Exercise Habits Research Articles

18. SLEEP QUALITY AMONG ADOLESCENTS AGED 15-17 IN DA NANG, 2024: A CROSS-SECTIONAL STUDY

Objective: (1) To determine the prevalence of sleep disorders among adolescents aged 15 to 17 years; (2) To analyze factors associated with sleep quality in adolescents aged 15 to 17 years. Design, Setting, and Participants: Cross-sectional descriptive study. Among Adolescents aged 15-17 years old at Hoa Vang High School we collected 737 eligible participants for the study. Main Outcome Measures: Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Associations between Sleep quality were evaluated with multivariable conditional logistic regression controlling for gender, exercise habits, sleep hygiene habits, pressure and expectations about academic performance (parental expectations, pressure for achievement, completing homework, extra classes). Results: The sleep quality of adolescents aged 15-17 at Hòa Vang High School is alarmingly low, with PSQI scores averaging 5.5±3.3 for 10th-grade students (15 years old), 6.1±3.3 for 11th grade (16 years old), and 6.4±3.5 for 12th grade (17 years old). The findings show that 47.5% of students have poor sleep quality, with a trend of worsening sleep quality with age. Additionally, most study participants go to bed relatively late. Factors associated with poor sleep quality include being female, excessive phone use before bed, academic pressure, homework load, and hours spent on daily extra classes. Addressing this issue requires appropriate sleep education and awareness for both students and parents. Conclusion: This study indicates an alarmingly low level of sleep quality among students at Hoa Vang High School, with a significant proportion experiencing poor sleep quality, and highlights several associated factors.

Physical Activity in Patients With Chronic Kidney Disease: The Effects of Caregivers and Residential Factors.

Introduction Physical inactivity is common in chronic kidney disease (CKD) patients; several patient- and disease-related factors are linked to a sedentary lifestyle, but social and environmental influences remain unexplored. This study evaluates the level of physical activity in patients with CKD and investigates the associations with caregivers' physical activity levels, characteristics of the residential environment, and objective measures of exercise capacity. Methods Eighty CKD patients (20 per CKD stage 2-4) were included; patients and their carers filled out the International Physical Activity Questionnaire (IPAQ), questionnaires about residential environment and past exercise habits. The CKD patients also performed a 30-sec sit-to-stand-test (30-STS) as a measure of exercise capacity. Results According to the IPAQ-score, CKD patients were largely inactive (only 10% reported health-enhancing activity levels); no differences were found between CKD stages. The 30-STS was also impaired, and thenumber of repetitions significantly decreased with advancing CKD stages (14.2±2.9 vs. 12.6±5.4 vs. 10.4±3.3 vs. 10.5±3.5; p=0.008). Carers were also highly inactivebut still had higher physical activity compared to patients (moderate intensity metabolic equivalents (METS) p=0.03, vigorous intensity METS p=0.053); no correlation between carers' and patients' physical activity was noted (p=0.702). Patients' physical activity was associated with residential factors: living in a detached house compared to an apartment (p=0.013 for moderate intensity and p=0.017 for vigorous METS), having a garden (p=0.019 for moderate intensity and p=0.022 for vigorous METS) and accessing house by stairs (p=0.037 for vigorous METS), were associated with higher physical activity. Conclusions Physical activity was significantly reduced in CKD patients, irrespectively disease stage. Carers were also highly inactive, but no association was found between the patients' and carers' daily activities. Residential characteristics were the only factors found to be associated to patients' physical activity levels. Personalized, supportive interventions are required, taking into account the patients' social support and microenvironment, in order to increase the physical activity level in this population.

Exercise Habits, Including Exercising With Partners, and the Prevalence of Self-Reported Constipation in Young Japanese People: A Cross-Sectional Study.

Constipation is a very common medical issue among the general population worldwide. However, the association between exercise habits and constipation is still not fully understood. Additionally, no evidence regarding the association between exercise partners and constipation exists. This study aimed to evaluate this issue in a young Japanese population, taking the presence or absence of an exercise partner as an additional variable. The study subjects consisted of 12,497 Japanese university students. Information on constipation, exercise frequency, exercise intensity, and exercise partners was obtained through a self-administered questionnaire. Constipation was defined as present if a student answered "Yes" to the question, "Have you been constipated often recently?" The prevalence of self-reported constipation was 6.5%. Frequency and intensity of exercise were independently inversely associated with constipation. After adjustment for age, body mass index, drinking, smoking, anemia, and sports injury, exercise with groups and friends was independently inversely associated with constipation (groups: adjusted odds ratio (OR) - 0.70 (95% confidence interval (CI): 0.53-0.90), friends: adjusted OR - 0.56 (95% CI: 0.42-0.74)). After further adjustment by adding intensity and frequency of exercise to confounding factors, only the association between exercise with friends and constipation was still significant (adjusted OR: 0.61 (95% CI: 0.39-0.96)). In this young Japanese population, the frequency and the intensity of exercise and the presence of exercise partners might be independently inversely associated with self-reported constipation. Exercising,especially exercising with others, may have a preventive effect on constipation, and opportunities to exercise with others should be provided.

Study on the influence of levels of physical activity and socio-economic conditions on body mass index of adolescents.

We explored the relationship between adolescent physical activity levels, socio-economic conditions and body mass index (BMI) in order to gain a deeper understanding of the relevant factors affecting adolescent obesity. A stratified random sampling method was used to conduct a questionnaire survey of middle school students in the Chengdu-Chongqing Economic Zone. Multiple linear and logistic regression analysis methods were used to statistically analyse the data obtained. The level of moderate to vigorous physical activity (MVPA) not only significantly reduces the incidence of obesity in adolescents, it also has a positive effect on avoiding underweight in adolescents. The impact of a father's BMI on a son's weight is higher than that of a daughter, while the impact of a mother's BMI on a child's weight is the opposite. High monthly income has a positive effect on reducing the BMI of male and female adolescents, but full-time working mothers actually increase the risk of obesity in their children. Teenagers who have exercise habits or view exercise as a form of enjoyment have a significantly reduced risk of obesity. The level of MVPA and exercise habits are important factors in inhibiting the development of obesity in adolescent students.

The Unveiled Potential of Telehealth Practice in Vestibular Rehabilitation: A Comparative Randomized Study.

Background and Objectives: Unilateral vestibular hypofunction (UVH) in cases of insufficient central nervous system compensation leads to chronic dizziness. A customized vestibular rehabilitation (VR) program is more beneficial than a generic set of exercises for patients with chronic UVH. The purpose of the present study is to compare a customized remotely supervised VR program with a customized unsupervised VR program in chronic UVH patients. Methods: Participants were randomly allocated into two groups (Group A and Group B) and received an individualized 6-week home-based VR program that included adaptation and habituation exercises, balance and gait training. All individuals' VR program implementation was evaluated weekly, allowing for exercise modifications. Moreover, Group A received additional remote supervision via phone communication (twice per week). The effectiveness of each VR program was evaluated using the scores of the Mini-BESTest, the Functional Gait Assessment (FGA), and the Dizziness Handicap Inventory (DHI). Results: At the 6-week assessment, participants in Group A had significantly better scores in objective and subjective evaluated parameters than those in Group B (p < 0.001). Group A also showed better compliance with the VR program. On the contrary, participants' conformity in their individualized exercises was not affected by gender, duration of symptoms, or BMI (p > 0.05). Conclusions: Our clinical study highlights the advantages of using telephone communication, with a structured design and implementation, to assist individuals in successfully following a VR protocol.

Association between the use of Information and Communication Technology and activeness in life among community-dwelling older adults.

This study aimed to clarify the association between the use of Information and Communication Technology (ICT) and activeness in life among community-dwelling older adults. A self-administered, unmarked questionnaire survey was conducted among individuals aged 60 years or older who were registered with Silver Human Resource Centers or Senior citizen clubs in a city in Osaka Prefecture. The survey collected data on participants, demographic characteristics, health status, ICT use, and activeness in life (particularly expansion of life space, exercise habits, motivation, and social activities). ICT use was defined as the use of any mobile devices to connect to the Internet, such as smartphones, tablets, or wearable devices. A logistic regression analysis was performed to estimate the association between ICT use and activeness in life after adjusting for confounding factors. A total of 892 responses were used in the analysis. The results revealed that the odds ratios (ORs) for expansion of life space (1.84) and motivation (2.17) were significantly higher for the group of participants using ICT use than for the group of participants not using ICT. In contrast, ICT use was not associated with exercise habits and social activities. Overall, this study clarified that ICT use is significantly associated with the expansion of life space and motivation among community-dwelling older adults. In particularly, ICT use may increase mental activity, inferred from the highest OR value for motivation noted in the current results. In conclusion, ICT use can enhance activeness in life among community-dwelling older adults.

Exercise habits in adolescence and old age are positively associated with geriatric depressive symptoms: the Bunkyo Health Study.

Exercise is a crucial method for preventing geriatric depression. In this cross-sectional study, we investigated the associations between exercise habits in adolescence and old age and geriatric depressive symptoms. This study used baseline data from the Bunkyo Health Study, a prospective observational cohort study investigating the preventive effects of physical activity on causative diseases requiring long-term care. This analysis included 1,629 older adults (687 men and 942 women) aged 65-84 years who participated in the Bunkyo Health Study. Participants were divided into four groups according to their exercise habits in adolescence and old age: never exercised (none-none; NN), exercised only in old age (none-active; NA), exercised only in adolescence (active-none; AN), and exercised in adolescence and old age (active-active; AA). Geriatric depressive symptoms were defined as the short version of the Geriatric Depression Scale score ≥ 5, including depression tendency. Multivariate-adjusted logistic regression models were used to estimate the odds ratios (ORs) and associated 95% confidence intervals in each group for the prevalence of geriatric depressive symptoms compared with the NN group. The ORs for geriatric depressive symptoms were notably lower in the AN, NA, and AA groups than in the NN group in both older men and older women. These results indicate that older adults with exercise habits in adolescence and/or in old age exhibit a lower prevalence of geriatric depressive symptoms.

Cigarette Smoking Impairs Cardiorespiratory and Metabolic Response at Peak Incremental Exercise and during Recovery in Young, Physically Active Adults.

Purpose: Cigarette smoking (CS) induces systemic changes that impair cardiorespiratory and muscular function both at rest and during exercise. Although these abnormalities are reported in sedentary, middle-aged smokers (SM) with pulmonary disease, few and controversial studies focused on young, physically active SM at the early stage of smoking history. This study aimed at assessing the impact CS on cardiorespiratory and metabolic response during an incremental test and the subsequent recovery in young, physically active SM without known lung or cardiovascular disease.Methods: After pulmonary function evaluation, 12 SM (age: 22±2 yr; body mass: 75±8 kg; stature: 1.78±0.06 m; 12±4 cigarette/day for 6±2 years; mean±SD) and 12 non-smokers (CTRL; age: 23±1 yr; body mass: 76±8 kg; stature: 1.79±0.08 m) matched for age and exercise habits, underwent an exhaustive incremental step test (25 W/2 min) on a cycle ergometer. Pulmonary O2 uptake (V'O2), expiratory ventilation (V'E), heart rate (fH) responses and lactate concentration were assessed during the test and subsequent recovery.Results: Despite similar static lung volumes, SM reported lower peak expiratory flow (-23%; P = 0.003) and maximal voluntary ventilation (-10%; P = 0.003). At submaximal exercise, no differences in the cardiorespiratory and metabolic were noted between the two groups. However, SM exhibited ventilatory (P < 0.01) and lactate thresholds at lower work rates (P = 0.01). At peak exercise, SM exhibited lower V'O2 (-8%; P = 0.02), mechanical power (-11%; P = 0.02) and V'E (-9%; P = 0.01). During recovery, SM showed longer time constants (τ) in V'O2 (+52%; P = 0.002), V'E (+19%; P = 0.027) and fH (+21%; P = 0.022) and smaller fH at 30 s of recovery (HRR30; -31%; P = 0.032).Conclusions: These results are compatible with an early CS-related impairment of the cardiorespiratory and metabolic function even in young individuals with relatively short smoking history.

Depression and Lifestyle: The Impact of Exercise and Sleep

This study explores the relationship between depression and lifestyle, focusing on the impact of exercise and sleep on depressive symptoms. Exercise plays a positive role in psychological regulation by promoting the release of neurotransmitters, increasing self-efficacy, and enhancing social interactions. At the same time, good sleep quality is closely related to mental health, and sleep disorders often exacerbate depressive symptoms, creating a vicious cycle. The findings suggest that improving exercise habits and sleep quality can significantly enhance the mental health of individuals with depression, thereby promoting overall quality of life.

Factors related to sedentary behavior of pregnant women during the second/third trimester: prospective results from the large-scale Japan Environment and Children’s Study

BackgroundProlonged sedentary behavior in pregnant women is reported to be associated with worse health-related indices and pregnancy outcomes. The aim of this study was to identify relevant factors that can be targeted in interventions to reduce sedentary behavior during pregnancy.MethodsOf 103,057 pregnancies registered in the Japan Environment and Children’s Study, 83,733 pregnant women were included for analysis after excluding multiple enrollments, nonresponses, and missing outcome data. Data were collected using the International Physical Activity Questionnaire and analyzed using logistic regression models to calculate crude and adjusted odds ratios. Missing data were handled using multiple imputations, and statistical analyses were performed using SAS software.ResultsMean sedentary behavior time increased from 5.4 h/day before pregnancy to 5.9 h/day during pregnancy. The percentage of women classified in the high sedentary behavior group increased from 25.6% before pregnancy to 31.2% during pregnancy. Factors associated with high sedentary behavior during pregnancy included longer hours spent watching television and playing video games before pregnancy, higher annual household income, and working status during pregnancy. Possible protective factors against high sedentary behavior included engaging in ≥ 150 min of moderate to vigorous physical activity per week before pregnancy.ConclusionsThis large-scale cohort study provides valuable insights into sedentary behavior patterns among pregnant women in Japan. To reduce the amount of time engaged in sedentary behavior during pregnancy, the planning and management of time spent watching TV and playing video games as well as establishing exercise habits before pregnancy are recommended.

Sex Differences in Glycemia and Self-Management Strategies for Exercise in an Active Adults Cohort with Type 1 Diabetes.

To examine potential differences in glucose levels during and after exercise between sexes in adults with type 1 diabetes. The T1DEXI study was a prospective, 4-week free-living observational study in adults with type 1 diabetes. Ninety-one females were matched on age and insulin-modality to 91 males. Participants completed exercise study videos and personal exercise sessions. Study-collected food, insulin, exercise, and glucose data surrounding exercise and on sedentary days were compared between sexes to examine how they impact glucose levels during and after exercise. Female participants had higher glucose levels than male participants when starting study exercise (8.5 ± 2.8 vs. 8.0 ± 2.8 mmol/L, p=0.01) and when starting personal exercise activities (8.4 ± 2.9 vs. 7.8 ± 2.7 mmol/L, p=0.05). Glucose declines during study exercise were comparable between female and male participants (adjusted mean: -0.8 vs. -1.0 mmol/L respectively, p=0.11), but smaller in female participants during personal exercise (adjusted mean: -0.9 vs. -1.4 mmol/L, p<0.001). 24-hour mean glucose levels were also higher in female participants on sedentary days (p=0.04). Daily macronutrient consumption was similar between sexes after adjusting for weight, as were food, exercise, and insulin habits surrounding exercise. Female participants had higher pre-exercise glucose levels compared to male participants, and smaller glucose declines during personal exercise, but there were no observable differences in food, exercise, and insulin habits.

Relationship between exercise habits and social isolation in older patients with predialysis CKD: a cross-sectional study

BackgroundMaintaining exercise habits in older patients with predialysis chronic kidney disease (CKD) is important to prevent conversion to renal replacement therapy and improve prognosis. This study identified factors influencing exercise habits in older patients with predialysis CKD.MethodsThis cross-sectional study included 113 patients aged ≥ 65 years with stages 3–5 predialysis CKD who were admitted for CKD education purposes. Exercise habits were assessed using the transtheoretical model. Social isolation was assessed using the Lubben Social Network Scale (LSNS-6). Furthermore, the short physical performance battery (SPPB) and grip strength, exercise self-efficacy (SE), hemoglobin, and estimated glomerular filtration rate of the participants were assessed.ResultsAmong the 55 patients who maintained exercise habits, 20 (57.1%) were at CKD stage 3, 19 (43.2%) were at CKD stage 4, and 16 (47.1%) were at CKD stage 5. The LSNS-6, SPPB, grip strength, and exercise SE scores significantly differed between the with exercise habits group and without exercise habits group (p < 0.05). The multivariate logistic regression analysis results indicated that the LSNS-6 (OR:1.10; 95%CI:1.022–1.210) and exercise SE (OR:1.10; 95%CI:1.009–1.199) were significantly associated with exercise habits (p < 0.05). Conversely, no significant associations were found between exercise habits and SPPB, grip strength, renal function, or anemia.ConclusionsSocial isolation and SE may be an important factor influencing exercise habits in older patients with predialysis CKD.

Association between physical activity patterns of working-age adults and social jetlag, depressive symptoms, and presenteeism.

This study aimed to evaluate the association of physical activity with social jetlag, depressive symptoms, and presenteeism. This cross-sectional study included 8247 working-age adults (females, 44.6%; age, 20-64years). Social jetlag was defined as the absolute difference between the midpoint of bedtime and wake time on workdays and free days. Depression symptoms were assessed using the Center for Epidemiologic Studies Depression Scale, and presenteeism was evaluated using the Work Functioning Impairment Scale. Exercise habits were classified into 4 groups based on the World Health Organization guidelines: nonactive (NA; n = 4223), insufficiently active (IA; n = 3009: exercise below guideline levels), weekend warriors (WW; n = 220: exercise 1-2 times per week meeting guideline levels), and regularly active (RA; n = 793: exercise at least 3d/wk meeting guideline levels). Using multiple and Poisson regression analyses, we examined the association between exercise habits and each outcome. Social jetlag, depression, and presenteeism were more favorable with shorter sedentary times and longer durations of moderate- and vigorous-intensity exercise. Compared with the RA group, the NA group had a significantly higher prevalence of social jetlag (prevalence ratio [PR] = 1.30), depression (PR = 1.31), and presenteeism (PR = 1.35). The IA group had a significantly higher prevalence of depression (PR = 1.33) and presenteeism (PR = 1.38). Exercising with a certain frequency and intensity may help prevent symptoms of depression and social jetlag, and consequently prevent presenteeism.

An Analysis of the Situation of Hypochondriasis and Exercise Habit Variables of Korean Middle-Aged Women in Their 40s to 50s.

The Article Abstract is not available

Association between exercise habits in adolescence and old age and the risk of mild cognitive impairment: the Bunkyo health study.

Exercise in adolescence and old age improves cognitive function in older adults, but the combined effect of exercise habits in both periods is controversial. This study aimed to clarify the relationship between exercise habits in adolescence and old age and mild cognitive impairment (MCI) and to compare regional brain volumes and blood biochemical markers associated with cognitive function in older adults. Baseline data of 1615 participants aged 65-84 years from the Bunkyo Health Study were analyzed. MCI was diagnosed using the Japanese version of the Montreal Cognitive Assessment. Participants were divided into four groups based on their exercise habits in adolescence (13-18 years) and old age: no exercise in either period (None-None), exercise in adolescence only (Active-None), exercise in old age only (None-Active), and exercise in both periods (Active-Active). Logistic regression models estimated the odds ratios (ORs) of MCI prevalence. Regional brain volumes, such as the prefrontal cortex, temporal lobe, parietal cortex, and hippocampus, and blood biochemical markers, such as BDNF, IGF-1, and homocysteine, were compared between groups. The OR for MCI was significantly lower in the Active-Active group than in the None-None group (OR, 0.62; 95% CI, 0.41-0.94). However, there were no significant differences in regional brain volumes and blood biochemical markers between the Active-Active and None-None groups. Older adults with exercise habits in both adolescence and old age have a lower risk of MCI. However, specific regional brain volumes and biochemical markers may not be associated with differences in cognitive function in older adults.

Gym and swim: a co-facilitated exercise program that improves community connection, confidence, and exercise habits in a community mental health service

High rates of cardiometabolic disease and poor physical health outcomes contribute to significant premature mortality in people living with severe mental illness (PLWSMI). Lifestyle interventions such as exercise are known to improve both physical and mental health outcomes, however the best way to deliver exercise programs for PLWSMI remains a challenge. This paper uses a pragmatic program evaluation of a co-delivered low-cost community-based exercise program implemented over a 6-month period. Of 46 referrals in the first half of 2023 to the SLHD Gym and Swim program, 13 gave consent to participate in standardised measures and qualitative interviews. Findings revealed an increase in average hours of sport/exercise, improvements in confidence to exercise independently and within group settings, as well as achievement of individualised goals. The success of the program was in part due to the co-facilitation between peer support workers and exercise physiologists, community connection and the established partnership between the public health service and the local government council. Results offer evidence to adopt and implement accessible and low-cost exercise opportunities in the community external to health services to address barriers of attendance for PLWSMI.

Trends in Exercise-Related Internet Search Keywords by Sex, Age, and Lifestyle: Infodemiological Study.

Exercise prescription by physicians is beneficial for initiating or intensifying physical activity. However, providing specific exercise prescriptions is challenging; therefore, few physicians prescribe exercise. This infodemiological study aimed to understand trends in exercise-related internet search keywords based on sex, age, and environmental factors to help doctors prescribe exercise more easily. Search keyword volume was collected from Yahoo! JAPAN for 2022. Ten exercise-related terms were analyzed to assess exercise interest. Total search activities were analyzed by sex and age. Characteristic scores were based on the Japanese prefecture. By performing hierarchical cluster analysis, regional features were examined, and Kruskal-Wallis tests were used to assess relationships with population and industry data. The top-searched term was "Pilates" (266,000 queries). Male individuals showed higher interest in activities such as "running" (25,400/40,700, 62.4%), "muscle training" (65,800/111,000, 59.3%), and "hiking" (23,400/40,400, 57.9%) than female individuals. Female individuals exhibited higher interest in "Pilates" (199,000/266,000, 74.8%), "yoga" (86,200/117,000, 73.7%), and "tai chi" (45,300/65,900, 68.7%) than male individuals. Based on age, search activity was highest in the 40-49 years age group for both male and female individuals across most terms. For male individuals, 7 of the 10 searched terms' volume peaked for those in their 40s; "stretch" was most popular among those in their 50s; and "tai chi" and "radio calisthenics" had the highest search volume for those in their 70s. Female individuals in their 40s led the search volume for 9 of the 10 terms, with the exception of "tai chi," which peaked for those in their 70s. Hierarchical cluster analysis using a characteristic score as a variable classified prefectures into 4 clusters. The characteristics of these clusters were as follows: cluster 1 had the largest population and a thriving tertiary industry, and individuals tended to search for Pilates and yoga. Following cluster 1, cluster 2, with its substantial population, had a thriving secondary industry, with searches for radio calisthenics and exercise bike. Cluster 4 had a small population, a thriving primary industry, and the lowest search volume for any term. Cluster 3 had a similar population to that of cluster 4 but had a larger secondary industry. Male individuals show more interest in individual activities, such as running, whereas female individuals are interested in group activities, such as Pilates. Despite the high search volume among individuals in their 40s, actual exercise habits are low among those in their 30s to 50s. Search volumes for instructor-led exercises are higher in cluster 1 than in other cluster areas, and the total number of searches decreases as the community size decreases. These results suggest that trends in search behavior depending on sex, age, and environment factors are essential when prescribing exercise for effective behavioral change.

Occupational accidents among rice farmers in Northern Vietnam

This study investigated the rate of agricultural occupational accidents among rice farmers in rural Northern Vietnam and identified factors associated with these accidents. A cross-sectional study was conducted on rice farmers in rural Thai Binh province, Northern Vietnam. A multi-stage random sampling method was used to select 1,171 rice farmers from six communes. Data were collected through structured interviews at the participants’ homes using a pilot-tested questionnaire that gathered information on occupational accidents in the previous six months, including their causes, frequency, and related injuries. Logistic regression analysis was performed to assess the factors associated with occupational accidents, considering variables such as age, gender, alcohol consumption, daily exercise, and working hours. Model fit was evaluated using goodness-of-fit tests, and significant variables were identified based on a p-value of < 0.05. Of the 1,171 rice farmers, 17.5% reported experiencing at least one occupational accident in the preceding six months. Sharp objects were the leading cause of accidents (46.3%), followed by falls (37.1%). Additionally, 41.0% of farmers who experienced accidents reported having three or more incidents in the past six months. The multivariate logistic regression analysis revealed that the likelihood of occupational accidents was significantly associated with increasing age, female gender, lack of daily exercise, alcohol consumption, and longer working hours. The final model showed good fit, with these variables demonstrating independent contributions to the accident risk. This study found a significant prevalence of occupational accidents among rice farmers in Northern Vietnam. Factors such as age, gender, exercise habits, alcohol use, and working hours were associated with higher accident risk. Future research should focus on exploring the knowledge, attitudes, and practices of farmers regarding accident prevention, and interventions should be developed to address these risk factors and improve safety in rice cultivation.

Knowledge, attitude, and perception of exercises among post-hematopoietic stem cell transplant patients: A cross-sectional study.

Exercise rehabilitation is crucial for the recovery after hematopoietic stem cell transplantation (HSCT). This study aimed to investigate knowledge, attitude, and perception (KAP) of exercise among post-HSCT patients. This cross-sectional study was conducted at Zhujiang Hospital, Southern Medical University between January 2020 and December 2022 among post-HSCT patients, using a self-designed questionnaire. A total of 192 patients were included, with the mean age of 37.90 ± 11.96 years; 116 (60.42%) reported to exercise before. The mean KAP scores were 9.22 ± 2.05 (possible range: 0-12), 43.51 ± 5.47 (possible range: 12-60) and 51.79 ± 7.45 (possible range: 15-75), respectively. Patients previously inactive in exercise exhibited significant differences in KAP scores from active patients: attitude total score, positive attitude, perception total score, willingness to exercise, aerobic exercise, breathing training (all P < .001), with a noteworthy distinction in resistance exercise (P = .018). According to structural equation modeling, perception was directly influenced by knowledge (β = 0.87, P < .001), attitude (β = 0.26, P = .007), and exercise habits (β = 3.36, P = .001), as well as indirectly by education (β = 0.44, P = .010) and knowledge (β = 0.18, P = .029). Post-HSCT patients had adequate knowledge, moderate attitude and perception of exercises, even 1 year after HSCT. Patients inactive in exercises exhibited significant differences in knowledge and exercise perception from active patients. Healthcare professionals should tailor education, target attitude, and personalize exercise plans to facilitate effective recovery post-HSCT.

Foam Rolling Intervention Improves Lactate Clearance After High-Intensity Exercise.

The acute effects of a foam rolling intervention on lactate clearance and the impaired executive function associated with fatigue after high-intensity exercise remain unclear. This study examined whether foam rolling is an effective tool for fatigue recovery. Eighteen healthy adults without consistent exercise habits participated in this study. Participants performed high-intensity exercises, and the post-exercise foam rolling intervention was compared to the control condition. Measurements included lactate, vigor/fatigue by the Profile of Mood States 2nd Edition, cognitive function (cognitive task performance), leg and body rating of perceived exertion pre- and post-exercise, and post-intervention. Blood lactate concentrations post-foam rolling intervention (-7.3 ± 3.0 mmol/L) were significantly reduced among all participants. Increased lactate clearance by foam rolling correlated with a faster recovery of executive function for those with greater lactate clearance. However, cognitive fatigue was not observed after high-intensity exercise (p = 0.086, r = 0.41). Lactate clearance was not significantly correlated with the rating of perceived exertion in the foam rolling condition. The rating of the perceived exertion decreased with increased lactate clearance for those with greater lactate clearance in the control condition (leg: r = 0.778; body: r = 0.669). In conclusion, foam rolling intervention may be effective for exhausting exercise recovery.