Physical Fitness In People Research Articles

A Study of Blood Pressure and Physical Fitness in People with Intellectual Disabilities in South Korea.

Individuals with intellectual disabilities have a shorter lifespan and significantly higher prevalence of conditions such as hypertension and cardiovascular diseases than healthy individuals. Thus, assessing the elements that contribute to their physical fitness is crucial. This cross-sectional study examined the relationship between the blood pressure and physical fitness of people with intellectual disabilities in South Korea, considering differences across sexes, age groups, physical attributes, and disability levels. It used data from 8502 individuals with intellectual disabilities aged 20-59 years who participated in a survey of a National Fitness Standard Center (NFSC) between 2018 and 2021. A series of t-tests, one-way analysis of variance, logistic regression, and the four-quartile method were used for data analyses. The results showed differences in physical fitness levels between men and women considering all aspects except for BMI (Body Mass Index), with men showing higher blood pressure levels. Lower grip strength, lower PEI (physical efficiency index) scores, and higher BMI were associated with increased blood pressure. Additionally, individuals with higher levels of disability tended to have lower levels of physical fitness, while higher physical fitness levels were associated with lower blood pressure. Therefore, low fitness levels and hypertension risk may be important health indicators for people with intellectual disabilities.

Enhancing Students' Physical Fitness Through Optimized Training based on Genetic Algorithm

With good physical fitness, people can put more energy into their daily life, study and work. Enhancing people's physical fitness is an important foundation in the modernization of our country's socialism. The physical fitness of students has always been the primary concern of colleges and universities. To improve the basic physical ability of students, students can get a significant improvement in their own physical level to ensure the successful completion of their academic career. The data collection terminal is installed around the campus road, the campus card is carried by the students, and the wireless module with small suction cup antenna is installed on the base station and each collection terminal to form a wireless communication between the base station and the collection terminal and between the collection terminal and the campus card. The base station is connected to the Web server through a wired network. In this paper, from the current realistic needs of students' preparation for physical education tests, the physical fitness training methods and means with more obvious effects in competitive training are introduced into physical education, the methods and means of physical fitness training are preferably selected, and the training load is reasonably arranged, and the experimental results prove that the optimized physical fitness training methods and means of genetic algorithm have novel equipment, practice methods The experimental results proved that the optimized genetic algorithm physical training method and means have novel equipment, diverse and interesting exercises, focus on developing coordination quality and mobilizing more muscle fibers and muscle groups to participate in sports, which can stimulate students' interest and emphasize the reasonable use of technical movements, and enhance students' physical fitness by controlling the training intensity and interval time.

Six-month combined aerobic and resistance exercise program enhances 6-minute walk test and physical fitness in people with peripheral arterial disease: A pilot study

BackgroundExercise therapy is a recognized non-pharmacological intervention for peripheral arterial disease (PAD); however, the effects of combined exercise remain under investigation. This study aimed to compare the effects of a 6-month combined supervised exercise program (SUP) with a usual care (UC) approach on walking ability, physical fitness, and peripheral blood flow in people with PAD and claudication. MethodsTwenty-three male participants (Age=64.1 ± 6.2years and ABI=0.58±0.07) with PAD and claudication were assigned to either the SUP group (n = 10), engaging in structured supervised treadmill walking combined with three resistance exercises, three times a week, or the UC group (n = 13), receiving advice to walk. The primary outcome measure was walking ability, with assessments conducted at baseline (M0), after 3 months (M3), and 6 months (M6). ResultsAfter the 6-month intervention, the SUP group exhibited significant improvements in absolute claudication time (ACT, p = 0.045), maximal walking time (MWT, p = 0.045), maximal walking distance (MWD, p = 0.027), and pause duration (p = 0.045) during the 6-minute walk test (6MWT), when compared to the UC group. Over time, a significant increase in walking speed during the 6MWT (Speed6MWT, p = 0.001) and walking speed without claudication (SpeedNoC, p < 0.001) was found, although no significant differences were found between the groups. The SUP group increased by 0.8 km/h in both Speed6MWT and SpeedNoC, while the UC group increased by 0.3 km/h and 0.6 km/h, respectively. Despite claudication consistently occurring at the same time, the SUP group demonstrated an improved tolerance to pain or a better understanding of pain, enabling them to walk longer distances at higher speeds. A positive effect of SUP was found for chair sit-and-reach test (p = 0.023), percentage of fat mass (p = 0.048), fat-free mass (p = 0.040), and total body water (p = 0.026), suggesting potential benefits attributed to the resistance strength exercises. ConclusionA 6-month combined treadmill and resistance exercise program improved walking ability, walking speed, lower body and lower back flexibility, and body composition in people with PAD and claudication.

Problems of introducing boxing into the system of physical education in educational institutions of Ukraine: the impact on health aspect

The presented work deals with a topical issue for the educational space of modern Ukraine. Considering the fact that Ukrainian society has been facing difficulties caused by the pandemic and the invasion of enemy forces on the territory of the Motherland for several years in a row, the issue of proper physical development of society is extremely important. Therefore, it is necessary to improve the approach to physical education at all levels of education in Ukraine. The authors of this publication propose developing a program component for physical education based on the sport discipline of boxing. An extremely important aspect of this sport was analyzed - its impact on human health. Both negative and positive effects of such an influence were taken into account. It is noted that in boxing, the most significant factor of negative impact on health is the risk of injuries. Cases of upper limb and head injuries are particularly common. Repeated head trauma is a separate problem. At the same time, the positive effects of boxing on the physical fitness of people were revealed, namely, the improvement of the functional capabilities of the musculoskeletal system and the respiratory system. In conclusion, the author's team formulated and proposed key principles based on which it is possible to successfully introduce boxing into the educational environment of Ukraine. It is assumed that by following these principles, it is possible to supplement the current system of physical education in general secondary education institutions with another promising component, which in turn can have a positive effect on the physical education system in higher education institutions. Provided that this program component is systematically used in schools, it will allow the preparation of a generation of physically developed and mentally stable young people with basic self-defense skills. It is also assumed that this component will generate interest among a significant number of students in becoming athlete-boxers, which will have a positive impact on personal growth.

Effect of Nordic Walking Training on Physical Fitness and Self-Assessment of Health of People with Chronic Non-Specific Lower Back Pain

In order to determine the impact of a four-week cycle of Nordic Walking (NW) training on the physical fitness of people with chronic non-specific lower back pain and the impact of this form of activity on their self-assessment of health quality, the study included 80 men and women aged 29 to 63 years. The subjects were divided into two equal (40-person) groups: experimental and control. In both study groups the degree of disability in daily activities caused by back pain was assessed with the FFb-H-R questionnaire, the physical fitness was evaluated with the modified Fullerton test and the sense of health quality was assessed with the SF-36 questionnaire. The same tests were repeated after four weeks. In the experimental group NW training was applied between the two studies. During four weeks, 10 training units were carried out, and each training session lasted 60 min with a two-day break between each training. The four-week NW training resulted in a statistically significant sense of disability due to back pain (p < 0.001), significant improvement of physical fitness expressed by improvement in upper (p < 0.001) and lower (p < 0.01) body strength, upper and lower body flexibility (p < 0.001) and ability to walk a longer distance in a 6-min walk test (p < 0.001). The training participants also showed significant improvements in health quality in both physical (p < 0.001) and mental (p < 0.001) components. The four-week NW training has a positive impact on the physical fitness of men and women with chronic lower back pain. Participation in NW training also contributes to a significant reduction in the sense of disability caused by back pain and improvement in the self-assessment of health quality.

휠체어를 이용하는 척수장애인의 신체활동량 측정도구 조사연구 : 체계적 문헌고찰

The study aims to investigate measurement tools that can measure the physical activity (PA) levels of people with spinal cord injury (SCI) using a wheelchair, and to systematically review related literature. There were 13 different related research publications collected according to the search by ‘Assessment of physical activity of people with SCI’, ‘Assessment of health and physical fitness of people with SCI’, and ‘Physical activity of people with SCI’ from research publication database (RISS, Google Scholar, and PubMed) using preferred reporting items for systematic reviews and meta-analysis (PRISMA) methods. As a result, it was investigated that there are accelerometers, self-report questionnaires, and electronic physical activity measuring machines as measurement tools to measure the PA level of people with SCI using a wheelchair. In addition, the self-report questionnaire showed more accurate measured values than the electronic PA measurement machine, and it was found that the questionnaire was used in comparison with the accelerometer. The results of this study are expected to provide evidence data for developing PA measurement tools that can be applied to disability policies and people with SCI in Korea.

MENTAL HEALTH CRISES AMONG FOUNDATION LEVEL STUDENTS DURING COVID-19 PANDEMIC: AN ANALYSIS OF INFLUENCING FACTOR

Quarantine, isolation, and social distancing were essential for preventing the transmission of the virus and protecting people's physical fitness during the ongoing COVID-19 pandemic. However, they may have had lasting negative impacts, notably on mental health and well-being, especially on higher education students, as they are in a pivotal life-transition stage linked to increased mental health crises. Therefore, the main objective of this study is to assess the influential factors associated with mental health crises among foundation-level students during the COVID-19 pandemic. This study involved 277 students from the foundation of science programme at the Preparatory Centre of Science and Technology, University of Malaysia Sabah. A questionnaire was originally constructed to analyse the factors impacting mental health crises. Overall results found that the range of the mean from the questionnaire was 4.56 to 4.80, indicating that depression, anxiety, stress, and eating disorders are undoubtedly the influencing factors of mental health crises among foundation-level students. The majority of students scored much higher on the items under the stress factor (4.73) compared to the other three factors, which suggests that most of the students suffered from stress during the COVID-19 pandemic. This is followed by depression (4.69), anxiety (4.64) and eating disorders (4.63). Thus, universities and lecturers play a crucial role in reducing stress, depression, and anxiety associated with academic commitments.

Effects of Multicomponent Physical Exercise Programs on Physical Fitness in People with Intellectual Disabilities: A Systematic Review

People with intellectual disabilities (ID) have high rates of overweight and obesity, heart and metabolic diseases, and low motor development. These factors compromise functional independence and autonomy in activities of daily living. The objective of this study was to clarify the design and implementation of multicomponent physical exercise programs (MPEPs) and evaluate their effects on physical fitness in people with ID. A search for scientific articles in English published before 2022 was conducted using Web of Science, PubMed, Scopus, and Science Direct databases. Scientific papers describing the effects of MPEPs on physical fitness in people with ID were considered. A total of 374 articles involving people with ID were included. Positive physical fitness outcomes were found in interventions with MPEPs in its morphological components and to a lesser extent in the motor, muscular, metabolic, and cardiorespiratory aspects in people with ID. Further research is needed to standardize and elucidate the effects of the MPEP on other functional dimensions of physical fitness to use them as a physical activity alternative to reduce sedentary behavior in people with ID.

Evaluate the Metro City's Sports Development Index

The purpose of this study is to evaluate the Metro City's Sports Development Index (SDI). This research employed the quantitative approach. 270 individuals from three sub-districts were included in the cluster sampling sample.interviews, questionnaires, and the Multistage Fitness Test were the instruments used. The study's findings were as follows the metro city's SDI was 0.379, which falls into the low category of the SDI norm. This indicates that the Metro city's sports development is still lagging behind or very little is happening. Three SDI indicators are still low: the availability of sports-related human resources, community exercise participation, and physical fitness of people who are still in the low category so that the Metro city receives more attention.The lowest level of sports personnel is only 0.00104 available.

Correction: Effects of Resistance Circuit Training on Health-Related Physical Fitness in People With Paraplegia: A Pilot Randomized Controlled Trial.

Correction: Effects of Resistance Circuit Training on Health-Related Physical Fitness in People With Paraplegia: A Pilot Randomized Controlled Trial.

Video Call-based Fitness Assessment shows Poor Fitness in People with Type II Diabetes: Findings from Diabefly Digital Therapeutics Program.

Exercise and physical activity are integral aspects for the effective management of diabetes. Unsupervised home exercise although very accessible is limited by poor adherence, risk of injury, and a higher dropout rate of participants. A fitness assessment by a qualified physiotherapist can help in understanding the baseline fitness of individuals and thus generating appropriate exercise prescriptions. The current study assesses the feasibility of video call-based fitness assessment for people with diabetes. The study also assesses the effect of current physical activity status and pain on performance in physical fitness tests. One hundred participants with type II diabetes (T2D) underwent 6-minute walk test (6MWT), 1-minute push-up test, wall sit test, 1-minute sit-up test, and V-sit and reach test for measuring different components of physical fitness such as aerobic capacity, upper body strength, lower body strength, core strength, and flexibility, respectively. The performance in physical fitness of participants was analyzed after the video consult along with pain complaints and current exercise status. All the participants underwent the physical fitness test safely based on video call. Out of all the participants, a good range score was achieved by 52% in 6MWT, 17% in push-up test, 1% in wall sit test, 6% in sit-up test, and 9% in V-sit and reach test. Current physical activity status (aerobic exercise for minimum 20 minutes) did not show any association with performance in fitness tests (p = 0.89 for push-up test, p = 0.50 for wall sit test, p = 0.23 for sit-up test, and p = 0.10 for V-sit and reach test). Presence of upper body and lower body pain affected the performance in push-up test and wall sit test with 71.4% and 95.6% of participants achieving scores in poor to below-average range (p-value &lt; 0.001). The study showed the safety and feasibility of conducting video call-based assessment of physical fitness by physiotherapists. The study also highlighted the poor glycemic control, high cardiovascular risk, and poor level of physical fitness in people with diabetes in India. Insights based on physical fitness, current physical activity status, and pain can help in developing personalized exercise plans for people with diabetes.

546-P: Video Call-Based Assessment of Physical Fitness through Diabefly Digital Therapeutics Program for People with T2D in India

Background: Exercise is an integral aspect for effective diabetes management. Supervised home-based exercise through exercise prescriptions customized based on a person's exercise status, pain complaints and fitness levels can help in better adherence and low risk of injury while reducing unnecessary hospital visits. The study was aimed at the assessment of physical fitness in people with diabetes (PWD) for the development of a personalized exercise plan. Methods: Video-call based assessment of physical fitness was done in 470 participants (mean age 44.9 ± 10.4, 31.7% females) of Diabefly® digital therapeutics platform. Trained physiotherapist conducted the assessment with the corresponding tests: upper limb strength (1-min push up test) , lower limb strength (wall sit test) , core strength (1-min sit up test) , flexibility (V-sit and reach test) and cardiorespiratory fitness (6 minute walk test) . The scores of the tests were obtained through gender and age based normative data. Participants were categorized based on the physical activity (PA) status as non-exercisers (less than 150 mins/week of PA) , aerobic exercisers (performed only walking as PA) , exercisers (combined strength training and aerobic PA &amp;gt;150 mins/week) . Descriptive statistics and ANOVA were performed via SPPS v21. Results: Out of all the participants, 69.4% were in the obese category with 42.1% of participants being non-exercisers, 42.1% were aerobic exercisers while only 15.7% were exercisers. Mild to moderate pain was reported by 36.1% participants. Cardiorespiratory fitness, upper limb strength, core strength and flexibility were significantly lower among non-exercisers as compared to exercisers (P&amp;lt;0.05) . Conclusion: This study showed the feasibility of video call-based physical fitness assessment in PWD. The assessment along with consideration of pain and current exercise pattern will help in development of personalized exercise prescription for PWD. Disclosure M.Bhagat: Employee; Fitterfly Healthtech Pvt Ltd. S.Guntur: Employee; Fitterfly Health Tech Pvt. Ltd. A.S.Mandlekar: Employee; Fitterfly Healthtech Pvt Ltd. R.Verma: Employee; Fitterfly Healthtech Pvt Ltd, Wellthy Therapeutics Pvt Ltd. S.S.Kulkarni: None. C.Selvan: None. A.D.Modi: None. M.T.Shenoy: None. A.L.Jain: None. R.Das: None.

Effects of Resistance Circuit Training on Health-Related Physical Fitness in People With Paraplegia: A Pilot Randomized Controlled Trial.

Objective To evaluate the efficacy and safety of 8 weeks of resistance circuit training in people with paraplegia due to spinal cord injury.MethodsParticipants were randomized into experimental and control groups. Although the intensity and sequence of movements of the exercise programs were identical in both groups, the resting time between sets was limited to 1 minute in the experimental group. In the control group, the participants were allowed to rest until they were comfortable. Both groups received 8 weeks of training twice per week. Before and after the program, muscle mass, body fat percentage, fat mass, blood pressure, heart rate, muscle strength and muscular endurance were evaluated, and 6-minute propulsion test was conducted. Additionally, the safety of the program was assessed.ResultsTwenty-two individuals with paraplegia were enrolled (11 in each group). After the training program, the experimental group showed a significant decrease in the resting blood pressure and improvement in the upper extremity muscle mass, strength, and endurance (p<0.05). Each variable showed significant inter-group differences (p<0.05). Furthermore, none of the participants showed autonomic adverse events, musculoskeletal side effects, or discomfort.ConclusionThe results show that resistance circuit training programs with short resting intervals are superior to the usual resistance exercise programs in improving the blood pressure and physical strength and are safe for people with upper thoracic level injuries at T6 or higher.

Physical Activity, Exercise, and Sports in Individuals with Skeletal Dysplasia: What Is Known about Their Benefits?

There is a lack of knowledge about the practice of physical activity, exercise, and sports in people with skeletal dysplasia (SD). This study aimed to characterize the physical fitness of people with SD; investigate the benefits of physical activity, exercise, or sports programs for people with SD; identify the adapted physical activities that can be prescribed to individuals with SD; and identify the most common and effective structural characteristics and guidelines for the evaluation of individuals with SD and corresponding activity prescriptions. Electronic searches were carried out in the PubMed, Scopus, SPORTDiscus, Psycinfo, and Web of Science databases in October 2021 and March 2022 and included papers published until 3 March 2022. The search strategy terms used were “dwarfism”, “dwarf”, “skeletal dysplasia”, “achondroplasia”, “pseudoachondroplasia”, “hypochondroplasia”, “campomelic dysplasia”, “hair cartilage hypoplasia”, “x-linked hypophosphatemia”, “metaphyseal chondrodysplasia schmid type”, “multiple epiphyseal dysplasia”, “three M syndrome”, “3-M syndrome”, “hypophosphatasia”, “fibrodysplasia ossificans progressive”, “type II collagen disorders”, “type II collagenopathies”, “type II collagenopathy”, “physical activity”, “exercise”, “sport”, “training”, and “physical fitness”, with the Boolean operators “AND” or “OR”. After reading the full texts of the studies, and according to previously defined eligibility criteria, fifteen studies met the inclusion criteria; however, there was not a single intervention study with physical exercise. Several cross-sectional, review, or qualitative studies presented a set of essential aspects that future intervention studies can consider when evaluating, prescribing, and implementing physical exercise programs, as they allowed the physical characterization of the SD population. This study demonstrated an apparent scarcity in the literature of experimental studies with physical exercise implementation in the SD population.

Analyzing the Effect of Badminton on Physical Health and Emotion Recognition on the account of Smart Sensors.

Emotional ability is an important symbol of human intelligence. Human's understanding of emotions, from subjective consciousness to continuous or discrete emotional dimensions, and then to physiological separability, has shown a trend of gradually diverging from psychological research to the field of intelligent human-computer interaction. This article is aimed at studying the effects of smart sensor-based emotion recognition technology and badminton on physical health. It proposes a method of using smart sensor technology to recognize badminton movements and emotions during the movement. And the impact of emotion recognition based on smart sensors and badminton sports on physical health is carried out in this article. Experimental results show that the emotion recognition technology based on smart sensors can well recognize the changes in people's emotions during badminton sports, and the accuracy of emotion recognition is higher than 70%. At the same time, experiments show that badminton can greatly improve people's physical fitness and strengthen people's physique.

Abstract 136: Video-based supervised exercise intervention successfully improves fitness in people with Type 2 diabetes: Outcomes from Diabefly® digital therapeutics platform

Background: Physical fitness is important in combating insulin resistance in type 2 diabetes. Supervised home-based exercise intervention can help in improving exercise adherence and reducing risk of injury leading to better diabetes management.Aims and Objectives: The study aims at the analysis of physical fitness in people with type 2 diabetes (PWD) following video-based supervised exercise prescription delivered as part of Diabefly® digital therapeutics program.Results: Over 90-days of program, 45 participants (mean age 45.33 ± 12.54 years, 42.2% females) received personalized home-based exercise plans based on their preliminary physical fitness assessment by qualified physiotherapists. The parameters assessed were: upper limb strength (1-min push-up test), lower limb strength (wall sit test), core strength (1-min sit-up test), flexibility (V-sit and reach test) and cardiorespiratory fitness (6-minute walk test (6MWT)) pre and post the program. Test performance was scored based on age and gender-based normative data. Statistical analysis demonstrated significant improvement in performance scores, 1-minute push-up test, wall sit test, 1-minute sit-up test, V-Sit and reach test and 6MWT by 40.17% (P<0.001), 36.61 % (P<0.001), 70.04% (P<0.001), 37.86 % (P< 0.001), and 249.25 % (P<0.001) and 7.24 % (P<0.05) respectively.Conclusion: The study demonstrates the effectiveness of video-call based exercise prescription leading to significant improvement in overall physical and cardiorespiratory fitness in PWD.

Association of physical strength and AD biomarkers in cognitively unimpaired patients

AbstractBackgroundIn elderly, physical fitness is considered an important factor for well‐being and it has been reported that there is a correlation between brain health and physical fitness in people with neurodegenerative diseases. Physical fitness factors that are especially important for the elderly included muscle strength, aerobic endurance, flexibility, agility/dynamic balance. The purpose of this study was to investigate the relationship between physical fitness and imaging biomarker such as tau deposition and brain atrophy in elderly people.MethodWe recruited elderly participants (age≥65): cognitive impairment (CI, n=49) and cognitive normal(CN, n=45). CI included mild cognitive impairment (MCI) and dementia. All of subjects (Male:Female=33:61, mean age: 72.7 ± 4.97) performed senior fitness test (SFT), 3T magnetic resonance imaging(MRI), [18F] flutemetamol PET and [18F]MK‐6240 positron emission tomography(PET). Physical fitness was measured by muscle strength (upper and lower), aerobic endurance, flexibility (upper and lower), agility/dynamic balance according to the SFT protocol. Mean cortical thickness was calculated by T1‐weighted images. [18F]MK‐6240 Standardized Uptake Value Ratio (SUVR) used cerebellar gray matter as the reference region.ResultIn all, cortical thickness was associated with upper muscle strength, and agility/dynamic balance. The same result was shown in women. In male, only upper muscle strength was associated with cortical thickness. Tau was associated with all physical fitness factors. Physical fitness and tau were related each other in both males and females, except for upper flexibility. In CI, that was shown a significant correlation between tau and lower muscle strength, lower flexibility, and agility/dynamic balance. ConclusionIn elderly, upper muscle strength and agility/dynamic balance were related to cortical thickness. In addition, the better physical strength was associated with the less tau deposition. This suggests that physical strength including muscle strength can affect to tau and brain atrophy in neurodegenerative diseases including Alzheimer's disease.

Lifestyle-Integrated Functional Exercise for People With Dementia: A Pilot Study.

The objective of this study was to explore the feasibility and preliminary effectiveness of the Lifestyle-Integrated Functional Exercise for People with Dementia (LiFE4D) on health-related physical fitness, cognitive function, physical activity, and respiratory and upper limb functions. A randomized controlled pilot study was conducted (control group: usual care; experimental group: usual care and LiFE4D). The feasibility of LiFE4D was determined considering recruitment, protocol acceptability, adherence, and safety. Measures of health-related physical fitness, cognitive function, physical activity, and respiratory and upper limb functions were assessed at the baseline and 3 months. Twelve participants (8 [66.7%] female, 82 [72.2-84] years) were included, six per group. Recruitment was challenging. LiFE4D was acceptable with excellent adherence and no major adverse events. Cardiorespiratory endurance (effect size = 1.64, 95% confidence interval [CI; 0.33, 2.95]) and balance (effect size = 1.46, 95% CI [0.19, 2.73]) improved after LiFE4D. LiFE4D seems to be feasible and safe, and it shows potential to significantly improve the health-related physical fitness of people with dementia.

WITHDRAWN: Cognitive models of psychological disorders and violence in children

There is a close relationship between physical fitness and mental wellbeing. However, there is no knowledge of the mechanisms. Researchers examine in therapy, through behavioural decisions and social power, the overt and unintentional impact of previous mental wellbeing on current physical and aforementioned medical conditions. Researchers use evidence from the English Longitudinal Analysis of Mortality on 10,683 people ten years old and older. The centre for Epidemiological Research measures psychiatric health through the everyday routines, anxiety scale and personal functioning. A Recognizing Model to analyze children mental disorder and violence (RM-CHDV) is proposed. Researchers have significant overt and indirect impacts on all kinds of wellness, which describe 20% of past psychological effects on general wellbeing, and 18% of physical health consequences on mental wellbeing. The contributory factor to the adverse influence is physical exercise. There have been more significant implicit consequences for individuals in personal fitness in psychological health and older populations. Health strategies intended to change health and life should consider the overt interaction and the subtle interactions among health and wellbeing. People's physical fitness, psychological health, and ageing populations have been impacted more profoundly by implicit consequences. Health initiatives that aim to improve health and quality of life should take into account both the overt and the subtle relationships between health and well-being in order to be effective. • The six-point variant of everyday life behaviours built for measuring fitness levels • The information is gathered once in twenty months in meetings. • A Recognizing Model to analyze children mental disorder and violence is proposed.

510 A Profile of Physical Performance Variables in an Out-Patient Adult Population with Narcolepsy

Abstract Introduction Narcolepsy can significantly impact the physical and mental wellbeing of people with narcolepsy, and has been associated with significant reductions in quality of life and physical performance. People with narcolepsy demonstrate many barriers to being physically fit and active, such as sleepiness and social isolation. Despite physical functioning and vitality being the most affected domains of health-related quality of life in this cohort, little is known about how physical performance variables are affected in people with narcolepsy. Methods This cross-sectional study profiled the physical performance of adults with narcolepsy attending the Narcolepsy Centre located in St. James’s Hospital. Participants underwent a physical performance test battery that investigated cardiopulmonary fitness, physical activity, muscle strength and endurance. Furthermore, health-related quality of life (HRQoL), symptom severity and sedentary behaviour was ascertained through self-report questionnaires. Results A total of 23 participants were recruited in this study. The majority of participants were female (n=13, 56.52%) and the mean age was 31.53 (± 13.17) years. Physical performance was generally found to be lower than age-and-gender matched normative values for cardiopulmonary fitness, physical activity and muscle strength and endurance. Participants’ completed 42.20 ± 21.41 minutes of moderate-vigorous physical activity daily as measured by actigraphy. Considerable sedentary behaviour was objectively measured in this sample (10.21 hours). Symptom severity was high as measured by the Epworth Sleepiness Scale and the Narcolepsy Severity Scale, and participants reported reduced quality of life when compared to general population norms (US, UK, France and Norway). Conclusion Markedly reduced physical performance was identified in this sample of people with narcolepsy, irrespective of participant age, gender and BMI. Future research should explore the role of exercise in improving the physical fitness in people with narcolepsy, and the influence of exercise on HRQoL and symptom severity in this cohort. Support (if any) This study was completed as part of Mr Ragy Tadrous’ Master of Science (MSc) degree in Trinity College Dublin. This degree was co-sponsored by the Physiotherapy Department in St. James’s Hospital, Dublin.