Physical Activity Programs For People Research Articles

The effectiveness of community dance in people with cancer: a mixed-methods systematic review and meta-analysis.

There is a need for both feasible and enjoyable physical activity programmes for people on a cancer journey. Emerging evidence suggests that dance can have a positive effect on health and well-being in this cohort. We aimed to synthesize the quantitative and qualitative literature exploring the effectiveness and impact of community dance interventions in people with all types and stages of cancer. A systematic search was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines in Pubmed, EMBASE, Medline Ovid, CINAHL and PEDro databases. Quantitative and qualitative data were extracted and synthesized using a convergent segregated approach. The numeric data were analysed using descriptive statistics, narrative synthesis and meta-analysis where possible. The qualitative data were analysed using thematic analysis. The Downs and Black critical appraisal tool and the Critical Appraisal Skills Programme were used to assess the quality of the quantitative and qualitative literature, respectively. Eighteen studies were included in this mixed-methods review with seven trials included in the meta-analysis. Statistically significant improvements were found in favour of community dance for functional capacity, fatigue, quality-of-life and depression in comparison to no intervention. Evidence suggests dance is a safe and feasible form of physical activity both during and after cancer treatment. Participants reported good social support, education regarding physical activity and local access as key facilitators to participation. We concluded that dance is a feasible and enjoyable intervention for many people with various forms of cancer. Community dance programmes can improve both physical and psychological outcomes in people on a cancer journey.

Benefits, Facilitators and Barrier Reductions in Physical Activity Programmes for People with Severe Mental Disorder: A Systematic Review.

The current high prevalence of people with Severe Mental Disorder and the high impact the latter has on their quality of life is one of the main problems in terms of health, as it affects both physical and mental health. One of the lines of action to intervene in these factors is the practice of physical activity, as this usually has a low level of participation due to different barriers. However, there are several facilitators that improve adherence to these practices. The main objectives of this work were (1) to conduct a systematic review of the scientific literature on the possible benefits obtained by people with SMD from their participation in physical activity programmes; (2) to identify the characteristics of physical activity programmes and determine the barriers to their implementation that have been considered and (3) the facilitators incorporated. To meet these objectives, the SCOPUS, Web of Science, PubMed, Dialnet and Elsevier online databases were consulted and, following the PRISMA statement, 17 articles were finally selected. Their analysis has revealed various physical, psychological and social benefits, as well as the barriers that appear in the intervention programmes, mostly related to personal factors and the programme itself, and those factors that facilitate their adherence or development, the most common being the carrying out of the activities outdoors, the inclusion of social components and the possibility of adapting the activities. In this way, the results obtained have made it possible to highlight the characteristics that should be taken into account when planning this type of intervention.

Impact and Determinants of Structural Barriers on Physical Activity in People with Cancer

BackgroundA better understanding of the role of structural barriers for physical activity (PA) after a cancer diagnosis could help to increase PA among people with cancer. Thus, the present study aimed to identify determinants of structural barriers to PA in people with cancer and investigate the association between structural barriers and insufficient post-diagnosis PA, taking different PA change patterns into account.MethodsA total of 1299 people with breast, prostate, or colorectal cancer completed a questionnaire assessing their socio-demographic and medical characteristics, pre- and post-diagnosis PA, and perceived PA impediment by seven structural barriers. Regression analyses were used to investigate determinants of the perception of structural barriers and to examine the association between structural barriers and insufficient post-diagnosis PA, also with regard to different pre-diagnosis PA levels.ResultsOverall 30–60% of participants indicated to feel impeded by structural barriers. The analyses revealed a younger age, higher BMI, lower educational level, no current work activity, co-morbidities, and lacking physicians’ exercise counseling as significant determinants of the perception of structural barriers. Individuals reporting stronger impediments by structural barriers were significantly less likely to be meeting PA guidelines post-diagnosis, particularly those with sufficient pre-diagnosis PA levels.ConclusionsThe study highlights the need for tailored PA programs for people with cancer as well as for more guidance and support in overcoming structural barriers to improve PA behavior.The study has been registered under NCT02678832 at clinicaltrials.gov on February 10th 2016.

Tackling pain with exercise: It's Your Move.

The recent National Institute for Health and Care Excellence (NICE) guideline on chronic pain recommends that GPs prioritise physical activity programmes for people suffering from chronic pain.1 This article describes an innovative scheme in the West Country. Chronic pain is debilitating. As well as dealing with the challenge of pain, most people with painful conditions also face the tough reality of fatigue, social isolation, and the anxiety that comes with it. Pain clinics have long waiting times and medication brings little solace. At Active Gloucestershire (https://www.activegloucestershire.org) we have been forging new ground, with a successful trial that is now expanding to all GPs throughout Gloucestershire. Our trial, It’s Your Move, is run in partnership with Gloucestershire Clinical Commissioning Group (CCG). It offers …

Développement d’une grille de caractérisation des structures proposant des programmes d’activité physique adaptée pour les personnes ayant eu un cancer

As the benefits of physical activity (PA) in oncology field continue to be demonstrated, multiple structures (sports clubs, associations…) develop PA programs and activities to offer cancer patients survivors the opportunity to continue adapted physical activity. Promoted in the 2014-2019 cancer plan as complementary supportive care, the practice of physical activity is legitimized by the 2016 Health Act of the Ministry of Social Affairs and Health, including the amendment 'prescription health sport', by giving it a legislative framework. In this context of development of new PA offers for cancer patients, it seems necessary to determine and evaluate the structures on their capacities to supervise physical activities for this population with specific needs. This article presents the methodological development and validation process of a tool used to characterize the different structures offering physical activity programs for people who have had cancer, and seeks to define the quality criteria that a structure should meet in the current state of knowledge. Ten of these criteria were selected according to a qualitative methodology and the final tool therefore facilitates the identification of quality programs in post-cancer PA, and could be used systematically by both users and professionals as part of the post-cancer care pathway, as well as by the sport-health platforms themselves in the current dynamics of their deployment throughout the national territory.

A Qualitative Analysis of an Aerobic Interval Training Programme for Obese Outpatients Carried Out in a Hospital Context.

Purpose: To describe the experience of obese adults following participation in an indoor aerobic interval training (AIT) intervention. Methodology: Qualitative, in-depth semi-structured individual interviews, using phenomenology, with 24 obese adults (body mass index (BMI) ≥30 kg/m2) from the Endocrinology Department, at the Severo Ochoa Hospital in Leganés (Madrid). Questions were related to: (a) The physical activity (PA) programme, (b) their perspectives of the activity and exercise environment and (c) the perceived benefits from participation. Data were analysed with a constant comparison approach. Results: The main patients’ reasons for beginning the programme were motivations to take part including weight loss, health improvement and doctors’ recommendation. Also, patients showed doubts and feelings of apprehension at the beginning of the intervention. Patients highlighted the role of the instructor, feelings of exercising in a safe environment, a good intervention and accessibility of the facility. They reported an improvement in their quality of life and recommended continuing the program. Conclusions: (1) Common themes in the qualitative analysis included enjoyment of the activity and a desire to maintain physical fitness, (2) AIT was perceived as a suitable exercise programme for this population and (3) recommendations for further investigation to understand the role of PA programmes for people with obesity.

Home-Based Physical Activity Programs for People With Dementia: Systematic Review and Meta-Analysis.

Physical activity has the potential to improve health outcomes in people with dementia, namely when living at home. However, the knowledge about home-based physical activity for this population is scarce. Thus, we aim to identify and synthesize the effects of home-based physical activity for people with dementia. A systematic review was conducted. Quality of studies was assessed using the Delphi List. Effect sizes (ES) were calculated with MetaXL 2.0. A meta-analysis was conducted for the Mini-Mental Status Examination (MMSE), Neuropsychiatric Inventory (NPI), Cornell Scale for Depression in Dementia, Alzheimer's Disease Cooperative Study Group Activities of Daily Living Scale (ADCS-ADL), Functional Reach test, Timed Up and Go (TUG) test, Short Physical Performance Battery, Dementia Quality of Life, NPI Caregivers subscale and Zarit Burden Interview (ZBI). Sixteen randomized controlled trials were included. Most were of high quality and published after 2015. A large heterogeneity of interventions was found. Meta-analysis showed significant results in MMSE (ES = 0.71, 95% CI 0.43, 0.99), NPI (ES = -0.37, 95% CI -0.57, -0.17), ADCS-ADL (ES = 0.80, 95% CI 0.53, 1.07), Functional Reach test (ES = 2.24, 95% CI 1.80, 2.68), TUG test (ES = -2.40, 95% CI -2.84, -1.96), NPI Caregivers subscale (ES = -0.63, 95% CI -0.94, -0.32), and ZBI (ES = -0.45, 95% CI -0.77, -0.13). Few minor adverse events and high adherence to intervention were found. Home-based physical activity seems safe and effective in delaying cognitive function decline and improving changes in behavioral and psychological symptoms of dementia, activities of daily living, health-related physical fitness, and carer's burden in people with dementia living at home.

A Benefit of Being Heavier Is Being Strong: a Cross-Sectional Study in Young Adults

BackgroundIn this study, the main hypothesis is that heavier people enjoy strength exercises more than normal-weight people, mediated by fat-free mass and muscle strength. Further, it is hypothesized that heavier people are better in strength exercises and enjoy strength exercises more compared to aerobic exercises.MethodsIn a cross-sectional study, height, weight, body composition (i.e., fat mass and fat-free mass by underwater weighing), muscle strength (i.e., one-repetition maximal strength for the leg press and chest press), maximal aerobic exertion (VO2max) during cycle ergometry, and psychological determinants (i.e., attitudes, intentions, and self-determined motivations for strength exercises and aerobic exercises using questionnaires) were measured in 68 participants (18–30 years).ResultsSignificant correlations between weight/BMI and fat-free mass (index) (r values = .70–.80, p values < .001), fat-free mass and muscle strength (r values = .35–.55, p values < .05), and muscle strength and attitudes, intentions, and motivation for strength exercises were found (r values = .29–.43, p values < .05); BMI was related to psychological determinants via fat-free mass and muscle strength. Furthermore, participants with a higher BMI are significantly better in strength exercises, more intrinsically motivated, and less motivated to do strength exercises compared to aerobic exercises (all p values < .05). Trends in the same direction were found for the following variables: instrumental attitude, experiential attitude, and intention (p values < .1).ConclusionsStrength exercises could be more appropriate for heavier people and might therefore be a valuable component in physical activity programs for people who are overweight or obese.

EFEITOS DO EXERCÍCIO FÍSICO PARA ADULTOS COM DEFICIÊNCIA INTELECTUAL: UMA REVISÃO SISTEMÁTICA

Literature presents the benefits of physical activity programs for people with intellectual disability (ID), but aspects such as those related to physical exercise prescription, benefits of the type of exercise program, most recommended exercises, load control, limitations of the interventions for adults with ID are subjects awaiting scientific research. The aim of this study was to verify, through a systematic review, the effects of physical activity programs for adults with ID. The procedure included an electronic search of the literature published from January 1960 to August 2014, considering terms related to physical activity, ID and physical activity program. Eight manuscripts met the eligibility criteria and were included in the study. Based on the systematic review, we found a limited number of studies that investigated, in a structured way, the effect of physical activity programs for adults with ID. In general, the systematized programs of physical exercise promoted consistent and significant benefits for adults with ID. However, there seems to be no consensus on the type of intervention to be used to promote the practice of physical activity in adults with ID. In addition, the methodological quality of the studies appears to be limited. We conclude that intervention studies with physical activity in adults with ID that involve aerobic exercise, sports specialization and a combination of muscular and aerobic exercise performed two or three times a week for more than 40 minutes seem to be the most recommended for adults with ID.

Confronting Physical Activity Programming Barriers for People with Disabilities: The Empowerment Model

Community-based physical activity programs for people with disabilities have barriers that are unique to their program leader qualifications and the population they serve. Moran and Block (2010) argued that there is a need for practical strategies that are easy for communities to implement, maximize resources, and minimize the impact of barriers on each individual. The purpose of this article was to build upon the work of Moran and Block by identifying and systematically addressing barriers to physical activity for people with disabilities in ways that target their sources of self-efficacy. The Empowerment Model is introduced, along with its multi-tiered empowerment continuum of training, support, and programming strands. The goal of the tiered empowerment continuum is to progressively move populations to more independent levels of training, support, and programming.

Adaptive Behaviour and Paddle Tennis: A Case Study of Down’s Syndrome

Adaptive behaviour is one of the key elements to diagnose intellectual disability. In addition, these behaviors are crucial in order to operate on the daily life. As a population with a high risk of developing a sedentary lifestyle, adapted physical activity programs for people and children with intellectual disability are needed. Therefore the aim of this study is to assess the influence of adapted paddle tennis intervention program on the adaptive behaviour of a child with Down’s syndrome. In a case study of child with Down’s syndrome (male, Caucasian, age = 4.5 years), he participated on a paddle tennis program with a length of 12 weeks. The child’s parents assessed the adaptive behaviour before and after the program through the Adapted Behaviour Scale (ABS-S:2). Obtained data showed that three domains presented a positive increasing. Parents reported that physical development increased from 19 to 23.5, and this increase was corroborated by the instructor (post score = 23.8). Moreover, language development increases from 18.5 to 28 (parents). The paddle tennis instructor perceived an increase in speaking abilities after the program. The self-management domain also showed an increase from 8 to 17. The adapted paddle tennis program is suitable for promoting physical activity and for improving adaptive behaviour in children with intellectual disabilities.

Impact of physical activity on activity of daily living in moderate to severe dementia: a critical review.

The objectives of this study were to describe the different modalities of physical activity programs designed for moderate to severe dementia and to identify their impact on functional independence in activities of daily living (ADL). A critical review of randomized controlled trials related to the impact of physical activity programs in moderately to severely demented persons on ADL performance and meta-analysis of the identified studies were performed. Among the 303 identified articles, five responded to the selection criteria. Four out of the five studies demonstrated limited methodological quality. In one high-quality study, physical activity programs significantly delayed deterioration of ADL performance. The program components and ADL assessment tools vary widely across studies. Although the proposed treatments have not proven their efficiency in improving the ADL status of the patients, they were able to limit the decline in ADL functioning. Future research is warranted in order to identify clinically relevant modalities for physical activity programs for people with moderate to severe dementia.

Impact of Taiwanese culture on beliefs about expressing anxiety and engaging in physical activity: a discursive analysis of the literature

This paper analysed the scholarly discourse about the influence of Taiwanese culture on beliefs about expressing anxiety and engaging in physical activity from literature review. The well-being of individuals with mental illness is promoted by the World Health Organization. Reducing barriers to treatment and care in community health-service systems requires cultural understanding. However, little is known about the influence of Taiwanese culture on physical activity programmes for people with anxiety disorders in Taiwan. A discursive analysis of the literature. Literature was used to examine the impact of Taiwanese culture on beliefs about anxiety and physical activity from historical, economic, social, political and geographical perspectives. Taiwanese cultural beliefs about anxiety and physical activity can be summarised into six themes. Beliefs about anxiety are reflected in three themes: anxiety and shame, beliefs against direct communication and beliefs about anxiety and external forces. Beliefs about engaging in physical activity are reflected in three themes: beliefs about human action, the relationship between health and physical activity and priority of academic achievement. This paper exposes the hidden power of culture to influence Taiwanese beliefs about anxiety and physical activity. Three negative beliefs about anxiety influence the expression of anxiety symptoms and help-seeking behaviours. Two positive and one negative belief about physical activity significantly affect choice of activity type and level of participation in physical activity. Anxiety and physical activity have a dynamic relationship and both are deeply influenced by Taiwanese culture. An awareness of cultural influences on beliefs about anxiety and physical activity is important when encouraging Taiwanese people with anxiety disorders to engage in physical activity. This awareness may help nurses understand better how their patients perceive anxiety and physical activity, leading to more appropriate physical activity programmes to improve both physical and psychological well-being.

Obstacles to action in arthritis: a community case‐control study

Despite the benefits of physical activity, people with arthritis are less active than the general population. The aim of this study was to determine the motivators and obstacles to physical activity for adults with arthritis. Participants were identified from the Obstacles to Action Study, a community based study of 8163 adults, which explored barriers and motivators to physical activity. A 1:1 case-control study was designed; cases were identified as those participants who reported arthritis (n = 1106). Each case was matched with an age, sex and ethnicity-matched non-arthritis control (n = 1106). Cases were less likely to achieve recommended physical activity targets (58.8% vs. 68.1% P = 0.00001). Furthermore, fewer people with arthritis believed that physical activity would help them lead healthy lives (86.7% vs. 91.3% P = 0.006) or viewed physical activity as a priority (53.8% vs. 59.8% P = 0.005). Cases were less confident in their abilities to try a new activity (37.1% vs. 43.7% P = 0.002) or maintain a healthy weight (65.0% vs. 74.3% P = 0.00001). Cases also reported greater negative impact scores for barriers to activity, particularly arthritis, accessibility, cost and discomfort while exercising. Motivators and environmental barriers to activity were similar for cases and controls. These findings persisted after adjusting for educational level, body mass index and comorbidities. People with arthritis are less active and demonstrate different attitudes toward physical activity. Although people with arthritis identify similar environmental barriers, they have different psychosocial barriers. In order to design effective physical activity programs for people with arthritis, these barriers must be specifically addressed.

Physical activity and behaviour in dementia

Physical activity can have a positive impact on cognition and well-being in older people. This article reviews and evaluates the effects of planned physical activity programmes on mood, sleep and functional ability in people with dementia. A total of 27 studies between 1974 and 2005 were found. Of these, four included participants living at home, two involved participants who were living either at home or in care homes and 21 included participants living solely in care homes. Since psychosocial intervention can reduce family caregiver burden, the break down of home-care and associated rates of institutionalization, the indirect effects of these physical activity programmes on the family caregiver are also explored. The scope for developing physical activity programmes for people with dementia in primary care using families and volunteers is discussed.

FEASIBILITY OF A PHYSICAL ACTIVITY PROGRAM AT A SHELTERED WORKSHOP FOR ADULTS WITH MULTIPLE DISABILITIES

Providing physical activity programs for people with multiple disabilities may be a means to increase their physical function and independence; thus, reducing their risk for becoming institutionalized and/or developing additional disabilities. However, little has been done to develop such programs for this population. The purpose of this study was to assess the feasibility of a physical activity program at a sheltered workshop for adults with multiple disabilities including mental retardation, Down syndrome, autism, speech/language impairments, behavior disorders, hyperactivity, and developmental delays. Sixteen clients were asked and 11 volunteered to participate in the program. Six of the 11 volunteers completed assessments before and after the program to determine strength, flexibility, and motor skills. Three of these 6 did not participate in the activity program and served as a control group. The remaining three volunteers who completed all assessments, participated in the physical activity program (45 min, 2d/wk, 8 wk) which consisted of a warm-up, exercises utilizing Thera-bandTM elastic bands, and a cool-down. Adherence was 100% for these participants. Slight improvements were observed for the majority of tests in 2 of the participants. In the other participant, no improvements were observed. For controls, no changes or slightly lower test scores were observed. The results of this study are encouraging and indicate that this limited activity program (45 min, 2d/wk, 8 wk) was beneficial to those who participated. Additional studies are needed to assess the long-term effects of physical activity on populations with multiple disabilities.