Effects Of Walking Program Research Articles

Abstract P2-12-14: The effect of low intensity exercise for mental status and quality of life of Japanese early breast cancer patients

Abstract Objective: Breast cancer is one of the most common cancers, and it accounts for 20% of malignant tumors of women. Psychological damage of the breast cancer patient is serious. In our institution, approximately 30% of the early breast cancer patients diagnosed as depressed mental status before operation. Breast cancer patients have to receive hormone therapy, chemotherapy, and radiation therapy for a long term after operation. Depressed mental status affects execution of the treatment, and the interruption of the treatment brings the risk of cancer recurrence. As a treatment for depressed mental status of cancer patients, medication and psychotherapy are common, but some previous reports showed exercise is effective. Exercises provided in these reports were various kinds and strength, and the standard prescription is not established. We investigate the effect of walking program as a mild aerobic exercise, whether it improves the depressed mental status and quality of life (QOL) of breast cancer patients. Methods: 25 early breast cancer patients were recruited. Depressed mental status and QOL were assessed by Center for Epidemiologic Studies Depression Scale (CES-D) and Medical Outcomes Study 36-item Short Form Health Survey (SF-36). Physical activity was measured by accelerometer (Lifecorder PLUS, Suzuken), and estimated using metabolic equivalent foe task (MET). Participants mounted accelerometer after discharge, and baseline physical activity was recorded till 1 month after operation. After recording baseline physical activity, we instructed to perform walking or mild aerobic exercise. Scores of CES-D and SF-36, and physical activity data were measured again after two months. Results: Physical activity after intervention was significantly increased as compared to baseline (8.5±5.5 vs 12.3±6.9 MET.h/week, p=0.02 ). At pre-operation phase, nine patients (36%) regarded as depressed mental status by CES-D, and depressed patients decreased to five at the time of 3 months after operation. A subscale of SF-36 ( mental health ) reduced significantly compared with pre-operation and 3 months after operation ( p<0.01 ). Physical activity after intervention was correlated with the scores of CES-D and all subscales of SF-36. Conclusion: This study demonstrated the possibility that walking program as a mild exercise improves mental status and QOL of perioperative breast cancer patients. It is necessary to examine in more detail for clinical application. Citation Format: Makiko Kamio, Kazumi Kawase, Hiroko Nogi, Ken Uchida, Hiroshi Takeyama. The effect of low intensity exercise for mental status and quality of life of Japanese early breast cancer patients [abstract]. In: Proceedings of the Thirty-Seventh Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2014 Dec 9-13; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2015;75(9 Suppl):Abstract nr P2-12-14.

Effects of a Walking Program on Self-management and Risk Factors of Metabolic Syndrome in Older Korean Adults

[Purpose] The aim of this study was to determine the effects of a 12-week walking program on increasing an individual’s self-management and decreasing the risk factors of metabolic syndrome in the older adult population. [Subjects] A total of 31 older adults participated in this study. Eighteen participants in the experimental group and 13 controls completed the pretest and posttest measures. A walking exercise and health education were provided for the experimental group. Data were analyzed by ANCOVAs to examine group differences. [Results] At the end of the 12-week study period, the experimental group showed a significant improvement in individuals’ ability to self-manage their health compared to the control group. Also, there were significant differences between the two groups in the total numbers of risk factors of metabolic syndrome, systolic blood pressure and BMI. No significant difference in blood sugar levels, HDL-C, waist circumference, and triglyceride levels were found between the experimental and control group. [Conclusion] This study revealed that a combination of health education and for walking exercise can lead to improved lifestyle management and reduce risk factors of metabolic syndrome for the elderly population of Korea.

Does walking exercise improve bone mineral density of young obese and thin women?

The purpose of the present study was to examine the effect of walking program on BMD in order to prevent bone loss among sedentary obese and thin young women. Forty untrained obese (n=20) and thin (n=20) women, 20-25 years, volunteered to participate in this study, then participants were pairwise BMI-matched and randomly assigned to two exercise (obese=10, thin=10) and two control (obese=10, thin=10) groups. Before and after the training program both groups had anthropometric measurements and blood analysis. Bone mass density also was evaluated by using dual-energy X-ray absorptiometry (DXA) .Each walking session was 30 min walking between 50-75% of maximal age adjusted heart rate, 3 days per week for 2 months. After 2 months, exercise groups had no significant effect on BMD at weight-bearing sites in the spine (L2-L4) and hip(p>0.05). However exercise groups experienced slightly increased in BMD at both region, while the control groups did not. Also no significant change was observed in blood samples in either group (p>0.05). Percent body fat, fat mass and lean mass were affected positively by the exercise program compared with control groups (all p = 0.000). This study demonstrated that walking exercise reduce the risk of bone loss in young women. However further studies are needed to evaluate the efficacy of walking exercise on bone quality and the risk of bone loss as an exercise-related effect in different obese and thin groups of women. Keywords: Bone Mass Density, Bone Loss, Walking Exercise, Obese and Thin Women.

The Effects of a Walking Program on Older Chinese American Immigrants With Hypertension: A Pretest and Posttest Quasi‐Experimental Design

Hypertension is known to have high rates among Chinese Americans. Identifying culturally specific interventions to reduce sedentary behavior may be effective in reducing hypertension. This study examines the effects of an 8-week walking program with and without cultural modification. The study used a 2-group, pretest and posttest, quasi-experimental design. A total sample of 128 Chinese American immigrants with hypertension were assigned to walking groups. The results showed that the walking program had no significant effects upon participant blood pressure or walking endurance. The results also revealed that individuals in the maintenance stage walked longer than those in the preparation stage. A comparison of demographic data showed that subjects with a lower level of education walked more minutes per week, which contributed to lower systolic blood pressures among this group as compared with those with a higher level of education. These results suggest that this walking protocol, when translated into Chinese and when accompanied by a weekly telephone reminder and other interactions with a Chinese-speaking nurse, is appropriate to use without additional cultural modification. Future research should examine other components of Chinese culture or should apply this protocol for a longer period of time.

The Effect of Walking Program on the Women in a Rural Community

The Effect of Walking Program on the Women in a Rural Community