gait speed or balance. Conclusion: These findings may help clinicians understand the predictive power of personality and guide the development and refinement of personality-tailored interventions to improve older adults’ mobility.
摘要目的:描述尼日利亚社区老年人的人格因素与流动性结果之间的关系。方法:这项横断面研究包括136名老年人[平均年龄(SD)=65.1(5.4)]。人格的五因素模型使用国际人格项目库进行评估。参与者的行动能力通过步态速度、生活空间问卷、椅子站立和站立平衡测试进行评估。数据采用多元线性回归分析。结果:Extraversion(β = 0.152,p = 0.049),尽责性(β = 0.238,p = 0.006)和神经质(β=-0.194,p = 0.016)与下肢力量有关。Extraversion(β = 0.201,p = 0.021)和神经质(β=-0.201,p = 0.020)与社区流动性有关。没有个性因素是步态速度或平衡的预测因素。结论:这些发现可能有助于临床医生理解个性的预测能力,并指导制定和完善个性化干预措施,以改善老年人的行动能力。
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引用次数: 0
Family Caregivers’ Experiences and Education When Caring for Individuals after Joint Arthroplasty 关节成形术后家庭护理人员的经验和教育
IF 0.9 Q3 Health Professions Pub Date : 2023-02-01 DOI: 10.1080/02703181.2023.2172125
Erin O’Neil, Joanne Ngan, W. Miller, S. Mohammadi
Abstract Aims To capture narratives regarding the experience of caring for an individual who has undergone total hip or knee arthroplasty (THA/TKA). Methods Semi-structured interviews with 15 family caregivers, were conducted and analyzed using thematic analysis. Results Three themes were identified: 1) The highs and lows – Family caregivers had both challenging and rewarding experiences; 2) Family relationships – relationships between the caregivers and their family members were often impacted as a result of caregiving; 3) Inconsistent education – Participants discussed accessing a wide range of educational resources. A lack of caregiver-directed education was emphasized. Conclusions This study highlights that family caregivers have positive experiences and a perceived familial responsibility to provide care. There are currently unmet educational needs for caregivers. More research is needed to expand the understanding of this population and on implementing caregiver-directed education. IMPACTS AND IMPLICATIONS Health care providers need to recognize that even though the THA/TKA family caregiving role may be temporary, the challenges and burden they experience are substantial. An individualized approach, which considers family caregivers’ prior experience/knowledge, and access to information, is necessary when providing pre/postoperative education. Education directly targeting the needs of family caregivers should be implemented to improve the caregiving experience and to ensure quality patient care.
摘要目的捕捉关于护理接受全髋关节置换术(THA/TKA)的个人的经历的叙述。方法对15名家庭照顾者进行半结构化访谈,并采用主题分析法进行分析。结果确定了三个主题:1)高潮和低谷——家庭照顾者既有挑战性的经历,也有收获性的经历;2) 家庭关系——照顾者及其家庭成员之间的关系经常因照顾而受到影响;3) 教育不一致——与会者讨论了获取广泛教育资源的问题。强调了缺乏以照顾者为导向的教育。结论这项研究强调,家庭照顾者有积极的经验和提供照顾的家庭责任感。目前,护理人员的教育需求尚未得到满足。需要更多的研究来扩大对这一人群的理解,并实施护理人员指导的教育。影响和影响卫生保健提供者需要认识到,尽管THA/TKA家庭护理的作用可能是暂时的,但他们所经历的挑战和负担是巨大的。在提供术前/术后教育时,有必要采取个性化的方法,考虑家庭护理人员先前的经验/知识以及获得信息的途径。应实施直接针对家庭护理人员需求的教育,以改善护理体验并确保高质量的患者护理。
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引用次数: 0
Secondary Stroke Prevention Education: Occupational Therapy Practitioners’ Implementation and Perceptions 二级脑卒中预防教育:职业治疗从业者的实施与认知
IF 0.9 Q3 Health Professions Pub Date : 2023-01-11 DOI: 10.1080/02703181.2023.2165593
Rebecca A. Dubach, N. Tripathi
Abstract Aims This study aims to i) describe how occupational therapy (OT) practitioners implement secondary stroke prevention education, and ii) explore barriers and facilitators in education provision. Methods OT practitioners completed a mixed methods online survey regarding characteristics, barriers, and facilitators of prevention education for adults with stroke and their caregivers. Results 148 eligible responses were received and analyzed using descriptive quantitative and qualitative thematic analysis methods. More than half of participants frequently or always provided education on four of eight specified prevention topics. Under education facilitators, emergent themes included resource utilization, specific education strategies, and “it takes a village.” Under education barriers, themes included decreased understanding/acceptance, lack of time, and lack of support/resources. Conclusion OT practitioners play a critical role in addressing secondary prevention in stroke survivors, yet education on some prevention topics may be sub-optimal. Addressing identified barriers may provide opportunities to implement secondary stroke prevention education more effectively.
摘要目的本研究旨在i)描述职业治疗(OT)从业者如何实施二级脑卒中预防教育,以及ii)探索教育提供中的障碍和促进因素。方法OT从业者完成了一项关于成人中风及其护理人员预防教育的特点、障碍和促进者的混合方法在线调查。结果共收到148份符合条件的回复,并采用描述性定量和定性主题分析方法进行分析。超过一半的参与者经常或总是就八个特定预防主题中的四个提供教育。在教育促进者的指导下,新兴主题包括资源利用、具体的教育战略和“需要一个村庄”。在教育障碍下,主题包括理解/接受度下降、缺乏时间和缺乏支持/资源。结论OT从业者在脑卒中幸存者的二级预防方面发挥着关键作用,但一些预防主题的教育可能是次优的。解决已确定的障碍可能为更有效地实施二级中风预防教育提供机会。
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引用次数: 1
Predicting Falls in Older Adults with an Accelerometer-Based Smartphone App 使用基于加速度计的智能手机应用程序预测老年人跌倒
IF 0.9 Q3 Health Professions Pub Date : 2022-12-22 DOI: 10.1080/02703181.2022.2160041
K. Pooranawatthanakul, A. Siriphorn
Abstract Purpose This study investigated the accuracy of an accelerometer-based smartphone application for predicting the risk of falls in older adults. Methods Eighty community-dwelling older adults (70.05 ± 4.5 years) were assessed using an accelerometer-based smartphone application for balance assessment at baseline, which included 1) the Modified Clinical Test of Sensory Interaction in Balance (MCTSIB), 2) a single-leg stance (SLST), and 3) limit of stability (LOS) test. The fall incidence during a 6-month follow-up was recorded. The area under the receiver operating characteristic curve (AUC) was used to determine accuracy. Results The accuracy in predicting falls of all assessments was high (AUC = 0.78–0.99). The MCTSIB had the highest AUC (0.99) compared with the SLST (0.86) and the LOS test (0.78). The MCTSIB had a cutoff score of 8.04, sensitivity of 100%, and specificity of 98%. Conclusion The accelerometer-based smartphone application could predict falls in older adults with excellent accuracy.
摘要目的研究基于加速度计的智能手机应用程序预测老年人跌倒风险的准确性。方法采用基于加速度计的智能手机平衡评估应用程序,对80名社区老年人(70.05±4.5岁)进行基线平衡评估,包括1)改进的临床平衡感觉相互作用测试(MCTSIB), 2)单腿站立(SLST)和3)稳定性极限(LOS)测试。在6个月的随访期间记录跌倒发生率。用受试者工作特征曲线下面积(AUC)来确定准确度。结果各项评估预测跌倒的准确率均较高(AUC = 0.78 ~ 0.99)。MCTSIB的AUC(0.99)高于SLST(0.86)和LOS(0.78)。MCTSIB的临界值为8.04,敏感性为100%,特异性为98%。结论基于加速度计的智能手机应用程序能够准确预测老年人跌倒。
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引用次数: 0
Physical Performance-Based Outcome Measures in Total Hip Arthroplasty Patients: COSMIN-Based Systematic Review 全髋关节置换术患者基于体能表现的结果测量:基于cosmin的系统评价
IF 0.9 Q3 Health Professions Pub Date : 2022-12-15 DOI: 10.1080/02703181.2022.2156653
Fatih Özden, İsmet Tümtürk
Abstract Aims: The purpose of the present review was to conduct a COnsensus‐based Standards for the selection of health Measurement Instruments (COSMIN)-based analysis of the physical performance tests in patients with total hip arthroplasty (THA). Method: Databases were searched on February 2021 in “PubMed, Scopus, and Web of Science” literature databases. The “COSMIN tool” was chosen to determine the quality and potential bias of the enclosed papers. “Narrative synthesis” was conducted due to the heterogenous data of the articles. Results: Twelve publications were enrolled in the review. Seven studies analyzed “intra-rater reliability,” seven study “validity,” six study “measurement error,” one study “inter-rater reliability,” and one study presented “responsiveness analysis.” Conclusion: This review proved the psychometric properties of performances tests in THA, regarding COSMIN guidelines. The analysis result of studies yielded a “good” or “fair” quality design. Most of the studies (7) focused on gait-based test. Further studies should focus on “inter-rater reliability, responsiveness, and floor-ceiling effect”.
摘要目的:本综述的目的是对全髋关节置换术(THA)患者的体能测试进行基于共识的健康测量仪器选择标准(COSMIN)分析。方法:于2021年2月检索“PubMed、Scopus和Web of Science”文献数据库。选择“COSMIN工具”来确定所附论文的质量和潜在偏倚。由于文章数据的异质性,我们进行了“叙事综合”。结果:12篇文献被纳入综述。七项研究分析了“评分者内信度”,七项研究分析了“效度”,六项研究分析了“测量误差”,一项研究分析了“评分者间信度”,一项研究分析了“响应性分析”。结论:根据COSMIN指南,本综述证实了THA中性能测试的心理测量学特性。研究的分析结果产生了“良好”或“公平”的质量设计。大多数研究(7)集中在基于步态的测试上。进一步的研究应该集中在“评分者之间的可靠性、反应性和下限-上限效应”上。
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引用次数: 0
Exercise Increasing Health-Related Quality of Life in Type 2 Diabetics: A Meta-Analysis 运动提高2型糖尿病患者健康相关生活质量的Meta分析
IF 0.9 Q3 Health Professions Pub Date : 2022-12-15 DOI: 10.1080/02703181.2022.2154883
S. Amiri, Mina Fathi-Ashtiani
Abstract Objectives This meta-analysis sought to determine the effect of exercise training on improving the health-related quality of life of patients with type 2 diabetes. Methods Three sources of scientific information were searched, including PubMed, Scopus, and the Cochrane Library. Google Scholar, was also searched manually. This search was limited to studies published in English until July 2021. Results The exercise training has positive effects on improving the health-related quality of life in diabetic patients and the effect size was equal to hedges’ g = 0.57 and the confidence interval was between [0.44 and 0.69]. Conclusion The results indicate the favorable effects of exercise training on the health-related quality of life of patients with diabetes. It is also necessary to talk more about the effect of exercise on the health of patients with diabetes in the area of health policy and include it in health guidelines.
摘要目的本荟萃分析旨在确定运动训练对改善2型糖尿病患者健康相关生活质量的影响。方法检索PubMed、Scopus和Cochrane图书馆三个科学信息来源。谷歌学者,也被手动搜索。截至2021年7月,本次搜索仅限于以英文发表的研究。结果运动训练对改善糖尿病患者健康相关的生活质量有积极作用,其效果大小与hedges’g相当 = 结论运动训练对糖尿病患者的健康生活质量有良好的影响。还有必要在卫生政策领域更多地讨论锻炼对糖尿病患者健康的影响,并将其纳入健康指南。
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引用次数: 0
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