Assessment Of Physical Activity Research Articles

Assessment of physical activity of patients after Covid-19 disease

Purpose: This study aimed to assess the physicalactivity of patients who have suffered fromCOVID-19. The specific aim was to answerwhether there is a relationship between the level ofphysical activity and the patient's recovery fromCOVID-19.Materials and methods: The study was conductedin a private medical facility in Bialystok fromOctober 2023 to March 2024. The study involved100 people who completed an anonymous writtensurvey questionnaire. Participation in the surveywas voluntary, and the information obtained wasused in confidence, in accordance with theprovisions on the protection of personal data.Results: There was a decrease in the daily activityundertaken by 33% of the people before COVID-19and 26% after the illness. The number of peoplespending more than an hour on daily activitydecreased from 47% to 32%. Intense effort for 12%of the people was very limited and slightly limitedfor 35%. Climbing several flights of stairs was somewhat limited for 23% of respondents andmoderate effort for 21%. A faster return to pre-illness physical activity concerns the group ofpeople active before COVID-19 several times aweek (79%) and every day (76%) vs. those activeonce a week (54%) or less than once a week (55%).Additionally, half of the respondents, after COVID-19, still experience symptoms associated withphysical exertion, such as fatigue and weakness,dizziness, and shortness of breath.Conclusions: Individuals who engaged in physicalactivity before the COVID-19 pandemic resumedtheir pre-pandemic lifestyle faster. Mostrespondents (71%) declared that they had returnedto their pre-COVID physical activity, while the restadmitted that their lifestyle had become moresedentary and that they needed more time to restafter physical exertion.

Evaluating the measurement properties and feasibility of physical activity and physical function assessments for children undergoing acute cancer treatment

BackgroundAs physical function and physical activity are often compromised among children and adolescents undergoing acute cancer treatment, psychometrically robust and feasible assessment tools are needed. The aim of this study is to evaluate the construct validity, responsiveness and feasibility of one physical activity assessment tool (Fitbit Inspire); and six physical function assessment tools (Movement ABC-2, Timed Up and Go, 30-s Chair Stand, Timed Rise from the Floor, Timed Up and Down Stairs, 6-min Walk Test) for children undergoing acute cancer treatment. MethodsA prospectively-registered, mixed methods, single-group study evaluated measurement properties against a priori hypothesis using Consensus-based Standards for the selection of health status Measurement Instruments (COSMIN) framework. Feasibility was assessed quantitively (a priori thresholds), and qualitatively (semi-structured interviews, focus-groups). ResultsTwenty children/adolescents (median age 13 ​± ​5 years, various cancer diagnoses), 20 parents and 16 clinicians participated. Fitbit was feasible to assess daily steps only, had evidence of construct validity, tendency to overestimate step count and adequate evidence of responsiveness (compared to Actigraph). The 30-s Chair stand, 6-min Walk Test and Timed Up and Go were feasible and showed evidence of construct validity and responsiveness. To maximise feasibility, consideration of timing and intent of assessment are crucial. ConclusionFitbit has limitations as a physical activity assessment tool. The 30-s Chair Stand, 6-min Walk Test and Timed Up and Go were feasible to use and showed favourable measurement properties to assess physical function.

Physical activity level and quality of life of university employees

The study aims to evaluate the physical activity and quality of life levels of university academic and administrative staff. The universe of the study consisted of 912 personnel, 577 academic and 335 administrative, working at Alanya Alaaddin Keykubat University. The study was planned with the general screening method, and the International Physical Activity Assessment Questionnaire (IPAQ) was used to determine the physical activity levels of university personnel and the short forms of the quality of life assessment questionnaire (SF-36) were used to determine their quality of life. The surveys were applied online, and SPSS 25.0 statistical program was used in the statistical analysis of the obtained data. Percentage, frequency, chi-square, ANOVA, MANOVA, and post hoc tests were used in the analysis of the data and the significance level was taken as (p<.05). It was observed that 73% of the university academic and administrative staff had postgraduate education, 72% were married and 74% had a nuclear family structure. It was determined that the physical activity levels of academic and administrative staff were not good, and they were not active. However, it was determined that men were more active than women and singles were more active than married. It was observed that only 47 (15%) of the academic and administrative staff had sufficient activity levels and there was no statistically significant difference between the genders (p>0.05). In the comparisons between the groups, a significant difference was observed in the social and mental dimensions in favor of the academic staff (p<0.05). On the other hand, no significant difference was observed in the physical, general health, social, and mental dimensions (p>0.05). It was determined that the physical activity levels of the academic and administrative staff were not good, men were more active than women and the quality of life of the academic staff was better.

Habitual physical activity is related to more creative activities and achievements

Beyond health, physical activity (PA) is associated with better creative ideation performance. People who are habitually more physically active produce more original ideas when asked to think creatively about an alternative use of an everyday object such as a brick. This aligns with findings indicating a positive relationship of PA with more basic cognition, such as memory, attention, as well as executive functioning. However, to the best of our knowledge, to date, no empirical research examined the link between PA (or inactivity) and real-life creative behavior. Therefore, this study investigated how objective and subjective assessments of PA relate to creative activities and achievements. In a sample of 156 participants wearing a mobile sensor for up to five consecutive days, less sedentary behavior and more moderate-to-vigorous PA were associated with more frequent creative activities. A similar pattern of associations occurred for self-rated habitual PA, which explained additional and unique variance of creative activities as well as creative achievements. For objective PA (assessed via sensor), we did not find associations with creative achievements, openness, and creative behavior. The results of this study suggest that the positive effects of habitual PA may generalize from better health, cognition, and creative ideation performance outcomes to more real-life creative behavior such as cooking original dishes and making music.

Combined Self-Reported and Device-Measured Physical Activity Assessment and Disability Incidence in Older Adults

ObjectivesTo clarify the relationship between self-reported and device-measured physical activity (PA) and disability incidences in community-dwelling older adults. DesignProspective cohort study. Setting and ParticipantsIn total, 4504 (median age 75 [range, 72–79] years; women, 52.1%) community-dwelling older adults were included in this study. MethodsDevice-measured moderate-to-vigorous PA (MVPA) was measured using a triaxial accelerometer. Self-reported MVPA was assessed using the Japanese version of the International Physical Activity Questionnaire, Short Form. The cutoff MVPA was 150 min/wk. PA was divided into 4 groups based on self-reported and device-measured assessments: (1) self-reported/device-measured inactive, (2) self-reported active/device-measured inactive, (3) self-reported inactive/device-measured active, and (4) self-reported/device-measured active. The disability incidence, defined as a long-term care insurance certification of any level indicating a requirement for support or continuous care, was prospectively determined using data extracted from the Japanese long-term care insurance system. ResultsOf the participants, 892 (19.8%) developed disabilities within 62 (range, 60–64) months. The prevalence of self-reported inactive/device-measured inactive, self-reported active/device-measured inactive, self-reported inactive/device-measured active, and self-reported active/device-measured active were 884 (34.9%), 441 (17.4%), 693 (27.3%), and 515 (20.3%) participants, respectively. Multivariate Cox regression analysis showed that self-reported/device-measured active, self-reported inactive/device-measured active, and self-reported active/device-measured inactive independently decreased the disability incidence risk (self-reported/device-measured active: hazard ratio [HR], 0.555, 95% confidence interval [CI], 0.412–0.749; self-report inactive/device-measured active: HR, 0.656; 95% CI, 0.518–0.831; self-reported active/device-measured inactive: HR, 0.718; 95% CI, 0.556–0.928). In the post hoc analysis, those who were self-reported active/device-measured inactive were divided into 2 groups according to involvement in sports. Those who played sports had a lower disability risk; however, the difference was not significant. Conclusions and ImplicationsCombined self-reported and device-measured PA assessments may allow for disability risk stratification in older adults. The findings will also help in creating methods for evaluating PA levels to prevent disability incidences among older adults.

Grandparenting: Impact on Physical Activity, Dietary Habits, and Quality of Life.

Background: Informal childcare supply may have a double-edged effect on grandparents' health and quality of life, as different aspects of it may exceed or subceed the capacity of the older persons, in various ways. This study aimed to assess the effect of grandparenting on physical activity, nutrition, and quality of life of older people. Methods: The study involved 152 grandparents ≥65 years old (69.2 ± 4.5 years). Data were collected by a self-reported questionnaire consisting of four sections: (a) sociodemographic profile, (b) physical activity assessment (IPAQ), (c) compliance with the Mediterranean diet (MedDiet score), and (d) quality of life assessment (WHOQOL-BREF). Results: Significant correlations were found concerning the care of grandchildren with physical activity, eating habits, and quality of life of older adults. The most notable results of regression analysis, regarding grandparenting effect, were the number of grandchildren being taken care of, which had a statistically significant negative effect on dietary habits, physical activity and quality of life, and being the only caregivers, which was positively associated with dietary habits, but negatively with the two other outcomes (all p < .01). Conclusion: The results showed that different aspects of informal childcare had statistically significant effects on dietary habits, physical activity, and overall quality of life in older people.

Isolated and Combined Effects of Sedentary Behaviour and Physical Activity on Muscle Strength in Older Adults: AProspective Cohort Study.

We aim the isolated and combined effects of sedentary behaviour exposure time and physical activity levels on muscle strength in older adults. This prospective observational cohort study, analytical in nature, using exploratory survey methods and physical performance testing. With 5-year longitudinal follow-up (2015-2020). A total of 459 older adults participated in the baseline, with a total of 224 being included/located again in the follow-up. We evaluate muscle strength using handgrip tests and sit-to-stand tests. The international physical activity questionnaire was used to measure physical activity and sedentary behaviour. Generalised Estimation Equations tested both independent and combined effects, reporting results as β coefficients and confidence intervals. Older adults exhibiting low sedentary behaviour displayed enhanced handgrip strength compared to those with high sedentary behaviour. Notably, older adults who were sufficiently active with low sedentary behaviour, sufficiently active with high sedentary behaviour, and insufficiently active with low sedentary behaviour showed increased handgrip strength compared to their counterparts who were insufficiently active with high sedentary behaviour. This trend was consistent for lower limb strength. Interventions that encourage a reduction in sedentary behaviour and an increase in physical activity are essential to maintain muscle strength among older adults. The findings of this study underscore the importance of addressing both sedentary behaviour and physical activity levels in clinical interventions aimed at preserving muscle strength in older adults. Routine assessments of physical activity and sedentary behaviour could help tailor personalised exercise programs, potentially enhancing functional independence and reducing the risk of frailty and disability in older patients. Patients were involved in the sample of the study. This study was conducted in accordance with the Strengthening Research in Observational Studies in Epidemiology (STROBE) guidelines.

Accuracy of an Activity Monitor in Assessing Physical Activity of Hospitalized Geriatric Rehabilitation Patients With Slow Walking Speed Using a Walking Aid.

Accurate assessment of physical activity is essential in hospital settings, but difficult for geriatric rehabilitation patients who have slow walking speed and rely on walking aids. This study conducted an external validation of the MOX activity monitor accuracy in distinguishing between sedentary (lying, sitting), standing, and dynamic activities among hospitalized geriatric rehabilitation patients. Additionally, the study assessed clinical tolerance and ease of use of the monitor. Inclusion criteria were being hospitalized on the geriatric rehabilitation ward, aged 70years or older, and using a walking aid. The monitor was placed on the upper leg, and remained in place for 1 week. In a test-session, four activities of 4min each (lying, sitting, standing, and walking) were filmed. Video analyses created a direct observation timeline. Daily skin irritation assessments were conducted and participants noted their discomfort level at the week's end. The study included 20 participants who relied on walking aids, with 10 requiring additional physical support while walking. The MOX activity monitor exhibited excellent accuracy in classifying the four activities, with a zero mean percentage error for sedentary activity, 2.2% for standing, and 2.7% for walking. Participants reported minimal hindrance, and the monitor proved user-friendly. The MOX activity monitor demonstrated remarkable accuracy in distinguishing between these four activities in a test-session and displayed strong clinical applicability. The monitor shows substantial promise as a valuable tool for assessing physical activity in hospitalized geriatric rehabilitation patients using walking aids.

Physical Activity Measurement in People with Spinal Cord Injury: A Comparative Review of Different Questionnaires.

Physical activity (PA) provides great health benefits for people with spinal cord injury (SCI). Consequently, the design and implementation of PA interventions addressed to this population is needed. To rigorously evaluate these interventions, the use of valid and comprehensive PA measures is crucial. Since the suitability of PA assessment tools might differ among different populations, and considering that questionnaires are one of the most frequently used tools to quantify PA, the purpose of this comparative review was to examine nine questionnaires that have been used to assess PA in people with SCI. All the questionnaires were analyzed in depth in regard to three main dimensions: (1) SCI-specific development; (2) PA domains measured and PA intensity classification; and (3) reliability and validity. After careful consideration of the evidence available on all these aspects, it is suggested that the most suitable questionnaires to be used in PA research in the SCI population are the PARA-SCI and the LTPAQ-SCI[R]. To conclude, the strengths and limitations of these two questionnaires are discussed, and specific recommendations to SCI researchers and practitioners regarding the suitability, according to the context and characteristics, of the research/intervention are provided.

Impact of physical activity on anxiety among university students: a moderated mediation model.

Using a cross-sectional design, convenient sampling was employed to select 997 first to fourth-year students from Jishou University for a self-reported survey. Measures included assessments of physical activity, mental toughness, social support, anxiety, and basic demographic variables. Descriptive statistics, correlations, and a moderated mediation model were conducted. Physical activity was significantly negatively correlated with anxiety and positively correlated with mental toughness. Mental toughness was significantly negatively correlated with anxiety, mediating the relationship between physical activity and anxiety to a certain extent. Social support moderated the latter part of the mediated model pathways. Physical activity negatively correlates with anxiety among university students. Mental toughness mediates the relationship between physical activity and anxiety, while social support moderates the latter stages of this mediated model (mental toughness → anxiety).

Assessment and role of physical activity as a factor affecting subjective perception of students' satisfaction

The paper aims to provide analysis of Slovak university students’ physical activity during state-ordered distance learning in the academic year 2021/2022 (the COVID-19 pandemic). The data were obtained in form of a questionnaire survey. In the analytical part, the focus is on weekly time that students devoted to regular exercise and quantification of physical activity versus subjective perception of selected physical and psychological satisfaction and health indicators. To meet the paper’s objectives, a two-sample t-test was used to test statistical significance of differences between men and women, and parametric and non-parametric correlation analysis methods. In terms of age structure majority of students falls into young adults’ category, in which physical activity has only a small positive effect on the subjective perception of satisfaction. Majority of students exercised on average up to 50 minutes per week, which is less than weekly physical activity during regular face-to-face lessons of Physical Education.

Abstract 4125679: Physical activity among gender minority adults: A systematic review

Introduction: Gender minority (GM; e.g., transgender, non-binary) adults have a higher prevalence of cardiovascular disease (CVD) than their cisgender (i.e., non-transgender) counterparts. Physical activity (PA) is associated with a lower risk of CVD and all-cause mortality. Compared to cisgender adults, GM adults face unique challenges (e.g., discrimination, lack of safe spaces) to meeting aerobic and muscle-strengthening PA recommendations, which may negatively impact their overall health and well-being. There is also limited evidence on factors associated with lower PA among GM adults. Goal: To understand differences in the prevalence of PA between GM and cisgender adults and to identify factors associated with PA among GM adults. Methods: Following the PRISMA guidelines, we performed a comprehensive search using five databases (PubMed, Embase, Web of Since, CINAHL, and Scopus). We included peer-reviewed, English-language, quantitative empirical studies focused on PA among GM adults published between 2004 and 2024. We excluded qualitative studies, reviews, editorials, conference abstracts, and grey literature. We performed quality appraisal using the Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross-Sectional Studies. Results: A total of 5,163 articles were retrieved and 24 met inclusion criteria. The included studies had a low to moderate risk of bias. Methodological weaknesses of the included studies were an overreliance on self-reported PA with no objective assessment using accelerometry, use of non-validated PA measures, and limited assessment of muscle-strengthening PA. Most studies (n = 15) reported lower aerobic and muscle-strengthening PA among GM adults compared to their cisgender counterparts. Two studies found that GM adults with higher perceived psychological stress reported lower PA. One study found that GM adults who were on gender-affirming hormone therapy reported higher PA than GM adults who were not. Conclusions: Findings highlight that GM adults report lower aerobic and muscle-strengthening PA than cisgender adults. There is a need for more comprehensive research to understand these disparities and their impact on GM adults’ cardiovascular health. This systematic review can inform future research and the development of tailored interventions to increase PA among GM adults.

Physical activity and renal outcome in diabetic and non-diabetic patients with chronic kidney disease stage G3b to G5

The association of physical activity with renal outcome and mortality in advanced chronic kidney disease (CKD; i.e., estimated glomerular filtration rate [eGFR] < 45 ml/min/1.73m2) is poorly studied. We examined this association in patients with advanced CKD in Japan. We used the Rapid Assessment of Physical Activity to assess baseline physical activity and classify patients as active or inactive. CKD progression was defined as 40% decline in eGFR, eGFR < 10, or requiring dialysis or transplantation. Among the 1,808 eligible patients, after adjusting for possible confounders, hazard ratios (HRs) for poor renal outcome in the active group were 0.68 (95% CI, 0.44–1.04), 1.09 (0.86–1.38), and 1.01 (0.82–1.25) in CKD stage G3b, G4, and G5, respectively, suggesting a renal benefit of exercise in CKD stage G3b. Adjusted HRs for death were 0.79 (0.40–1.57), 0.55 (0.38–0.80), and 0.75 (0.44–1.26) in stage G3b, G4, and G5, respectively. While the adjusted HRs of death were 0.84 (0.52–1.38) and 0.60 (0.43–0.83) in diabetic and non-diabetic patients, suggesting that exercise may reduce mortality in non-diabetic patients. Our study suggests that exercise is associated with better survival in non-diabetic patients with CKD stage G3b-5, and better renal outcome in diabetic and non-diabetic CKD stage G3b.

Looking beyond sleep duration in understanding obesity risk in adolescents: the role of circadian timing and misalignment on adolescent dietary outcomes, physical activity, and body mass index.

This study evaluated the differences in obesity-related outcomes across multiple adolescent sleep health domains, including circadian misalignment (CM), circadian timing, and sleep duration. 53 adolescents (aged 14-18; body mass index [BMI] percentile < 95%; 53.7% female) completed a cross-sectional study that included baseline assessment of height; weight; demographics; and 10 days assessment of sleep, physical activity, and dietary outcomes. Sleep duration, sleep timing, and physical activity data were collected from all participants using wrist-worn and waist-worn actigraphs. Dietary intake was measured using the Automated Self-Administered 24 Hours dietary recalls on 3 randomized days. Circadian timing was measured using dim-light melatonin onset (DLMO), and CM was calculated as the distance of time between DLMO and the average sleep onset time. Participants were categorized into groups (early vs late circadian timing, aligned vs misaligned circadian timing, and adequate sleep vs short sleep), and differences in dietary outcomes, physical activity, and BMI were analyzed using t-tests. Adolescents with later DLMO (M = 21:30 ± 1:11) had 0.63 higher BMI and 0.47% less averaged daily percent fat consumption than adolescents with early DLMO. Adolescents with CM (M = 1:42 ± 1:06) consumed 451.77 more averaged daily kcal consumption compared with those with circadian alignment. No statistically significant differences were found in any obesity-related outcome between sleep duration groups. Our cross-sectional findings indicate that focusing on sleep timing and circadian alignment, beyond sleep duration, may promote better health outcomes for healthy adolescents. The findings of this study could enhance sleep education and inform clinical models for prevention efforts for pediatric obesity.

The wearable landscape: Issues pertaining to the validation of the measurement of 24-h physical activity, sedentary, and sleep behavior assessment

The wearable landscape: Issues pertaining to the validation of the measurement of 24-h physical activity, sedentary, and sleep behavior assessment

Improved vascular health linked to increased physical activity levels and reduced sedentary behavior in rheumatoid arthritis.

Rheumatoid arthritis (RA) is characterized by deteriorated vascular health and increased cardiovascular risk. Physical activity (PA) is recommended for cardiovascular management in RA, but evidence on the associations between objectively-measured PA and vascular health markers in RA is limited. In this cross-sectional study, eighty-two post-menopausal women with RA (62±7 years) undertook ultrasound assessments of vascular function and structure, including brachial and superficial femoral artery (BA and SFA) flow-mediated dilation; baseline and post-hyperemia peak diameters; and carotid intima-media thickness. Participants also performed a 7-day accelerometer-based assessment of PA and sedentary behavior (SB). Fitted regression models controlled for age, body mass index and disease activity were conducted to examine associations between vascular and PA outcomes. Regression analyses revealed that prolonged SB (bouts>60min) and total sedentary time were inversely associated with both baseline and peak BA diameters, with each additional hour of SB resulting in decreases of 0.08-0.1mm in these diameters (p≤0.01). Total sedentary time also showed similar negative associations with peak SFA diameters (β=-0.14[-0.24-0.05], p<0.01). Conversely, light-intensity PA and stepping time were positively associated with both baseline and peak BA diameters, with each additional hour increasing these diameters by 0.10-0.24mm (p≤0.02). Finally, standing time was positively associated with SFA peak diameter (β=0.11[0.01-0.20], p=0.02). No associations were found between moderate-to-vigorous PA and vascular outcomes. In conclusion, in patients with RA, SB was negatively, while light PA was positively, associated with BA and SFA diameters. These findings suggest that reducing SB and increasing PA, even at light intensities, may improve vascular health in RA.

Relationship between Physical Activity, Physical Literacy Elements, and Gender among Senior Students

The aim of research is to assess the relationship between physical activity, Physical Literacy (PL) and gender among senior students. The research was conducted in 2022 in Lithuania with five city schools. Research participants were selected using a convenience sampling method: grade 10 to 12 (n=287) students 148 boys and 139 girls. A questionnaire survey was used for data collection: Portuguese Physical Literacy Questionnaire for Adolescents (PPLA-Q) to assess the psychological domain of PL (motivation, self-confidence, emotional and physical regulation); Rapid Assessment of Physical Activity (RAPA) Questionnaire - RAPA1 part, which allows to assess the level of physical activity. After analysing the psychological aspects of PL related to physical activity by gender, the obtained results suggest that boys’ motivation for physical activity, self-confidence, emotional stability, assessment of physical limits score higher compared to the group of girls (p&amp;lt;0.01). PA motivation has a strong positive correlation with self-confidence (p&amp;lt;0.01) and a moderate correlation with physical regulation (p&amp;lt;0.01). Physical regulation has statistically significantly correlated with self-confidence (p&amp;lt;0.01) and better emotional regulation (p&amp;lt;0.01). Statistically significant differences by gender were found with all indicators of the psychological domain: PA motivation, self-confidence, emotional regulation, and physical regulation. Mean ranks of boys were higher in all variables; however, the major differences were found in the areas of self-confidence and physical regulation. PA had a direct correlation with all psychological PL elements (PA motivation, self-confidence, emotional regulation, physical regulation) and an inverse correlation with gender.

Objective and subjective physical activity assessment in obese patients with eating disorders

Abstract Background Discrepancies between objective and subjective measures of physical activity have been reported in healthy populations but remain unexplored in adults with obesity and psychosomatic disorders. Exercise is key for reducing these disorders, yet physiological and psychosomatic factors may complicate valid activity assessments in this population. Here, we compare self-reporting with actigraph data in a clinical setting. Methods Over two years, 27 obese patients (21 female, 6 male; 43±14 yrs; 41.3±5.7 kg·m−2) with eating disorders (EDE-Q) were recruited from an Austrian Psychosomatic Center. Total physical activity was assessed using the metabolic equivalent (MET min/w) and sitting time (min/d). Objective data were collected using the SenseWear® wristband (SWA) during weeks 3-4 of patients’ clinical stay. SWA was worn for ≥18 h/d on ≥ 4 days, including one weekend day. Patients self-administered the International Physical Activity Questionnaire (IPAQ-SF) in alignment with the ∼7 days of SWA wear. Concurrent validity - SWA as a criterion - was assessed using regression analyses, and proportional bias was examined with regression and equality line similarity analyses. Results Comparison showed an overestimation of total activity (+45%; p&amp;lt;.001) and underestimation of sitting time (-28%; p&amp;lt;.001) with IPAQ-SF vs SWA. Within-patient correlations were poor for MET (r=.92, p&amp;lt;.001) and impractical for sitting time (r=.27, p=.018), with a proportional bias for both outcomes (p≤.001). Converting objective to subjective measures yielded typical errors of 232 (total activity) and 90 min (sitting time). Conclusions The observed disparities emphasize the need to integrate sensor-based assessment of physical activity into clinical practice or tailored public health initiatives for adult obesity and psychosomatic disorders. However, further research is needed to evaluate the long-term impact of incorporating accurate SWA data on intervention efficacy in this vulnerable group. Key messages • There was strong evidence for meaningful differences in objective vs subjective physical activity assessments in obese patients with eating disorders. • Integrating objective measures into treatment seems crucial to improve exercise-guided interventions and address the global obesity and psychosomatic disorders pandemic.

Cognitive Health Benefits of Everyday Physical Activity in a Diverse Sample of Middle-Aged Adults.

Physical activity has been associated with a wide range of health benefits including long-term benefits for cognitive and brain health. Whether episodes of everyday physical activity are associated with immediate cognitive benefits remains unknown. The purpose of the current study was to examine whether episodes of physical activity, occurring over the course of participants' daily lives, are associated with short-term improvements in cognitive health. Participants completed a 9-day ecological momentary assessment protocol involving 5 daily assessments of self-reported physical activity and ambulatory cognitive assessments of processing speed and visuospatial working memory. Data were analyzed in a multilevel modeling framework to explore changes in performance on each task associated with physical activity during the period leading up to the assessment as well as individual differences in average frequency of physical activity. Results of MLMs indicated that engaging in physical activity during the period (~3.5hr) leading up to an assessment was associated with improvements in processing speed equivalent to 4 years of cognitive aging. Such improvements were observed for both light and moderate-to-vigorous physical activity levels. No association was observed for visuospatial working memory accuracy; however, response time during the working memory task reliably mirrored the association observed for processing speed. The short-term benefits were observed, particularly, for individuals with an overall higher frequency of reported physical activity. Our findings suggest that engaging in everyday physical activity of any intensity level may have short-term, acute benefits for cognitive health and point to new potential targets for intervention. NCT03240406.

At home e-based physical exercise programs in patients with multiple sclerosis: a scoping review.

Physical exercise (PE) improves symptoms and quality of life in people with multiple sclerosis (pwMS). However, incorporating PE into daily lives of pwMS pose difficulties. As an alternative to in-person PE, e-based PE has been proposed because of its advantages in terms of accessibility and convenience. To synthesize existing evidence on e-based PE at home in adults MS and discuss study designs, rehabilitation programs, intervention effects and possible knowledge gaps. In this scoping review, a systematic search in electronic databases including Embase, Medline, CINAHL and Cochrane Library was conducted following the PRISMA guidelines. Peer-reviewed articles in English on e-based PE interventional studies at home involving adult pwMS, published from 2008 until April 2023, were identified and exported to Covidence. Data from the included studies were extracted and synthesized. This scoping review identified different types of e-based PE interventions used in pwMS across different study designs, but when evaluating intervention effects, this review focused solely on randomized controlled trials (RCTs). A total of 3,006 studies were retrieved and 179 studies were screened in full text, resulting in the inclusion of 54 studies with a total of 2,359 pwMS. Of those, 33 were RCTs and three were qualitative studies. The studies reported on various e-based interventions including video-based programs, telerehabilitation, and web-based programs. The interventions evaluated muscle strength, cardiorespiratory fitness, walking speed, endurance, balance, and fatigue, as well as symptoms of depression and cognitive dysfunction. E-based PE interventions at home in RCTs demonstrated improvement of depressive symptoms and anxiety, while inconsistent results were reported for fatigue, walking speed and balance. No significant benefits were observed regarding dexterity. Results were generally heterogeneous and were limited by small sample sizes. Several limitations were identified, such as lack of physical activity assessment prior to the intervention and poor reporting of duration, intensity, frequency and adherence to e-based PE interventions. E-based PE interventions in pwMS may improve MS-related symptoms, but the study quality is generally low, and findings are often inconsistent. Several important limitations of the existing literature have been identified in the present review, which can guide future research.