Medicine and Health Sciences Commons^™

Healthy Lifestyles: How A Community-Based Intervention Is Helping Low-Income Patients Battle Chronic Disease, Gina Baik

Gina Baik

Moderate Exercise Throughout Pregnancy And A Decreased Risk Of Unplanned Cesarean Sections, Larissa Hosler

School of Physician Assistant Studies

Background: Overall cesarean section rates have increased in the United States from 20.7% in 1996 to 32.9% in 2009. Research shows that maternal morbidity is higher among women who have cesarean deliveries versus patients who have vaginal deliveries. With the rate of cesarean sections increasing in recent years, there have been efforts put in place to reduce these numbers. One method of combating this trend could be increasing exercise throughout the course of pregnancy. This review assesses the current evidence of the benefits of moderate exercise in decreasing the risk of unplanned cesarean section.

Methods: An exhaustive search ...

Effects Of Bingocize® On Quality Of Life, Fall Risk, And Health Knowledge In Community-Dwelling Older Adults, Alyssa Kathryn Dispennette

Masters Theses & Specialist Projects

Quality of life (QOL) is an important aspects of overall well-being in older adults. QOL is associated with functional, physical, and psychological health; all of which can be improved with increased physical activity. A high fall risk is associated with low physical function and QOL. One in four older adults experiences a fall each year, making it necessary to focus public health interventions towards decreasing fall risk and improving QOL in older adults. Bingocize® is a health promotion program designed to promote health, health knowledge, physical activity, and social engagement among older adults. The purpose of this study was to ...

Focus On Fitness: Incorporating Exercise Into The Treatment Of Children And Adolescents With Attention-Deficit Hyperactivity Disorder, Kristin Lulich

Doctor of Nursing Practice Final Manuscripts

Background: Psychotropic medications, particularly stimulants are frequently used as the first-line treatment for Attention Deficit Hyperactivity Disorder (ADHD). Many patients and their caregivers have concerns about psychotropic options for treatment. Review of current literature demonstrates the efficacy of physical activity in reducing symptoms of ADHD. Purpose: This evidence based practice (EBP) project introduced regular, scheduled aerobic activity into the treatment plan of children and adolescents with ADHD. The aim of this EBP was to reduce symptoms of ADHD measured by caregivers using the Vanderbilt Ratings Scale. The Johns Hopkins Nursing Evidence Based Practice Model was used to implement this project ...

Effects Of Aerobic Exercise On Cognitive And Cerebrovascular Function In Hypertensive Adults, Wesley Lefferts

Dissertations - ALL

The presence of hypertension in middle-age is a major risk factor for later-life development of cognitive and cardiovascular disease. Exercise is widely recommended to combat vascular and brain aging in hypertension. We sought to compare the effects of a single bout of aerobic exercise on 1) arterial stiffness and cerebral hemodynamics and 2) cognitive function in middle-aged adults with controlled-hypertension and without hypertension. Vascular and cognitive measures were assessed pre and post 30-min of aerobic exercise at ≈55% maximal oxygen consumption. Arterial stiffness and cerebral hemodynamics were measured non-invasively. Cognitive function was measured using a computerized testing battery that included ...

Wearable Fitness Tracking Improves Self-Efficacy For Exercise, Adam Sturts Oms-Ii, Adarsh Gupta Do

Stratford Campus Research Day

The present study was designed to determine the impact of wearable fitness tracking technology use on physical activity and self-efficacy for exercise among wearable fitness device users. This was a cross sectional study. A single questionnaire was administered to participants, providing patient data pertaining to wearable fitness tracking device use, exercise habits and intrinsic self-efficacy for exercise. Wearable fitness tracking device users were found to have higher levels of self-efficacy for exercise than non-users across all participating ages, genders and ethnicities. In addition, wearable fitness device users reported increased engagement in physical activity with the concomitant use of their devices ...

Maternal Obesity And Fetal Macrosomia: An Integrative Review Of The Literature Regarding Interventions, Charity Stalcup

Senior Honors Theses

Research suggests pre-pregnancy obesity is associated with an increased risk of macrosomia in the newborn. Since women are expected to gain weight during pregnancy, the standard recommendation of weight loss for obesity is not ideal for this population. In this systematic review of the literature regarding interventions for maternal obesity to reduce fetal macrosomia, 149 articles were screened using three different databases to identify recent randomized controlled trials related to this topic. A total of 11 full text articles were analyzed and included in the review. The articles addressed nutritional, lifestyle, and pharmacological interventions. The results indicated there is currently ...

Cognitive Changes Following Multiple-Modality Exercise And Mind-Motor Training In Older Adults With Subjective Cognitive Complaints: The M4 Study, Narlon Cassio Boa Sorte Silva, Dawn P. Gill, Adrian M. Owen, Teresa Liu-Ambrose, Vladimir Hachinski, Ryosuke Shigematsu, Robert Petrella

Lifestyle Research Team

Background

We investigated the effects of multiple-modality exercise with additional mind-motor training on cognition in community-dwelling older adults with subjective cognitive complaints.

Methods

Participants (n = 127, mean age 67.5 [7.3] years, 71% women) were randomized to receive 45 minutes of multiple-modality exercise with additional 15 minutes of either mind-motor training (M4, n = 63) or control (balance, range of motion and breathing exercises [M2, n = 64]). In total, both groups exercised 60 minutes/day, 3 days/week, for 24 weeks. Standardized global cognitive functioning (GCF), concentration, reasoning, planning, and memory were assessed at 24 weeks and after a 28-week ...

Cognitive Changes Following Multiple-Modality Exercise And Mind-Motor Training In Older Adults With Subjective Cognitive Complaints: The M4 Study, Narlon Cassio Boa Sorte Silva, Dawn P. Gill, Adrian M. Owen, Teresa Liu-Ambrose, Vladimir Hachinski, Ryosuke Shigematsu, Robert Petrella

Lifestyle Research Team

Background

We investigated the effects of multiple-modality exercise with additional mind-motor training on cognition in community-dwelling older adults with subjective cognitive complaints.

Methods

Participants (n = 127, mean age 67.5 [7.3] years, 71% women) were randomized to receive 45 minutes of multiple-modality exercise with additional 15 minutes of either mind-motor training (M4, n = 63) or control (balance, range of motion and breathing exercises [M2, n = 64]). In total, both groups exercised 60 minutes/day, 3 days/week, for 24 weeks. Standardized global cognitive functioning (GCF), concentration, reasoning, planning, and memory were assessed at 24 weeks and after a 28-week ...

A 6-Week Hip Muscle Strengthening And Lumbopelvic-Hip Core Stabilization Program To Improve Pain, Function, And Quality Of Life In Persons With Patellofemoral Osteoarthritis: A Feasibility Pilot Study., Lisa T. Hoglund, Laura Pontiggia, John D. Kelly

Department of Physical Therapy Faculty Papers

Background: Patellofemoral joint (PFJ) osteoarthritis (OA) is prevalent in middle-aged and older adults. Despite this, there are minimal studies which have examined conservative interventions for PFJ OA. Weakness of proximal lower extremity muscles is associated with PFJ OA. It is unknown if a hip muscle strengthening and lumbopelvic-hip core stabilization program will improve symptoms and function in persons with PFJ OA. This study examined the feasibility and impact of a 6-week hip muscle strengthening and core stabilization program on pain, symptoms, physical performance, peak muscle torques, and quality of life in persons with PFJ OA.

Methods: Ten females with PFJ ...

The Impact Of Blood Pressure Dipping Status On Cognition, Mobility And Cardiovascular Health In Older Adults Following An Exercise Program, Narlon Cassio Boa Sorte Silva, Michael A. Greagory, Dawn P. Gill, Cheri L. Mcgowan, Robert Petrella

Lifestyle Research Team

Objectives: To determine whether a dual-task gait and aerobic exercise intervention differentially impacted older adults with normal blood pressure (BP) dipping status (dippers) compared to those with nondipping status (nondippers).

Methods: This study was a secondary analysis involving participants (mean age = 70.3 years, 61% women) who attended a laboratory-based exercise intervention over a 6-month period (40 min/day and 3 days/week). Participants were assessed in measures of cognition, mobility, and cardiovascular health at baseline, 3, 6, and 12 months (after a 6-month no-contact follow-up).

Results: We observed improvements in cognition in both groups at 6 and 12 months ...

Prescribing Placebos, Kelsey Cupp

BU Well

The use of placebos in medicine is an area of ethical questioning, but we often do not consider the effect of placebos on daily life. One’s preconceptions on the outcomes of exercise physically affect health. Studies show being aware of the advantages of exercise is beneficial to aspects of health such as blood pressure, blood glucose levels, and depression. This article analyzes how the placebo effect applies to exercise and how it can be taken advantage of to improve health outcomes.

Three-Wheeled Bike Activity Program, Brent Waroniecki, Cate Mccoy

Occupational Therapy Education Tools

This is a patient education handout on three-wheeled biking and stretches to perform before riding.

Evaluation Of The Accessibility Of Structured Exercise Programs For Pregnant Women: An Analysis Of Offerings At The Ymcas Of Massachusetts, Janelle Driscoll, Vidya Iyer, Ashley Medeiros, Shobhana Parameshwaran, Alissa Dangel

Community Engagement and Research Symposia

The American Congress of Obstetrics and Gynecology recommends that exercise should be encouraged in women with uncomplicated pregnancies. Potential benefits of exercise include a decreased incidence of medical complications of pregnancy, including gestational diabetes and preterm labor. Additional benefits include decreased incidence of excessive maternal weight gain, cesarean sections and low birthweight of the newborn. The Massachusetts' rate of gestational diabetes was 4.7% in 2015 with 7.8% babies being born at low birth weight and 8.6% born preterm statewide. The aim of this project was to evaluate the availability of structured exercise programs tailored specifically to pregnant ...

Using Mixed-Methods To Examine Factors That Influence Exercise Prescription From Healthcare Providers: A Community-Engaged Research Project, Sarah M. Camhi, Julie A. Wright, Ana C. Lindsay, Philip J. Troped, Gibbs Saunders, Laura L. Hayman

Community Engagement and Research Symposia

Background: The American College of Sports Medicine's Exercise is Medicine initiative supports promotion of physical activity by health care providers (HCPs). Exercise is Medicine recommends HCPs utilize strategies such as exercise prescriptions to increase and promote regular exercise and referrals to community-based exercise facilities (ExRx+). Research is needed to identify factors that will increase African-American patients' ExRx+ engagement since little is known about factors that serve as facilitators or barriers to adherence.

Aims: Using a community-engaged participatory research approach, the aims are to: 1) examine individual, interpersonal and environmental factors associated with ExRx+ adherence and 2) explore barriers and ...

Meta-Analysis Of The Effects Of Exercise Interventions On Obese Adolescents, Brandy E. Strahan Phd, Rn, Hyochol Ahn Phd, Ms-Ece, Ms-Cts, Aprn, Anp-Bc, Jonathan Shuster M.Sc., Ph.D.

Journal of Nursing & Interprofessional Leadership in Quality & Safety

A meta-analysis of 10 randomized control studies published in 2003-2013 was conducted to provide a summary of the effects of exercise interventions on obese adolescents. Outcomes of the reviewed trials included body mass index, weight, glucose, and triglycerides. Data were combined using an inverse variance weighted random effects model. The effect size estimate for BMI was 1.354 kg/m² (p < 0.001, SE 0.321), indicating that the BMI of individuals in treatment groups improved, as compared to control groups. A statistically significant reduction in weight was greater in the intervention groups than the control groups by 3.815 kg (p = 0.001, SE 1.101). The findings of this meta-analysis show that exercise interventions may improve control of weight and BMI and in turn be a factor in decreasing obesity.

Assessment Of Multiple Concussive Athletes With Dual Task Triple Stroop And Aerobic Exercise, Sierra Duran, Sarah A. Massey, Ariel Gomez, Matthew A. Barlow 5622543

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: Athletic concussion testing has mostly recently relied on a sedentary computer neurocognitive test battery called the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT). Previous tests directly compare baseline with post-concussion analysis of patient in regards to different cognitive aspects including; working memory, processing speed, and response time. No physical tests are included in the ImPACT analysis for return-to-play action. PURPOSE: In previous studies from our lab in these populations we concluded that the combination of a physical neural impediment with cognitive tests (dual-task with balance impairment) created a greater degree of impairment not observed in the sedentary ImPACT test ...

Wireless Exercise Monitoring Enhances Cancer Rehabilitation Program, Megan L. Bowlin, Rachel A. Kelley, Hannah L. Lynam, Nathan E. Hall, Emily K. Jost, Emily G. Bontekoe, Natalie G. Kieffer, Dani S. Ingle, Kori E. Ferguson

International Journal of Exercise Science: Conference Proceedings

Cancer rehabilitation increases functional capacity (FC) and health-related quality of life (HRQOL). Exercise monitoring enhances program safety and effectiveness. Advanced monitoring technology and devices may further enhance program quality and integrity. PURPOSE: Examine the use of the Zephyr BioHarness in monitoring and analyzing physiological parameters during a 12-week cancer rehabilitation program. METHODS: Oklahoma cancer survivors (CS) and caregivers (CG) are recruited to participate in the OBU CARES Program, an evidence-based cancer rehabilitation program designed to promote healthy lifestyles, increase FC, and enhance HRQOL. Programming includes an orientation session, fitness testing, exercise prescriptions (ExRx), and supervised exercise sessions. ExRx are designed ...

Acute Exercise-Induced Response Of Platelet-Monocyte Complexes In Obese, Postmenopausal Women, Michael M. Levitt, Maria A. Cardenas, Bryan Richie, Carmen A. Cook, Shaohan Lu, Kara L. Steck, Jay Haynes, Andreas Kreutzer, Joel B. Mitchell, Melody D. Phillips

International Journal of Exercise Science: Conference Proceedings

Inactivity-related diseases such as cardiovascular disease (CVD) are linked to chronic low-grade, systemic inflammation. Platelet-monocyte complexes (PMCs) are markers of in vivo platelet activation and atherosclerosis, and may be early indicators of subclinical inflammation. PURPOSE: To examine the effects of an exercise bout on PMCs in those at risk for CVD. METHODS: Twenty-five overweight-obese (BMI 32.7 ± 5.2 kg×m^-2, 55-75 yr) women were randomly assigned to either the exercise (EX, n=13) or non-exercise control (CON, n=12) group. EX performed 2 sets of 8 resistance exercises and a 25-min treadmill walk at 70-80% HRR. Blood was ...

Exercise-Induced Th17 Lymphocyte Response And Their Relationship To Cardiovascular Disease Risk Factors In Obese, Post-Menopausal Women, Maria A. Cardenas, Michael M. Levitt, Bryan Richie, Shaohan Lu, Elise Erickson, Carmen Cook, Jay Haynes, Andreas Kreutzer, Joel B. Mitchell, Melody D. Phillips

International Journal of Exercise Science: Conference Proceedings

Obesity-induced inflammation promotes type 2 diabetes and cardiovascular disease (CVD). A causative link between adaptive immunity and pathogenesis of obesity-associated diseases has been established. PURPOSE: To examine the effects of exercise on circulating T-helper (Th) 17 lymphocytes in overweight/obese post-menopausal women. METHODS: Twenty-seven overweight/obese women (BMI 32.7 ± 5.1 kg×m^-2, 55-75 yr) were randomly assigned to the exercise (EX, n=14) or education (ED, n=13) groups. EX performed a 25-min walk (75-80% HRR) and 2 sets of 8 resistance exercises (70-80% 1RM) with blood samples obtained at: pre-exercise, post-exercise, one-hour and two-hour post-exercise. Blood ...

Blood Glucose, Blood Pressure & Exercise Goals For Diabetics - Spanish, Michele Spatz, Ruth Dallas

Diabetes Education Tools

One page handout for diabetics illustrating blood glucose, blood pressure and exercise goals. (Spanish)

Blood Glucose, Blood Pressure & Exercise Goals For Diabetics - English, Michele Spatz, Ruth Dallas

Diabetes Education Tools

One page handout for diabetics illustrating blood glucose, blood pressure and exercise goals.

Feasibility And Preliminary Outcomes Of A Standardized Exercise Program In Adults With Down Syndrome: A Pilot Study, Megan Flores, Kristen Barta, Martha Sneary, Germaine Ferreira, Elizabeth Ardolino

Physical Therapy

Purpose/ Hypothesis: Youth with Down Syndrome (DS) have limited participation in physical activity. When compared to their typically developing peers, adults with DS display decreased functional mobility and strength. Exercise has shown to improve the physical fitness, overall health, and quality of life in people with DS. The Lee Silverman Voice Treatment (LSVT® BIG) is an effective treatment approach designed for patients with Parkinson’s disease. The core components of LSVT® BIG include large amplitude movements, sensory calibration, high intensity, and maximum effort while performing the daily exercises. Due to hypotonicity associated with DS, these individuals typically display kyphotic posture ...

Lived Experience And Process Of Engagement In Physical Exercise For Older Adults With Chronic Back Pain, Melissa E. Hay

Electronic Thesis and Dissertation Repository

For older adults, physical exercise is especially important in maintaining functional independence, extending quality of life, and optimizing personal health resources. For patients with chronic pain conditions, exercise participation can significantly improve patient-reported symptoms. Older adults are the most sedentary age group with the majority not meeting the recommended duration and intensity of weekly exercise. Although nonadherence with exercise guidelines may result for a variety of reasons, adverse health conditions including chronic pain are likely of particular concern for older adults. The aim of this research, consisting of two studies employing interpretive phenomenology and constructivist grounded theory, was to understand ...

Addressing Exercise Education In Clinton County, Ny, Amanda M. Kardys

Family Medicine Clerkship Student Projects

In Clinton County, NY residents state that obesity, chronic disease, physical inactivity and low wages are top concerns. Many of these identified problems are tightly integrated and exacerbated by a lack of exercise education in this population. To address this, an exercise education pamphlet was created to be distributed to individuals in the community. The pamphlet focuses on discussing barriers such as time and cost of exercise, as well as enabling individuals with stretching information and local resources.

The Role Of Exercise For Postpartum Depression And Well-Being, Maria Gaz

All Theses, Dissertations, and Other Capstone Projects

Postpartum depression is a prevalent condition (American Psychological Association, 2018). Untreated postpartum depression can have serious consequences for the mother and baby (McCurdy, Boule, Sivak, & Davenport, 2017). Traditional treatment options may not be feasible. Exercise is an effective treatment for adults with depression (McCurdy et al., 2017). Less is known about treating postpartum depression with exercise. This review of the literature sought to understand in postpartum mothers, how a regimen of regular exercise, compared to no regular exercise, impacted the perception of wellbeing and/or postpartum depression scores. The Cumulative Index to Nursing and Allied Health Literature (CINAHL) Plus with ...

Physical Activity And Fall Prevention In Older Adults, An Educational Intervention, Caleb Daniel Knight

Family Medicine Clerkship Student Projects

Falls in adults over 65 years of age constitute a significant health burden in our country, and this age group is growing rapidly. Falls are addressed with a multifactorial approach, addressing comorbidities, medications, and the physical environment, however, an effective point of intervention accessible by most older adults is physical activity. A brief educational presentation about the morbidity and mortality associated with falls, and the protective effects of physical activity, was provided to Meadowbrook Healthcare subacute nursing home residents in Plattsburgh, NY. Questions were encouraged and answered afterwards, and copies of the presentation were left for the residents to review ...

Patient Education: Exercise For Weight Loss, Alexa R. Arvidson

Family Medicine Clerkship Student Projects

No abstract provided.

Does Pre-Operative Exercise Improve Quality Of Life, Compared To Patient Education Alone, In Patients With Hip Osteoarthritis (Oa) While Awaiting Total Hip Arthroplasty (Tha)?, Laura Ann Mccann

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not pre-operative exercise improves quality of life, compared to patient education alone, in patients with hip osteoarthritis (OA) while awaiting total hip arthroplasty (THA).

Study Design: Systematic review of three randomized controlled trials (RCTs) published in peer-reviewed journals between 2015 and 2016, all in the English language.

Data Sources: Three randomized controlled trials were found using PubMed.

Outcomes Measured: The change in ADL (activities of daily living), recreational function, and pain were measured in all trials using self-reported patient questionnaires (WOMAC) and a variety of physical activities ...

Exercise In The Treatment Of Major Depressive Disorder, Larissa Ann Haug

Physician Assistant Scholarly Project Papers

Objective

The purpose of this research and systematic literature review is to determine how exercise can be incorporated into the treatment of major depressive disorder (MDD) and its efficacy.

Methods

In this review, four databases were searched including SportDiscus, Pubmed, Cochrane Database of Systematic Reviews, and PsycInfo from October 1 to January 5, 2018. A variety of key terms were used when searching. Works chosen for review were published after the year 2000, were peer reviewed, and included randomized control trials (RCTs), pilot studies, systematic reviews, and meta-analyses. Sources that were excluded included those published prior to the year 2000 ...