Average Physical Health Research Articles

How Does Successful Aging Apply To Black Women?: A Latent Class Analysis.

Although prior research has identified racial/ethnic and gender differences in successful aging (SA), heterogeneity within groups has been little examined. We consequently explore the variety of aging experiences among older Black women. We used the 2010/2012 U.S. Health and Retirement Study, limiting analyses to Black women who completed the Psychosocial Leave-Behind Questionnaire (N = 1,186). We conducted latent class analysis (LCA) using indicators of physical health, psychological well-being, social support/strain, and social engagement. Six SA latent classes were identified and labeled according to their distinctive characteristics: infirm, isolated, taxed, independent, vivacious, and robust. The infirm class had uniformly poor health, while the isolated class was in poor physical health but also lacked social relations. Although both had average physical health and psychological well-being, the taxed class experienced high levels of social support and social strain compared to the high support (and unpartnered) independent class. The vivacious and robust classes exhibited high physical health and psychological well-being, high social support/low social strain, and high social engagement, but vivacious women (23% of respondents) were unpartnered and robust women (16% of respondents) were partnered. The robust class had the highest physical and psychological well-being, and best social relations across all classes. Using nationally representative data, we reveal significant heterogeneity in Black women's aging experiences. Although many face difficult aging experiences, 39% of older Black women fit the SA framework well. Future work should recognize that Black women's aging experiences are not homogenous.

COVID-19 Pandemic Effects on Epileptic Children and Interleukin 6 Levels in Recently Diagnosed Epileptic Patients: A Cross Sectional Study

Abstract Background Epilepsy is a disease with wide range of definitions. It is considered a multifactorial condition that may present at various ages and in many forms, which makes it challenging for physicians. In late 2019, SARS-CoV-2 (COVID-19) emerged as a novel coronavirus. Both epilepsy and COVID-19 can be linked in more than one way. Aim of the Study To Determine the effects of COVID-19 pandemic on the health-related quality of life and psychosocial aspects of children with epilepsy & to Determine whether COVID-19 infection is an inflicting cause for epilepsy in newly diagnosed cases. Patients and Methods We interviewed 50 patients with Epilepsy and their parents, for the blood tests we sampled 40 and 40 close relatives with no medical condition of similar age and sex. Results 50 subjects’ results were demonstrated, 28 males and 22 females, median age was 9 years old. Unfortunately, almost all were experiencing depression, data showed that 1 (2%) didn’t have depression, 15 (30%) had mild depression, 27 (54%) had moderate depression and 7 (14%) had been experiencing severe depression, Mostly, all in our study were experiencing anxiety, data showed that 1 (2%) didn’t experience anxiety, 7 (14%) experienced mild anxiety, 16 (32%) experienced moderate anxiety while 26 (52%) experienced severe anxiety. Fair physical, social and emotional health overall, data showed that the average physical health quality of life was 450 (SD 197.65), the average emotional health quality of life was 275 (SD 126.91), the average social health quality of life was 275 (SD 123.61) and the average school performance quality of life was 287.5 (SD 154.31). There were 9 cases newly diagnosed with epilepsy who were COVID IgM. Among subjects with COVID IgM positive, 3 (25%) had no neurological manifestations. Cases had higher levels of IL-6 compared to control children 187.5+/-68.89 and 77.33+/-27.94 respectively with statistically significant difference p < 0.001. However, no significant difference was found upon comparing COVID IgM levels of the 2 relevant groups. Conclusion COVID-19 pandemic has major impacts on health-related quality of life, causing depression, anxiety, decreased social and physical activities and poor school performance. COVID-19 can cause new onset seizures and epilepsy, or increase the frequency of seizures, IL-6 is a useful marker for severity of diseases as COVID-19, also for following up the progression of the disease, but not a marker for diagnosing it.

Health-related quality of life 1 year after a large-scale industrial fire among exposed inhabitants of Rouen, France: 'The Post Fire 76 Health' study.

A large-scale industrial fire occurred in Rouen, France, in 2019. This study assessed the health-related quality of life of people exposed to its consequences 1 year later. The study population comprised inhabitants of the exposed area and a non-exposed area. A representative sample was randomly selected using a stratified design. Data were collected using a standardized questionnaire to describe fire exposure and to calculate three health-related quality of life scores according to the SF12-v2 scale. After adjustment, descriptive and multivariate analyses were conducted. The sample comprised 4773 participants (response rate 47.7%). In the exposed area, the average mental, physical and overall health scores were 47.5, 52.0 and 73.8 out of 100, respectively. Mean mental and overall health scores were higher in the non-exposed area (49.0 and 76.0, respectively). After adjustment, a lower mental health score was associated with a higher number of perceived types of exposure, reaching -3.72 points [-5.41; -2.04] for five or more different types of perceived exposure. A lower mental health score was associated with soot deposits (-1.04 [-1.70; -0.39]), perceiving odours [(-2.04 [-3.22; -0.86]) up to the day of data collection], and having seen, heard or been awakened by the fire (-1.21 [-1.90; -0.52]). A slightly lower physical health score was associated with soot deposits (-0.57 [-1.07; -0.08]). This study highlighted associations between exposure to the consequences of the industrial fire in Rouen and a deterioration of perceived health-related quality of life 1 year later, particularly the mental health dimension.

Impact of Food Delivery and Health Coaching on Outcomes and Costs of Care: A Payer’s Perspective

Summary Blue Cross and Blue Shield of North Carolina (Blue Cross NC) launched a 6-month food delivery and health coaching pilot among low-income members with type 2 diabetes as a proof-of-concept of the feasibility and potential efficacy of a payer-delivered food insecurity intervention. Participants received $60 in groceries delivered to their home twice per month. Health advisors provided weekly support to identify, refine, and advance toward achieving one or more health goals. Baseline and 3- and 6-month surveys assessed self-reported food security, body mass index (BMI), hemoglobin A1c levels, physical and mental health, and member satisfaction. Medical expenses were extracted from claims data for the 6 months before and 6 months after pilot enrollment. Blue Cross NC analyzed results for the 555 members who completed the program (Completes) and the 327 members who partially completed it (Partials). Participants were satisfied with food delivery frequency (81%) and amount of food in each box (82%). Partial participation was associated with decreases in food insecurity (25% to 18%), BMI (35 to 34 kg/m2) and percent obese (76% to 71%), and increases in the percent at or above U.S. average physical (57% to 74%) and mental (68% to 94%) health scores. Complete participation was associated with decreased food insecurity (38% to 20%), BMI (35 to 33 kg/m2) and percent obese (72% to 61%), and increases in the percent scoring at or above U.S. average physical (51% to 65%) and mental (70% to 80%) health measures. Complete participation was associated with a reduction of $139 per member per month (PMPM) in total medical costs and an increase of $8 PMPM in pharmacy costs, suggesting greater medication adherence. Partial participation was associated with a decrease of $10 PMPM in pharmacy costs and increases in all other cost types. Extrapolating the estimated reduction of $139 in PMPM with 6-month participation to all eligible members, the authors estimate the potential for medical expense reductions as $8.5 to $13.1 million annually. The results of this proof-of-concept are a first step in understanding the role payers could play in addressing unmet social needs that have profound consequences for health.

NUTRITION, INFLAMMATION, AND PHYSICAL AND MENTAL HEALTH IN AGING ADULTS WITH CHRONIC WOUNDS

Abstract Nutritional status can impact the healing of chronic leg wounds (CLW). This secondary data analysis examined characteristics associated with nutritional status among aging adults (N=62, M= 57.5, SD 12.1 years of age) living with a CLW who were enrolled in a randomized control trial to test a novel ultrasound intervention on wound healing. Nutritional status (Mini-Nutrition Assessment, [MNA]), physical and mental health (36-Item Short-Form Health Status Survey), and inflammation (high-sensitivity C-Reactive Protein [CRP]) were measured at baseline. Majority of the participants were male (54.8%), non-Hispanic Black (67.7%) and either malnourished or at risk of malnutrition (64.5%). Compared to individuals with normal nutrition, individuals with malnutrition or risk for malnutrition had on average poorer physical health (38.7 vs 33.4, p <0.01), mental health (52.4 vs 45.8, p=0.03) and greater inflammation (CRP=13.4 vs 24.0, p=0.05). Tailored interventions targeting nutritional status, inflammation, physical and mental health are needed in aging adults with CLW.

Quality of life and symptom burden in children with neurodegenerative diseases: using PedsQL and SProND, a new symptom-based scale

BackgroundChildren with neurodegenerative conditions (CNDC) often suffer from severe neurodisability and high symptom burden with multisystemic involvement. However, their symptom burden and health-related quality of life (HRQOL) is not systematically documented in the literature, and there is no existing tool for such purposes. We designed our own tool for scoring of symptom burden amongst CNDCs and adopted the PedsQL generic score 4.0 to quantify the impact of overall symptom burden on children’s overall HRQOL.MethodsThe Symptom Profile for children with neurodegnerative condition (SProND) questionnaire was developed, which consisted of 14 questions grouped according to 5 categories, namely epilepsy, neurobehavioural, movement and mobility related, breathing and swallowing, and other daily activities. CNDCs were recruited during visits to the Comprehensive Neurometabolic / Neurodegenerative Program of the Duchess of Kent Children’s Hospital and Hong Kong Children’s Hospital between November 2019 and March 2020. The SProND and PedsQL 4.0 Generic Core Scales were distributed to consenting parents of CNDCs.Results36 CNDCs were recruited and matched with community controls. The response rate of subject and control were 99.5% and 98.7% respectively. The Cronbach alpha was 0.61 for the neurobehavioural domain and > = 0.7 for other domains. The greater number of symptoms each subject experiences, the worse his/ her PedsQL scores. Subjects displaying hypersalivation and swallowing difficulties had average physical health summary scores of less than 30% compared with subjects without these symptoms. On the other hand, average psychosocial health summary scores of subjects with involuntary movements, joint stiffness, hypersalivation, sleep problem and anorexia were approximately 70% compared to subjects without these symptoms.Discussion and conclusionThis is one of the first studies to look at CNDCs as a group. We propose the SProND questionnaire for evaluation of symptom profile amongst CNDCs with satisfactory internal and external validity. It demonstrates how physical symptoms impact both physical and psychosocial HRQOL, and the cumulative effect of individual symptoms on the overall HRQOL. As such, CNDCs should be systematically screened for multi-systemic symptoms as a routine part of their clinical care, and care plans should be individually catered to individual patients’ symptom burden and specific needs.

THE IMPACT OF RELATIVE INCOME ON FARMERS' PSYCHOLOGICAL CAPITAL AND ANXIETY INHIBITION: EVIDENCE FROM CHINA

THE IMPACT OF RELATIVE INCOME ON FARMERS' PSYCHOLOGICAL CAPITAL AND ANXIETY INHIBITION: EVIDENCE FROM CHINA

Association of depression, pain, and quality of life among confirmed Covid-19 cases in Bangladesh

The purpose of this cross sectional study was to assess the extent of depression, and the quality of life (QoL) among confirmed Covid-19 Bangladeshi patients tested positive for Covid19 from October 2020 to March 2021. This tele-interview survey included 380 patients. Eligible participants were identified from all available phone numbers of the research population obtained from various RT-PCR labs run by the government of the People's Republic of Bangladesh. The level of depression, pain and QoL was assessed with PHQ-9, Visual analogue scale (VAS), and short form-12 V2 (SF-12v2) survey instrument respectively. Depression was prevalent in 4 out of every 5 patients. More than two-third of participants had worse physical and mental health than the average citizen after being diagnosed as COVID-19 positive case. Around two-third of respondents had mild to severe pain after recovery from COVID-19. Younger participants (aged ≤50 years) had relatively better QoL and less pain intensity compared to those of older participant (aged >50 years). The respondents who had higher intensity of subjective pain, and worse than the average physical health had higher frequency of depression. Individuals having history of covid-19 are especially vulnerable to develop pain which was associated with depression and lower quality of life during the COVID-19 pandemic.

Analyses of Cross-Sectional Data to Link the PEG With the Patient Reported Outcomes Measurement and Information System (PROMIS) Global Physical Health Scale

It is challenging to synthesize findings across studies of pain impact. This study develops a link to estimate the Patient-Reported Outcomes Measurement Information System (PROMIS) global health measure from the 3-item Pain intensity, interference with Enjoyment of life, interference with General activity (PEG) scale. The PROMIS and PEG items were administered to 795 adults (average age = 51; 54% female, 79% White). We estimated correlations among the PEG and PROMIS items and conducted factor analysis to identify the best subset of PROMIS items for linking to the PEG. An item response theory graded response model was estimated to link the PEG with the 4-item PROMIS global physical health scale. A categorical single-factor model and a bifactor model provided support for a single dimension for the PEG and PROMIS global physical health items. The product-moment correlation between estimated PROMIS global physical health scale from the PEG and the actual global physical health score was .74. The mean difference between estimated PROMIS global physical health scale score from the PEG and the observed global physical health score was less than a T-score point. This study makes it possible to estimate the average global physical health for group-level comparisons in research that includes the PEG. PerspectiveThis article describes an empirical link of the PEG to the PROMIS global physical health scale that makes it possible to estimate the average global physical health in studies that include the PEG. This link can facilitate comparisons among studies that have not administered the PEG or the PROMIS global health scale.

Quality of life of patients with schizophrenia

IntroductionSchizophrenia (SCZ) is considered one of the most disabling mental illnesses with significant family, social and occupational repercussions resulting in impaired quality of life (QOL).ObjectivesTo assess the QOL of patients with SCZ or schizoaffective disorder (SAD) and to analyze the sociodemographic and clinical factors associated with its alteration.MethodsThis was a cross-sectional, descriptive and analytical study, which began in December 2019, conducted with 60 subjects followed for SCZ or SAD, at the psychiatry outpatient unit of the Hedi Chaker University Hospital in Sfax (Tunisia). General, clinical and therapeutic data were collected using a pre-established questionnaire. QOL was assessed with the «36 item Short-Form Health Survey» (SF-36).ResultsPatients enrolled had SCZ in 78.2% and SAD in 21.8% of cases. The mean age was 47.2 years and the sex ratio M/F was 4.5. They were single in 63.7% of cases and unemployed in 61.8%. Psychiatric family history, the presence of personal somatic illnesses and tobacco use were found in 43.6%, 61.8% and 67.3% of cases, respectively. The average QOL score was 57.7, the average physical health score was 61.1, and the average mental health score was 54.3. Female sex (p=0.02), being single (p=0.039), lack of work activity (p=0.00), tobacco use (p=0.05), and presence of medical history (p=0.034) were statistically correlated with impaired QOL.ConclusionsQOL in SCZ and SAD is impaired. This result encourages us to conceive of the patient in his whole life and not only from the point of view of the disease.DisclosureNo significant relationships.

Assessing forgetfulness and polypharmacy and their impact on health-related quality of life among patients with hypertension and dyslipidemia in Greece during the COVID-19 pandemic.

PurposeWe estimate the association between forgetfulness to take medications as prescribed and polypharmacy and health-related quality of life (HRQoL) among a cohort of patients with hypertension, dyslipidemia or both in Greece during the COVID-19 pandemic.MethodsA telephone survey of 1018 randomly selected adults was conducted in Greece in June 2020. Participants were included in the survey, if they (a) had a diagnosis of hypertension, dyslipidemia or both and (b) were on prescription treatment for these conditions. HRQoL was calculated using the short form (SF) -12 Patient Questionnaire. A multivariable generalized linear regression model (GLM) was used to estimate the association between forgetfulness and polypharmacy and HRQoL, controlling for sociodemographic and health-related covariates.ResultsOverall, 351 respondents met the inclusion criteria, of whom 28 did not fully complete the questionnaire (response rate: 92%, n = 323). Of those, 37% were diagnosed with hypertension only, 28% with dyslipidemia only, and 35% with both. Most reported good to average physical (64.1%) and mental health (48.6%). Overall, 25% indicated that they sometimes forget to take their prescribed medications, and 12% took two or more pills multiple times daily. Total HRQoL score was 68.9% (s.d. = 18.0%). About 10% of participants reported paying less attention to their healthcare condition during the pandemic. Estimates of multivariable analyses indicated a negative association between forgetfulness (− 9%, adjusted β: − 0.047, 95% confidence interval − 0.089 to − 0.005, p = 0.029), taking two or more pills multiple times daily compared to one pill once a day (− 16%, adjusted β: − 0.068, 95% confidence interval − 0.129 to − 0.008, p = 0.028) and total HRQoL.ConclusionOur results suggest that among adult patients with hypertension, dyslipidemia or both in Greece, those who forget to take their medications and those with more complex treatment regimens had lower HRQoL. Such patients merit special attention and require targeted approaches by healthcare providers to improve treatment compliance and health outcomes.

Характеристика показників фізичного стану жінок другого періоду зрілого віку з надлишковою масою тіла

Мета. Оцінити показники фізичного стану жінок другого періоду зрілого вікуз надлишковою масою тіла як основи побудови програми самостійних профілактично-оздоровчих занять. Матеріали і методи. Теоретичний аналіз спеціальної науково-методичноїлітератури, антропометричні, фізіологічні, педагогічні методи дослідження, методиматематичної статистики. У педагогічному експерименті взяли участь 105 жінок другогоперіоду зрілого віку, середній вік яких становив 38,9 року. Результати. Визначено особливостіпоказників фізичного розвитку жінок другого періоду зрілого віку з надлишковою масою тіла.Результати обхвату талії вказують на абдомінальне ожиріння. Середньостатистичний результатіндексу маси тіла у жінок другого зрілого віку знаходиться в діапазоні, який відповідаєнадлишковій масі тіла і є підвищеним ризиком розвитку серцево- судинних захворюваньДосліджувані жінки в переважній більшості мають низький та нижче середнього рівеньфізичного здоров’я. Серед нашої вибірки не було виявлено жінок з вище середнім і високимрівнем фізичного здоров’я. Окрім того, за результатами тестування фізичної підготовленостіжінки мають низький рівень за більшістю показників (сила, координаційні здібності, гнучкість).Висновки. Проведені дослідження дозволили оцінити показники фізичного стану жінокдругого періоду зрілого віку з надлишковою масою тіла і в подальшому будуть використані длярозробки та обґрунтування програми самостійних профілактично-оздоровчих занять.

Day-to-Day Variability in Loneliness: Associations With Age, Sleep Duration, and Health Symptoms

Research has suggested that high day-to-day intraindividual variability (IIV) in positive emotions has negative impacts on well-being. Little research has explored the impact of IIV in negative emotions, particularly loneliness - a known risk-factor for poorer health in old age. With an estimated 25-29% of older adults reporting feelings of loneliness, it is imperative to examine age differences in the presence of IIV in loneliness and how this relates to sleep and physical health symptoms. Using data from the National Study of Daily Experiences (N=2022, Mage=56.24, Range=33-84), we examined whether (1) age was associated with IIV in loneliness, (2) greater IIV in loneliness was associated with lower average sleep duration and more physical health symptoms, and (3) age differences moderate the extent to which IIV in loneliness impacted the previous outcomes. Preliminary results indicated that age was associated with decreased IIV in loneliness (p<.001). Additionally, increased IIV in loneliness and age was associated with significantly fewer physical health symptoms (ps<.05) but was not reliably associated with sleep duration. Finally, age and IIV in loneliness did not interact to predict either physical health symptoms or sleep duration. Older participants diminished IIV in loneliness – and lack of differential vulnerability to IIV in loneliness – is consistent with theoretical models of older adults’ socioemotional regulation (i.e., socioemotional selectivity theory). Contrary to expectations, a higher variability in loneliness was related to lower average physical health symptoms. Discussion will focus on the meaning and importance of IIV in loneliness for older adults’ health.

Impact of Sambo Techniques on Students' Physical Health during the Study in Higher Education Institutions

The article presents the results of the application of sambo techniques to the physical health of student youth in higher education institutions. During the research the following methods were used: analysis and use of data on scientific and methodological literature; pedagogical observation; anthropometry and physiometry; pedagogical experiment and methods that used statistics. The study of body mass index, life index, power index, Robinson index, the time of recovery of heart rate to baseline after 20 squats in 30 sec and, in fact, the level of physical health by the sum of points according to the method proposed by G.L. Apanasenko during the first and second stages (I-II courses of study) showed that one of the ways to improve the level of physical health of student youth is to introduce sambo sports educational classes into the curriculum. This is manifested at the end of the experiment that there was the decrease in number of experimental group (EG) of students with low and below average physical health: in the group of male students by 60%, in the group of female – 47, 4%. The number of male EG students with average and higher than average levels of physical health increased from 16.0 to 76.0%, female students - from 19.1 to 81.5%, which ensured that students were engaged in systematic physical exercises that allowed to improve their level of fitness, physical development, functional state and physical health.

Long-Term Outcomes and the Quality of Life in Patients with Postoperative Ventral Hernias after Various Surgical Options

Introduction. Clinical outcomes of surgical treatment of postoperative ventral hernias are to be investigated not only in the nearest but also in the long-term postoperative period. The aim of research was to study the effectiveness of various methods of hernioplasty and the patients' quality of life in the long-term surgical treatment of postoperative ventral hernias.Materials and methods. The authors analyzed the results of surgical treatment of 76 patients with postoperative ventral hernias in the late postoperative period after various methods of hernioplasty during 2006-2017. The average term of follow up examination was 5.7 years. The patients quality of life was assessed using the SF-36 questionnaire; the anterior abdominal wall and the surgical area examination was performed in all patients; the patients were interviewed on adherence to recommendations in the postoperative period. Results. The average physical health index (PH) was 47,271,05, while mental health index (MH) was 52,861,04. These parameters were low due to the age of the patients (60, 231,29 old), as well as the presence of concomitant diseases of the cardiovascular system (80,3%) and obesity (75%). Index of physical health component in sublay and corrective plastics was significantly lower than in autoplastic and onlay disposition of the prosthesis (р0,001). However, the onlay method as well as the corrective technique and autoplasty revealed a high risk of hernia recurrence, and as a result, a decrease in physical and mental health indexes. According to the survey, it was found that more than 50% of the patients did not adhere to the recommendations for restricting physical exertion and wearing a bandage, which also contributed to the hernia recurrence. In 28% of patients reherniation or diastasis recti abdominis was detected in the surgical area. However, the patients did not notice these changes or did not believe in the success of repeated interventions. Conclusion. Thus, the sublay technique proved to be a preferred method of various hernioplasty options. However, a search for more functional prostheses is needed to improve the quality of patients life. To prevent reherniation, patients are strongly recommended to adhere to the terms of wearing the bandage and restricting physical activity. Follow-up examinations of the patients should be performed by healthcare providers to timely reveal and treat recurrent postoperative ventral hernias.

A Descriptive Study of Transgender Active Duty Service Members in the U.S. Military.

Purpose: Department of Defense policy prohibits, with limited exceptions, transgender individuals from serving in their affirmed gender in the U.S. Military, citing potential impact on unit cohesion and military readiness. To date, however, little is known about the sociodemographic profile and health of transgender military personnel. Methods: U.S. Military personnel who self-identified as transgender completed anonymous online measures of demographics and military service. Participants also completed measures of health, mood, eating pathology, and risk behaviors. Results: One hundred ninety-five service members (mean age: 28.9±7.2 years, 48.7% transmale, 70.3% non-Hispanic White, 7.83±5.9 years in service) completed the survey. The majority of respondents first identified as transgender before military accession. Most had disclosed their gender identity to their command and providers, and had undertaken steps toward gender affirmation. The sample as a whole reported above average physical health, with mood symptoms within normal ranges and few reported risk behaviors. Analyses of covariance indicated that transmales reported significantly better mental health and psychosocial functioning compared with transfemales. Conclusion: In light of current policy that precludes, with limited exceptions, transgender individuals from serving in the U.S. Military in their affirmed gender, the current study provides an initial sociodemographic profile of this understudied population and indicates that transgender service members report above average physical health and few risk behaviors. Preliminary analyses indicated that transfemales in the military may be at higher risk for mental health concerns, compared with transmales. Additional research is needed to elucidate risk and protective factors among transgender service members.

Mental Health Matters: Mental Health and Overall Well-Being Among First- and Second-Year Medical Students

PurposeRecent studies have indicated a dramatic increase of depression and burnout levels among medical students. This study aimed to answer the question: how does medical students’ mental health affect their stress, physical health, and academic success? MethodA survey was distributed to first- and second-year medical students to gather information on various self-perceived parameters of health, well-being, and academic success. Participants rated their mental health, physical health, and stress on a five-point Likert scale. Grade point averages (GPAs) were used as a measure of academic success. Students were separated into “low” (1–3 of 5) and “high” (4–5 of 5) mental health categories based on self-reported mental health scores on the Likert scale. The two groups were compared on their self-reported physical health, stress, and GPAs. Linear regression analyses were also performed with GPA and mental health as the dependent variables. Results121 surveys met inclusion criteria. The average physical health was 3.03 in the “low” mental health group (n = 61) and 3.88 in the “high” mental health group (n = 60) (p < .001). The average stress was 3.87 in the “low” mental health group and 3.35 in the “high” mental health group (p < .001). The average GPA was 3.22 in the “low” mental health group and 3.26 in the “high” mental health group (p = .33). Multiple linear regression analysis demonstrated that about 40% of the variation in mental health was explained by the combined effects of physical health and stress (R2 = .40, p < .001). The cumulative effect of mental health, physical health, and stress on GPA was not significant (R2 = .017, p = .58). DiscussionIt appears that better mental health is correlated with a decrease in stress and an increase in physical health but has no substantial impact on GPA. This may warrant future research into the influence of mental health on other aspects of academic and professional success.

ОСОБЕННОСТИ ФИЗИЧЕСКОГО ЗДОРОВЬЯ ДЕТЕЙ МЛАДШЕГО ШКОЛЬНОГО ВОЗРАСТА С НАРУШЕНИЕМ ОСАНКИ

Цель работы. Дать комплексную оценку морфофункционального развития детей младшего школьного возраста с нарушением осанки.Материалы и методы. Обследовано 87 первоклассников. Биологический возраст оценивали методом темпового соматотипа. Оценку физического развития осуществляли по центильным шкалам длины тела и индекса Кетле-2. Гармоничность морфофункционального состояния оценивали по совокупности следующих параметров: пропорциональности развития по индексу Кетле-2, функциональному состоянию, гемодинамическим показателям.Результаты работы. При определении биологического возраста учащихся было выявлено 44 (50,6 %) школьника с мезосоматическим типом темпа роста. Ускоренный темп развития был отмечен у 34 (39,1 %). Микросоматический соматотип констатирован у 9 (10,4 %) учащихся.Анализ индекса Кетле-2 показал, что 36 (41,4 %) детей имели достаточное питание, 28 (32,2%) – пограничное, 23 (26,4 %) первоклассника – нарушение питания.Силовые показатели кистей рук у 21 (24,1 %) школьника соответствовали возрастной норме, у 66 (75,9 %) показатели были низкие. Установлено, что у 66 (75,9 %) детей фактическая величина жизненной емкости легких была ниже долженствующей нормы. По средним показателям частоты сердечных сокращений, артериального давления функциональная активность системы кровообращения у учащихся соответствовала верхней границе возрастной нормы.Выводы.Биологическому возрасту не соответствовало 49,4 % первоклассников с нарушением осанки. Центильная оценка длины тела и индекса Кетле-2 позволила установить, что 50,6 % первоклассников имеют нормальное физическое развитие. Отклонение в физическом развитии имели 49,4 % обследованных школьников. Сопоставление параметров пропорционального развития по индексу массы тела, функционального состояния и гемодинамических показателей выявило, что 22,4 % детей характеризовались гармоничным морфофункциональным состоянием организма. Достаточное питание отмечено у 41,4 % учащихся первых классов. По индивидуальным индексам силы кисти у 88,5 % первоклассников, а также жизненного индекса у 21,9 % детей уровень физического здоровья был расценен как низкий и ниже среднего. Уровень частоты сердечных сокращений, артериального давления в условиях относительного физического покоя у первоклассников с нарушением осанки соответствовал возрастной норме. У 51,7 % детей уровень адаптационного потенциала сердечно-сосудистой системы был ниже среднего.

A case-series of patients with musculoskeletal conditions in an underserved community in Moca, Dominican Republic

PurposeTo describe characteristics and activity limitations of new patients with musculoskeletal conditions presenting to the World Spine Care (WSC) clinic located in the underserved community of Moca, Dominican Republic.MethodsWe conducted a prospective case series of consecutive adults between October 12 and December 5, 2015. A survey of valid and reliable measures including: Body pain diagram, Wong-Baker FACES® pain rating scale, Spine Functional Index (SFI), Lower Limb Functional Index (LLFI), Upper Limb Functional Index (ULFI) and the 12-item Short Form Health Survey (SF-12v2) was administered to collect socio-demographics, expectation of recovery, comorbidities, and self-reported health status data.ResultsForty-two patients (23 females and 19 males) were included. The most common primary complaint was lower back pain (40.5%; 17/42) and 57% (24/42) of individuals reported pain that interfered with their ability to function and engage in daily activities. Half of the patients presented with two complaints. Complaints were similar between genders. Most patients (64%; 27/42) reported chronic pain (> 6 months) and 97% (41/42) reported believing that they would recover. Twenty-one percent (9/42) self-reported being diagnosed with depression and/or anxiety at some point in their life. In addition, most (57%; 24/42) individuals reported below average physical and mental health related quality of life.ConclusionsThis study is the first to describe characteristics of patients seeking care at the WSC clinic in Moca, Dominican Republic. Most patients attending the clinic suffer from persistent spine complaints that interfere with their ability to function and engage in daily activities. Nevertheless, the patients have positive expectations of recovery.

ВПЛИВ СЕКЦІЙНИХ ЗАНЯТЬ CROSSFIT НА ПОКАЗНИКИ ФІЗИЧНОГО СТАНУ СТУДЕНТІВ

Introduction. Today, when assessing the importance of physical education in student age, it is important to take into account its need in solving problems of general physical education and physical development. It is necessary to proceed from the fact that motor activity is a natural need the organism, an indispensable condition of physical development, strengthening of health and increase resistance of the organism to adverse conditions. However, special studies the content general physical education, motor mode of students convincingly show the insufficient satisfaction of these needs. Lack of meaningful motor activity inevitably leads to irreparable losses in physical development, weakening of the body's defenses and serious health problems. Therefore, the issues improving the content, forms and methods of physical education students in higher education institutions remain relevant. The article considers and analyzes the importance sectional classes Crossfit, one of the most popular types physical activity among student youth. Crossfit is widely used as a means developing physical qualities and abilities. In addition, Crossfit classes cause a number changes in the functional systems of the body those involved. Hypothesis of the study is that cross-section Crossfit classes will improve the physical condition of students of higher education institutions. Research purpose to determine the impact of cross-section Crossfit classes on the physical condition of students. Research methods and materials. Research methods: theoretical analysis and generalization of data of scientific and methodical literature, pedagogical observation, method of anthropometry, functional research methods, pedagogical experiment, pedagogical testing, methods of mathematical statistics. The study involved 32 students studying at Sumy State Pedagogical University A.S. Makarenko, who belong to the main medical group and have no abnormalities in health. Results. The data of experimental research influence of the developed technique section classes Crossfit on indicators a physical condition of students are presented and its efficiency is proved. As a result of the study, it was determined that Crossfit classes help to reduce the heart rate of students, increase the indicators of VСL and tests Stange, Gencha, Rufier. There is a significant improvement in the results of tests on the strength the muscles the upper extremities, speed, agility and endurance. The average level physical health of young men has significantly improved, which indicates the transition of indicators from below the average functional class to the average, most young men have reached a safe level of health. Conclusions. 1. With the use of cross-section Crossfit classes, you can solve the problem of optimizing the educational process of physical education in higher education. 2. The use of Crossfit sectional classes in the IHE proved the effectiveness of the proposed method, as there are statistically significant improvements in the functional indicators of students, indicators of physical fitness and level of physical health.