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Black Seventh-Day Adventists’ Adherence to the Centers for Disease Control and Prevention’s 1995 and 2008 Physical Activity Guidelines for Adults 黑人基督复临安息日会教徒遵守疾病控制和预防中心1995年和2008年成人体育活动指南
Pub Date : 2018-12-28 DOI: 10.12691/JPAR-4-1-2
N. Davis, D. Thorpe, P. Herring, W. Beeson, G. Fraser
A lack of physical activity is associated with many chronic and metabolic diseases and decreased life expectancy. This study assessed the physical activity practices of Black Seventh-day Adventists to determine adherence to the Centers for Disease Control and Prevention’s 1995 and 2008 guidelines for adult physical activity. Data from 16,547 Black participants of the Adventist Health Study-2 prospective cohort were analyzed. Data about dietary practices, medication usage, and physical activity were collected and analyzed. Only 11.3% of Black Adventists met 1995 recommended guidelines and 22.8% met 2008 guidelines. Gender, age, educational level, and body mass index were associated with adherence to 1995 guidelines while gender, educational level, and body mass index were associated with adherence to 2008 guidelines. Compared to respondents 18-44 years (reference), 45-64 and 65+ years and older were most likely to adhere to 1995 guidelines (OR=1.22, 95% CI: 1.07, 1.39) and (OR=1.51, 95% CI: 1.27, 1.79) respectively. Most likely to adhere to 2008 guidelines were respondents aged 45-64 and 65+ years and older (OR=1.12, 95% CI: 1.03, 1.22) and (OR=1.25, 95% CI: 1.10, 1.41) respectively, and those educated at bachelor’s level and higher (OR=1.27, 95% CI: 1.16, 1.43), compared to grades K-12 (reference). Differences in 1995 and 2008 physical activity criteria resulted in differences in adherence, with greater adherence to the 2008 guidelines. Adults should be encouraged to participate in at least 150 minutes of moderate exercise or 75 minutes of vigorous exercise weekly to meet recommended physical activity guidelines.
缺乏体育活动与许多慢性和代谢性疾病以及预期寿命下降有关。这项研究评估了黑人基督复临安息日会教徒的体育活动实践,以确定他们是否遵守美国疾病控制与预防中心1995年和2008年的成人体育活动指南。对来自基督复临安息日会健康研究2前瞻性队列的16547名黑人参与者的数据进行了分析。收集并分析了有关饮食习惯、药物使用和体育活动的数据。只有11.3%的黑人基督复临安息日会教徒符合1995年推荐的指导方针,22.8%符合2008年的指导方针。性别、年龄、教育水平和体重指数与遵守1995年指南有关,而性别、教育水平、体重指数与遵循2008年指南有关。与18-44岁(参考)的受访者相比,45-64岁和65岁以上的受访者最有可能遵守1995年的指南(OR=1.22,95%CI:1.07,1.39)和(OR=1.51,95%CI:1.27,1.79)。与K-12年级(参考)相比,最有可能遵守2008年指南的受访者分别为45-64岁和65岁以上(OR=1.12,95%CI:1.03,1.22)和(OR=1.25,95%CI:1.10,1.41),以及受过学士及以上教育的人(OR=1.27,95%CI:1.16,1.43)。1995年和2008年体育活动标准的差异导致了遵守情况的差异,对2008年指南的遵守程度更高。应鼓励成年人每周参加至少150分钟的适度运动或75分钟的剧烈运动,以符合建议的体育活动指南。
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引用次数: 0
Measurement of Physical Activity in Adults with Muscular Dystrophy: A Systematic Review 成人肌肉营养不良患者体力活动的测量:一项系统综述
Pub Date : 2018-12-18 DOI: 10.12691/JPAR-4-1-1
Sarah F Roberts-Lewis, M. Rose, C. White, F. Seedat
There is little consensus about measurement of physical activity in adults with muscular dystrophy. This systematic review summarizes evidence for measurement properties of direct and indirect measures of physical activity in adults with muscular dystrophy. A two-phase search for peer-reviewed articles identified firstly, studies which measured physical activity in this population and secondly, studies reporting the measurement properties of activity measures. Methodological quality was assessed using COSMIN guidelines and a best evidence synthesis conducted. Phase 1 included 53 studies identifying 63 measures including accelerometers, direct observation, heartrate monitors, calorimetry, positional sensors, activity diaries, single scales and questionnaires. Phase 2 included 26 studies of measurement properties for 32 measures. Methodological quality of the included studies was low, only 2 were rated good. There was insufficient evidence to robustly recommend any physical activity measures and further research is required to validate measures of physical activity for adults with muscular dystrophy. Based on the findings of this review, measures with potential for further study have been highlighted.
对患有肌营养不良的成年人的体力活动的测量几乎没有达成共识。这篇系统综述总结了在患有肌营养不良的成年人中直接和间接测量身体活动的测量特性的证据。对同行评审文章的两阶段搜索首先确定了测量该人群身体活动的研究,其次确定了报告活动测量的测量特性的研究。使用COSMIN指南评估方法学质量,并进行最佳证据综合。第一阶段包括53项研究,确定了63项指标,包括加速度计、直接观察、心率监测器、量热仪、位置传感器、活动日记、单量表和问卷。第二阶段包括对32项测量的26项测量特性研究。纳入研究的方法学质量较低,只有2项被评为良好。没有足够的证据有力地推荐任何体育活动措施,需要进一步的研究来验证患有肌营养不良的成年人的体育活动措施。根据这次审查的结果,强调了有可能进行进一步研究的措施。
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引用次数: 3
Physical Intensity of Movement along Horizontal, Vertical, and Lateral Climbing Planes 沿水平、垂直和横向攀登平面运动的体力
Pub Date : 2018-12-09 DOI: 10.12691/JPAR-3-2-10
B. Woodman, K. Mathias, James De Paepe, M. Adler, Brian Mc Gladrey
The purpose of this study was to determine the physical intensity levels and differences between the horizontal, vertical, and lateral planes of movement during indoor climbing for high school students. Subjects were 27 adolescents (male=22, female=5) aged 14-18. Participants wore an ActiGraph GT3X accelerometer during two different 5-minute climbing sessions that took place on a vertical/horizontal climbing wall. The intensity of their climbing was determined using the ActiLife 6 software, as well as the Freedson (2005) cut-points. The data revealed that the subjects performed moderate to very vigorous exercise 56% of the time during climbing, and that there were statistically significant intensity differences between the three planes examined. Subjects of this study worked harder during lateral movement than during vertical or horizontal movements. The lateral plane refers to the climber’s movements towards and away from the wall, typically for stabilization. These results suggest that a large portion of intensity while climbing did not come from how fast or how far subjects climbed, but rather by simply staying on the wall.
本研究的目的是确定高中生在室内攀岩过程中的体力水平以及水平、垂直和横向运动平面之间的差异。受试者为年龄在14-18岁的27名青少年(男性=22,女性=5)。参与者在垂直/水平攀岩墙上进行的两次不同的5分钟攀岩训练中佩戴了ActiGraph GT3X加速计。他们的攀登强度是使用ActiLife 6软件以及Freedson(2005)的切入点确定的。数据显示,受试者在攀登过程中有56%的时间进行中等至非常剧烈的运动,并且在所检查的三个平面之间存在统计学上显著的强度差异。这项研究的受试者在横向运动中比在垂直或水平运动中更努力。横向平面是指攀登者朝向墙壁和远离墙壁的运动,通常是为了稳定。这些结果表明,攀登时的很大一部分强度并不是来自受试者攀登的速度或距离,而是简单地呆在墙上。
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引用次数: 0
Examining the Relationship between Physical Activity and Student Achievement and Behavior: Results from a Three-Year Intervention 研究体育活动与学生成绩和行为之间的关系:一项为期三年的干预结果
Pub Date : 2018-11-29 DOI: 10.12691/JPAR-3-2-8
Dick Carpenter, Cheryl Kelly, T. Behrens, Julaine E. Field, Carmen Luna, Elizabeth Tucker
This study examines the relationship between physical activity (PA) levels and academic achievement and student behavior in schools that completed a three-year initiative to increase and improve PA for students. Using difference-in-difference and discontinuity analyses, we find schools that participated in a PA intervention saw greater academic achievement during the three years of PA programming as compared to non-participating schools. The significant effects of the intervention were realized during the first year of programming; subsequent years saw stable achievement but not significant growth. There did not, however, appear to be differences in maladaptive student behavior between schools based on participation in the PA intervention.
这项研究考察了体育活动水平与学业成绩和学生行为之间的关系,这些学校完成了一项为期三年的提高和改善学生体育活动水平的倡议。使用差异和不连续性分析,我们发现参与PA干预的学校在PA计划的三年中比未参与的学校取得了更大的学术成就。干预措施的显著效果是在方案拟订的第一年实现的;随后几年取得了稳定的成绩,但没有显著的增长。然而,根据参与PA干预的情况,学校之间的学生适应不良行为似乎没有差异。
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引用次数: 1
Hooked on Exercise: The Relationship between Exercise Addiction and Healthy Adherence in Collegiate Student-Athletes 沉迷于运动:大学生运动员运动成瘾与健康坚持的关系
Pub Date : 2018-11-15 DOI: 10.12691/JPAR-3-2-7
Ksenia Berestetska, M. Sachs
Introduction: Exercise addiction is a prevalent issue among NCAA student-athletes that is often undiagnosed. The effects of excessive exercise involvement include but are not limited to lack of recovery time, acquisition of overuse injuries, and development of eating disorders. In addition, exercise addiction can result in low athletic and academic performances, subsequent depression, and resistance to seek professional assistance. The study findings may aid athletic administration and coaching staff in developing appropriate training methods that would facilitate student-athletes’ healthy adherence to physical activity. Purpose: The purpose of the current study was to explore: a) the levels of Division I student-athletes’ physiological and psychological dependence on physical activity (exercise addiction); b) the frequency and duration of student-athletes’ voluntary physical activity, in addition to the NCAA required training time; c) the motivational factors behind student-athletes’ voluntary physical activity, and d) the relationship between student-athletes’ exercise dependence and their weekly hours of voluntary physical activity. Methods: In total, 106 NCAA Division I collegiate athletes completed the Exercise Dependence Scale (EDS-21) and reported the duration and frequency of physical activity performed in addition to the NCAA required training. Participants also indicated the motivating forces behind their voluntary physical activity. Multiple linear regression and ANOVA tests were conducted to establish statistical significance for the relationships of interest. Results: Findings indicated, out of 106 student-athletes, 14.2% of athletes were identified as exercise dependent, while 62.3% of athletes demonstrated withdrawal symptoms. Exercise dependent student-athletes engaged in up to 6 hours of weekly physical activity in addition to the required 20-hour physical training (M = 4.27, SD = 0.26). On the NCAA required day off, 63 student-athletes (59.43%) engaged in up to 2 hours of physical activity (M = 1.34, SD = 0.13). Improving athletic performance was the main motivation behind athletes’ voluntary physical activity. Further, the results of multiple linear regression and ANOVA revealed a strong positive relationship between student-athletes’ exercise dependence and their weekly hours of voluntary physical activity (F (1, 104) = 181.139, p < 0.001, R = 0.797). Thus, exercise dependent student-athletes engaged in much higher amounts of voluntary physical activity than symptomatic and asymptomatic student-athletes (Mean differences = 1.145 and 3.267 hours, respectively). Discussion: Athletic administration and coaching staff can shape athletes’ perceptions of healthy exercise habits and facilitate long-term healthy adherence to physical activity. Future research can examine the effectiveness of educational programs for exercise addiction prevention on student-athletes’ abilities to detect maladaptive exercise habits.
引言:运动成瘾是NCAA学生运动员中一个普遍存在的问题,但往往无法诊断。过度运动的影响包括但不限于缺乏恢复时间、过度运动损伤和饮食失调。此外,运动成瘾会导致运动和学习成绩低下,随后出现抑郁,以及拒绝寻求专业帮助。研究结果可能有助于体育管理部门和教练组制定适当的训练方法,促进学生运动员健康地坚持体育活动。目的:本研究旨在探讨:a)一级学生运动员对体育活动(运动成瘾)的生理和心理依赖程度;b) 学生运动员自愿体育活动的频率和持续时间,以及NCAA要求的训练时间;c) 学生运动员自愿体育活动背后的动机因素,以及d)学生运动员的运动依赖性与他们每周自愿体育活动时间之间的关系。方法:总共有106名NCAA第一赛区大学生运动员完成了运动依赖量表(EDS-21),并报告了除NCAA要求的训练外进行的体育活动的持续时间和频率。参与者还指出了他们自愿体育活动背后的动力。进行多元线性回归和方差分析检验,以确定兴趣关系的统计学显著性。结果:研究结果表明,在106名学生运动员中,14.2%的运动员被认定为运动依赖型,62.3%的运动员表现出戒断症状。依赖运动的学生运动员除了需要20小时的体育训练外,每周还进行长达6小时的体育活动(M=4.27,SD=0.26)。在NCAA规定的休息日,63名学生运动员(59.43%)进行了长达2小时的体育运动(M=1.34,SD=0.13)。提高运动成绩是运动员自愿进行体育活动的主要动机。此外,多元线性回归和ANOVA的结果显示,学生运动员的运动依赖性与他们每周的自愿体育活动时间呈正相关(F(1104)=181.139,p<0.001,R=0.797)。因此,与有症状和无症状的学生运动员相比,依赖运动的学生运动员参与的自愿体育活动量要高得多(平均差异分别为1.145和3.267小时)。讨论:体育管理和教练组可以塑造运动员对健康锻炼习惯的看法,并促进长期健康地坚持体育活动。未来的研究可以检验预防运动成瘾的教育计划对学生运动员发现不适应运动习惯能力的有效性。
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引用次数: 0
Short-term Effects of Whey, Creatine, and L-carnitine Supplementation on Muscle Hypertrophy Marker Candidates in Young Males: A Randomized Placebo-controlled Pilot Study 补充乳清、肌酸和L-肉碱对青年男性肌肉肥大候选标志物的短期影响:一项随机安慰剂对照的初步研究
Pub Date : 2018-10-31 DOI: 10.12691/JPAR-3-2-6
Bagus Sarmito, F. Kartawidjajaputra, A. Suwanto
Previous research showed that resistance exercise could induce muscle development, noticeably from the increased level of several markers from blood samples. However, no study had been performed to explore the effect of combination of resistance exercise and proper nutrition supply on those markers. The aim of this study to investigate the effect of whey protein, creatine, and L-carnitine; on potential molecular markers of muscle hypertrophy (arg1 and mmp9) from blood samples. Twelve healthy male participants were randomly categorized into supplement (SUPP) or placebo (PLAC) treatment, and performed resistance training three times in a one-week period. Blood sampling was carried out before (day one) and 2 hours after the exercise (day one, day three and day five). The level of mmp9 gene expression was increased along with the progress of the resistance training program. Moreover, participants who received supplementation (SUPP) showed a higher level of mmp9 gene expression compared to resistance training only (PLAC). A significant difference was observed between two treatments in the first day, 2 hours after the resistance training session (p = .04); and between SUPP group on the fifth day, 2 hours after the resistance training; compared to the first day, before the resistance training session (p = .02). The effect was not observed on arg1 gene. A combination of resistance training with supplementation; was considered to enhance the muscle hypertrophy process, compared to resistance training only. The results also suggested that mmp9 could act as a blood-derived molecular marker of muscle hypertrophy.
先前的研究表明,阻力运动可以诱导肌肉发育,血液样本中几种标志物的水平明显升高。然而,尚未进行任何研究来探索阻力运动和适当营养供应相结合对这些标志物的影响。本研究的目的是研究乳清蛋白、肌酸和L-肉碱的影响;关于血液样本中肌肉肥大的潜在分子标记物(arg1和mmp9)。12名健康男性参与者被随机分为补充剂(SUPP)或安慰剂(PLAC)治疗,并在一周内进行三次阻力训练。在运动前(第一天)和运动后2小时(第一天、第三天和第五天)进行血液采样。mmp9基因表达水平随着阻力训练项目的进展而增加。此外,与单纯阻力训练(PLAC)相比,接受补充(SUPP)的参与者显示出更高水平的mmp9基因表达。在阻力训练后2小时的第一天,两种治疗之间观察到显著差异(p=0.04);SUPP组在阻力训练后第5天、2小时;与阻力训练前的第一天相比(p=0.02)。在arg1基因上没有观察到这种影响。阻力训练与补充相结合;与仅进行阻力训练相比,被认为可以增强肌肉肥大过程。结果还表明,mmp9可以作为肌肉肥大的血液来源分子标志物。
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引用次数: 0
A Feasibility Study Assessing a Culturally Relevant Physical Activity Intervention for Midlife Filipino Women 评估菲律宾中年妇女文化相关体育活动干预的可行性研究
Pub Date : 2018-10-09 DOI: 10.12691/jpar-3-2-5
Aisha Bhimla, S. Razon, G. Ma, G. Salvatore, Julia Trout, M. Sachs
Introduction: Regular participation in physical activity (PA) can prevent chronic disease and mental illness across the lifespan and during later adulthood. Few PA interventions have been implemented in underserved Filipino American women to address health related outcomes among this population. Purpose: This study assessed the effect of a culturally relevant community-based Zumba® program on anthropometrics, physical fitness, and exercise motivation among midlife Filipino women. Methods: We employed a single-group pretest-posttest design. Twenty-one female participants were recruited from Filipino community-based organizations (CBOs) in the Greater Philadelphia region. Sixteen female participants (N=16, M age = 55.88, SD = ± 9.479) completed the 8-week program, which consisted of attending three Zumba classes per week at the Filipino CBOs, which was led by a certified Zumba instructor of Filipino ethnicity. A paired samples t-test was conducted to detect the differences between the pre-and post-outcome measures. Results: A total of 16 out of 21 participants completed the intervention and the post-intervention assessment (76% retention rate). Adherence to the Zumba classes was 42.46% among participants who completed the post-intervention. With regards to pre- and post- primary outcome measures, there was a significant reduction in body weight (-3.18±2.61 lbs., p 2, p = 0.002), and increase in flexibility (1.93±3.22 cm, p = 0.035) among participants. There were no statistically significant differences in exercise motivation inventory (EMI-2) subscales, except affiliation scores increased among participants overall (-0.750±1.38, p = 0.047). Discussion: The incorporation of this community-based program can be a promising approach for potentially enhancing health outcomes for underserved Asian American populations such as Filipino Americans. Future research can examine the long-term impacts of Zumba and other exercise modalities for chronic disease prevention and management.
简介:经常参加体育活动(PA)可以在一生中和成年后预防慢性病和精神疾病。很少对服务不足的菲律宾裔美国妇女实施PA干预措施,以解决这一人群中与健康相关的结果。目的:本研究评估了基于文化相关的Zumba®项目对中年菲律宾女性的人体测量、体能和锻炼动机的影响。方法:采用单组前测后测设计。21名女性参与者来自大费城地区的菲律宾社区组织。16名女性参与者(N=16,M年龄=55.88,SD=±9.479)完成了为期8周的项目,该项目包括每周在菲律宾CBO参加三次尊巴课程,由一名菲律宾裔的尊巴认证讲师领导。进行配对样本t检验,以检测前后结果测量之间的差异。结果:21名参与者中共有16人完成了干预和干预后评估(76%的保留率)。在完成干预后的参与者中,尊巴课程的依从性为42.46%。关于主要治疗前后的结果测量,参与者的体重显著减轻(-3.18±2.61磅,p2,p=0.002),灵活性增加(1.93±3.22厘米,p=0.035)。运动动机清单(EMI-2)分量表没有统计学上的显著差异,只是参与者之间的隶属关系得分总体上有所增加(-0.750±1.38,p=0.047)。讨论:纳入这一基于社区的计划可能是一种很有前途的方法,有可能提高服务不足的亚裔美国人(如菲律宾裔美国人)的健康结果。未来的研究可以检验尊巴和其他锻炼方式对慢性病预防和管理的长期影响。
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引用次数: 4
Effects of Brief Fitbit Use on Physical Activity & Cardiometabolic Risk Fitbit短期使用对身体活动和心脏代谢风险的影响
Pub Date : 2018-09-28 DOI: 10.12691/JPAR-3-2-4
M. Adams, Chelsea Freleng
Wrist-worn fitness trackers are popular consumer products, but few studies have documented their use as a stand-alone intervention tool. This study examined the effect of wearing the Fitbit Flex on moderate to vigorous physical activity (MVPA), sedentary behavior (SB), self-efficacy (SE), and cardiometabolic risk factors. Participants (n=28, m age = 50.5 yrs) wore the Fitbit for 3 weeks, then were randomly assigned to continue for 3 more weeks (6-week group) or discontinue use (3-week group). Participants were not physically active prior to the study. Accelerometers recorded weekly, work-week and weekend MVPA and SB at baseline and post. BMI, waist circumference, and blood pressure were measured baseline and post. A self-efficacy questionnaire was administered baseline, mid-point, and post. MVPA significantly increased in both groups. The 6-week group performed better on weekend MVPA. SB did not change. Waist circumference decreased significantly in both groups. Overall, there was no change in SE. However, the hypothesized pattern between groups was found. The 6-week group had a small increase in SE while the 3-week group declined non-significantly. Fitbit fitness trackers are effective at increasing MVPA and impact waist circumference, in as little as 6 weeks. However, the mechanism for behavior change is unclear and needs further study. This research is challenging as the features of fitness trackers are constantly changing.
戴在手腕上的健身追踪器是很受欢迎的消费产品,但很少有研究证明它们是一种独立的干预工具。本研究考察了佩戴Fitbit Flex对中高强度体力活动(MVPA)、久坐行为(SB)、自我效能(SE)和心脏代谢风险因素的影响。参与者(n=28, m = 50.5岁)佩戴Fitbit 3周,然后随机分配继续使用3周(6周组)或停止使用(3周组)。参与者在研究前没有进行体育锻炼。加速度计记录每周,工作周和周末的基线和后的MVPA和SB。基线和后分别测量BMI、腰围和血压。在基线、中点和事后分别进行自我效能问卷调查。两组患者MVPA均显著升高。6周组在周末MVPA表现较好。SB没有变。两组患者的腰围均显著下降。总体而言,SE没有变化。然而,发现了组间的假设模式。6周组SE有小幅升高,3周组SE无明显下降。Fitbit健身追踪器在短短6周内就能有效地增加MVPA并影响腰围。然而,行为改变的机制尚不清楚,需要进一步研究。这项研究具有挑战性,因为健身追踪器的功能在不断变化。
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引用次数: 1
Knowledge of Prenatal Exercise among Expectant Women from Selected Health Facilities, Kakamega County, Kenya 肯尼亚卡卡梅加县选定医疗机构孕妇产前运动知识
Pub Date : 2018-07-12 DOI: 10.12691/jpar-3-1-9
Edinah Sabiri, Micky Olutende Oloo, I. Wabuyabo, Vurigwa Esther
The relationship between exercise or physical activity and women reproductive health is a controversial issue especially characterized by lack of understanding on the type of physical activity or exercise and the exact effect on expectant women. This is evidenced by lack of medical guidelines on exercise in pregnancy up to 1985.The traditional medical view ruled out exercise for expectant mothers. The society in general prevented girls from participating in exercise for fear that it might compromise their potential as future mothers. However recent research show that exercise during pregnancy has benefits to the mother and foetus. Modern medicine appreciates that both expectant mothers need exercise for good health. The study assessed the knowledge and attitude of expectant mothers on benefits of exercise during pregnancy. A descriptive survey research design sought information from 306 expectant mothers of 15 -39 years attending antenatal clinics in selected medical facilities of Kakamega County in Kenya. Self-administered questionnaires were used to collect data from the subjects on maternal characteristics and knowledge on benefits of exercise during pregnancy. Descriptive statistics were used to analyze the level of knowledge and perceived benefits of exercise during pregnancy. The results showed majority of the subjects were between 20-24 years (33.3%). 17% of the sampled population did not know that exercise was useful in pregnancy despite 71.6% having been active in sports while in school. The subjects showed knowledge of exercise in, preventing incontinence (80.4%), decreased risk of pre-eclampsia (71.6%) and decreasing the risk of gestational diabetes and hypertension at 65.7% and 68.6% respectively. The results indicated that there was strong association between the level of education and, knowledge (X2 (3, N=306) =39.109, p=0.02) in the role of exercise during pregnancy. Therefore it is important to note that the level of education is important for quality pregnancy.
运动或体育活动与妇女生殖健康之间的关系是一个有争议的问题,特别是缺乏对体育活动或运动的类型及其对孕妇的确切影响的了解。这一点可以从直到1985年都没有关于孕期运动的医学指南中得到证明。传统的医学观点认为孕妇不宜锻炼身体。社会普遍阻止女孩参加运动,因为担心这会影响她们成为未来母亲的潜力。然而,最近的研究表明,怀孕期间的运动对母亲和胎儿都有好处。现代医学认识到,准妈妈们都需要锻炼来保持身体健康。该研究评估了准妈妈们对孕期运动益处的认识和态度。一项描述性调查研究设计向在肯尼亚卡卡梅加县选定医疗机构产前诊所就诊的306名15至39岁的孕妇寻求信息。研究人员使用自我填写的调查问卷,从研究对象那里收集有关母亲特征和怀孕期间锻炼益处的知识的数据。描述性统计用于分析怀孕期间运动的知识水平和感知益处。结果显示,年龄在20 ~ 24岁之间的患者居多(33.3%)。尽管71.6%的人在上学时积极参加体育运动,但17%的抽样人群不知道运动对怀孕有益。了解运动预防失禁(80.4%)、降低子痫前期风险(71.6%)、降低妊娠期糖尿病和高血压风险(65.7%和68.6%)。结果表明,教育程度和知识水平对孕期运动的作用有较强的相关性(X2 (3, N=306) =39.109, p=0.02)。因此,重要的是要注意教育水平对高质量妊娠的重要性。
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引用次数: 6
Exercise Prescription: Practices of Healthcare Professionals in Hospital Setting, Kenya 运动处方:肯尼亚医疗保健专业人员在医院环境中的实践
Pub Date : 2018-06-16 DOI: 10.12691/JPAR-3-1-8
Micky Olutende Oloo, P. Bukhala, B. Wesonga
Physical inactivity is a serious epidemic that affects one’s health and there’s evidence that exercise can improve quality of life and health. The healthcare setting has been recognized as an appropriate and promising venue for counseling and prescribing physical activity to increase activity index of the population. An exercise prescription from a healthcare professional will remind the patient that physical activity is part of their treatment plan and should be adhered to with the same diligence with which their medication is taken. However, limited research on the topic suggests that many healthcare professionals are not incorporating exercise into treatment, and many lack the confidence to do so. The purpose of this study was to evaluate current exercise prescription trends among practicing healthcare professionals in Kakamega County, Kenya. A cross-sectional study was carried out in public health facilities in Kakamega County. The target population was nurses, medical officers and clinical officers. Data was collected using self-administered questionnaires and a total of 280 healthcare professionals from 7 government hospitals in Kakamega county participated in the study. From these hospitals 221 healthcare professionals (medical officers=11,5%, nurses= 165,75% and clinical officers=71,32%) completed the questionnaire. Healthcare professionals (HCPs) reported that, they occasionally (n=75, 33.9%) referred patients to other professionals for fitness assessment or appraisal, they occasionally (n=78, 35.3%) provided patients with verbal directions for a physical activity program, they very rarely (n=73, 33%) provided patients with written directions for a physical activity program, they frequently (n=71 32.1%) counselled PA (verbal or written prescription) for purposes of preventing chronic disease, they occasionally (n=76, 34.4%) discussed about physical activity with their patients and 59 (26.7%) very rarely participated in exercise session at least three times a week. The independent between- group ANOVA yielded a non- statistically significantly effect, F (2, 218) = 1.132, p = .324, ƞp2= .01. Statistical power was not adequate and was equal to .248. Thus, the null hypothesis of no significant differences in knowledge of exercise prescription in health professionals at public health facilities in Kakamega was accepted. In conclusion these findings lend support for further training, increased incorporation, and further growth needed in healthcare professionals’ self-efficacy in the prescription of exercise.
不运动是一种严重的流行病,会影响一个人的健康,有证据表明运动可以提高生活质量和健康。医疗保健环境已被公认为一个合适且有前景的场所,用于咨询和规定体育活动,以提高人群的活动指数。医疗保健专业人员的运动处方会提醒患者,体育活动是他们治疗计划的一部分,应该像服药一样认真遵守。然而,对该主题的有限研究表明,许多医疗保健专业人员没有将锻炼纳入治疗,许多人对此缺乏信心。本研究的目的是评估肯尼亚卡卡梅加县执业医疗保健专业人士目前的运动处方趋势。在卡卡梅加县的公共卫生设施中进行了一项横断面研究。目标人群是护士、医务人员和临床人员。数据是通过自我管理问卷收集的,来自卡卡梅加县7家政府医院的280名医疗保健专业人员参与了这项研究。来自这些医院的221名医疗保健专业人员(医务人员=11.5%,护士=165.75%,临床人员=71,32%)完成了问卷调查。医疗保健专业人员(HCP)报告称,他们偶尔(n=75,33.9%)将患者转介给其他专业人员进行体能评估或评估,偶尔(n=78,35.3%)为患者提供体育活动计划的口头指导,很少(n=73,33%)为患者提供体育活动计划书面指导,他们经常(n=71 32.1%)为预防慢性病而咨询PA(口头或书面处方),偶尔(n=76,34.4%)与患者讨论体育活动,59(26.7%)很少每周至少参加三次运动。独立的组间方差分析产生了无统计学意义的影响,F(2228)=1.132,p=.324,ƞp2=.01。统计能力不够,相当于.248。因此,Kakamega公共卫生机构的卫生专业人员在运动处方知识方面没有显著差异的无效假设被接受。总之,这些发现为医疗保健专业人员在运动处方中的自我效能提供了进一步的培训、更多的参与和进一步的成长所需的支持。
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引用次数: 8
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Journal of physical activity research
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