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https://www.readbyqxmd.com/read/27928772/barriers-and-facilitators-to-healthy-lifestyle-changes-in-minority-ethnic-populations-in-the-uk-a-narrative-review
#1
Naina Patel, Harriet Batista Ferrer, Freya Tyrer, Paula Wray, Azhar Farooqi, Melanie J Davies, Kamlesh Khunti
Minority ethnic populations experience a disproportionate burden of health inequalities compared with the rest of the population, including an increased risk of type 2 diabetes (T2DM). The purpose of this narrative review was to explore knowledge and attitudes around diabetes, physical activity and diet and identify barriers and facilitators to healthy lifestyle changes in minority ethnic populations in the UK. The narrative review focused on three key research topics in relation to barriers and facilitators to healthy lifestyle changes in minority adult ethnic populations: (i) knowledge and attitudes about diabetes risk; (ii) current behaviours and knowledge about physical activity and diet; and (iii) barriers and facilitators to living a healthier lifestyle...
December 7, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27925326/navigating-physical-activity-engagement-following-a-diagnosis-of-cancer-a-qualitative-exploration
#2
C Cummins, N M Kayes, J Reeve, G Smith, R MacLeod, K M McPherson
This qualitative descriptive study explored cancer survivors' experiences of barriers and facilitators to undertaking physical activity to inform how services and professionals might offer better support. Purposive and theoretical sampling was used to recruit 25 people who were up to 5 years post-cancer diagnosis. Participants took part in face to face, semi-structured interviews, and transcripts were analysed using thematic analysis. The analysis identified five interrelated themes which represented cancer survivors' views: 1) You're on your own-a sense of abandonment post-treatment, and lack of sufficient and tailored information; 2) Dis-ease-disruption to self and identity, and a heightened awareness of physical self and fragility; 3) Becoming acclimatised-physical activity in the face of treatment-related side effects and residual impairment; 4) Importance of others-encouragement and support from health professionals, family and friends, and cancer-specific exercise groups; 5) Meanings people ascribed to physical activity-these were central and could help or hinder engagement...
December 7, 2016: European Journal of Cancer Care
https://www.readbyqxmd.com/read/27924137/exercise-induced-stress-behavior-gut-microbiota-brain-axis-and-diet-a-systematic-review-for-athletes
#3
REVIEW
Allison Clark, Núria Mach
Fatigue, mood disturbances, under performance and gastrointestinal distress are common among athletes during training and competition. The psychosocial and physical demands during intense exercise can initiate a stress response activating the sympathetic-adrenomedullary and hypothalamus-pituitary-adrenal (HPA) axes, resulting in the release of stress and catabolic hormones, inflammatory cytokines and microbial molecules. The gut is home to trillions of microorganisms that have fundamental roles in many aspects of human biology, including metabolism, endocrine, neuronal and immune function...
2016: Journal of the International Society of Sports Nutrition
https://www.readbyqxmd.com/read/27918687/feasibility-and-efficacy-of-the-aging-plus-program-changing-views-on-aging-to-increase-physical-activity
#4
Allyson Brothers, Manfred Diehl
This study evaluated the feasibility and efficacy of the Aging(Plus) intervention program. Aging(Plus) is an 8-week multi-component motivational program which promotes increased physical activity by targeting adults' negative views on aging (NVOA) and perceptions of control, two known psychological barriers to physical exercise. 62 adults, ages 50-82 years, participated in this feasibility study. We assessed NVOA, perceptions of control, and physical activity level at baseline (Week 0), immediate posttest (Week 4), and delayed posttest (Week 12)...
December 5, 2016: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/27909373/exercise-telemonitoring-and-telerehabilitation-compared-with-traditional-cardiac-and-pulmonary-rehabilitation-a-systematic-review-and-meta-analysis
#5
Christen Chan, Cristiane Yamabayashi, Nafeez Syed, Ashley Kirkham, Pat G Camp
Background: Despite exercise capacity and quality-of-life benefits, pulmonary rehabilitation (PR) and cardiac rehabilitation (CR) programmes are not easily accessed because of several barriers. A solution may be telerehabilitation (TR), in which patients exercise in their communities while they are monitored via teletechnology. However, the benefits of TR for the purposes of PR and CR have not been systematically reviewed. Objective: To determine whether the benefits of the exercise component of PR and CR using TR are comparable to usual-care (UC) programmes...
2016: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/27904238/physical-activity-and-breast-cancer-a-qualitative-study-on-the-barriers-to-and-facilitators-of-exercise-promotion-from-the-perspective-of-health-care-professionals
#6
Jenna Smith-Turchyn, Julie Richardson, Richard Tozer, Margaret McNeely, Lehana Thabane
Purpose: We determined the barriers to and facilitators of exercise promotion by health care professionals (HCPs) for women with breast cancer (BC). Methods: The study was a qualitative descriptive study. Semi-structured interviews were conducted with HCPs who treat individuals with BC in Ontario. The interviews were recorded and transcribed. Two reviewers independently used content analysis to determine codes and themes developed in the interviews. NVivo 10 was used during the coding process. Results: A total of 24 HCPs participated in this study...
2016: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/27900549/understanding-factors-influencing-physical-activity-and-exercise-in-lung-cancer-a-systematic-review
#7
REVIEW
Catherine L Granger, Bronwen Connolly, Linda Denehy, Nicholas Hart, Phillip Antippa, Kuan-Yin Lin, Selina M Parry
PURPOSE: Despite evidence and clinical practice guidelines supporting physical activity (PA) for people with lung cancer, this evidence has not translated into clinical practice. This review aims to identify, evaluate and synthesise studies examining the barriers and enablers for patients with lung cancer to participate in PA from the perspective of patients, carers and health care providers (HCPs). METHODS: Systematic review of articles using electronic databases: MEDLINE (1950-2016), CINAHL (1982-2016), EMBASE (1980-2016), Scopus (2004-2016) and Cochrane (2016)...
November 29, 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/27900158/injury-prevention-exercise-programmes-in-professional-youth-soccer-understanding-the-perceptions-of-programme-deliverers
#8
James O'Brien, Caroline F Finch
BACKGROUND: There are well-known challenges to implementing injury prevention strategies in amateur soccer, but information from other soccer settings is scarce. This cross-sectional survey analysed the injury prevention perceptions of soccer coaches, fitness coaches and physiotherapists from 4 male teams in a professional youth soccer academy. METHODS: The respondents (n=18) completed a web-based survey relating to lower limb (LL) soccer injuries, the value and practicality of injury prevention exercise programmes (IPEPs) in general and, more specifically, the IPEP endorsed by FIFA, the FIFA 11+...
2016: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/27899474/retrospective-cohort-study-of-the-south-tyneside-exercise-referral-scheme-2009-14-predictors-of-dropout-and-barriers-to-adherence
#9
Michael C Kelly, Glen C Rae, Diane Walker, Sarah Partington, Caroline J Dodd-Reynolds, Nick Caplan
BACKGROUND: Exercise Referral Schemes (ERS) are a prevalent method of increasing physical activity levels. However, they suffer from participant dropout and research predicting dropout or barriers to adherence are limited. This study aimed to focus upon the effect of referral characteristics on dropout, dropout predictors and whether self-reported barriers to exercise predict dropout. METHODS: ERS data from 2009 to 2014 were retrieved for analysis. Chi-squared and t-tests were used to investigate differences between referral characteristics, and logistic regression used to investigate dropout predictors...
November 29, 2016: Journal of Public Health
https://www.readbyqxmd.com/read/27898220/intensive-care-physiotherapy-during-extracorporeal-membrane-oxygenation-for-acute-respiratory-distress-syndrome
#10
Laveena Munshi, Tadahiro Kobayashi, Julian DeBacker, Ravi Doobay, Teagan Telesnicki, Vincent Lo, Nathalie Cote, Marcelo Cypel, Shaf Keshavjee, Niall D Ferguson, Eddy Fan
RATIONALE: There are limited data on physiotherapy during extracorporeal membrane oxygenation (ECMO) for acute respiratory distress syndrome (ARDS). OBJECTIVES: We sought to characterize physiotherapy delivered to ARDS patients supported with ECMO, and to evaluate the association of this therapeutic modality with mortality. METHODS: We conducted a retrospective cohort study of all adult ARDS patients supported with ECMO at our institution from 2010-2015...
November 29, 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27895476/community-based-exercise-training-for-people-with-chronic-respiratory-and-chronic-cardiac-disease-a-mixed-methods-evaluation
#11
Renae J McNamara, Zoe J McKeough, Laura R Mo, Jamie T Dallimore, Sarah M Dennis
BACKGROUND: Poor uptake and adherence are problematic for hospital-based pulmonary and heart failure rehabilitation programs, often because of access difficulties. The aims of this mixed-methods study were to determine the feasibility of a supervised exercise training program in a community gymnasium in people with chronic respiratory and chronic cardiac disease, to explore the experiences of participants and physiotherapists and to determine if a community venue improved access and adherence to rehabilitation...
2016: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/27894271/effectiveness-of-a-physical-exercise-intervention-program-in-improving-functional-mobility-in-older-adults-after-hip-fracture-in-later-stage-rehabilitation-protocol-of-a-randomized-clinical-trial-reative-study
#12
Camila Astolphi Lima, Catherine Sherrington, Adriana Guaraldo, Suzana Albuquerque de Moraes, Renata Dos Ramos Varanda, Juliana de Araújo Melo, Kodi Edson Kojima, Monica Perracini
BACKGROUND: Hip fractures resulting from falls increase substantially with advancing age and less than half of older hip fracture survivors regain their former levels of mobility. There is increasing evidence that rehabilitation interventions with exercises that goes beyond the sub-acute phase or even in a later stage of care have a positive impact on various functional abilities. The purpose of this study is to determine if exercise program training for people who have suffered a fall-related hip fracture will improve functional mobility when compared with usual care...
November 29, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27891758/is-work-keeping-us-from-acting-healthy-how-workplace-barriers-and-facilitators-impact-nutrition-and-exercise-behaviors
#13
Joseph J Mazzola, J Taylor Moore, Katherine Alexander
The purpose of this study was to identify common barriers and facilitators to healthy nutrition and exercise behaviors in the workplace and examine their relationships to those actual daily health behaviors. We utilized a concurrent embedded mixed methods approach to collect data from 93 participants over the span of four days. Participants reported 2.80 nutrition and 3.28 exercise barriers on average over the 4 days, while reporting 2.93 nutrition and 1.98 exercise facilitators in the same timeframe. Results indicated that workload and temptations around the office prevented nutritious eating; exercise behaviors were frequently hindered by workload...
November 27, 2016: Stress and Health: Journal of the International Society for the Investigation of Stress
https://www.readbyqxmd.com/read/27882012/individualized-supervised-resistance-training-during-nebulization-in-adults-with-cystic-fibrosis
#14
Ina Shaw, Janine E Kinsey, Roxanne Richards, Brandon S Shaw
BACKGROUND & OBJECTIVE: Since dyspnea limits exercise adherence and intensity in cystic fibrosis (CF) patients, engaging in resistance training (RT), which causes less dyspnea than other exercise modalities, while using nebulizers could not only overcome this barrier, but also enhance long-term adaptations to treatment. The objective of this study was to examine the effects of RT during nebulization on spirometry, anthropometry, chest wall excursion, respiratory muscle strength and health-related quality of life (HRQOL)...
September 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27881101/knowledge-barriers-and-facilitators-of-exercise-in-dialysis-patients-a-qualitative-study-of-patients-staff-and-nephrologists
#15
Manisha Jhamb, Mary L McNulty, Gerald Ingalsbe, Julie W Childers, Jane Schell, Molly B Conroy, Daniel E Forman, Andrea Hergenroeder, Mary Amanda Dew
BACKGROUND: Despite growing evidence on benefits of increased physical activity in hemodialysis (HD) patients and safety of intra-dialytic exercise, it is not part of standard clinical care, resulting in a missed opportunity to improve clinical outcomes in these patients. To develop a successful exercise program for HD patients, it is critical to understand patients', staff and nephrologists' knowledge, barriers, motivators and preferences for patient exercise. METHODS: In-depth interviews were conducted with a purposive sample of HD patients, staff and nephrologists from 4 dialysis units...
November 24, 2016: BMC Nephrology
https://www.readbyqxmd.com/read/27871193/physiotherapist-delivered-cognitive-behavioural-interventions-are-effective-for-low-back-pain-but-can-they-be-replicated-in-clinical-practice-a-systematic-review
#16
Amanda Hall, Helen Richmond, Bethan Copsey, Zara Hansen, Esther Williamson, Gillian Jones, Beth Fordham, Zafra Cooper, Sarah Lamb
PURPOSE: To determine if physiotherapist-led cognitive-behavioural (CB) interventions are effective for low back pain (LBP) and described sufficiently for replication. METHOD: Randomised controlled trials (RCTs) of patients with LBP treated by physiotherapists using a CB intervention were included. Outcomes of disability, pain, and quality of life were assessed using the GRADE approach. Intervention reporting was assessed using the Template for Intervention Description and Replication...
November 21, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27865259/web-based-survivorship-interventions-for-women-with-breast-cancer-an-integrative-review
#17
REVIEW
Kathryn E Post, Jane Flanagan
PURPOSE: Breast cancer survivors' experience a range of negative sequelae post-treatment including depression, anxiety, physical side effects from treatment, sexuality concerns and decreased quality of life. Survivorship care is recommended by the IOM to meet the post treatment needs of survivors but implementation is variable and barriers to delivery such as time and resource restraints have been identified. Web-based interventions may be a way to overcome some barriers to providing quality survivorship care that is efficacious, cost efficient and convenient...
December 2016: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://www.readbyqxmd.com/read/27859862/a-qualitative-exploration-of-responses-to-self-compassion-in-a-non-clinical-sample
#18
Maxine Campion, Lesley Glover
Research suggests that being self-compassionate can have myriad benefits, including life satisfaction, health-promoting behaviours and improved mental health. Given the possible advantages of being self-compassionate, it seems critical to explore how to promote this in the general population. This qualitative study aimed to understand responses to the idea of being compassionate to oneself within the general population. Semi-structured interviews were conducted in the North East of England between October 2014 and February 2015, they were analysed using thematic analysis...
November 17, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27857954/heat-stress-gastrointestinal-permeability-and-interleukin-6-signaling-implications-for-exercise-performance-and-fatigue
#19
REVIEW
Nicole Vargas, Frank Marino
Exercise in heat stress exacerbates performance decrements compared to normothermic environments. It has been documented that the performance decrements are associated with reduced efferent drive from the central nervous system (CNS), however, specific factors that contribute to the decrements are not completely understood. During exertional heat stress, blood flow is preferentially distributed away from the intestinal area to supply the muscles and brain with oxygen. Consequently, the gastrointestinal barrier becomes increasingly permeable, resulting in the release of lipopolysaccharides (LPS, endotoxin) into the circulation...
April 2016: Temperature: Multidisciplinary Biomedical Journal
https://www.readbyqxmd.com/read/27857272/clinical-approach-for-patient-centered-physical-activity-assessment-and-interventions
#20
Allica Austin, Shamsha Damani, Therese Bevers
BACKGROUND: A physical activity algorithm for adults was created with the aim of reducing patients' barriers for physical activity by providing healthcare professionals with a standardized process to guide clinical discussions on physical activity to reduce the risk of chronic diseases, specifically cancer. OBJECTIVES: The physical activity algorithm was designed as an applicable process that could be adopted in many professional settings with the mission to provide relevant, safe, and appropriate physical activity interventions...
December 1, 2016: Clinical Journal of Oncology Nursing
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