Differences In Activities Of Daily Research Articles

Penyesuaian Diri pada Menantu Perempuan yang Tinggal di Rumah Mertua

Marriage is a bond between two individuals who dicide to live together. Many couples begin their married life by living with their parents, resulting in more complex dynamics and adjustment processes. This research employs a qualitative phenomenological method with three participants. Data collection techniques include interviews. Data validity is tasted through member checks and expert judgment. The result of this study indicate that participants are able to adjust to living with their in-laws, with supporting factors including physical condotions, development and maturity, psychological state, as well as cultural and religious conditions. Conflicts encountered by daughters-in-law living with their in-laws include misunderstandings about household cleanliness, differences in daily activities, and child-rearing practices.

아동·청소년기 생활시간과 학업성취 인과관계 종단분석

In this study, we explored the causal relationship between the daily activities and academic achievement of children and adolescents using the data from the Korean Children & Youth Panel Survey(KCYPS) 2018 provided by the National Youth Policy Institute. The analysis sample consisted of 1,740 participants from the 4th-grade panel (4th grade to 2nd-year of middle school) and 1,874 participants from the 1st-year of middle school panel (1st year of middle school to 2nd year of high school) who did not drop out from the 1st to the 5th wave and had no missing values for variables included in the research model. The independent variables consist of the daily activities of children and adolescents, including parental interaction time, extracurricular learning activities, and leisure time. The dependent variable is the academic achievement. The analysis method involved setting up a latent growth model to analyze the causal relationship between the daily activities and academic achievement of children and adolescents. The latent growth model analysis was conducted by estimating a linear model using the 5th wave data, with maximum likelihood estimation as the parameter estimation method. The results of the analysis indicate differences in daily activities and academic achievement between the 4th-grade panel and the 1st-year panel, with extracurricular learning time and leisure time showing contrasting results in the two panel groups. These findings contribute to understanding the context of the causal relationship between the daily activities and academic achievement of children.

Improvement of gait and balance function in chronic post-stroke patients induced by Lower Extremity – Constraint Induced Movement Therapy: a randomized controlled clinical trial

ABSTRACT Objective To evaluate the effects of Lower Extremity – Constraint Induced Movement Therapy on gait function and balance in chronic hemiparetic patients. Methods Randomized, controlled, single-blinded study. We recruited chronic post stroke patients and allocated them to Lower Extremity – Constraint Induced Movement Tharapy (LE-CIMT) or Control Group. The LE-CIMT group received this protocol 2.5 hour/day for 15 followed days, including: 1) intensive supervised training, 2) use of shaping as a strategy for motor training, and 3) application of a transfer package. The control group received conventional physiotherapy for 2.5 hours/day for 15 followed days. Outcomes were assessed at baseline, after the interventions, and after 6 months, through 6-minute walk test and Mini-Balance Evaluation Systems Test; 10-meter walk test, Timed Up and Go, 3-D gait analysis, and Lower Extremity – Motor Activity Log. Results LE-CIMT was superior on the Assistance and confidence subscale of Lower Extremity – Motor Activity Log, Mini-BESTest and 6-minute walk test. The effect size for all outcomes was small when comparing both groups. LE-CIMT showed clinically significant differences in daily activities, balance, and gait capacity, with no clinically significant difference for spatiotemporal parameters. Conclusion The LE-CIMT protocol had positive outcomes on balance, performance, and confidence perception.

Intraindividual variability in post-stroke cognition and its relationship with activities of daily living and social functioning: an ecological momentary assessment approach

ABSTRACT Introduction Ecological momentary assessment (EMA) is a methodological approach to studying intraindividual variation over time. This study aimed to use EMA to determine the variability of cognition in individuals with chronic stroke, identify the latent classes of cognitive variability, and examine any differences in daily activities, social functioning, and neuropsychological performance between these latent classes. Methods Participants (N = 202) with mild-to-moderate stroke and over 3-month post-stroke completed a study protocol, including smartphone-based EMA and two lab visits. Participants responded to five EMA surveys daily for 14 days to assess cognition. They completed patient-reported measures and neuropsychological assessments during lab visits. Using latent class analysis, we derived four indicators to quantify cognitive variability and identified latent classes among participants. We used ANOVA and Chi-square to test differences between these latent classes in daily activities, social functioning, and neuropsychological performance. Results The latent class analysis converged on a three-class model. The moderate and high variability classes demonstrated significantly greater problems in daily activities and social functioning than the low class. They had significantly higher proportions of participants with problems in daily activities and social functioning than the low class. Neuropsychological performance was not statistically different between the three classes, although a trend approaching statistically significant difference was observed in working memory and executive function domains. Discussion EMA could capture intraindividual cognitive variability in stroke survivors. It offers a new approach to understanding the impact and mechanism of post-stroke cognitive problems in daily life and identifying individuals benefiting from self-regulation interventions.

Adjustment challenges and coping strategies of Arab female international university students.

Over the past decade, Türkiye has experienced an increasing influx of international students, particularly from various Arab countries. The significant number of Arab international university students has prompted researchers to pay more attention to the experiences of this population in the country. This study examined the adjustment problems experienced by Arab female international university students in Türkiye. The research has a mixed methods design and includes both quantitative and qualitative studies. In the quantitative study, the International Students Adjustment Scale (ISAS) was used with 373 participants to examine the challenges in which dimensions of adjustment (academic, sociocultural, or personal) were more challenging for the study group. In the qualitative study, semi-structured interviews were conducted with 19 Arab female international university students to gain a deeper understanding of their experiences in the domain that is found the issues are more profound. Data from the quantitative study revealed that these students experienced similar challenges in each dimension of adjustment; however, problems in the sociocultural domain were much more profound. In line with the quantitative study, the interview questions of the qualitative study were prepared to explore the sociocultural domain and included the pre-arrival expectations, the post-arrival adjustment challenges, and the coping strategies of the study group. The Results of the qualitative study showed that although their prearrival expectations were almost met, they encountered various problems, ranging from cultural differences in daily activities to discrimination. It was also found that many of them were reluctant to ask for help, and to cope with adjustment problems, they usually used maladaptive or dysfunctional coping strategies such as avoidance and isolation. The findings of the quantitative study are in line with the previous studies that the overall adjustment of international students is influenced by different domains that are broadly academic, sociocultural, and personal. Among them, the sociocultural domain is found as the one in the study population that encounters more challenges. The results of the qualitative study support the findings of previous studies related to prearrival expectancies, provide more understanding of adjustment challenges and bring more information about adopted coping strategies.

Investigation on the Correlation of Anxiety Degree with Family Atmosphere in Children with Precocious Puberty.

Objective This research sets out to explore the correlation of anxiety degree with family atmosphere in children with precocious puberty (PP), so as to provide a reference for future treatment of PP. Methods Eighty-one cases of PP were visited between January 2021 and March 2021, and their direct relatives were selected as the research population for retrospective analysis. After admission, children and their direct relatives completed a questionnaire survey on the quality of life and social anxiety of children with PP. Children were assigned to the research group and the control group based on their anxiety scores. The intergroup differences in daily activities, diet, and family status, as well as children's and parents' psychological status, were identified, and the relationship between anxiety degree in PP children and family atmosphere was discussed. Results The children's anxiety score was (6.17 ± 4.26), and they were divided into groups according to the median, with 30 cases in the research group and 51 cases in the control group. The two cohorts were similar in dietary status and children's physiological status (P > 0.05); however, the research group exhibited a greater number of cases who used electronic products for 2-3 h daily and watched romantic TV series (movies). The daily exercise time of the research group is lower than that of the control group (P < 0.05). In the research group, the monthly family income and the number of family companions and very harmonious families were significantly lower, while the number of divorces or remarriages increased (P < 0.05). The survey results on parents' psychological status also showed better psychological states in patients in the control group (P < 0.05). Conclusion The anxiety level of PP children is closely related to the family atmosphere. In future clinical treatment of children with PP, it will also be necessary to pay attention to and adjust the family relationship of the children, which is of great significance for relieving PP-associated anxiety.

A systematic review and meta-analysis of the comparative curative effects of warm acupuncture and other traditional Chinese medicines in the treatment of knee osteoarthritis.

Knee osteoarthritis (KOA) is more common in middle-aged and elderly people, and seriously affects the quality of life of those affected. Traditional Chinese medicine (TCM) treatment of KOA has been widely recognized. In recent years, warm needling acupuncture (WNA) has been used to treat KOA and has achieved good results. However, there is a lack of comparison of the efficacy of WNA and other TCM treatments for KOA. We conducted a search for reports of WNA and/or TCM treatment of KOA in English- and Chinese-language databases. The data was retrieved from inception of the database until October 2021. The Cochrane risk of bias tool was used to evaluate the quality of the included studies, and the network meta-analysis was performed using the software RevMan 5.20. A total of 8 articles met the inclusion criteria, including 399 patients treated with WNA (WNA group), and 396 patients treated with other TCM (TCM group). The results of meta-analysis showed that compared with patients in the TCM group, the effective rate [relative risk (RR)] was 1.18, 95% confidence interval (CI): 1.06 to 1.33, the last follow-up osteoarthritis index [mean difference (MD)] was -6.93, 95% CI: -12.14 to -1.72, and the last follow-up knee pain visual analogue scale (VAS) MD was -1.06, 95% CI: -1.61 to -0.51, which were all statistically significant. However, the difference in daily activities (MD: -4.31, 95% CI: -10.90 to 2.28) was not statistically significant. Compared with other TCM treatments for KOA, WNA has better overall patient efficacy. However, further randomized controlled studies are needed to compare WNA and other TCM treatments individually to confirm the efficacy of WNA.

Gender differences in child and adolescent daily activities: A cross-national time use study

This study used 2009–2015 time-diary data to examine gender differences in daily activities among children and adolescents aged 10–17 in Finland, Spain and the UK ( N = 3517). In all three countries, boys were significantly more involved in screen-based activities and exercising and girls in domestic work, non-screen educational activities and personal care. Gender differences in socializing time were only significant in the UK, with girls socializing more than boys. Gender gaps within countries were largest in domestic work (UK: 60%; Finland: 58%; Spain: 48%) and exercising (UK: 57%; Finland: 36%; Spain: 27%), followed by educational time (UK: 35%; Finland: 34%; Spain: 18%) and screen-based activities (UK: 31%; Finland: 16%; Spain: 16%), and lower in personal care (UK: 27%; Finland: 21%; Spain: 14%) and socializing (UK; 21%; Finland: 13%; Spain: 6%). Two-way country-gender interactions in children’s activities were statistically significant when comparing Spain and the UK on screen-based activities, socializing, and personal care, with larger gender gaps in the UK than in Spain. By contrast, gender differences in child time use between Finland and either Spain or UK were not statistically significant. The complex role of national contexts and life-course stages in shaping gendered time-use patterns is discussed.

Gendered division of labor in a Celtic community? A comparison of sex differences in entheseal changes and long bone shape and robusticity in thepre‐Romanpopulation of Verona (Italy, third–first centuryBC)

The presence of a gendered subdivision of labor has been bioarchaeologically investigated in various prehistoric and historical contexts. Little is known, however, about the type of differences in daily activities characterizing men and women among the Celtic communities of Italy. The focus of the present study is the analysis of differences in patterns of entheseal changes (ECs) and long bone shape and robusticity between sexes among the Cenomani Gauls of Seminario Vescovile (SV-Verona, Italy, third-first century BC). The sample includes 56 adult individuals (22 females and 34 males). Presence of ECs on nine bilateral postcranial attachment sites, and values of humeral and femoral shape and robusticity indices based on external measurements were compared between sexes by means of generalized linear models and Mann-Whitney tests. Results show a lack of difference between sexes in long bone shape and robusticity, and a higher incidence of upper and, especially, lower limb ECs in males. These results suggest the presence of sex-specific activities at SV mostly related to farming and differently influencing the considered variables. Also, this study suggests the relevance of a series of nonbiomechanical factors (developmental, hormonal, genetic, and methodological) when attempting biocultural reconstructions from osteoarchaeological samples.

Foraging Behavior of Honeybees (Apis Mellifera L.) and Ground Bumblebees (Bombus Terrestris L.) and its Influence on Seed Yield and Oil Quality of Oil Tree Peony Cultivar ‘Fengdan’ (Paeonia Ostii T. Hong et J. X. Zhang)

Abstract Oil peony (Paeonia spp.) is a new type of woody oil crop in China with a large cultivation area. Inadequate pollination is one of the main reasons for low seed yield. A pollination net room was built at an oil tree peony base, the numbers of honeybees (Apis mellifera L.) and ground bumblebees (Bombus terrestris L.) were artificially increased and the foraging behaviors and daily activities of the two bees on the plants were observed. Four different pollination methods (honeybee pollination, ground bumblebee pollination, natural field pollination and pollination without insects) were applied. The visit interval, single-flower visit time, number of single-flower visits, number of flowers visited per minute and number of stigma contacts were compared. Meanwhile, the effects of honeybee and bumblebee pollination on the oil yield and quality of peony seeds were compared. There were noticeable differences in daily activity between honeybees and ground bumblebees. Significant differences in the single-flower visit time, visit interval and visit frequency were also observed; honeybee and ground bumblebee pollination increased the seed yield of oil tree peony by 78.74% and 31.88%, respectively. Therefore, both honeybees and ground bumblebees are effective pollinators of oil tree peony. These results provide a theoretical basis for further utilization of bee resources for oil tree peony pollination.

Physical activity in young children at risk for developmental coordination disorder.

To examine cross-sectional differences in patterns of daily physical activity accumulation between preschool children at risk for developmental coordination disorder (DCD) compared to typically developing children. In total, 514 children (292 males, 222 females; 4-5y) were recruited as part of the Coordination and Activity Tracking in CHildren (CATCH) study. Motor competence was assessed using the Movement Assessment Battery for Children, Second Edition; children scoring ≤5th centile comprised the probable DCD group (pDCD, n=87), between the 6th and 16th centile were considered to be at risk for DCD (rDCD, n=149), and >16th centile were considered typically developing (n=278). Seven-day physical activity was measured using hip-worn accelerometers. Average daily intensity of activity, frequency, and duration of moderate-to-vigorous physical activity (MVPA) bouts, and triaxial activity counts per minute were determined. No differences in daily activity in any intensity or axis of movement were found among the three groups. However, young children with pDCD accumulated their MVPA in slightly shorter bouts compared to typically developing children. Young children at risk for DCD are not yet in an activity deficit. This may be because of the low motor skill demands of play in this age group. Early motor interventions may be able to promote continued physical activity participation in children with DCD. Preschool children at risk for developmental coordination disorder (DCD) are not less active than their peers. Overall intensity and frequency of daily activity bouts are similar among motor groups. Children with probable DCD accumulate their activity in shorter bouts.

Actigraphy Detects Greater Intra-Individual Variability During Gait in Non-Manifesting LRRK2 Mutation Carriers.

With recent advances in the search for disease-modifying therapies for Parkinson's disease (PD) the importance of identifying prodromal markers becomes greater. Non-manifesting LRRK2 mutation carriers (NMC) are at risk for developing PD, and provide a population in which to identify possible markers. The aim of this study was to test the hypothesis that NMC have differences in daily activity, fragmentation of sleep, arm swing asymmetry, and movement variability during walking, detectable by actigraphy, as compared to matched control subjects. Eleven NMC, fourteen PD patients (4 LRRK2-PD, 10 idiopathic PD (iPD)), and twenty-nine controls wore wristbands containing an accelerometer for seven days, and performed a daily walking task. Outcome measures included daily activity, fragmentation of activity, fragmentation of sleep, arm swing asymmetry during walking, and intra-individual variability. Compared to healthy controls, both NMC and LRRK2/iPD showed higher intra-individual variability in activity during walking compared to healthy controls. Individuals with LRRK2-PD/iPD, but not NMC, tend to have lower activity levels, more arm swing asymmetry and less increase of arm swing with transition from slow to faster walking speed compared to healthy controls. Higher intra-individual variability of gait-associated movements might be a useful biomarker of prodromal PD. These results encourage replication in a larger sample and longitudinal analysis is warranted.

Daily Increments on the Incisor Surface in Rodents: Intra-and Interspecific Variations

Investigation of the incisors of 17 rodent species from 11 genera revealed substantial interspecific and intraspecific variations in the pattern of the daily increment on the incisor surface. The morphology of daily increments is described in detail. Interspecific variations in the pattern are correlated with interspecific variations in the daily activity rhythms in rodents. Intraspecific (up to individual) traits can be attributed to intraspecific (up to individual) differences in daily activity. We can conclude that the daily activity of an individual determines the pattern of its incisor growth rhythm, not being a direct cause of daily increment formation. Thus, the pattern of the increment on the incisor surface can be considered as recording the rhythm of the daily activity of a rodent during the period of incisor renewal.

A stag beetle’s life: sex-related differences in daily activity and behaviour of Lucanus cervus (Coleoptera: Lucanidae)

The study of behavioural ecology of rare and elusive species can be challenging, but it is an important issue for monitoring populations in planning conservation actions. This is especially true for arboreal insects inhabiting old-growth forests, whose habits are scarcely known and rely on many anecdotal data, such as the stag beetle Lucanus cervus (Linnaeus, 1758). In order to gather information on daily activity and behaviour of this species, a radio-telemetry study was conducted in a relict broadleaf forest surrounded by intensively cultivated land in northern Italy. During 2014 and 2015, from May to July, 55 stag beetles (34 males, 21 females) were radio-tagged. Most of them were caught with the aid of an entomological hand net, but nine of them were captured by emergence traps set up on deadwood. Visual contact analysis confirmed that stag beetle males were less elusive than females. Males were more frequently radio-tracked in flight, females mostly underground and in proximity of deadwood. Males were mostly observed flying at sunset, and resting or walking on standing trees during the day. The combination of air temperature and humidity determined the optimal weather conditions for male flights (temperature range: 20.7–26 °C, humidity range: 65.5–78.3%). Flying at sunset, mostly performed by males, significantly increased the detectability of the species and supported the selection of the ‘transect walk at dusk’ as the best monitoring method for the stag beetle.

Assessing the daily stability of the cortisol awakening response in a controlled environment.

BackgroundLevels of cortisol, the end product of the hypothalamic-pituitary-adrenal (HPA) axis, display a sharp increase immediately upon awakening, known as the cortisol awakening response (CAR). The daily stability of the CAR is potentially influenced by a range of methodological factors, including light exposure, participant adherence, sleep duration and nocturnal awakenings, making inferences about variations in the CAR difficult. The aim of the present study was to determine the daily stability of multiple measurement indices of the CAR in a highly-controlled sleep laboratory environment. A secondary aim was to examine the association between objective sleep continuity and sleep architecture, and the CAR.MethodsThe CAR was assessed in 15 healthy normal sleepers (seven male, eight female, Mage = 23.67 ± 3.49 years) on three consecutive weekday mornings. Sleep was measured objectively using polysomnography. Saliva samples were obtained at awakening, +15, +30, +45 and +60 min, from which multiple CAR measurement indices were derived: cortisol levels at each time point, awakening cortisol levels, the mean increase in cortisol levels (MnInc) and total cortisol secretion during the measurement period. Morning 2 and Morning 3 awakening cortisol levels, MnInc and total cortisol secretion were compared and the relationship between Night 1 and Night 2 objective measures of sleep continuity and architecture, and the subsequent CAR, was also assessed.ResultsThere were no differences in cortisol levels at each time point, or total cortisol secretion during the CAR period, between Morning 2 and Morning 3. Awakening cortisol levels were lower, and the MnInc was higher, on Morning 3. Morning 2 and Morning 3 awakening levels (r = 0.77) and total cortisol secretion (r = 0.82), but not the magnitude of increase, were positively associated.ConclusionsThe stability of the CAR profile and total cortisol secretion, but not awakening cortisol levels or the magnitude of increase, was demonstrated across two consecutive mornings of measurement in a highly-controlled environment. Awakening cortisol levels, and the magnitude of increase, may be sensitive to differences in daily activities.Electronic supplementary materialThe online version of this article (doi:10.1186/s40359-016-0107-6) contains supplementary material, which is available to authorized users.

The effect of ambient temperature on locomotor activity patterns in reproductive and non‐reproductive female Damaraland mole‐rats

AbstractThe subterranean niche is a specialized environment that presents its inhabitants with a unique set of microclimatic conditions. African mole‐rats are strictly subterranean and exhibit a continuum of sociality ranging from solitary to highly social. Colonies of the Damaraland mole‐rat Fukomys damarensis comprise of a dominant breeding or reproductive female and one or two male consorts and a number of subordinate and non‐reproductive individuals of both sexes. In this study, we investigated the locomotor activity patterns of reproductive and non‐reproductive female Damaraland mole‐rats with the intention to investigate daily timing of activity and activity levels with changes in ambient temperature and also whether activity would differ between the reproductive castes at different ambient temperatures. The Damaraland mole‐rats displayed predominantly nocturnal activity at all three temperatures and the levels of activity were different for all three temperatures tested. Mole‐rats exhibited the lowest levels of activity at 30°C; they are most active at 25°C while they display intermediate levels of activity at 20°C. Despite exhibiting the majority of their activity during the night, non‐reproductive females display significantly more day‐time activity compared with the reproductive females at all three temperatures. Nocturnal activity is comparable between reproductive and non‐reproductive animals at 20 and 25°C, but not at 30°C. Daily locomotor activity rhythms of the Damaraland mole‐rats appear to be relatively flexible and respond to comparatively small changes in ambient temperatures. Differences in daily activity between reproductive and non‐reproductive animals may emphasize the existence of physiological and morphological castes in the Damaraland mole‐rat.

Health-Related Quality of Life in Children and Adolescents With Duchenne Muscular Dystrophy

The purpose of this study was to assess health-related quality of life (QoL) in children with Duchenne muscular dystrophy (DMD), including development and field-testing of a DMD-specific module integrated with the core Pediatric Quality of Life Inventory (PedsQL). The PedsQL 4.0 Generic Core and DMD Module Scales were completed by 203 families, including 200 parents and 117 boys with DMD. Scores on the PedsQL Core Scales were compared with those of matched healthy children. Relationships between PedsQL scores and patient characteristics were examined. By both parent report and child self-report, mean PedsQL scores for boys with DMD were significantly lower than those for healthy children for physical and psychosocial QoL (P < .0001), with significantly impaired psychosocial QoL scores self-reported by 57%. Psychosocial QoL, by self-report only, tended to be higher in the older boys (13-18 years) than in younger boys (8-12 years; P = .05) and was not significantly associated with use of mobility aids. Although parents reported higher Daily Activities scores in boys receiving steroids (P = .01), boys receiving steroids reported no difference in Daily Activities but significantly less worry (P = .004). Parent-child concordance was generally in the fair to poor range. Internal consistency reliability coefficients for PedsQL DMD module scales ranged from 0.66 to 0.86. Overall, boys with DMD reported significantly lower QoL than their healthy peers. Despite decreased physical functioning, older boys seem to perceive better psychosocial QoL than perceived by their parents and by younger boys, unrelated to their need for mobility aids.

Movement activity based classification of animal behaviour with an application to data from cheetah (Acinonyx jubatus).

We propose a new method, based on machine learning techniques, for the analysis of a combination of continuous data from dataloggers and a sampling of contemporaneous behaviour observations. This data combination provides an opportunity for biologists to study behaviour at a previously unknown level of detail and accuracy; however, continuously recorded data are of little use unless the resulting large volumes of raw data can be reliably translated into actual behaviour. We address this problem by applying a Support Vector Machine and a Hidden-Markov Model that allows us to classify an animal's behaviour using a small set of field observations to calibrate continuously recorded activity data. Such classified data can be applied quantitatively to the behaviour of animals over extended periods and at times during which observation is difficult or impossible. We demonstrate the usefulness of the method by applying it to data from six cheetah (Acinonyx jubatus) in the Okavango Delta, Botswana. Cumulative activity data scores were recorded every five minutes by accelerometers embedded in GPS radio-collars for around one year on average. Direct behaviour sampling of each of the six cheetah were collected in the field for comparatively short periods. Using this approach we are able to classify each five minute activity score into a set of three key behaviour (feeding, mobile and stationary), creating a continuous behavioural sequence for the entire period for which the collars were deployed. Evaluation of our classifier with cross-validation shows the accuracy to be , but that the accuracy for individual classes is reduced with decreasing sample size of direct observations. We demonstrate how these processed data can be used to study behaviour identifying seasonal and gender differences in daily activity and feeding times. Results given here are unlike any that could be obtained using traditional approaches in both accuracy and detail.

Physical Activity in Daily Life 1 Year After Lung Transplantation

Reduced physical fitness has been reported to occur after lung transplantation. Pre- and post-transplant factors, including an inactive lifestyle, have been proposed as possible causes. However, daily physical activity has not been objectively assessed so far in lung recipients. The purpose of this study was to objectively measure daily physical activity in lung recipients. Twenty-two clinically stable patients with single (n = 7) and bilateral lung grafts (n = 15) underwent measurements of physical activity with activity monitors at least 12 months after surgery. Results were compared with findings from 22 healthy, age- and gender-matched control subjects. Substantial and statistically significant differences in daily activity were observed. Steps, standing time and moderate-intensity activity of lung recipients were reduced by 42%, 29% and 66%, respectively, relative to controls. Daily sedentary time was increased by 30%. Daily steps correlated with self-reported physical functioning (r = 0.81), 6-minute walk distance (r = 0.68), quadriceps force (r = 0.66) and maximum workload (r = 0.63). This study has shown for the first time that daily activity is substantially reduced after lung transplantation and related to measures of physical fitness and health-related quality of life. Future studies need to examine whether physical activity can be modified to improve functional recovery after lung transplantation.

A Randomized Clinical Trial of an Activity and Exercise Adherence Intervention in Chronic Pulmonary Disease

Steele BG, Belza B, Cain KC, Coppersmith J, Lakshminarayan S, Howard J, Haselkorn JK. A randomized clinical trial of an activity and exercise adherence intervention in chronic pulmonary disease. Objectives To evaluate the effectiveness of an exercise adherence intervention to maintain daily activity, adherence to exercise, and exercise capacity over 1 year after completion of an outpatient pulmonary rehabilitation program. Design A 2-group, experimental design was used with randomization into intervention and usual care groups. Setting Outpatient pulmonary rehabilitation program in a university-affiliated medical center. Participants One hundred six subjects (98 men; 98 with chronic obstructive pulmonary disease) with a mean age of 67 years and chronic lung disease. Intervention Twelve-week adherence intervention (weekly phone calls and home visit) including counseling on establishing, monitoring, and problem-solving in maintaining a home exercise program. Main Outcome Measures Primary outcomes included daily activity (accelerometer), exercise adherence (exercise diary), and exercise capacity (six-minute walk test). All measures were performed at baseline, after the pulmonary rehabilitation program (8wk), after the adherence intervention (20wk), and at 1 year. Results A rank-based analysis of covariance showed less decline at 20 weeks in exercise adherence (intervention mean, +3min; control mean, −13min; P=.015) and exercise capacity (intervention mean, −10.7m; control mean, −35.4m; P=.023). There were no differences in daily activity at 20 weeks or any differences in any primary variable at 1 year. Conclusions The intervention enhanced exercise adherence and exercise capacity in the short term but produced no long-term benefit. These findings are in part attributed to the disappointing measurement characteristics of the accelerometer used to measure daily activity. The intervention was acceptable to participants. Further study is needed to fashion interventions that have more persistent benefit.