Routine Exercise Research Articles

Program Senam Rutin Dalam Upaya Meningkatkan Kesehatan Masyarakat di Dusun Godean Desa Kucur

Introduction: Routine exercise programmes are a strategic effort to improve the physical and mental health of the population. The activities are designed to involve different age groups and fitness levels through structured and varied exercise movements. Objective: The purpose of this community service is to improve public health in Godean of Kucur Village, through a routine exercise programme Method: This exercise is carried out in the courtyard of the citizen's house or on the side of the street in RW 10 Godean of Kucur Village and is held every Saturday at 3 P.M Result: The results of the routine exercise showed that there were 46 people who attended the gym in RW 10 Godean of Kucur Village, Dau district, and Malang district. Following this routine exercise, the physical and mental well-being of the participants underwent significant changes. Citizens felt more fresh, relaxed, and happy to socialize with other citizens Conclusion: To ensure the sustainability and effectiveness of the programme, a number of follow-up measures have been planned, including more intensive promotion and socialization, as well as collaboration with health institutions to provide health information support

Pendampingan Aktifitas Senam Kaki bagi Peserta Prolanis Diabetes Melitus di Wilayah Kerja Puskesmas Kujangsari Kota Bandung

Prediabetic individuals participating in the Prediabetes Lifestyle Program (prolanis DM) have exhibited irregular adherence to lower limb exercises, resulting in persistent fluctuations in blood glucose levels. Engaging in lower limb exercises holds substantial benefits for stabilizing blood glucose levels in individuals with diabetes mellitus (DM). This community nursing intervention aims to enhance the ability of prediabetic prolanis participants to perform lower limb exercises. The intervention involves direct assistance and guidance to prediabetic prolanis participants during their lower limb exercise routines. A total of 31 participants were provided with instructional videos on DM-specific lower limb exercises and were evaluated twice over two months during their visits to the Kujangsari Primary Health Center. After the sessions, the lower limb exercises were assessed using a scoring format ranging from 1 to 3, with final results categorized accordingly. Results indicated that 54.8% of participants achieved a 'Good' rating for their lower limb exercise performance. This personalized support and guidance are anticipated to augment the participants' lower limb exercise proficiency and motivation to exercise regularly. The DM-specific lower limb exercise videos are envisioned to serve as a reference for participants, enabling them to pursue self-care by performing these exercises at home and maintaining stable blood glucose levels.

FITNESS TRACKER : LONG TERM HEALTH OUTCOME

Abstract : The Fitness Tracker is the product of information and technology research and development aimed at analyzing health-related problems. On our fitness tracker page, we discuss how wearable technology can be a game changer for promoting physical activity and general well-being. We examine how fitness trackers help users monitor and improve their exercise routines using data from seminal studies on the subject (Jacobsen et al., 2016; Flores Mateo et al., 2015) [1][2]. Market analyses provide the basis for our material, which showcases technology advancements and industry trends (Market Research Future; Deloitte Insights) [3][4] as well as in-depth sensor technology textbooks (Sazonov & Neuman) [5]… We explore the role that incentives play in promoting sustained involvement in physical activity, informed by research such as the randomized controlled trial carried out by Finkelstein et al. (2016). [6]. Evidence-based guidelines supporting regular exercise as the cornerstone of a healthy lifestyle have been produced by the American College of Sports Medicine (ACSM) and the World Health Organization (WHO) [7][8] (CDC; Int. J. Sports Med.) [9][10]. These recommendations form the cornerstone of our methodology. Additionally, we investigate how wearable fitness technology influences habit modification and long-term health effects by integrating insights from behavioral science and digital health. Through the synthesis of these varied perspectives, our website offers comprehensive information and useful approaches for people looking to maximize their fitness goals and general well-being. Keywords : activity tracker, health metrics, fitness insights ,global fitness market ,innovation in wearables

Factors Associated with Defecation Satisfaction among Japanese Adults with Chronic Constipation.

Background: Constipation causes substantial morbidity worldwide. Methods: This survey assessed constipation-related factors in Japan using the Japanese version of the Irritable Bowel Syndrome Quality of Life (IBS-QOL-J) instrument. We also examined the relationship among laxative type, Bristol Stool Form Scale (BSFS) scores, and treatment cost. Finally, we examined differences in satisfaction scores according to laxative type, treatment type, treatment cost, and BSFS score. Results: IBS-QOL-J was higher among those taking salt and/or irritation laxatives. Those paying >JPY 5000 (USD 50.00) had the lowest IBS-QOL-J. IBS-QOL-J was significantly lower among those with a BSFS score of 1 or 2 (severe constipation). Conclusions: This study's findings suggest that a variety of factors, including treatment type and cost, are associated with defecation satisfaction. Those who had hard stools, used multiple laxatives, or spent more on treatment were less satisfied. Future strategies should target therapies that do not require multiple laxatives with lower treatment costs. Adequate defecation with a small number of appropriate laxatives at minimal cost appears to improve defecation satisfaction. It is desirable to identify appropriate laxatives and improve dietary habits and exercise routines. It is also necessary to stop blindly increasing laxative usage and properly diagnose constipation disorders such as anatomical abnormalities other than functional constipation.

Perception of Caregiver on Physical Therapy Management for Pediatric Burn Patients

Background: Burn injuries are among the most severe types of child injuries, leading to significant functional, social, and psychological disabilities. Physiotherapy plays a crucial role in the rehabilitation of pediatric burn patients, and caregivers are essential in facilitating the treatment process. Understanding caregivers' perceptions and adherence to physiotherapy treatment can inform better care strategies. Objective: This study aimed to assess the perceptions of caregivers towards physiotherapy treatment for pediatric burn patients and to evaluate adherence to prescribed exercise regimens. Methods: A descriptive cross-sectional study was conducted from June 2023 to December 2023. Data were collected from caregivers at two public hospitals and one private rehabilitation center using a non-probability convenience sampling method. The sample included 53 caregivers of children aged 1-5 years with burn injuries covering more than 20% of their total body surface area and who had been undergoing physiotherapy for 3-4 weeks. Exclusion criteria were caregivers not actively involved in daily care, those unable to communicate in English or Urdu, and patients without a caregiver. Data were collected using a semi-structured questionnaire based on the Measure of Processes of Care (MPOC). The questionnaire was validated and had a Cronbach’s alpha of 0.703. Data were analyzed using SPSS version 25, with descriptive statistics presented as frequencies, percentages, means, and standard deviations. Results: Among the caregivers, 64.2% were mothers, 15.1% were fathers, and 20.8% were other relatives. A total of 81.1% of caregivers agreed and 18.9% strongly agreed that the physiotherapist encouraged active participation in decision-making. Comfort in discussing concerns was reported by 69.3% agreeing and 18.9% strongly agreeing. Emotional and social aspects were adequately addressed according to 39.6% of caregivers, with 41.5% neutral and 15.5% disagreeing. Clear communication of treatment plans was reported by 75.5% agreeing and 24.5% neutral. Adherence to exercise routines varied, with 47.2% often, 32.1% always, and 20.8% sometimes helping with exercises. However, 39.6% reported that the child always refused to do exercises, and 64.2% noted the child always complained of pain during therapy. Conclusion: The study concluded that caregivers generally have a positive perception of physiotherapy for pediatric burn patients and actively participate in their care. Challenges such as pain during exercises and time constraints highlight the need for enhanced support and communication to improve adherence and outcomes.

#596 The Borg Scale—efficient and safe for exercise prescription in self-administered balance and strength exercise in patients with CKD

Abstract Background and Aims With the continued rise in chronic kidney disease (CKD), there is a critical need for sustainable, home-based exercise interventions. While supervised, centre-based exercise improves physical performance in CKD patients, unsupervised, self-administered exercise poses challenges in ensuring adherence, safety, and efficacy. This study investigates the Borg Rating of Perceived Exertion (RPE) scale, a subjective measure of exertion, as a method for prescribing and monitoring the intensity of balance and strength exercise in non-dialysis dependent CKD patients. The aims of this study were: Method This sub study of the RENEXC-trial included 148 patients with CKD stages 3-5, with a mean age of 66 ± 14 years and mean measured GFR of 22 ± 8 ml/min/1.73 m2. Patients were prescribed 90 minutes/week of balance or strength exercise at a Borg RPE of 13-17 (corresponding to an exercise intensity of somewhat hard to very hard), along with 60 minutes/week of endurance exercise. Exercise programs were individually prescribed by a physiotherapist according to randomization and each patient's baseline performance and were performed at home or in a gym according to the patient's preference. Duration and RPE of the performed exercise were reported in an exercise diary. Progress was monitored by the physiotherapist through phone contact, every week for the first three months of the study and every other week for the rest of the study year. The continuous follow up provided motivation and enabled adjustments of the exercise program to maintain the goal RPE, adapt intensity and the weekly duration of exercise. Outcome measures included the Berg Balance Scale (BBS) and Functional Reach Test (FRT), the 30-second sit-to-stand test (30STS) and isometric quadriceps strength (IQS). Balance and strength measures were evaluated at baseline and after 12 months of exercise. Previous publications of the RENEXC-trial showed no difference between patients who performed balance exercise and patients who performed strength exercise; therefore, this sub-study analysed all included patients as one group. Results Of 148 participants, 112 completed the study. At 12 months, 79% reported performed exercise, with 86% of these patients adhering to the prescribed intensity. The median (25th-75th percentile) exercise intensity was a RPE of 14 (13-15) on the Borg scale, and the median (min-max) exercise duration was 48 (0-241) minutes/week. Only 18% of the patients reached the 90-minute/week target. No exercise-related incidents were reported. Significant improvements were noted in BBS (p = 0.0464), FRT (p = 0.009), 30STS (p = 0.047), and IQS (right/left p = 0.022 / p = 0.049). Conclusion The Borg RPE scale is an effective and safe method for prescribing and monitoring self-administered balance and strength exercise in patients with CKD. Using the Borg scale for prescribing and monitoring exercise intensity during balance and strength exercise resulted in a good level of adherence to the 12-months exercise program and the prescribed exercise intensity. As no exercise related incidents were reported, we conclude that the self-administered exercise was safe to perform. Significant improvements in balance and strength were observed with a moderate to high exercise intensity prescription within a wide range of performed weekly duration of exercise, suggesting the Borg scale's value in exercise prescription in both well- and deconditioned patients with CKD. These findings show that the integration of the Borg scale into routine exercise prescription in people with CKD can promote patient autonomy and efficient resource utilization in healthcare.

EFFECTS OF FACE MASKS ON CARDIORESPIRATORY PARAMETERS DURING EXERCISE VELOERGOMETRY TEST

The COVID-19 pandemic has sparked ongoing scientific discussions about the adverse effects of wearing face masks on cardiorespiratory indicators, and the subjective response to exertion. Many researchers have investigated the impact of wearing face masks on different physiological factors through various exercise routines, such as a progressive cycling test, the 6-minute walk test, and treadmill walking at a constant pace, yielding inconsistent findings. This study aimed to examine the physiological and perceptual responses of wearing surgical face masks during and after the veloegometry test. Fifteen healthy young adults (mean age, 26.8±4.4 years, 5 males and 10 females) conducted the Astrand-Rhyming veloegometry protocol twice (with and without masks). Physiological outcomes (heart rate, maximal oxygen uptake, and oxygen saturation level), perceived exertion, and discomfort feeling by modified Borg scale were assessed. No significant differences were observed in physiological outcomes with or without masks during increasing load intensities (p > 0.05) except for the last minute of testing and the minute after testing (p ≤ 0.005). Participants wearing masks reported the tendency of higher exertion level (3.8±1.08 vs 4.4±0.9) but statistical analysis can't definitively confirm it. While exercising with a face mask may not adversely affect cardiorespiratory factors, it can elevate perceived exertion levels and discomfort, particularly when exercise intensity exceeds a certain threshold.

Effects of comprehensive exercise training on frailty, negative emotions and physical functions of elderly patients with diabetes.

To evaluate the effects of comprehensive exercise training on frailty, negative emotions and physical functions of elderly patients with diabetes. This is a retrospective study. A total of 140 elderly patients with T2DM in The No.2 Hospital of Baoding were selected from December, 2021 to June, 2023 and randomly divided into two groups, with 70 patients in each group. The control group was given routine nursing and routine exercise education, and the study group was additionally given comprehensive exercise training. Tilburg frailty indicator (TFI), emotional status, physical functions, grip strength, fasting blood glucose and patient satisfaction were compared and analyzed between the two groups. Before the intervention, TFI showed no significant differences between the two groups (p>0.05). After the intervention, physical, psychological and social frailty in the study group were significantly lower than those in the control group, with statistically significant differences (p= 0.00). SAS and SDS scores reduced significantly in the study group compared with those in the control group after the intervention, with statistically significant differences (p=0.00). After the intervention, the grip strength was significantly larger while the fasting blood glucose was significantly lower in the study group compared with those in the control group, with statistically significant differences (p=0.00). Patient satisfaction in the study group was higher than in the control group, with a statistically significant difference(p=0.03). Comprehensive exercise training for elderly patients with diabetes is beneficial to improving their frail state, negative emotions, blood glucose levels and physical functions. It has significant clinical application value.

Machine Learning for the Diagnosis and Prognosis of Chronic Illnesses

An essential part of healthcare is disease prediction, which seeks to identify people who are at risk of getting certain diseases. Because of their superior capacity to sift through massive datasets in search of intricate patterns, machine learning algorithms have recently become useful instruments in the fight against illness prediction. The goal of this project is to make it easier for people to diagnose their own health problems using just their symptoms and precise vital signs. Due to excessive medical expenditures, many people put off taking care of their health, which can result in worsening symptoms or even death. Medical expenses can be overwhelming for people without health insurance. Using machine learning methods like ExtRa Trees, the suggested system provides a general illness forecast based on patients' symptoms. The algorithm provides a possible diagnosis based on the user's age, gender, and symptoms, suggesting that the user may be experiencing a certain illness. The system also suggests healthy eating and exercise routines to help lessen the impact of the condition, depending on how bad it is. Lastly, this article has shown a comparison examination of the suggested system using several algorithms including logistic regression, decision tree, and Naïve Bayes. The efficiency and accuracy of illness prediction are both enhanced by the suggested model.

Effect of Early Rehabilitation Exercise on Lower Limb Function and Psychological State After Coronary Artery Bypass Grafting: A Randomized Controlled Trial

Background: While early rehabilitation exercise has been shown to improve cardiopulmonary function and functional outcomes after revascularization in individuals who have undergone coronary artery bypass grafting (CABG), further research is still needed to fully understand the importance of psychological status and limb functional rehabilitation following CABG. Therefore, the purpose of this study was to investigate the effects of early rehabilitation exercise on lower limb function and mental health after coronary artery bypass grafting. Methods: Eighty patients who underwent CABG were randomly divided into a routine exercise group and an early rehabilitation exercise group. The degree of lower limb swelling, the amount of incision complications, the first time the patient got out of bed after the operation, the length of postoperative hospital stay, activity tolerance and postoperative psychological state were compared between the two groups. Results: The incidence of postoperative lower extremity oedema was 30% in the early rehabilitative exercise group as compared to 52.5% in the routine exercise group. Between the two groups, there was a statistically significant difference (p < 0.05) in the incidence of postoperative lower limb edema as well as the amount of swelling in the thighs and ankles on postoperative days 1, 3, and 5. In the routine exercise group, the first time the patients got out of bed was 3.45 ± 1.09 days, and the length of postoperative hospitalization was 12.75 ± 5.06 days. In the early rehabilitation exercise group, the first time the patients got out of bed was 1.93 ± 0.57 days, and the length of postoperative hospitalization was 9.50 ± 2.92 days. There were statistically significant differences in these two indices between the two groups (p < 0.05). The activity tolerance of patients in the routine exercise group was 46.10 ± 19.09 min at 2 months after surgery and 69.88 ± 19.05 min at 3 months after surgery. The activity tolerance of patients in the early rehabilitation exercise group was 56.40 ± 17.42 min at 2 months after surgery and 105 ± 23.04 min at 3 months after surgery, and there was a significant difference in activity tolerance between the two groups at these time points following surgery (p < 0.05). In addition, there were statistically significant differences in the Patient Health Questionnaire-9, Generalized Anxiety Self-Assessment Scale-7 and Pittsburgh Sleep Quality Index scores between the two groups (p < 0.05). Conclusions: Early rehabilitation exercises can promote the recovery of lower limb function after CABG to a certain extent, shorten the postoperative bed rest time and hospital stay, and effectively improve postoperative psychological well-being and sleep quality.

Home exercise is considered essential, but patient compliance remains a mystery

BackgroundRegular exercise is essential in the treatment of Ankylosing Spondylitis (AS), as the main goals of the treatment are to reduce pain, restore function, avoid disability and structural deterioration, and improve quality of life (QoL). The purpose of this study is to ascertain whether patients adhere to exercise recommendations and to evaluate the effects of consistent exercise on patients' pain, function, disease activity, mood, and quality of life. Many studies emphasize the need for exercise in treatment of AS, but none reveal whether patients follow prescribed practices and the results of doing so.ResultsExercising group had significantly decreased pain, erythrocyte sedimentation rate and Bath ankylosing spondylitis functional index and Bath ankylosing spondylitis disease activity index (BASDAI) scores (p < 0.05). There was no significant difference between the two groups in morning stiffness, mood, spinal mobility, and QoL parameters (p > 0.05). Regular exercise was positively correlated with physiotherapy history. Regression analysis revealed that with an increase of 1 unit in visual analog scale and BASDAI, regular exercise decreased by 0.087 and 0.116 units, respectively.ConclusionOur study revealed how much the patients considers and follows the recommended exercises and concluded that regular exercise habits should be developed since they offer promising effects in treatment of AS, hence, patients should be educated in this area, and particular exercise routines should be developed to encourage them to exercise.

Investigation of left atrial mechanical function and left ventricular systolic and diastolic parameters in athletes performing resistance exercise and combined exercise

Some individuals who go to fitness centers for various purposes perform resistance exercise (RE) alone, while others engage in combined exercise (CE) by including cardio exercises along with RE. Studying the effects of these two different training methods on left ventricular (LV) systolic and diastolic parameters and left atrial mechanical function is an important step toward understanding the effects of different types of exercise on cardiac function. This knowledge has significant implications for public health, as it can inform the development of targeted and effective exercise programs that prioritize cardiovascular health and reduce the risk of adverse outcomes. Therefore, the primary aim of this study is to comprehensively investigate the LV systolic and diastolic parameters of athletes who engage in RE and CE using ECHO, to contribute to the growing body of literature on the cardiovascular effects of different types of exercise. Forty-two amateur athletes aged between 17 and 52 were included in our study. The participants consisted of the RE (n = 26) group who did only resistance exercise during the weekly exercise period, and the CE group (n = 16) who also did cardio exercise with resistance exercises. After determining sports age (year), weekly exercise frequency (day), and training volume (min) in addition to demographic information of RE and CE groups, left ventricular systolic and diastolic parameters and left atrial functions were determined by ECHO. Findings from our study revealed that parameters including the left ventricular end-diastolic diameter (LVEDD) (p = .008), left ventricular end-diastolic volume (LVEDV) (p = .020), stroke volume index (SV-I) (p = .048), conduit volume (CV-I) (p = .001), and aortic strain (AS) (p = .017) were notably higher in the RE group compared to the CE group. Also left atrial active emptying volüme (LAAEV) of CE was higher than the RE group (p = .031). In conclusion, the cardiac parameters of the RE group showed more athlete’s heart characteristics than the CE group. These results may help to optimize the cardiovascular benefits of exercise routines while minimizing the potential risks associated with improper training.

Rhythmic resonance: unveiling the power of music in enhancing student fitness

Introduction: aerobic dancing, a popular form of physical activity, is a popular way for students to maintain fitness and well-being. Objectives: this study aims is to investigates the influence of music listening habits on exercise performance, explores the psychological effects of music on physical fitness, analyzes individual differences in music preferences, and determines the physical fitness outcomes of incorporating music into exercise routines among selected students. Methods: this study applied the mixed-methods approach using an embedded research design. The researcher specifically used questionnaires, interview guide questions, and observations and purposefully selected participants. The participants were 27 fourth- and third-year major students from Mindanao State University's College of Sports, Physical Education, and Recreation, enrolled in PPE 137 (Strength Training and Conditioning). Researchers processed the data using frequency counts and percentages from the questionnaire and derived themes from the interview guide questions. Results. the results showed that most respondents were females (65,00 %), aged 22 to 23 years (60,00 %), and that listening to music during physical activity was sometimes (50,00 %). The type of music listened to during physical activity was "fast-paced/energetic" (60,00 %), and that listening to music enhanced exercise performance (40,00 %). The importance of music as a motivational tool for physical fitness routine (40,00 %) was found to be extremely important (40,00 %), and that the type of music that impacts physical fitness was "yes" (100 %). While the theme generated from the participants was Creating Engaging Experiences, with sub-themes including energizing, exciting, mood-setting, improving accessibility, and supporting the creation and planning of workout routines through music integration

AI Enabled Fitness Analyser

In today's fast-paced world, maintaining a healthy lifestyle is paramount for overall well- being. In line with this goal, we present Diet-Fit, an innovative application designed to revolutionize fitness tracking and dietary planning. By integrating a diet planner and exercise tracker, Diet-Fit aims to empower users to take control of their health and make informed lifestyle choices. Leveraging state- of-the-art technologies such as Mediapipe and OpenCV, the application offers advanced pose detection capabilities, accurately detecting exercise poses, counting repetitions, and tracking calories burned during workouts. Through personalized workout routines and dietary recommendations, Diet-Fit seeks to improve overall fitness levels and promote healthier lifestyle habits among users. By harnessing the power of artificial intelligence and computer vision, Diet-Fit represents a significant step towards enhancing fitness tracking and fostering a culture of wellness in the digital age.

Personalized Nutrition Analyzer using Artificial Intelligence

This project aims to develop an AI-powered nutrition analyzer tailored for fitness enthusiasts to regulate and achieve their overall fitness goals. Leveraging advanced machine learning algorithms, the system will analyze dietary patterns, nutritional intake, and individual health objectives. The user-friendly interface allows individuals to input their dietary information and exercise routines, receiving real-time, personalized recommendations. Beyond basic caloric assessment, the system considers comprehensive nutritional compositions, ensuring a balanced diet aligned with fitness targets. Continuous learning mechanisms enable the system to adapt and improve recommendations over time based on user feedback. This project seeks to empower users in making informed nutritional choices, fostering a personalized and effective approach to fitness management for enhanced overall well-being

AI Gym Buddy Using Mediapipe

The AI Gym Trainer is a system that provides multiple features designed to provide personalized fitness coaching and nutrition tracking. Imposing the advanced pose estimation capabilities of Mediapipe, the system provides real-time responses to exercise performance, focusing on posture, alignment, and technique.This feature is helpful because users will receive accurate guidance in workout sessions, which in turn enhances effectiveness while minimizing the risk of injury. Furthermore, the AI Gym Trainer is implemented using machine learning algorithms, which makes it capable of providing tailor workout routines to individual preferences and abilities, encouraging a personalized training experience. Through a user- friendly interface accessible through a desktop or web application, users can seamlessly interact with the system, track their progress, and receive personalized recommendations. Additionally, the system has a feature of a Flask-based food tracking feature which enhances the capabilities, allowing users to monitor their calorie intake and receive nutritional analysis. This comprehensive approach addresses both physical activity and dietary habits, and provides users with a holistic platform for managing their fitness goals. Evaluation through rigorous testing and user trials demonstrates the effectiveness and potential impact of the AI Gym Trainer in promoting overall health and well-being. With its combination of cutting-edge technology and user-centric design, the AI Gym Trainer represents a significant advancement in personalized fitness coaching and nutrition tracking, catering to the diverse needs of individuals striving to achieve their fitness goals.

Determinants of exercise adherence in sedentary middle-aged and older adults.

Regular exercise positively impacts neurocognitive health, particularly in aging individuals. However, low adherence, particularly among older adults, hinders the adoption of exercise routines. While brain plasticity mechanisms largely support the cognitive benefits of exercise, the link between physiological and behavioral factors influencing exercise adherence remains unclear. This study aimed to explore this association in sedentary middle-aged and older adults. Thirty-one participants underwent an evaluation of cortico-motor plasticity using transcranial magnetic stimulation (TMS) to measure changes in motor-evoked potentials following intermittent theta-burst stimulation (iTBS). Health history, cardiorespiratory fitness, and exercise-related behavioral factors were also assessed. The participants engaged in a 2-month supervised aerobic exercise program, attending sessions three times a week for 60 min each, totaling 24 sessions at a moderate-to-vigorous intensity. They were divided into Completers (n = 19), who attended all sessions, and Dropouts (n = 12), who withdrew early. Completers exhibited lower smoking rates, exercise barriers, and resting heart rates compared to Dropouts. For Completers, TMS/iTBS cortico-motor plasticity was associated with better exercise adherence (r = -.53, corrected p = .019). Exploratory hypothesis-generating regression analysis suggested that post-iTBS changes (β = -7.78, p = .013) and self-efficacy (β = -.51, p = .019) may predict exercise adherence (adjusted-R2 = .44). In conclusion, this study highlights the significance of TMS/iTBS cortico-motor plasticity, self-efficacy, and cardiovascular health in exercise adherence. Given the well-established cognitive benefits of exercise, addressing sedentary behavior and enhancing self-efficacy are crucial for promoting adherence and optimizing brain health. Clinicians and researchers should prioritize assessing these variables to improve the effectiveness of exercise programs.

Exploring the knowledge and skills for effective family caregiving in elderly home care: a qualitative study.

Family caregivers play a crucial role in providing physical, emotional, and social support to the elderly, allowing them to maintain their independence and stay in their preferred living environment. However, family caregivers face numerous challenges and require specific knowledge and skills to provide effective care. Therefore, understanding the knowledge and skills required for effective family caregiving in elderly home care is vital to support both the caregivers and the elderly recipients. The research was carried out in Mekelle City, Ethiopia, utilizing the phenomenology study design and purposive sampling technique. A total of twenty-two in-depth interviews were conducted. Individuals with experience in providing care for elderly people in their homes were targeted. Data was gathered through the use of an open-ended guide, transcribed word-for-word, inputted into ATLAS.ti8 software, and translated. Codes and themes were then extracted from the transcribed data, and a thematic analysis was performed. To minimize personal biases, the collected data were coded independently by the data collection assistants and the PI. The analysis was carried out by authors who were not involved in the data collection process. The interviews were conducted in a quiet place. A total of 22 in-depth interviews were conducted as part of this research. The results indicated that although the participants had knowledge about common health problems experienced by older people, they were uninformed about how to manage these conditions at home and were unaware of specialized healthcare resources for the elderly. Furthermore, they had limited knowledge about suitable exercise routines, strategies to prevent falls, and home healthcare practices for older individuals. On the other hand, they exhibited a solid comprehension and awareness of abusive behaviors specifically directed at older adults. The results emphasized the importance of enhancing education and training for family caregivers in handling elderly health issues, raising awareness about specialized healthcare services catered to the elderly, improving understanding of activities of daily living (ADLs) and fall prevention, and offering inclusive training in healthcare tasks related to elder care. Participants should receive comprehensive education and training programs to enhance their knowledge and skills in managing these conditions. Efforts should also be made to raise awareness about the availability of geriatric hospitals or specialized nurses for the elderly. Participants need to be educated about suitable exercise routines for the elderly and fall prevention strategies. Healthcare skills training is also necessary for participants, focusing on activities such as wound dressing, vital sign monitoring, and establishing a specific schedule for changing positions.

Public Health Implications of Cholera- a Water Sanitation and Hygiene (WASH) Related Infectious Disease in the Era of Climate Change: The Nigeria Experience

Water, sanitation and hygiene (WASH) play key roles in management of infectious diseases like cholera and other waterborne diseases; given that millions of people globally have no access to safe water. This cross-sectional study, conducted in 7 communities of Ogoni region (Khana, Gokana, Tai and Eleme LGAs), Orashi region (Abua/Odual, Ahoada West, Ahoada East and Ogba-Egbema-Ndoni LGAs) and Obolo region (Andoni LGA) all in Rivers State, Nigeria, enrolled 274 inhabitants comprising 164 females and 110 males. These included persons passing watery stools accompanied with vomiting, abdominal cramps and those with such prehistory. Questionnaires were used to obtain socio-demographic data. A total of 274 faecal samples were collected and transported in Cary-Blair stool culture transport medium to Rivers State University Teaching Hospital laboratory; and inoculated on Thiosulphate sulphate citrate bile salt-sucrose agar. Gram staining and biochemical tests were performed using standard procedures. Among the 274 subjects, 40 were infected giving a prevalence rate of 14.6%, including 26(15.9%) females and 14(12.7%) males though this was statistically insignificant, (U=8738.000, p=0.474). On educational levels, those who attended secondary schools had the highest prevalence rate (26.3%), compared with others and it was statistically significant, (p=0.00). WASH perceived predisposing factor showed the prevalence rate among those without access to safe water was 33(21.6%) against those with access to safe water 7(5.8%) and was statistically significant, (p=0.00). Subjects engaged in routine environmental sanitation and hygiene practices had lower prevalence 7(7.6%) than their counterparts, 33(18.1%), p=0.02. Respondents who think climate change had a positive impact on cholera transmission had prevalence of 34(23.3%) against those who disagreed, 6(4.7%), which was statistically significant. The study deduced that unavailability of safe drinking water, climate change, and unhygienic practices were major predisposing factors to cholera infection. Provision of safe water is advocated as greater percentage of the communities lacked access to safe drinking water. Routine environmental sanitation exercise should be revisited and enforced.

Implementation on Large-Scale Mobile Fitness App Usage Analysis for Smart Health

Understanding the determinants behind the exercise habits of urban residents, encompassing aerobic activities and training regimens, is of paramount importance for informed public policy formulation and urban planning. The utilization of mobile fitness app data, which characterizes exercise behaviors concerning time and location, offers a unique avenue for unveiling the key factors influencing physical activity. In this study, we conducted a comprehensive analysis of mobile fitness app data, collecting information from over 14,000 cellular towers and studying the exercise patterns of 4,000 users. Our rigorous investigation reveals that temporal elements, such as the day of the week and the time of day, wield significant influence over human exercise preferences. For instance, data shows that on weekdays, there's a 20% increase in exercise app usage during the evening hours (6 PM - 9 PM), while weekends see a 15% spike in early morning activities (6 AM - 8 AM). Geographical location also emerges as a prominent influencer. Our analysis indicates that individuals residing closer to parks or fitness centers exhibit a 25% higher likelihood of engaging in outdoor workouts. Importantly, personal income levels have surfaced as a fundamental factor significantly shaping exercise habits. Data suggests that individuals with higher incomes allocate, on average, 10% more of their time to structured training regimens. This research contributes essential insights for urban policy development and city planning, aimed at fostering a healthier and more physically active urban populace. Key Words: Tracking nutritional intake, Analyzing meals, Visualizing nutrition data, Daily nutrition overview, Calculating BMI, Image recognition for nutrition, Menu nutritional analysis, Tracking steps, Monitoring physical activity, Providing workout plans, Home workout routines, Gym workout routines, Planning a balanced diet, Diet plans based on BMI, Fitness and wellness application.