Physical Benefits Research Articles

Mining crowdsourced text to capture hikers' perceptions associated with landscape features and outdoor physical activities

Outdoor recreation provides vital interactions between humans and ecological systems with a range of mental and physical benefits for people. Despite the increased number of studies using crowdsourced online data to assess how people interact with the landscape during recreational activities, the focus remains largely on mapping the spatial distribution of visitors or analyzing the content of shared images and little work has been done to quantify the perceptions and emotions people assign to the landscape. In this study, we used crowdsourced textual data from an outdoor activity-sharing platform (Wikiloc), and applied Natural Language Processing (NLP) methods and correlation analysis to capture hikers' perceptions associated with landscape features and physical outdoor activities. Our results indicate eight clusters based on the semantic similarity between words ranging from four clusters describing landscape features (“ecosystems, animals & plants”, “geodiversity”, “climate & weather”, and “built cultural heritage”), to one cluster describing the range of physical outdoor activities and three clusters indicating hikers' perceptions and emotions (“aesthetics”, “joy & restoration” and “physical effort sensation”). The association analysis revealed that the cluster “ecosystems, animals & plants” is likely to stimulate all three identified perceptions, suggesting that these natural features are important for hikers during their outdoor experience. Moreover, hikers strongly associate the cluster “outdoor physical activities” with both “joy & restoration” and “physical effort sensation” perceptions, highlighting the health and well-being benefits of physical activities in natural landscapes. Our study shows the potential of Wikiloc as a valuable data source to assess human-nature interactions and how textual data can provide significant advances in understanding peoples' preferences and perceptions while recreating. These findings can help inform outdoor recreation planners in the study region by focusing on the elements of the landscape that peoples perceive to be important (i.e. “ecosystems, animals & plants”).

Yaşamak İçin Savaşmak: Türk Kültüründe Boksun Tarihsel Gelişimi

Sports have been an integral part of Turkish culture since ancient times, with Turks valuing physical abilities, agility, and strength. This article explores the historical and cultural significance of sports in Turkish society, focusing specifically on boxing. It highlights the historical significance of sports as a means of physical and mental preparation for war, while also acknowledging the contemporary achievements and aspirations of Turkish boxing in the international arena. The article begins by explaining the connection between sports and warfare in Turkish culture. The nomadic lifestyle of Turks, which required them to be constantly wandering and on the verge of danger, led them to prioritize physical strength and combat skills. This emphasis on sports as a means of survival and preparation for war can be traced back to the pre-Islamic era, as evident in ancient epics and inscriptions. As an example, one of the great writers of the 16th century, Sudi's book "Hediyet-ul Irfan Fimahr-ul Gulistan" includes boxing. Sudi referred to the "punch shooters" game in his work and stated that some of the students who came to Samarkand to receive training after learning how the game was played while he was in Damascus were masters of boxing demonstrations. In Divanu Lugati't-Turk, the oldest known Turkish dictionary, written by Mahmud of Kashgar between 1072-1074 in Baghdad, it is reported that boxing can be observed in Turkish history in this period, based on terms similar to boxing. Furthermore, the body shapes of legendary figures like Oguz Kagan, depicted with images of powerful animals, reflect the importance placed on muscle strength in Turkish culture. Throughout different Turkish states, including Hun, Gokturk, Seljuk, and Ottoman, various sports branches such as hunting, archery, wrestling, horse riding, and sword handling emerged and developed. These sports evolved from practical war preparation to become inseparable parts of Turkish daily life. Sports were not only valued for their physical benefits but also played a role in children's upbringing, the selection of Khans and Sultans, and even wedding ceremonies and traditions. The paper then goes into the historical evolution of boxing in modern Turkiye. While boxing has roots in ancient Turkish civilizations, its modern form was introduced by Monsieur Goury, a French Literature Teacher, during the late Ottoman Empire. Boxing gained popularity during the occupation of Istanbul, as competitions between foreign soldiers took place. The interest in boxing continued to increase after the War of Independence, leading to the establishment of the first boxing clubs and the organization of competitions in the early 20th century. The establishment of the Turkish Boxing Federation in 1923 marked an important milestone for the sport. Turkish boxers began participating in national and international competitions and achieved success in the Olympic Games, including a gold medal in the 2020 Tokyo Olympics, which was the first Olympic gold medal in Turkish boxing history. The article concludes by acknowledging the progress made in Turkish boxing and highlighting the ongoing efforts to popularize the sport, train successful athletes, and increase the number of licensed active participants. While Turkish boxing has a rich history, there is still room for further development and modernization. However, the achievements in recent years and the commitment of the Turkish Boxing Federation point towards a promising future for the sport in Turkiye.

"Does Physical Exercise Promote Health Benefits for Diabetic Patients during the COVID-19 Pandemic?": A Systematic Review.

Patients affected by COVID-19 are prone to facing disorders in multiple systems and organs, which can lead to deleterious diseases; in addition, people with pre-existing diseases may be more prone to the worst outcomes, and the most vulnerable are patients with type 1 and type 2 diabetes mellitus. The aim of this systematic review was to evaluate the effects of physical activity and/or physical exercise prescribed to individuals with diabetes on the maintenance of plasma glucose and glycated hemoglobin during the COVID-19 pandemic. Studies were found by searching PubMed, SCOPUS, Embase, Web of Science, SciELO, LILACS, SportDiscus, Bireme/BVS and Google Scholar databases. The inclusion criteria were articles that addressed only patients with type 1 or type 2 diabetes (T1D and T2D) who had evaluated the level of physical activity or physical exercise and described the effects on plasma glucose and/or glycated hemoglobin in cross-sectional, retrospective, and observational studies, meeting the main criteria established by GRADE. The PICO and GRADE strategies were used to select and assess the methodological quality of studies. Two reviewers searched and selected the articles in databases independently and blindly, during which oppositions and disagreements about the inclusion of articles were discussed and resolved by a third reviewer. Evidence corroborates that levels of physical activity were reduced due to the lockdown, leading to increased body weight and worse glycemic control. On the other hand, individuals with diabetes mellitus (DM) (T1D and T2D) who maintained and/or increased levels of physical activity or physical exercise showed reduced plasma glucose and glycated hemoglobin (HbA1c) levels. Adequate levels of physical exercise and physical activity are beneficial for glucose and HbA1c control in diabetic patients (type 1 or type 2). In addition, maintaining adequate levels of physical activity can contribute to reducing health problems when these patients are infected with COVID-19.

A scoping review of observed benefits of Developmental Transformations (DvT)

Developmental Transformations (DvT), a practice involving interactive, improvisational play in pairs or groups, has gained international appeal as a therapeutic intervention for different populations in a variety of health, care and recreational contexts. However, a rigorous review of the benefits of DvT has not been conducted. The purpose of this study was to review extant literature for the observed benefits of DvT, identify gaps in the literature and make recommendations concerning future research including identifying possible areas for outcome measurement for preliminary studies. The authors, who each completed training in this approach, conducted a scoping review of English-language, published, peer-reviewed and grey DvT literature through 2021. From an initial 745 records retrieved through databases and a manual search, 51 publications met criteria, which, when analysed using in-vivo and pattern coding, resulted in a total of seventeen categories of observed benefits ascribed to DvT. These included six general categories – relational, emotional, social, cognitive, behavioural and physical benefits – and eleven complex categories of benefits to participants across the lifespan. In addition to benefits for participants, benefits of DvT were also observed and reported for facilitators, therapists, teachers and supervisors engaged in this practice. This review revealed inconsistencies regarding the reporting of practitioner training, frequency, format, population, intended goals, assessment measures and outcomes. Future studies with increased experimental rigor, standardized outcome measures and consistent reporting are recommended.

"Older, Faster, Stronger": The Multiple Benefits of Masters Sport Participation.

While masters sport aligns with the holistic concept of active aging, related research has focused predominantly on the physical domain, and less is known about the psychological, cognitive, and social benefits of older adults' participation. This study examined, in combination, the perceived psychological, social, cognitive, and physical benefits of training and competing as a masters athlete, while considering age and gender differences. Forty masters athletes residing in Canada were interviewed (21 men and 19 women; 15 who were 50-64years and 25 who were 65-79years), representing 15 different sports. Interviews were coded both deductively and inductively, revealing several subthemes of benefits for the broader perceived psychological, social, cognitive, and physical benefits, with few but notable differences between women and men, and those younger than 65years and those 65+years. Our findings provide new insights into the positive experiences of active aging associated with high levels of physical activity among older adults, such as greater self-confidence, especially for women, comradery, and feeling mentally sharper, especially for the older age group.

Social Supports and Barriers for Older Adults Not Participating in Group Physical Activity.

Group physical activity can provide physical and social benefits; however, social barriers or a lack of social support may affect participation. This study examined social-support needs and barriers among older adults who were not participating in group physical activities. Using interpretive description, semistructured interviews were conducted with 38 older adults (M = 70.9years; 81.6% women). Themes were grouped into two categories. Category 1, expectations and initial impressions, consisted ofthe following: (a)Groups cannot meet everyone's expectations or interests, (b)groups are intimidating to join, and (c)the need for inclusive programming. Category 2, social processes within group physical activity, consisted of (a)modeling physical activity behaviors, (b)sharing information and suggestions about physical activity opportunities, and (c)encouragement and genuine interest. Outreach to this population should aim to address these barriers and utilize these supportive behaviors to reduce feelings of intimidation and promote participation among older adults.

Systems-Level Evaluation of Safe Routes to School Policies in El Paso, Texas: A Modeling Study on Health and Economic Outcomes.

Safe Routes to School (SRTS) policies are linked to physical health benefits for school-age children; however, few studies have assessed long-term impacts on cardiovascular disease (CVD). This study used systems science methods to predict long-term health and economic impact of SRTS among school-age children in El Paso County, Texas. We developed an agent-based model containing 2 modules: the pedestrian injury module and the CVD module. We simulated 10 000 school-age children under 2 scenarios-SRTS policies implemented and no SRTS policies implemented-and then calculated pedestrian injuries, pedestrian injury-related deaths, coronary heart disease (CHD) and stroke events, and health care costs. When SRTS policies were implemented, the model estimated 157 fewer CHD cases and 217 fewer stroke cases per 10 000 people and reduced CVD-related health care costs ($13 788 per person). The model also predicted 129 fewer pedestrian injuries and 1.3 injury-related deaths per 10 000 people and $2417 savings in injury-related health care costs. SRTS could save an estimated $16 205 per person in health care costs. This simulation shows SRTS in El Paso County could prevent pedestrian injuries among school-age children and protect cardiovascular health in the long term. Our findings provide evidence for practitioners and policy makers to advocate for SRTS policies at the local level.

Preauthorization Inconsistencies Prevail in Reduction Mammaplasty.

Despite evidence documenting the physical and psychological benefits of breast reduction, third-party payer approval remains a cumbersome process. The objective of this study was to assess differences in medical necessity criteria for reduction mammaplasty among US insurance carriers while analyzing trends in claim denials and appeals. The medical necessity criteria for reduction mammaplasty were retrieved from seven large health insurance carriers. Data were extracted from each policy, including claim requirements for approval. Additionally, prospective data on claims and denials submitted from January through August 2022 were collected from The Auctus Group, a medical consulting firm. All the policies have been updated since January 2020. Five of the seven policies specifically listed what documentation was required for preauthorization approval, with five third-party payers requiring photograph documentation. Policies required documentation of one to three symptoms lasting from 6 weeks to 1 year. All companies reported a tissue resection estimate threshold, but cutoffs varied. Of 380 reduction mammaplasties performed, 158 (41.6%) received a denial on initial insurance submission. Considering appeals, a total of 216 denials were reviewed with an average of 1.37 denials per patient. Of the 158 initial denials, 104 (65.8%) of these were from claims that received preauthorization. In 12 cases, third-party payers stated that no prior authorization was necessary yet still denied the claim. Wide variability exists in medical necessity criteria for reduction mammaplasty policies among major insurance carriers. These nuances introduce inefficiencies for practices contributing to high denial and appeal rates while delaying surgical care for patients.

The Contributions of the Green Areas in Residence Immediate Environment on Quality of Urban Life

Quality of Life (QoL) is a multidimensional concept and covers urban life in all its parts. Nowadays the quality of urban life focuses mainly on the urban environment. There is increasing evidence that green areas significantly contribute to quality of life. Social, economic, cultural, ecological, physical, and psychological health benefits are many positive impacts of green areas on quality of life. Especially green areas in the residence immediate environment have an important role in improving the quality of life. For this reason, urban green areas are accepted as one of the basic indicators of urban quality of life. In this paper, residents’ perceptions of quality of life in green areas are examined via data from a survey in Selçuklu District (Konya, Turkey). Using face-to-face interviews, 415 residents were interviewed in Selçuklu District from January to March 2020. Also, this study evaluates the contributions of the urban green areas to the quality of life in Selçuklu District. Analysis of how green spaces enhance the quality of life has been examined from the residence immediate environment perspective. Results show that residents with green areas in the residence immediate environment that are accessible and usable are more satisfied with their residence. From the findings, strategies have been established to potentiate the role of urban green areas in the promotion of the urban quality of life and sustainability for Selçuklu District.

Investigation of University Students' Recreation Benefit Awareness and Physical Activity Levels

Physical activity level is an important factor that affects health of people of all ages and awareness level about the benefits obtained from recreational activities may increase the frequency of participation. The objective of the study is to review the correlation between university students’ recreation benefit awareness and their physical activity levels and to demonstrate whether or not there is a difference about this subject in terms of gender and faculty. A total of 909 university students 541 female students and 368 male students who studied at different universities in Turkey joined the study. Information Request Form, Leisure Benefit Scale and International Physical Activity Questionnaire were administered to the participants. The data obtained from the study were analyzed using Pearson Correlation Analysis and Independent Samples t Test. The study results indicate that there is a positive correlation between participants’ recreation benefit awareness and their physical activity levels. Besides, it is seen that female participants’ physical and psychological recreation benefit awareness was higher; however, as for the male participants their physical activity levels were higher. It was identified that of the participant students, those who studied on sports sciences had higher psychological and social recreation benefit awareness and physical activity levels. In light of the study findings, the fact that the university students’ benefit awareness perception on recreational activities had increased made a positive contribution to their physical activity levels and dimensions of recreation benefit awareness and as a result, physical activity levels differed in terms of gender and the type of the faculty.

Expanding the Playful City: Planning for older adult play

In city planning, as in society, play is considered to be an activity only for children. But why? Play has incredible physical and mental benefits for people of all ages. In the public realm, play can cultivate, connect, and support relationships and community cohesion. I argue that play is particularly well suited to combat the challenges associated with aging and should be considered a key planning consideration of age-friendly communities. Investigating the relationship between play, public space, and older adult wellbeing offers an opportunity for planning academics and practitioners to initiate and lead a new trajectory of age-friendly research and practice.

Global trends and future prospects of COVID-19 and physical activity: Bibliometric analysis.

Containment measures implemented during the COVID-19 pandemic have led to drastic changes in daily life and effects on health behaviors such as decrease in physical activity (PA) levels. This study aims to present a general framework to researchers on COVID-19 and PA research in relation with changes in studies within years, current trend topics, gaps in the research field and possible future trends. A total of 1819 articles indexed in the WoS core collection database were analyzed according to publication year, citation, country and institution collaborations, coword, co-citation networks, concept-topic trends and topic clusters using bibliometric analysis. The most productive country was the USA(n = 335), and the most productive institution was University of London in UK (n = 38). The most cited publication was the study by Ammar et al, (2020) (n = 188). In 2020, the most popular topics were PA and health meanwhile in 2021 behavior, lifestyle, social media and in 2022 habits, long COVID, sleep quality topics were in the foreground. Studies in 2023 focus on how COVID-19 affects PA habits and the associations between COVID-19-based anxiety and sleep patterns. These studies focused especially on effects of sport participation on life quality, diet, depression, mental health on young athletes, children, adolescent persons, older adult groups. An important gap in the study area is research on effect of changing lifestyle due to pandemic on individuals and the society during the Post COVID-19 period. If benefits of PA will not be limited to only physical benefits and psychological emotional, cognitive and social benefits are also taken into consideration, it is important that researchers conduct long-term and widescale observations.

Being more satisfied with romantic relationship status is associated with increased mental wellbeing in people with experience of psychosis.

Romantic relationships represent one of the most salient sources of social support. In general population studies, they are associated with both physical and psychological benefits. Research suggests that for people with psychosis, romantic relationships may also have a positive impact on a range of outcomes, but the reasons for these associations are still unclear. This study aims to investigate whether satisfaction with romantic relationships status is associated with better wellbeing outcomes in people with experience of psychosis and explore three possible psychological mediators of this relationship. Participants who had previously sought support for psychosis (n = 190) completed an online survey including measures of relationship status satisfaction (the Satisfaction with Relationship Scale) as well as measures of psychotic symptoms (the CAPE-42), general well-being (Short Warwick-Edinburgh Mental Wellbeing Scale) and several psychological variables relevant to the pathway between romantic relationships and well-being outcomes, namely loneliness, internalised stigma, self-esteem and attachment. Fearful attachment and partner criticism were negatively associated with relationship status satisfaction. Having a partner was positively associated with relationship status satisfaction. Higher levels of relationship status satisfaction were associated with lower psychotic symptoms and higher mental wellbeing. This relationship was mediated by loneliness, internalised stigma, and self-esteem. Mental health services should be mindful of the associations between romantic relationship satisfaction and wellbeing. Service users with a fearful attachment style may particularly benefit from support in this area.

Physical activity and sedentary time distribution among adult residents during COVID-19 circuit breaker movement restrictions in Singapore: a public health perspective.

Social lockdowns and quarantines have been enforced in various populations to mitigate the spread of coronavirus disease 2019 (COVID-19) in the community. This study investigated the impact of COVID-19 lockdown, known as circuit breaker movement restrictions (CBMR), on physical activity (PA) and sedentary time (ST) distribution patterns among Singapore residents aged 21-65 years. This was a cross-sectional retrospective study that utilised a 44-item questionnaire that included sections to determine PA and ST distribution patterns before and during CBMR. It also included information on sleep duration, PA preference and routine, awareness of local initiatives and perceptions on barriers towards PA during the CBMR period. There was an overall decrease in PA and a significant increase in physical inactivity and ST during the CBMR period. A greater proportion of participants reported sleeping for longer hours, suggesting positive adaptations in sleep habits during CBMR. Majority were unaware of online exercise initiatives and programmes offered during the CBMR period, and >50% of the respondents never used an online resource for exercise. Singapore residents seemed to prefer outdoor and facility-based venues for exercise and PA, and closure of facilities was the primary barrier for PA during the CBMR period. Reduced PA and increased ST during CBMR reflect negative lifestyle adaptations and may have adverse public health implications. Increased sleep duration suggests successful coping, which may consequently lead to physical and mental health benefits. While Singapore adult residents may be flexible with certain aspects of being physically active, they seemed less adaptive to changes in type of exercise, facility and environment.

Perceived health benefits of nature‐based tourism: The influences of tourists' involvement, restorative environment and health consciousness

AbstractThis study examines the influences of tourists' involvement, perceived restorative environments and health consciousness on their perceived physical, mental and social health benefits. The proposed model was empirically tested using a sample of 595 tourists who travelled to mountain sites after the strict lockdown in China. Tourists' perception of a restorative environment mediates the relationship between their involvement and perceived health benefits. Individual health consciousness positively moderates the effect of the restorative environment on perceived health benefits. This research connects tourist involvement, attention restoration theory and the health and wellness outcomes of nature‐based tourism.

Seasonal Variation in the Thermal Environment and Health-Related Factors in Two Clustered Recreational Bamboo Forests

Forest thermal environments and health-related factors have a significant impact on user experience and physical benefits. Therefore, it is important to study changes in the thermal environment and health-related factors in recreational forests. Clustered bamboo forests have unique structures featuring high canopy density and extensive understory spaces suitable for recreational activities. However, there is no relevant report on the recreational use of these forests. This study investigated seasonal characteristics in the thermal comfort and health-related factors in two clustered bamboo forests in Southwest China. Microenvironmental parameters and health-related factors (negative air oxygen ions (NAI), airborne particulate matter, airborne microorganisms, and biogenic volatile organic compounds (BVOCs)) were measured in four seasons. The microenvironmental parameters were converted into a physiological equivalent temperature (PET) for each period. The results showed that (1) most of the time, the thermal comfort, air particle, NAI, and bacteria concentrations in the two bamboo forests were superior to the controls and met the standard for recreational activities; (2) thermal comfort environments and health-related factors levels varied between two bamboo forests; and (3) the most abundant compounds in the two bamboo forests in each season were leaf alcohol and 2-hexenal. The two clustered bamboo forests provided a comfortable thermal environment and had clean air and bactericidal abilities in all seasons. The forests emitted BVOCs with fresh grass and leaf fragrances, helping to alleviate the sense of depression among visitors. The results confirm that clustered bamboo forests can provide suitable recreational conditions. The results can be used to guide the management of recreational forests and provide support for the development of bamboo forests.

14 How can remote rural island place influence the ageing of mid-life women?

Abstract Background This contribution to social gerontology and nissology addresses a knowledge gap in contemporary gendered ageing within remote, rural island place. Reflecting participant narrative, this study explores personal and place identity, place attachment, and perspectives on gendered island ageing at mid-life and in older age. Methods: Drwing on empirical data gathered through in-depth interviews with 12 mid-life (48–69 years old) women living in remote islands of Scotland, the relationship between ageing and remote rural island living is examined. This qualitative work adopts a life-course framework in order to acknowledge lived experience and cultural context from childhood to adulthood. Data were analysed and informed by constructivist grounded theory, a methodology well placed for exploratory research about which little is known. Results Data found no island mono-culturalism. Remote rural island ageing appears distinct from mainland rural ageing. Findings indicate diverse relationships between ageing and place among mid-life women living in the islands of this study. The connection between ageing and island place is influenced by a range of socio-economic factors, the primary one of which is the natural environment. Other influencing factors include social relationships, employment, health, and demographic status. Perspectives on ageing vary between those native and non-native to the islands; those who live with partners or alone; those who have children and those child-free; and between those who enjoy socio-economic stability and those who do not. Conclusion Despite remote location, and limitations of employment, education, health and transport, participant data reveals an overall positive relationship between remote rural island living and ageing among this study’s indigenous and in-migrant women. The physical, mental and spiritual benefits derived from the natural landscape of island home place proved primarily to be the greatest positive influence reported towards perceived better ageing.

Assessment of Online Marketing and Sales Practices Among Recreational Cannabis Retailers in Five U.S. Cities.

Background: With more states legalizing recreational cannabis, examining cannabis retail and marketing is crucial, as it may influence consumers' perceptions and behaviors. Particularly understudied is online cannabis retail. Methods: In Spring 2022, coders collected and analyzed data regarding retailer characteristics, age verification, and marketing strategies (e.g., product availability, health-related content, promotions, website imagery) among 195 cannabis retail websites in five U.S. cities (Denver, Colorado; Seattle, Washington; Portland, Oregon; Las Vegas, Nevada; Los Angeles, California). Descriptive analyses characterized the websites overall and across cities. Results: Overall, 80.5% verified age for website entry, and 92.8% offered online purchases (92.3% of retailers in Seattle, where prohibited). Of these, 82.9% required age verification for purchases, and 30.9% offered delivery. Almost all (>92%) offered flower/bud, concentrates, edibles, vaping devices, topicals, and tinctures. Health warnings were displayed on 38.3% of websites. Although all five states required health warnings regarding use during pregnancy, only 10.3% had these warnings. In addition, 59.0% posted some unsubstantiated health claims, most often indicating physical and mental health benefits (44.6%). Although Colorado, Washington, and Oregon prohibit health claims, 51.2-53.8% of these retailers posted them. Discounts, samples, or promotions were present on 90.8% of websites; 63.6% had subscription/membership programs. Subpopulations represented in website content included the following: 27.2% teens/young adults, 26.2% veterans, 7.2% sexual/gender minorities, and 5.6% racial/ethnic minorities. Imagery also targeted young people (e.g., 29.7% party/cool/popularity, 18.5% celebrity/influencer endorsement). Conclusions: Regulatory efforts are needed to better monitor promotional strategies and regulatory compliance (e.g., health claims, youth-oriented content, underage access) among online cannabis retailers.

Qualitative evaluation of the life experiences of spouses of prostate cancer patients receiving androgen deprivation therapy.

This study was conducted to qualitatively evaluate the life experiences of women whose spouses had been receiving androgen deprivation therapy. The purposive sample of the research, in which a descriptive phenomenological design was used, consisted of 15 women. The data were evaluated according to Colaizzi's phenomenological analysis steps. The views of the participants were classified into 7 themes: loss and grief, physical difficulties, socioeconomic difficulties, psychological difficulties, relational changes, strengths, and benefits. It was determined that women whose husbands had been receiving ADT experienced grief responses and physical, socioeconomic, and psychological difficulties. Psychological difficulties were found to include care burden, hospital stress, sexuality, and burnout. It was observed that the patients and their spouses experienced some positive and negative relational changes. Satisfaction with health services and resilience were facilitating factors for female spouses to adapt to the treatment process. It was determined that during the adaptation to the disease and treatment process, the participants had some needs such as family support, economic support, reduction of negative representations in the media, and enhancement of communication skills of health professionals. Moreover, they were found to have some benefits related to post-traumatic growth. Uro-oncology nurses can develop services intended to improve the well-being of the wives of men receiving ADT and use the knowledge and experience of uro-oncology nursing for the benefit of both patients and caregivers.

Association of psychosocial factors with physical activity among Japanese adults aged 65 and older: a 6-year repeated cross-sectional study from the Nakanojo Study

BackgroundPhysical activity (PA) provides substantial mental and physical health benefits for individuals of all ages. A limited number of long-term or longitudinal studies have investigated the association between psychosocial factors and PA in healthy older adults aged 65 and above. This study aimed to determine the long-term relationship between psychosocial factors, such as vitality, mental health, anxiety, and depression, and objectively measure PA in older adults.MethodsHealthy participants from Nakanojo, Japan, aged 65–90, capable of walking, were included in this study and were followed up from 2008 to 2013. Those diagnosed with dementia and depression were excluded. Using a repeated cross-sectional dataset, a multilevel model was developed with psychosocial variables as independent variables and an average daily duration of PA volume of > 3 metabolic equivalents (METs) as the outcome. The Akaike information criterion was used to select the final model.ResultsThis study included 1108 records from 319 participants. In the multilevel model, age (coefficient = -0.106, 95% confidence interval [CI] = -0.127 to -0.086, p < 0.001) and the Hospital Anxiety and Depression Scale depression scores (coefficient = -0.019, 95% CI = -0.036 to -0.002, p = 0.026) were negatively associated with the duration of PA volume > 3 METs, whereas male sex (coefficient = 0.343, 95% CI = 0.115 to 0.571, p = 0.003) was positively associated with PA volume.ConclusionDepressive symptoms were related to a reduced duration of PA volume of > 3 METs among these adults aged 65 and above.