Medicine and Health Sciences Commons^™

Effects Of A Home-Based Exercise Program On Perception Of Illness And Adaptation In Heart Failure Patients, Robin Faust Harris

Doctoral Dissertations

Patients experience decreased functional capacity from chronic symptoms associated with heart failure. Exercise increases activity tolerance and quality of life in heart failure patients. Physiologic responses to exercise in heart failure patients have been well-documented. In contrast, the effects of exercise on an individual’s perception of degree of disability due to chronic illness and their adaptive responses to heart failure have not been studied. The purpose of this randomized controlled trial was to examine the effects of a 12-week home-based combined aerobic and resistance training exercise intervention on an individual’s perception of degree of disability and adaptive responses to chronic …

Predicting Exercise Adherence In College Students Using A Self-Determination Theory Framework, Megan M. Clarke

Master's Theses

College is a pivotal time for weight gain and unhealthy behavior changes in many young adults. Decreases in physical activity are common in this age group and likely contribute to the 1.6 to 1.8 kg weight gain that is often observed in the first year of college. Identifying groups of students who are at high-risk for decreasing or discontinuing physical activity may help develop more targeted interventions. The present study explored physical activity patterns in the first semester of college and examined predictors of exercise decreases to levels below recommended daily values within a Self-Determination Theory framework. Incoming freshman (n=174; …

The Effect Of Ad Libitum Hydration On Cognitive Function Following Exercise In The Heat, Matthew Wittbrodt

Masters Theses

The purpose of this study was to quantify the effect of different hydration strategies on physiological and cognitive variables after an exercise bout in the heat. On three occasions, twelve males performed three heat stress tests of 50min at 60%VO_2peak in a hot environment (32°C; 65%RH). The heat stress tests differed in hydration strategy to be implemented during exercise (NF: no fluid, AL: ad libitum, FR: full fluid replacement). A cognitive battery was administered pre-­ and post-­exercise to examine alterations in cognition. Fluid loss during NF was greater than the AL and FR (NF: 1.54 %; AL: 0.29 …

Influence Of A Short-Term, Multicomponent Intervention On Balance And Strength Among The Elderly, Pamela C. Webert

Master's Theses and Doctoral Dissertations

Background: Few studies have combined strength and balance training to assess improvement of activities of daily living among subjects over the age of 65. The purpose of this study was to demonstrate how an eight-week balance and strength training program can lead to improvements in activities of daily living among elderly individuals.

Methods: The subjects consisted of 14 elderly women and 3 elderly men who were all residents of an independent living community. There were 10 subjects in the intervention group and 7 subjects in the control group. The intervention group participated in a supervised balance and strength …

Food Deserts And Their Association With Obesity And Diabetes In Ohio, Alexis Holmes, Detra Thompson

Master of Public Health Program Student Publications

Objective- The purpose of this study was to explore the association of food access, and availability, on prevalence of diabetes and obesity in Ohio census tracts designated as food deserts.

Methods- County and census tract-level data were combined from the USDA Food Environment Atlas and USDA Food Desert Locator respectively. Statistical analysis was conducted using IBM Statistical Package for Social Sciences (SPSS). Non-normally distributed variables were assessed using the Mann-Whitney nonparametric U-test and Spearman’s correlation coefficient. Significance was considered at the p

Results- The mean rate of obesity and diabetes in Ohio in food deserts are 29.5% and 10.7%, when …

Review And Critique Of The Quality Of Exercise Recommendations For Cancer Patients And Survivors, Nancy Humpel, Donald Iverson

Don C. Iverson

The benefit of exercise for cancer patients is starting to become recognized. The purposes of this paper were to review the literature to examine whether research findings are being converted into guidelines for patients and survivors and to examine the quality of evidence on which they were based. A computer search of major health databases was conducted for peer-reviewed literature and books on exercise and cancer, and an Internet search was conducted for cancer websites reporting any exercise guidelines/recommendations for cancer patients. Seven peer-reviewed articles, eight books and eight cancer websites were identified that suggested exercise guidelines for cancer patients …

Mechanomyography; Lasers For Non-Invasive Quantification Of Muscle Recovery From Exercise Induced Fatigue, Nicholas Rosser, Darryl Mcandrew, Donald Iverson

Don C. Iverson

Muscle fatigue is a common clinical sign and possible precursor to musculoskeletal injury. Existing methods of detecting muscle fatigue qualify changes within muscle or across joints, but are expensive, invasive or difficult to use. A technique of mechanomyography utilising maximal percutaneous stimulation (known as the Muscle Displacement Laser {MDL}) is an easy non-invasive assessment tool, which may have considerable application in measuring muscle fatigue and determining recovery. Specifically, this study attempted to validate the MDL as a tool to measure muscle fatigue and determine the time-course of recovery from Delayed Onset of Muscle Soreness in human biceps brachii muscle. Methods: …

Health Education Research: Accomplishment Or Exercise, Donald Iverson, M Hosakawa

Don C. Iverson

No abstract provided.

The Influence Of The Environment On Play Participation In Children With Disabilities, Marcia Hamilton

Occupational Therapy Collection

Children with disabilities face challenges with accessing opportunities to play and physical activity (Owen, 2010). Statistical evidence supports the concern for the growing issue of secondary health problems related to lack of physical activity (Cooper, 1999; Council on Disabilities, 2008; Heath, 1997; National Institute for Health and Clinical Excellence, 2008; Spencer-Cavalier and Watkinson, 2010, US Department of Education, 2005). This is of further concern because of a rising incidence of disability in children (US Department of Education, 2005). This research was conducted to help provide an understanding of how children with disabilities can access play. Eleven children with moderate to …

Examining The Effects Of Exercise On Stressed Individuals Alcohol Expectancies, Maria Magavern

Honors Theses

The current study examined the effect of exercise habits on alcohol expectancies and drinking behaviors. Previous research has suggested that under times of stress, individuals, especially without alternative effective coping mechanisms, often turn to alcohol (Cooper, Russell, Skinner, Frone, & Mudar, 1992). Exercise and alcohol produce many of the same psychological effects and both serve as stress reducers (Brown, Read, Marcus, Jakicic, Strong, Oakley, Ramsey, Kahler, Stuart, Dubreuil, & Gordon, 2010). The Discounting Principal reveals a tendency to discount all other causes when there is support that a given cause is already known to be responsible for a given event …

Cybercycling For Cognitive Health: Comparing Physical Mental And Combined Exercise, Anna Scribner

Honors Theses

Several meta-analyses of randomized controlled trials (RCT) have shown exercise to improve cognitive function in normal aging, mild cognitive impairment (MCI) and dementia (Colcombe & Kramer, 2003, O’ Leary et al., 2011). Cognitive benefit from mental exercise alone is less definitive. A recent RCT (Anderson-Hanley et al., 2012) found greater benefit from three months of virtual-reality enhanced exercise than physical exercise alone among 79 independent living older adults. The current study aimed to replicate this work. In this study, six seniors that either lived or worked at Schaffer Heights were enrolled in the study. Participants were randomized into one of …

Cardiorespiratory Fitness Reduces The Risk Of Incident Hypertension Associated With A Parental History Of Hypertension, Robin P. Shook, Duck-Chul Lee, Xuemei Sui, Vivek Prasad, Steven P. Hooker, Timothy S. Church, Steven N. Blair

Faculty Publications

Family history of hypertension increases the risk of an individual to develop hypertension, whereas moderate-to-high cardiorespiratory fitness has the opposite effect. However, the joint association of each on the development of hypertension is not well understood. We studied fitness and incident hypertension in 6278 participants who were given a preventative medical examination. Thirty-three percent reported a parent with hypertension, and there were 1545 cases of incident hypertension after a mean of 4.7 years. The presence of parental hypertension was associated with a 28% higher risk of developing hypertension after adjustments for age, sex, and examination year. After further adjustments for …

Promoting Physical Activity In Low Income African Americans: Project Laps, Dorothy W. Pekmezi, Brooke L. Barbera, Jamie S. Bodenlos, Glenn N. Jones, Phillip J. Brantley

Journal of Health Disparities Research and Practice

Low income African Americans are at increased risk for physical inactivity and related chronic illnesses. Thus, effective interventions are needed to address these health disparities. The current study examined the efficacy of a home-based physical activity intervention among a low income African American sample with high rates of chronic illnesses (obesity, hypertension, diabetes, high cholesterol). Participants (n=214) were randomly assigned to either the home-based physical activity intervention (self-help print materials, five monthly newsletters, two telephone counseling sessions) or an attention control condition, which promoted healthy diet. Results indicated that the intervention did not produce significantly greater increases in physical activity …

The Effects Of Music Genre On Rate Of Perceived Exertion In Aerobics Classes, Hannah Hogue

Honors Theses

Upon entering an exercise facility it would be inconceivable not to hear some form of music playing while people are exercising. Whether music is playing over the loudspeakers, or individuals are listening to their iPods, music is a vital part of exercise for many individuals. With so much emphasis on listening to music during physical activity the question arises, “What makes music such a popular component of exercise?” Many studies have assessed the effects of music on exercise (Elliott, 2007; Karageorghis, 1999; Karageorghis & Priest, 2008; Kravitz, 1994; Matesic & Cromartie, 2002). These studies indicate that music has positive effects …

The Benefits Of Exercise During Pregnancy, Nikelle Holbrook Hunsaker

Undergraduate Honors Capstone Projects

People are often confused about the effects and recommendations of exercise during pregnancy. A review of the literature demonstrates that regular physical activity provides benefits to both mother and fetus during pregnancy. These benefits range from decreasing the risk of gestational diabetes mellitus to improving the mother's psychological well-being and can be obtained without causing harm to the fetus. The recommendations for physical activity during pregnancy include thirty minutes of physical activity on most, if not all, days of the week. These recommendations are the same as those for non-pregnant individuals. Contrary to popular opinion, a sedentary lifestyle during pregnancy …

An Analysis Of Functional Status In Multiple Sclerosis Patients After Progressive Non-Aerobic High-Intensity Maximal Effort Exercise (Mee), Hilda Lai, Michael L. Kuchera, R T. Dombroski, T Vardy, F Thomas, S O’Brien, P Yagnik, K Wenzel, S Stoll, Bruce C. Stouch, M. T. Wallin, I. Vargas,, Olufolake Odutola

Research Day

Background: Multiple Sclerosis (MS) is a disease with a wide-ranging impact on functional status. MS patient function has been assessed using Multiple Sclerosis Functional Composite Score (MSFCS). The MSFCS includes the standardized scores (Z-score) of three functional tests: the Paced Auditory Serial Addition Test (PASAT-3”) for cognitive function, 9-Hole Peg Test (9-HPT) for upper extremity function, and timed 25-foot walk (25-TW) for lower extremity function. One of the most common symptoms experienced by MS patients is severe fatigue, often brought on suddenly by aerobic exercise. Non-aerobic maximal effort exercise (MEE) is thought to increase strength without increasing fatigue. The …

The Effect Of Progressive Non-Aerobic High-Intensity Maximal Effort Exercise (Mee) On The Health-Related Quality Of Life In Patients With Multiple Sclerosis, Olufolake Odutola, Michael L. Kuchera, R T. Dombroski, T Vardy, F Thomas, S O’Brien, P Yagnik, K Wenzel, S Stoll, Bruce C. Stouch, M T. W, I Vargas, Hilda Lai

Research Day

Background: Studies indicate that Multiple Sclerosis (MS) patients are less satisfied with the quality of their lives than healthy individuals in similar circumstances. Common symptoms experienced include fatigue, cognitive dysfunction, pain, spasticity, depression, bladder/bowel dysfunction and sexual dysfunction. Several pharmacological and non-pharmacological methods have been employed for such symptoms to try to increase quality of life and reduce the mortality rate. Non-pharmacological methods recommended for MS patients include lifestyle modifications, exercise programs and physical therapy. MS patients easily fatigue during aerobic exercise but a non-aerobic progressive maximal effort exercise (MEE) protocol consisting of a few short, duration isometric and eccentric …

Effects Of Non-Aerobic Maximal Effort Exercise On Fatigue In Deconditioned Men And Women With Multiple Sclerosis, Jessica U. Korsh, Michael L. Kuchera, R T. Dombroski, T Vardy, F Thomas, S O’Brien, P Yagnik, K Wenzel, S Stoll, Bruce C. Stouch, M T. Wallin, Jeffrey A. Nelson

Research Day

Multiple Sclerosis (MS) is a neurodegenerative disease of unknown etiology affecting women more frequently than men. Mental and physical fatigue complaints are often the most disabling symptoms for an MS patient. Both are multifactorial, potentially exacerbated by aerobic exercise, may prevent sustained physical functioning, and significantly interfere with activities of daily living1. A multi-center study was designed to investigate the effects of non-aerobic maximal effort exercise (MEE) for deconditioned persons with MS, with the expectation of minimizing fatigue. The IsoPUMP (Neuromuscular Engineering; Nashville, TN), is a specialized exercise and strength-sensing machine, designed to allow individuals to safely perform and record …

Fostering Aging In Place: "Healthy Naturally Occurring Retirement Community" (H-Norc) Qualities In A Southwest Ohio Suburb, Laura A. Previll

Master of Public Health Program Student Publications

This community assessment uses the concept of “H-NORCs” or Healthy Naturally Occurring Retirement Communities as a framework to analyze supports for aging (Masotti, Johnson-Masotti, Fick, & MacLeod, 2006) in Kettering, Ohio -- a first tier suburb of Dayton where the proportion of people over the age of 60 was 23.8% in 2010. In this study, I used focus groups and interviews to collect qualitative data on five H-NORC attributes: (1) economic policies that benefit seniors; (2) types of transportation support for seniors; (3) neighborhood design for physical activity; (4) opportunities for social integration and sense of belonging; and (5) health …

Duration Of The Effects Of Three Static Stretching Conditions With Or Without A Dynamic Warm-Up In College Age Adults, Spencer Blackwell, Andrew Blomberg, Jonathan Griffith

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose. The purpose of this study was to determine the stretching duration (15, 30, 60 seconds) with or without a dynamic warm-up that resulted in the longest lasting acute effects in hamstring flexibility.

Subjects. Forty subjects (17 male, 23 female) (age: 20-35 years) were selected to participate in this study using a sample of convenience from university graduate students.

Methods. This study contained 7 treatment conditions in which each subject completed in random order. Three groups consisted of a 5-minute treadmill warm-up at a self-selected velocity (SSV) followed by one of three stretching durations (15, 30, or 60 sec). …

Kinesio Taping On Short-Term Changes In Shoulder Strength In Healthy Adults: A Randomized Clinical Trial, Dario A. Callegari, Cristobal E. Cordova, Julia R. Dunievitz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Study Type: A Randomized Clinical Trial

Introduction:

Kinesio tape is an elastic tape used in various settings and it is purported to assist in strengthening weakened muscles. The mechanism behind this claim is neuromuscular facilitation. The purpose of this study was to determine if the claims of Kinesio tape would be supported in its role in strength enhancing properties.

Methods:

Twenty-nine healthy, untrained male and female college-aged individuals participated in this study. Two baseline measurements assessing shoulder external rotation (ER) strength were collected using isokinetic dynamometry. Subjects were then randomized into two groups, Kinesio tape with ER strengthening (KT-Ex) and …

Exercise-Induced Neuroprotection In A Hemiparkinsonian 6-Hydroxydopamine Rat Model, Merrill Russen Landers

UNLV Theses, Dissertations, Professional Papers, and Capstones

Outside of finding a cure, one of the preeminent goals of research in Parkinson's disease (PD) is finding a neuroprotective treatment that when applied prior to the onset of the disease will decrease the risk and severity of the subsequent disease. One such treatment that has potential as a neuroprotective agent in PD is exercise. Several studies have found forced exercise to be protective of Parkinson's disease in adult rodent models; however, few of these studies have used a design wherein voluntary exercise was evaluated. Moreover, no study has used a true neuroprotective design in which exercise was applied prior …

Perceptions Of Barriers That Inhibit African American Women And Adolescent Girls From Participation In Physical Activity, Sonya Daniels Walker

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study examined the barriers to leisure time physical activity for African American women and their adolescent daughters. Six mother-daughter dyads were interviewed who have access to physical activity opportunity. Three of the dyads participated in a follow-up focus group. A qualitative research design that utilized a grounded theory approach identified two themes for the women and two themes for the girls. Themes for the women include influence of culture and low physical activity IQ. Sub-themes of influence of culture are (a) hair and (b) body image. Sub-themes of low physical activity IQ are (a) mommy guilt, (b) perception of …

The Acute Effect Of Endurance Exercise On Lipoproteins Measured By Nuclear Magnetic Resonance (Nmr) In Healthy Men, Hanaa Adnan Shaheen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Cardiovascular disease (CVD) represents a major cause of death in the United States, with abnormal levels of blood lipids and physical inactivity considered as major modifiable risk factors. The conventional lipid profile has been used to assess for CVD risk by directly measuring the concentrations of blood lipids. However, lipoprotein particle size and number obtained from a novel method, Nuclear Magnetic Resonance (NMR) may also asses for CVD risk with greater sensitivity. Exercise and increased physical activity has been shown to produce favorable effects on blood lipids and consequently reduce CVD risk. To understand this effect, it is important …

Sarcopenia In Older Adults, Timothy Henwood, Justin Keogh, Mike Climstein

Justin Keogh

Extract:Sarcopenia is a little acknowledged geriatric syndrome associated with significant health care and personal burden (Janssen et al 2004). Defined by an age associated loss in muscle mass and function (either muscle strength or physical performance), sarcopenia is a known precursor to later life disability (Cruz-Jentoft et al 2010). Across the lifespan, an adult can expect a 35% loss in muscle size and 50% loss in muscle strength that will significantly reduce their capacity to undertake activities of daily living, and increase their risk of falls due to reduced balance capacity and core strength (Bean et al 2002).

Rpe And Mode Of Exercise, Victoria Helmus

Honors Theses

The American College of Sports Medicine currently recommends that all individuals age 18-65 perform vigorous aerobic activity for at least 20 minutes 3 days a week, or moderate intensity aerobic activity for at least 30 minutes 5 days a week. Activities that fall under this category include, but are not limited to walking, running, cycling, swimming and elliptical machines. When an individual exercises, they have a sense of what their intensity level is based on how they 'feel'. Ratings of Perceived Exertion charts serve as a guide for this subjective thought process. There are wide ranges of intensities associated with …

Predictors Of Weight Loss Success: Exercise Vs. Dietary Self-Efficacy And Treatment Attendance, Shannon Byrne, Danielle Barry, Nancy M. Petry

UCHC Articles - Research

Pre-treatment diet and exercise self-efficacies can predict weight loss success. Changes in diet self-efficacy across treatment appear to be even stronger predictors than baseline levels, but research on changes in exercise self-efficacy is lacking. Using data from a pilot study evaluating tangible reinforcement for weight loss (N = 30), we examined the impact of changes in diet and exercise self-efficacy on outcomes. Multiple regression analyses indicated that treatment attendance and changes in exercise self-efficacy during treatment were the strongest predictors of weight loss. Developing weight loss programs that foster the development of exercise self-efficacy may enhance participants’ success.

Identifying Gaps In Perceived Ability: Promoting Exercise In Young Adults With Disabilities, Briana Terrill

Honors Theses and Capstones

Aim: The purpose of this study was to describe the perceived ability in making health decisions regarding exercise and its congruence between young adults with disabilities and their parents. Methods: The study design used a mixed methods approach. The convenience sample consisted of (N = 10) young adults with disabilities and (N = 9) parents of young adults with disabilities. Qualitative data were gathered using a preliminary structured interview guide for young adults with disabilities consisting of several short answer questions. Quantitative data were gathered from the parents of young adults with disabilities by using Pender’s Health Promotion Questionnaire. Results: …

A Progressive Postresection Walking Program Significantly Improves Fatigue And Health-Related Quality Of Life In Pancreas And Periampullary Cancer Patients., Theresa Yeo, Sherry A Burrell, Patricia K Sauter, Eugene P Kennedy, Harish Lavu, Benjamin E Leiby, Charles Yeo

College of Nursing Faculty Papers & Presentations

BACKGROUND: As patients with pancreas and periampullary cancer (PPC) experience improved survival rates and longevity, the focus shifts toward living life while surviving cancer. Fatigue is the most commonly reported symptom in all cancer patients. Exercise has been found to effectively decrease fatigue levels and improve physical functioning in cancer patients.

STUDY DESIGN: One hundred two patients with resected PPC consented to participate in this study and were randomized to either an intervention group (IG) or a usual care group (UCG). Subjects completed visual analog scales, the FACIT-Fatigue Scale and the Short Form-36v2 after surgery and again 3 to 6 …

Alternative Therapy And Treatment Of Type 2 Diabetes, Carmine R. Grieco

Human Movement Sciences Theses & Dissertations

The rise in prevalence and incidence of type 2 diabetes mellitus (T2D) in the developing world continues unabated. Current treatment strategies, however, fall short of achieving optimal glycemic control. The aim of project I was to investigate the effect of an acute bout of a yogic breathing exercise on heart rate variability (HRV) in individuals with T2D. Project II was designed to assess the effectiveness of the neurohormone melatonin in lowering short- and long-term glucose levels, lipids and oxidative stress in T2D. Project III investigated the differential effects of two different styles of aerobic exercise on postprandial glycemia, mood and …