SF-36 Quality Of Life Questionnaire Research Articles

Comparison of Physical Activity, Functional Capacity and Quality of Life between Older Patients with Chronic Comorbidities and Healthy Peers: A Case of the State Hospital

Aim: This study aimed to compare physical activity (PA), functional capacity (FC), and quality of life (QoL) among older patients with chronic comorbidities and their healthy peers in a state hospital setting. Material and Methods: A total of 148 older adults, divided into groups of obesity, hypertension (HT), type 2 diabetes (T2D), and healthy, with 37 participants in each group, were included. PA, FC, and QoL were assessed using the International Physical Activity Questionnaire-Short Form (IPAQ-SF), the 6-minute walk test (6MWT), and the SF-36 Quality of Life Questionnaire, respectively. The Kolmogorov-Smirnov test assessed variable distribution. Continuous variables were compared with one-way ANOVA, discrete variables with the Kruskal-Wallis test, and categorical variables with the chi-square test. Bonferroni and Mann-Whitney U tests were used for post-hoc pairwise comparisons. Results: The obesity group exhibited significantly lower PA and FC compared to all other groups (p=0.044). The QoL of the obesity group was also significantly lower than that of the HT and healthy groups (p=0.017). The HT group had significantly higher PA compared to the T2D group (p=0.046), with no significant difference between the HT and healthy groups (p=0.077). The FC in the HT group was significantly higher than in the T2D group (p=0.043) but not different from the healthy group (p=0.074). The QoL was significantly higher in the HT group compared to the T2D group (p=0.017), with no significant difference between the HT and healthy groups (p=0.803). The T2D group had significantly lower PA, FC, and QoL compared to the healthy group (p=0.040). Conclusion: PA, FC, and QoL were lowest in the obese group. Older patients with T2D also showed lower levels in these parameters compared to HT and healthy groups, though no significant differences were found between the HT and healthy peers.

Comprehensive Outcomes of the Frey Procedure: A Single-center Perspective.

Chronic pancreatitis is a severe, ongoing inflammation of the pancreas, characterized by significant abdominal pain and deficiencies in both exocrine and endocrine functions. This condition greatly reduces overall well-being, induces psychological distress, and results in a considerable economic burden. The primary indication for surgical intervention is uncontrollable pain. Frey's procedure is the preferred surgical option. This research aims to assess the effectiveness of long-term pain management in individuals with chronic pancreatitis who have undergone the Frey procedure, using a validated pain assessment tool. Additionally, it evaluates exocrine and endocrine insufficiencies along with overall quality of life. This is a retrospectively analyzed prospective study conducted at KIMS-Sunshine Hospital, Secunderabad. We evaluated 48 patients who underwent the Frey procedure from 2016 to 2021, each with a follow-up period of at least 1 year. The assessment comprised the validated Izbicki pain score along with evaluations of exocrine and endocrine functions, quality of life using the SF-6 questionnaire, and nutritional status, considering factors such as steatorrhea, glycemic control, and weight gain. The total number of patients enrolled was 52. Four patients were identified intraoperatively as having malignancy by frozen section and were therefore converted to the Whipple procedure. Therefore, 48 patients (30 = male, 18 = female, mean age 35.2 years) were analyzed in this study. About 6 patients underwent hepaticojejunostomy along with Frey's procedure in view of benign biliary stricture.In this study of 48 patients, the preoperative mean overall pain score was 66.67. Postoperative mean overall pain scores were recorded at 3, 12, 36, and 60 months, showing values of 6.27, 6.37, 8.26, and 8.42, respectively. These results indicate a clear and statistically significant (p < 0.05) reduction in pain both in the immediate and extended follow-up periods.In the first 3 months following surgery, there was weight gain in most of the patients (65%). Though some patients showed mild weight loss subsequently on long-term follow-up, it was not statistically significant (p-value = 0.041).The SF-36 quality of life questionnaire indicated a general improvement in quality of life for the entire group, largely attributable to a reduction in pain. Preoperatively, the mean physical component score (PCS) and mental component score (MCS) were 25.37 ± 6.67 and 26.28 ± 9.94, respectively. These scores increased to 57.78 ± 15.56 and 48.30 ± 26.82 at 3 years, with a p-value of < 0.05. Frey's procedure is safe and effective in relieving pain in chronic calcific pancreatitis (CCP) with improved quality of life and seems to be better than PD stenting. However, it has no role in the control of exocrine and endocrine pancreatic insufficiency. Eppa VR, Musham R, Senapathy G. Comprehensive Outcomes of the Frey Procedure: A Single-center Perspective. Euroasian J Hepato-Gastroenterol 2024;14(2):182-186.

The Effects of Motivational Interviews About Activities of Daily Living on Physical Adjustment and Quality of Life in Elderly Total Knee Arthroplasty Patients: A Randomised-Controlled Trial.

In old age, knee osteoarthritis is a common disease that reduces mobility. Total knee arthroplasty (TKA) is, in fact, a very important surgery to treat severe knee osteoarthritis. This study aimed to analyse the effect of motivational interviewing (MI) on physical adjustment and quality of life among old patients after TKA. Self-assessment forms were applied before and after the intervention using the functional assessment form and SF-36 Quality of Life Questionnaire in both groups: the intervention group who received MI targeted at daily living activities and the control group who received usual care within a randomised controlled trial that included 70 participants. The results we obtained showed significantly higher functional capacity scores and QOLs among those who underwent MI than those who did not have this additional support, while showing strong adjusted mean differences between two interventions that indicate this effect size difference. There was a notable increase in SF-36 scores from 51.14 to 85.77 which was much higher than the control's rise from 45.97 to 59.46. Therefore, these findings suggest that many elderly people can greatly improve their health status after TKA with MI as it offers an opportunity for effective recovery during the post-operative period, especially among older adults. Therefore, it can be used as an efficient method included in standard routines after operations so that results are improved and patients' satisfaction levels also increased simultaneously too.

Hyperbaric oxygen therapy for healing chronic foot wounds in diabetic patients: Randomised clinical trial

Introduction: foot wounds are highly prevalent in diabetic patients and can lead to limb amputation; thus, this pathology requires comprehensive treatment. Objective: the primary objective of this study was to evaluate the effectiveness of Hyperbaric oxygen therapy in improving the healing of diabetic foot ulcers. The secondary objective was to evaluate whether it reduces the number of amputations and enhances the quality of life. Methods: this non-blind randomized clinical study included diabetic patients who presented chronic foot ulcers classified as Wagner grades 2, 3, and 4. The sample consisted of 30 patients, 17 allocated to the control group and 13 to Hyperbaric oxygen therapy group. Hyperbaric oxygen therapy was applied once a day, five days a week for seven weeks; each session lasted 90min at 2.5 atmospheres absolute. The SF-36 quality of life questionnaire was administered to both groups. Results: the evaluation of foot wound healing in diabetic patients showed a better result in the Hyperbaric oxygen therapy group less than six months of follow-up (p = 0.04). There were two minor amputations in the control group with p=0.60. Furthermore, the quality of life was improved in the Hyperbaric oxygen therapy group compared to the control, with a statistically significant difference in most domains, except for mental health. Conclusions: our findings suggest that Hyperbaric oxygen therapy positively impacts the healing of foot wounds in diabetic patients who have undergone less than six months of follow-up. Data regarding the method’s benefit related to the reduction of minor or significant amputations are insufficient. Regarding quality of life, we obtained results that support the use of Hyperbaric oxygen therapy. Registration number RBR-7bd3xy (http://www.ensaiosclinicos.gov.br).

A Mediterranean dietary pattern intervention does not improve cardiometabolic risk but does improve quality of life and body composition in an Aotearoa New Zealand population at increased cardiometabolic risk: A randomised controlled trial.

To test if a New Zealand food-based Mediterranean diet (NZMedDiet) with behavioural intervention improves cardiometabolic health and wellbeing. A randomised controlled trial comparing 12 weeks of the NZMedDiet to usual diet in participants with increased cardiometabolic risk (metabolic syndrome severity score [MetSSS] > 0.35). The intervention group was provided with food and recipes to meet 75% of their energy requirements, supported by a behavioural intervention to improve adherence. The primary outcome measure was (MetSSS) after 12 weeks. Two hundred individuals with mean (SD) age 49.9 (10.9) years of which 62% women were enrolled with their household/whānau. After 12 weeks, the mean (SD) MetSSS was 1.0 (0.7) in the control (n = 98) and 0.8 (0.5) in the intervention (n = 102) group; estimated difference (95% confidence interval [CI]) of -0.05 (-0.16 to 0.06), p = 0.35. The Mediterranean diet score (PyrMDS) was greater in the intervention group 1.6 (1.1-2.1), p < 0.001, consistent with a change to a more Mediterranean dietary pattern. Weight reduced in the NZMedDiet group compared with control (-1.9 kg [-2.0 to -0.34]), p = 0.006 and wellbeing, assessed by the SF-36 quality of life questionnaire, and improved across all domains. For example, the physical component summary score difference (95% CI) was 4.0 (2.4-5.7), p < 0.001, and the mental component summary score difference was 3.0 (0.7-5.2), p = 0.01. In participants with increased cardiometabolic risk, food provision with a Mediterranean dietary pattern and a behavioural intervention did not improve metabolic risk scores but was associated with reduced weight and improved quality of life.

Analysis of migraine characteristics in postmenopausal women

Objective: to identify characteristics of migraine in women in postmenopause (PM) by analyzing the frequency, duration and intensity of migraine attacks, assessment of quality of life, anxiety, depression and sleep disturbances in patients in the reproductive phase (RP) and in the PM.Material and methods. The study comprised 60 migraine patients (30 patients in the RP, 30 patients in the PM). During the personal interview, age, migraine type, frequency and duration of attacks and headache (HA) intensity on the visual analogue scale (VAS) were recorded. The patients then completed the questionnaires: HIT-6, MIBS-4, HURT, Migraine- ACT, MIDAS, SF-36, HADS, ISQ. The statistical analysis was performed in Microsoft Office Excel 2021.Results. The risk of high intensity HA (≥8 points on the VAS) was significantly higher in patients in the PM than in patients in the RP [p&lt;0.05; relative risk (RR) 1.77]. The risk of necessity of a revision of therapy of attacks was higher in the PM than in the RP (p=0.004; RR=2.2). The risk of insomnia was higher in the PM than in the RP (p=0.004; RR=4.67). The risk of severe headache impact (HIT-6) and high migraine burden (MIBS-4) was higher in patients in the PM than in the RP (ORHIT6=1.7; ORMIBS4=1.78). All indicators of SF-36 quality of life questionnaire were significantly lower in patients in the PM group than in the RP group (p&lt;0.05). The risk of subclinical and clinical anxiety (p&lt;0.05; RR=4.33) and depression (p&lt;0.05; RR=2.75) was significantly higher in the PM than in the RP.Conclusion. Migraine attacks in women in the PM are more intense than in women in the RP, quality of life is lower, and revision of therapy for attacks is required more frequently. Patients with migraine in the PM are more likely to suffer from anxiety, depression and insomnia. Further research is needed to determine the causes of the observed phenomena and to develop migraine therapy in patients in the PM.

Impact of Sanatorium Treatment on the Quality of Life of Patients with Lumbosacral Spine Pain Syndrome

Introduction. Lumbosacral spine pain increasingly impacts the quality of life for many individuals, affecting both physical and social aspects. Addressing this issue through effective prevention and treatment is crucial to mitigating its negative effects on society, especially in developed countries. Aim. The aim of this study was to analyse the impact of sanatorium treatment on the quality of life of patients with lumbosacral spine pain syndrome. Material and Methods. The study was conducted on a group of 50 patients who were referred for sanatorium rehabilitation for a 28-day period. This group was selected on the basis of medical history and diagnosed lower lumbosacral pain syndrome not qualified for surgical treatment. Prospective research employed diagnostic survey methods using a questionnaire technique. Assessment of quality of life was conducted using a questionnaire constructed in two parts. The first part, developed by the authors, included questions regarding socio-demographic variables as well as questions related to the functional status, mental condition, and pain experienced by the patients. The second part was the standard SF-36 quality of life questionnaire. Results. The analysis of the conducted research indicates that sanatorium treatment significantly differentiates the quality of life assessment and its selected indicators (p&lt;0.05) for general health perceptions (t=2.858; p=0.006), physical functioning (t=7.923; p=0.000), mental health (t=3.440; p=0.000), bodily pain (t=11.796; p=0.000), and social functioning (t=5.927; p=0.000). Conclusions. Quality of life assessment is higher after sanatorium treatment than before treatment. Selected indicators of quality of life, such as physical, mental, and social functioning, improved after sanatorium treatment. (JNNN 2024;13(3):106–111)

Peculiarities of sleep disturbances and the manifestation of anxiety-depressive states in patients with multiple sclerosis

Background. Multiple sclerosis (MS) is one of the most common neurological d iseases affecting young people. The specificity of the course of this disease often causes patients with MS to experience conditions accompanied by anxiety, depressive disorders, feelings of loneliness, helplessness, and sleep disturbances. In patients with MS, anxiety and depression is a serious and long-lasting problem that arises as a result of the patient's worries about the uncertain consequences of the course of the disease, the potential severity of symptoms. In addition, another factor in the occurrence of these conditions is neuroinflammation of the brain, which causes a violation of the function of monoaminergic neurotransmitters. There are data that about half of all patients diagnosed with MS have complaints of sleep disturbances caused by physical and psychological factors. In turn, sleep disturbance leads to daytime dysfunction, increased fatigue, increased or occurrence of anxiety-depressive states, and a decrease in the pain threshold. The most common sleep disorders in patients with MS are: insomnia, sleep apnea, restless legs syndrome (RLS), and REM sleep behavior disorders (RBD). Purpose – of this study is to investigate the characteristics of sleep disorders and the manifestation of anxiety and depression in patients diagnosed with multiple sclerosis, considering factors such as age, gender, and duration of the disease. Materials and Methods. Theoretical methods (analysis, generalization, and systematization of medical literature on sleep disorders and the manifestation of anxiety and depression in MS patients, using databases such as Scopus, Web of Science, and PubMed); psychodiagnostic methods (including the Hamilton Anxiety Rating Scale (HAM-A), Hospital Anxiety and Depression Scale (HADS), PHQ-9 Scale, SF-36 Quality of Life Questionnaire, and the Pittsburgh Sleep Quality Index (PSQI)) [1]; statistical methods (calculations of mean group values, Fisher’s exact test (j-coefficient), and correlation analysis). Results. The experimental study was conducted on the basis of the neurology department of the Volyn Regional Clinical Hospital of the Volyn Regional Council. The total volume of the participants was 38 people (the age of the respondents was from 25 to 64 years). The results of the diagnosed patients were analyzed according to the following criteria: age, gender, and duration of the disease. According to WHO recommendations, the respondents were divided into groups by age: group 1A – from 18 to 43 years inclusive and group 1B – from 44 to 64 years. According to gender, we distinguished the following groups of diagnosed patients: group 2A – women(24 people) and group 2B – men (14 people). According to the results of the distribution of patients according to the time since the diagnosis of MS, the following were distinguished: group 3A – persons with a diagnosis of MS less than 10 years and group 3B – patients with a diagnosis of MS more than 10 years. Conclusions. People with MS are characterized by anxiety, depression, sleep problems, daytime dysfunction (decreased enthusiasm, sleepiness during social activities, etc.). However, they show a moderate level of vital activity, without demonstrating a significant decrease in social contacts and the level of communication associated with a significant deterioration of the physical and emotional state. In terms of age, it was noted that young people are more prone to depression-anxiety disorders, compared to middle-aged people. However, the quality of sleep in young people is higher than in middle-aged patients. Whereas, according to gender, it was determined that women are more prone to anxiety and depression, but are more viable and able to function adequately in society than men. It is recorded that the quality of sleep in women is somewhat higher compared to men. According to the duration of the disease, it was noted that patients with a diagnosis of MS up to 10 years have a higher level of anxiety and a tendency to depression than patients with a shorter history of the disease. However, patients who have been sick for more than 10 years take longer to fall asleep, their sleep duration is longer, but they more often experience a decrease in enthusiasm when performing tasks, feel sleepy during daytime activities compared to patients whose disease duration is less than 10 years.

Evaluation of fibromyalgia in on-call healthcare workers

Introduction: Fibromyalgia (FM) is a non-articular, chronic rheumatic disease with unknown etiology, characterized by widespread musculoskeletal pain, sleep disorder, fatigue, and the presence of numerous tender points. Working with the shift work and night shift system contradicts the normal biological rhythm of the body and negatively affects the person in many ways. The complaint of sleep disorder is widespread in patients with FM; close to 100% prevalence has been reported in some studies. This study aimed to investigate the relationship between fibromyalgia and shift working order in our hospital staff. Methods: This cross-sectional study was conducted in our university hospital. 120 people who met the inclusion criteria were included in the study, and 80 were accepted. As a control group, 95 people were reached, 80 of whom agreed to participate in the study. The Fibromyalgia Impact Scale (FES) was questioned in cases with fibromyalgia. The SF-36 quality of life questionnaire was applied to all the cases in which the study was conducted. 1990 ACR Fibromyalgia Diagnostic Criteria were used for diagnosis. The Fibromyalgia Impact Scale (FES) was questioned in cases with FM. Results: The average score of all SF-36 quality of life questionnaire sub-field groups was significantly higher in the control group than in the group who stand duty (p &amp;lt;0.05). There is a difference between the study group and the control group in terms of "physical function" (p&amp;lt;0.001). The "physical function" score is higher in the control group. A significant difference was found in SF-36 subgroups in cases with FM (N:39) compared to cases with non-FM (N:141) (p&amp;lt;0.05). General health status was more negatively affected in the cases with FM. There is a weakly positive linear relationship (borderline significant) between FES1.2 (laundry) and "social function" (r=0.349, p=0.054). There is a moderately negative linear relationship between FES1.3 (preparing meals) and “general health” (r=- 0.420, p=0.019) Conclusion: As a result, fibromyalgia is more common in health workers who are working night shifts and have at least four night shifts a month. This situation negatively affects health workers' quality of life and general health. the number and intensity of night shifts per person should be minimized as much as possible to reduce the potential negative impact of night shifts on workers, especially in the lines of work where a shift work order negatively affects the human biological clock.

The 10-Item Physical Function Scale as a Sarcopenia Screening Tool for Patients on Hemodialysis

We investigated the accuracy of the 10-item Physical Function (PF-10) questions of the SF-36 quality of life questionnaire as a sarcopenia screening tool among patients on hemodialysis. A cross-sectional, multicenter study that included adult patients on hemodialysis. The revised European Working Group on Sarcopenia in Older People was used to diagnose sarcopenia. The 10 questions about daily activities from the SF-36 quality of life questionnaire were used to appoint the PF-10, where the final score could range from 10 to 30, and the lower the worse the physical function. The PF-10 accuracy to identify confirmed sarcopenia (low muscle strength+low muscle mass) was assessed through a receiver operating characteristic curve and the cutoff was calculated using the Youden index. One hundred eighty-five patients were included (median 59years; 45% female). Prevalence of confirmed sarcopenia was 31.4%. The median PF-10 score was 23 (interquartile range: 17-27) and a significant association with all sarcopenia measurements was found (all P<.05). The best cutoff calculated from the receiver operating characteristic curve was ≤26 points (area under the curve=0.69, 95% confidence interval 0.61-0.77) with sensitivity and specificity of 96.6% and 71.0%, respectively. Moreover, patients with ≤26 points (n=133, 72%) had a higher prevalence of low muscle strength by handgrip (53 vs. 19%; P<.001) and 5-time sit-to-stand (41 vs. 10%; P<.001), low gait speed (44 vs. 19%; P=.002), confirmed sarcopenia (39 vs. 11%; P<.001), and severe sarcopenia (26 vs. 4%; P=.001), but not low muscle mass (49 vs. 35%; P=.08), in comparison with those >26 points (n=52, 28%). The PF-10 may be a useful physical dysfunction and sarcopenia screening tool in patients on hemodialysis. A PF-10 threshold of around 26 points appeared to display the fairest accuracy for diagnosing sarcopenia.

Promoting social inclusion and quality of life in older adults through aerobic exercise programs

Background: Aging is an individual and collective process that alters health and quality of life of older adults. It deteriorates the musculoskeletal, neuromuscular and cardiovascular systems and causes damage to functionality. In the same way, the main risk factors for chronic diseases are overweight and sedentary lifestyle. The key to improve the quality of life is to be physically and mentally active. Objective: to apply an intervention to improve the life quality of older adults through an aerobic exercise program. Methods: a quantitative, observational and longitudinal approach was applied. The program lasted 12 weeks with an initial and final evaluation. The population consisted of 30 older adults, who underwent a warm-up, aerobic exercise (dance therapy) and flexibility and stretching exercises. The SF-36 quality of life questionnaire and the International Physical Activity Questionnaire (IPAQ) were used. Results: it was established with a value p&lt;0.001 that the dimensions evaluated by the SF-36 questionnaire improved. There was a change in physical function, physical role, bodily pain, general health, vitality, social function, emotional role and mental health, as well as in the level of physical activity. Conclusions: a positive change was observed. The aerobic exercise program reduces the musculoskeletal pain associated with aging and produces an increase in physical functionality. As a consequence, it favors an improvement in self-efficacy and self-esteem.

#2870 Association between frailty and a history of falls in patients on hemodialysis

Abstract Background and Aims Patients with end-stage renal disease on hemodialysis have a higher prevalence of frailty that is associated with relevant outcomes such as disability, hospitalization, and mortality. Moreover, these patients have musculoskeletal and physical function impairments that contribute to a higher risk of falling. Therefore, the aim of this study was to evaluate the association between frailty and a history of falls in patients on hemodialysis. Method This cross-section multicenter study included patients aged ≥18 years who were undergoing regular hemodialysis treatment for at least three months. Patients were excluded if presented severe and unstable comorbidities, psychiatric or cognitive disorders, and physical limitations including neurological, musculoskeletal and osteoarticular diseases which prevented the correct execution of the physical function tests. Frailty was assessed by Fried phenotype and the criteria were as follows: unintentional weight loss ≥ 4.5 kg in the past year; exhaustion was assessed using the vitality domain of the SF-36 quality of life questionnaire; weakness was measured using a handgrip dynamometer; walking speed was assessed by timing the 4.6 m distance covered at the participant's normal pace; and physical activity level was measured by the Human Activity Profile questionnaire. Patients were stratified into three groups: a score of 0/5 for non-frail, a score of 1-2/5 for pre-frail, and a score of 3-5/5 for frail. The retrospective history of falls was assessed for the last 12 months, and a fall was defined as an “unexpected event in which the individual comes to rest on the ground, floor or lower level”. The association between frailty stratification and a history of falls was analyzed using multivariate multinomial logistic regression model with non-frail group as reference. Then, a model adjusted for potential confounders was constructed. Results This study included 199 patients (59.1 ± 12.5 years, 41.2% female). The prevalences of frailty and pre-frailty were 17.6% and 54.8%, respectively. Patients classified as non-frail showed lower prevalence of a history of falls compared to patients classified as pre-frail and frail (26%, 36% and 54%, respectively, p &amp;lt; 0.001). The absence of a history of falls decreased the chance of patients being classified as frail (OR = 0.23, 95% CI = 0.07-0.78, p = 0.018). After adjusting for age, educational level, time on dialysis, hemoglobin and presence of cardiovascular disease, this association remained significant (OR = 0.16, 95% CI = 0.04-0.57, p = 0.005). Conclusion The prevalence of pre-frailty was approximately three times higher than that of frailty in patients on hemodialysis. A history of falls was associated with frailty in these patients.

(244) THE IMPACT OF FUNCTIONAL TRAINING AND EMS ON WOMEN’S WELL-BEING AND REPRODUCTIVE HEALTH IN TERMS OF SEXUAL SATISFACTION

Abstract Introduction Physical activity is important for both the physical and mental health of women, especially after childbirth. Therefore, it is important to adapt physical activity to individual conditions and gradually increase the intensity and load. Objective Celem badania jest ocena aktywności fizycznej i oceny dna miednicy w zakresie wpływu innowacyjnego treningu EMS na dobrostan kobiet i aspekty dotyczące sfery seksualnej. The aim of the study is to evaluate physical activity and pelvic floor assessment in terms of the impact of innovative EMS training on women’s well-being and aspects related to the sexual sphere. Methods Ten women after giving birth and after the postpartum period were included in the study. They were recruited as part of the Childbirth School classes. Women were introduced to EMS technology training and functional training, which was performed once a week for a period of 6 months. The assessment of the tested parameters was performed in the following time interval: Stage 0 - preliminary examination; Stage 1: examination after 3 months; Stage 2 – examination after 6 months. The following parameters were examined: Assessment of general physical fitness (in order to select the appropriate level of functional training and EMS and to assess general physical activity and its changes over time); Assessment of muscle strength - EMG; Assessment of pelvic floor structures: EMG Biofeebeck - intravaginal and ultrasoundsonofeedback; Questionnaires: MSEI - Multidimensional Self-Assessment Questionnaire, FSFI - Assessment of Sexual Functioning; Questionnaire for the Assessment of Urogynecological Dysfunctions; Gynecological and obstetric history questionnaire; Rosenberg Self-Esteem Scale; Body Assessment – BES; Assessment of BMI parameters and body mass composition, SF-36 Quality of Life Questionnaire. Results The study showed that postpartum women who attended training using EMS technology achieved higher physical fitness and improvement in the functionality of the pelvic floor significantly faster. It has also been shown that training using EMS technology has a positive impact on women’s sexual quality and satisfaction, which translates into their overall well-being in terms of everyday functioning and body assessment. Conclusions Training using EMS technology allows for greater effectiveness, comfort and more precise personalization of training for women with special needs after childbirth in a shorter period of time. Disclosure No.

Effect of an online posture exercise program during the COVID-19 pandemic on students' musculoskeletal pain and quality of life.

Prolonged sitting and poor posture can contribute to musculoskeletal pain and have a negative effect on health-related quality of life (HRQoL) among young adults. Any prolonged posture leads to static loading of soft tissues and causes discomfort. Seated posture leads to inactivity causing an accumulation of metabolites, accelerating disk degeneration and musculoskeletal pain. Regular exercise has major contributions to the prevention and treatment of some health problems such as musculoskeletal disorders. This study aimed to assess the impact of online posture exercises on musculoskeletal pain and health related quality of life among university students receiving distance education during the COVID-19pandemic. This randomized controlled trial involved 72students divided into intervention (n= 35) and control (n= 37) groups. The intervention group followed an 8-week online stretching and posture exercise program. Baseline and 8-week results were measured using the SF-36 QoL Questionnaire and Cornell Musculoskeletal Discomfort Questionnaire (CMDQ). Students spent an average of 5.4 ± 2.5hours daily at computers. While there was no difference between the scores of any region in the CMDQ in the control group, there was a decrease in the neck, right shoulder, left shoulder, waist, left upper leg, right lower leg, and left lower leg discomfort scores in the intervention group (p< 0.05). There was a significant difference between the intervention and control groups in the total score of SF-36 and the sub-dimensions of vitality and mental health (p< 0.05). The online posture exercise program led to notable reductions in musculoskeletal pain and improvements in QoL among university students. Examining the effectiveness of online exercise programs in different age groups is important for health benefits during quarantines.

The Association Between Appetite and Quality of Life in Adults with Obesity or Severe Obesity Post-Sleeve Gastrectomy Procedure: A Cross-Sectional Study.

Sleeve gastrectomy (SG) is considered as the most common bariatricprocedure in Saudi Arabia. It is a non-reversibleprocedure defined as removal of a large portion of the stomach. The objective of the current study is to compare the appetite and quality of life (QoL) between adults' post-sleeve gastrectomy and obese/morbidly obese adults (pre-SG). A cross-sectional study design was conducted in adults (aged between 18 and 65 years), post-sleeve gastrectomy (n = 80, 41 Males and 39 Females) and obese group (n = 60, 28 Males and 32 Females). The study population was recruited from the bariatric surgery clinic of King Abdullah Bin Abdul-Aziz University Hospital. A self-reported questionnaire was collected that included a visual analogue scale (VAS) to assess the appetite level, and SF-36 QoL questionnaire. No significant differences were found in age and gender between the study groups (p > 0.05). The median score feeling of fullness was significantly higher in the SG group (77.5, IQR: 48 and 50, IQR: 40, respectively) than in the obese group (p < 0.001). The amount of food eaten was statistically lower in the SG group (30, IQR: 20) than the obese group (50, IQR: 60) (p = 0.005). Patients post SG had significantly higher QoL scores in all physical and mental scales, physical component summary and mental component summary (p < 0.003). Patients post SG have improved appetite and QoL. Satiety, less prospective food consumption, BMI, age, gender and comorbidities are associated with QoL. Future studies are needed to compare the QoL in post-SG patients with the normative values of the QoL in Saudi Arabia.

The Influence of the Time Factor and Marital Status on the Quality of Life of Patients After Kidney Transplantation in Uzbekistan

Background: Currently, compared to program hemodialysis and peritoneal dialysis, kidney transplantation is considered to be the preferred method of renal replacement therapy in patients with end-stage chronic kidney disease (CKD) in terms of patient survival and improvement in their quality of life (QOL). This study aimed to investigate the influence of the post-transplantation period and marital status on the health-related QOL of patients with CKD who underwent kidney transplantation.Methods and Results: A cross-sectional study was conducted among 78 patients who had received a kidney transplant from living related donors in the Republican Specialized Scientific and Practical Medical Center for Nephrology and Kidney Transplantation between January and April 2022. Kidney transplant recipients (KTRs) were divided into four groups depending on the time after kidney transplantation: 3, 6, 12 months, and 2 years or more after surgery. The study used 2 questionnaires. The first included questions about the sociodemographic data of patients; the second was the standardized health-related QOL questionnaire SF-36. This study of the QOL of KTRs, residents of the Republic of Uzbekistan, showed an improvement in most scales of physical and mental health components 12 months and 2 years or more after kidney transplantation. On the scales of physical and mental health components, unmarried KTRs had a higher self-assessment of QOL than married KTRs, and among married KTRs, those with children had higher QOL indicators.Conclusion: Clarifying how the time after kidney transplantation and individual sociodemographic and medical factors influence QOL indicators requires further research (including longitudinal studies) in a wider КTR population.

Factors associated with quality of life in patients with coronary artery disease before coronary artery bypass surgery

Relevance. The outcomes of coronary artery bypass surgery (CABG) for coronary artery disease (CAD) depend on different factors, including patient’s quality of life (QoL) before CABG.Aim: To study QoL and associated factors in CAD patients before CABG.Material and Methods. A single-center observational study involved CAD patients who were admitted for elective CABG. All patients completed generic quality of life questionnaire SF-36 and specific questionnaire SAQ. Statistical methods included parametric and non-parametric comparisons and multiple regression analysis.Results. The study included 240 CAD patients (median age 65 years, males – 69%). More than half of the patients had poor physical and psychological health before CABG. Physical limitations and perception of the disease as well as role functioning were most impaired. QoL was worse in women, older patients, with obesity, comorbidity, long-lasting CAD, non-workers and living in sparsely populated areas (p &lt; 0.05). Predictors of poor QoL – female gender (OR 2.574, 95% CI 1.335–4.961; p = 0.005), obesity (OR 1.984, 95% CI 1.075–3.663; p = 0.028) and long–term CAD (OR 1.006, 95% CI 1.002‒0.010; p = 0.006). Predictors of poor physical health – age ≥ 65 (OR 0,823, 95% CI 0.430–1.576; p = 0.001), obesity (OR 2,050, 95% CI 1.041–4.039; p = 0.038) and long–term CAD (OR 1.005, 95% CI 1.001–1.010; p = 0.027). Predictors of poor mental health – age ≥ 65 (OR 1.973, 95% CI 1.050–3.706; p = 0.035) and living in sparsely populated areas (OR 2.213, 95% CI 1.236–3.962; p = 0.008).Conclusion. Predictors of poor QoL before CABG are female gender, elderly age, obesity, long-term CAD and living in sparsely populated areas.

Research on the Impact of Breathing Exercises and Aerobic Exercises on Quality of Life in Patients with Bronchial Asthma: A Comparative Study

Background: Asthma is defined as a chronic inflammatory disorder of airways characterized by reversible airflow obstruction causing cough, wheeze, chest tightness and shortness of breath Crompton et al7Asthmatic attacks are set up by exposure to specific allergens such as house dust mite, pollen and animal dander. Some other factors are exercise particularly running, dyes, air pollution, infection, cigarette smoke, dry inhaled air, certain foods such as fish, eggs, yeast, and wheat which presumably reach the bronchi via blood stream. There is noticeable increase in healthcare burden from asthma in several areas of world .The most frequently mentioned aims of breathing exercises are to ‘normalize’ breathing pattern by adopting a slower respiratory rate with longer expiration and reduction of hyperventilation and hyperinflation. Training also frequently involves encouraging nasal breathing and a diaphragmatic breathing pattern.AQLQ AND SF36 questionnaire was used as outcome measure.Methods: The sample size of this study was 30 subjects with 15 subjects in each group. The group A was given breathing exercises interventions and group B was given aerobic exercises intervention. A written consent was taken from each before their participation into the study. Asthma Quality of Life Questionnaire (AQLQ) and SF-36 quality of life Questionnaire of both the groups were taken in 0 week and both groups were assigned treatment interventions and after 3 weeks the AQLQ and SF-36 quality of life questionnaire has been repeated.The independent variables in the study were Aerobic Exercises and Breathing Exercises.Conclusion: The breathing exercise intervention was effective in improving the quality of life in asthmatic patients.The aerobic exercise intervention was also effective in improving the quality of life in asthmatic patients.However, the quantum of reduction in lung obstruction and therefore, the overall improvement in quality of life found to be more significant with the aerobic exercise intervention than breathing exercise intervention. Thus,a combination of the breathing exercises and aerobic exercise should be incorporated into the pulmonary rehabilitation program of the asthmatic patients.

Exploring the psychological impact of anxiety, depression, and quality of life in patients with comorbid disease conditions post COVID-19 pandemic era

BackgroundChronic diseases and comorbidity are important predictors of depression and anxiety, the two most common disorders of poor mental health. Meanwhile, the pandemic increases anxiety and depression levels, alongside declined quality of life (QoL), the same way that comorbidities are associated with severity of COVID-19 progression. This study aimed to assess the prevalence of anxiety and depression, as well as the QoL among patients with chronic medical conditions in Amman, Jordan, in the post-pandemic period. MethodsA descriptive, cross-sectional study was conducted among patients with comorbidities using a validated questionnaire consisting of 3 parts. Anxiety and depression prevalence were assessed using the Hospital Anxiety and Depression Scale (HADS), while the QoL in terms of physical, psychological, social, emotional, and general mental health was evaluated using the SF-36 QoL questionnaire. ResultsA total of 150 participants (mean age=55±13 years) were enrolled in the study. Most participants reported a significantly elevated level of borderline abnormal or mild anxiety (44%, P<.0001). The QoL scores indicated relatively poor well-being, particularly in the physical role (29.2±45.5) and emotional role (26.2±4.0) domains (P<.05). Statistical significance was observed between HADS anxiety or depression scores and variables, such as age, education level, and comorbidities. ConclusionThis study's findings provide insights into the adverse psychiatric consequences, high prevalence of anxiety and depressive symptoms, and reduced quality of life among patients with comorbid conditions post-COVID-19 pandemic.

Thickness of the abdominal wall and pelvic floor dysfunctions in men who practice crossfit vs no crossfit: An observational study.

The objective of this study is to compare the thickness of the transverse abdominis, internal oblique, external oblique, rectus abdominis, and rectus abdominis distance, the quality of life (SF-36), the presence of chronic pelvic pain (CPPQ-Mohedo), and sexual dysfunction (IIEF) in men who practice CrossFit® versus men who do not. Sixty-four healthy men with an average age of 37.19 were recruited at a private sports club and divided into two groups for this cross-sectional observational study. Additionally, participants completed the CPPQ-M, IIEF, and SF-36 questionnaires. Significant differences were found in the thickness of the internal oblique at rest (p = 0.018, d = 0.61), which was greater in the CrossFit® group. In the SF-36 quality of life questionnaire (p = 0.05, d = 0.50), the CrossFit® group also obtained a higher score. CrossFit® improves the quality of life and self-esteem of the participants, in addition to increasing the thickness of the internal oblique. Neither more chronic pelvic pain nor more erectile dysfunction was observed in the CrossFit® group.