Medicine and Health Sciences Commons^™

The Effect Of Exercise Intervention Held In A Community Care Center On Physical Function In Elders With Dementia: A Pilot Study, Jui-Chi Hsu, Jung-Cheng Yang, Yu-Ying Chu, Yi-Chun Chein, Yi-Chen Tsai, Hsiao-Ting Tsai, Ching-Fei Lo, Yen-Ting Lai

Rehabilitation Practice and Science

The care-issue for dementia is becoming more important as the elderly dementia population rapidly increases in Taiwan. Although many studies show exercise intervention is effective in slowing the disease progression of people with dementia living in institutions, there is insufficient evidence regarding individuals with dementia living in the community. Therefore, the purpose of this study is to assess if a once a week group exercise session along with four home exercise sessions per week is effective in improving the balance, mobility, muscle strength and aerobic endurance in community dwelling elders with dementia. This study recruited 18 elders above 65 years …

The Role Of Physical Activity In Older Adults And Practical Intervention, Se Won Lee, Rebecca Patel, Bryan Werner, Ji Won Yoo, Timothy Tiu

HCA Healthcare Journal of Medicine

Physical inactivity (PI), defined as not meeting guidelines for physical activity beyond baseline daily living activities, is common among older adults (age 65 and older) and contributes to increased morbidity, increased mortality and increased health care spending. Understanding the clinical impact of PI on common medical conditions among older adults will help primary care physicians (PCPs) to educate these patients successfully. Physical activity and exercise are effective in the primary and secondary prevention of chronic diseases that can lead to physical impairments, disability and/or premature death. Physical activity and exercise have been shown to improve cognitive dysfunction and painful musculoskeletal …

Regaining Motion Among Patients With Shoulder Pathology - Are All Exercises Equal?, Alon Rabin, Eran Maman, Oleg Dolkart, Efi Kazum, Zvi Kozol, Timothy L. Uhl, Ofir Chechik

Physical Therapy Faculty Publications

Background: Little information exists to guide the choice of exercise for regaining shoulder range of motion (ROM). The purpose of this study was to compare the maximal ROM reached, pain and difficulty associated with 4 commonly prescribed exercises.

Methods: Forty (9 females) patients with various shoulder disorders and a limited flexion ROM performed 4 exercises for regaining shoulder flexion ROM in a randomized order. Exercises included the self-assisted flexion, forward bow, table slide and rope-and-pulley. Participants were videotaped while performing all exercises and the maximal flexion angle reached during each exercise was recorded using Kinovea motion analysis freeware (Kinovea 0.8.15). …

The Effects Of Physical Activity On Cancer Patients Undergoing Treatment With Immune Checkpoint Inhibitors: A Scoping Review., Amy L Shaver, Swapnil Sharma, Nikita Nikita, Daniel S Lefler, Atrayee Basu-Mallick, Jennifer M Johnson, Meghan Butryn, Grace Lu-Yao

Department of Medical Oncology Faculty Papers

BACKGROUND: Cancer therapies are associated with multiple adverse effects, including (but not limited to) cancer-related fatigue (CRF). Fatigue is one of the most common side effects of immune checkpoint inhibitors (ICIs), occurring in up to 25% of patients. Physical activity has been shown to help reduce CRF through modulating the immune system, and may synergistically aid in the anti-tumor effects of ICIs. This review describes the nature and scope of evidence for the effects associated with concurrent physical activity while undergoing ICI therapy.

METHOD: Scoping review methodology was utilized to identify studies, extract data, and collate and summarize results.

RESULTS: …

The Effects Of Physical Activity On Cancer Patients Undergoing Treatment With Immune Checkpoint Inhibitors: A Scoping Review, Amy L Shaver, Swapnil Sharma, Nikita Nikita, Daniel S Lefler, Atrayee Basu Mallick, Jennifer Johnson, Meghan Butryn, Grace Lu-Yao

Department of Medical Oncology Faculty Papers

Background: Cancer therapies are associated with multiple adverse effects, including (but not limited to) cancer-related fatigue (CRF). Fatigue is one of the most common side effects of immune checkpoint inhibitors (ICIs), occurring in up to 25% of patients. Physical activity has been shown to help reduce CRF through modulating the immune system, and may synergistically aid in the anti-tumor effects of ICIs. This review describes the nature and scope of evidence for the effects associated with concurrent physical activity while undergoing ICI therapy.

Method: Scoping review methodology was utilized to identify studies, extract data, and collate and summarize results.

Results: …

Perceived Exercise Habits Of Individuals With Parkinson’S Disease Living In The Community, Jordana Lockwich, Kate Schwartzkopf-Phifer, Camille L. Skubik-Peplaski, Richard D. Andreatta, Patrick H. Kitzman

Communication Sciences and Disorders Faculty Publications

Context

Exercise has been shown to improve gait in individuals with Parkinson’s disease (PD). Stepping practice at higher intensity levels has been suggested as a beneficial treatment option to improve gait in the neurological population. Unfortunately, this mode is poorly understood and underutilized within the PD population. Information on what individuals with PD are doing for exercise would be beneficial to help tailor exercise programs to improve gait and provide exercise options in the community for intensity-based exercise.

Objective

To investigate the current exercise habits of individuals living with PD in the community aimed at improving walking and to understand …

Occupational Therapy’S Role In Health Promotion For Youths Facing Chronic Conditions, Megan A. Moret, Megan A. Moret

Department of Occupational Therapy Entry-Level Capstone Projects

This 17-week capstone project was completed at The Parker Place and virtually managed throughout the entirety of the experience. The Parker Place is a pediatric endocrinology and lifestyle management facility located in Annapolis, Maryland. Completing a virtual capstone project did not hinder the progress and outcomes of this experience. The Healthy Habits program was developed at this site to implement an occupational therapy role to supplement the served population’s health and wellness goals. Communication and client visits took place through passcode-protected video call sessions, phone calls, a HIPAA-compliant texting system, and email. Dr. Elizabeth Parker was the mentor for this …

Physical Activity May Mitigate Covid-19 Infections In People With Obesity: A Call To Action., Christina D Economos, William H. Dietz, Kathleen Tullie, James F Sallis

Prevention and Community Health Faculty Publications

No abstract provided.

Exercise And Nutrition Impact On Osteoporosis And Sarcopenia—The Incidence Of Osteosarcopenia: A Narrative Review, Sousana K. Papadopoulou, Konstantinos Papadimitriou, Gavriela Voulgaridou, Evridiki Georgaki, Eudoxia Tsotidou, Olga Zantidou, Dimitrios Papandreou

All Works

Osteoporosis and sarcopenia are diseases which affect the myoskeletal system and often occur in older adults. They are characterized by low bone density and loss of muscle mass and strength, factors which reduce the quality of life and mobility. Recently, apart from pharmaceutical interventions, many studies have focused on non-pharmaceutical approaches for the prevention of osteoporosis and sarcopenia with exercise and nutrition to being the most important and well studied of those. The purpose of the current narrative review is to describe the role of exercise and nutrition on prevention of osteoporosis and sarcopenia in older adults and to define …

How Physical Activity Implementation Strategies Changed During The Covid-19 Pandemic In Schools Enrolled In The Let’S Go! Program, Alexandra Peary

Honors College

Childhood obesity is a serious public health issue in the United States. Many children fail to meet the recommended daily physical activity of 60 minutes. Poor metabolic health at a young age puts children and adolescents at a significantly higher risk of developing chronic health issues in adulthood. With the potential to further exacerbate the obesity epidemic, the onset of the Covid-19 pandemic challenged students’ abilities to participate in structured physical activity, such as recess and physical education, due to school closures, strict social distancing guidelines, and hybrid or remote models of learning. This lack of structure and opportunities for …

Physical Activity And Fat-Free Mass During Growth And In Later Life, Klaas R Westerterp, Susan B Racette, Et Al.

2020-Current year OA Pubs

BACKGROUND: Physical activity may be a way to increase and maintain fat-free mass (FFM) in later life, similar to the prevention of fractures by increasing peak bone mass.

OBJECTIVES: A study is presented of the association between FFM and physical activity in relation to age.

METHODS: In a cross-sectional study, FFM was analyzed in relation to physical activity in a large participant group as compiled in the International Atomic Energy Agency Doubly Labeled Water database. The database included 2000 participants, age 3-96 y, with measurements of total energy expenditure (TEE) and resting energy expenditure (REE) to allow calculation of physical …

Gender Differences In Physical Activity Level By Domain, Natasha Vinluan, Zachary Zenko

International Journal of Exercise Science: Conference Proceedings

Engaging in regular physical activity and exercise has been demonstrated to increase life expectancy, improve mental health, and prevent or manage noncommunicable diseases. Although the health benefits are well known, estimates suggest that the majority of women and men do not obtain the recommended amounts of physical activity per week. PURPOSE: The purpose of this study was to assess how physical activity levels differed by domain (i.e., domestic/household, transportation-related, occupational, leisure-time) between genders. This information can be useful for tailoring future interventions to promote activity. METHODS: After obtaining ethical approval, participants (79 men, 35 women; mean age: 36 …

Reverting To A Healthier Diet Or Employing An Aerobic Exercise Regime Independently Restore Muscle Fiber Phenotype Disturbed By High-Fat Diet In Muscle Of Mice, Nathan Serrano, Harkaran S. Sodhi, Kailin Johnsson, Laurel B. Winslow, Layla Al-Nakkash, Christos S. Katsanos

International Journal of Exercise Science: Conference Proceedings

Obesity affects roughly 42% of the US population. High fat/high sugar diets (HFHS) often referred to as “western diet” contributes to this prevalence. Diet-induced obesity results in impaired metabolic responses and associated disease states (i.e., Type 2 Diabetes). Metabolic impairments in diet-induced obesity are a result of changes in muscle metabolism, and changes in muscle fiber phenotype, which is determined by the isoform-content of the protein myosin heavy chain (MHC). Fast muscle fiber phenotype (i.e. type IIb in mice) is characterized by lower capacity for utilization of lipids, implicated in the pathogenesis of Type 2 Diabetes. Regular exercise shifts MHC …

Effect Of Exercise In Sync With Circadian Preference On Migraine Load In Migraineurs, Elias M. Malek, Graham Mcginnis, James Navalta

International Journal of Exercise Science: Conference Proceedings

Migraines are the most common cause of chronic pain. Effective, non-pharmacological strategies to reduce migraine load are needed. Exercise is an effective strategy, but it is unclear how exercise timing and temporal preference (chronotype)factors modulate the laudatory effects of exercise. Purpose: The purpose of this study was to determine the effects of exercising in-sync or out-of-sync with one’s chronotype on migraine load. Methods: Participants were 7 sedentary individuals who experienced migraines 8+ times per month (age = 34 ± 11 yrs, 167 ± 8 cm, 99 ± 26 kg). Participants were categorized into morning- or evening-types based …

Cardiorespiratory Fitness Level Alters Blood Pressure Responses Induced By Histamine H1- And H2-Receptor Blockade During Dynamic Exercise, Albert A. Lira Jr., Dustin J. Lirazan, Ronaldo U. Meneses, Sung J. Yun, Jong-Kyung Kim

International Journal of Exercise Science: Conference Proceedings

Epidemiological studies have reported that greater cardiorespiratory fitness (CRF) is associated with lower blood pressure (BP). Histamine receptor-mediated peripheral vasodilation contributes to postexercise hypotension and lowing exercising BP responses. Previously, our laboratory found that overactive BP responses to exercise were induced by the inability of histamine receptors in individuals with prehypertension. However, it is still unknown that CRF can impact BP responses elicited by the inability of the receptors. Purpose: This study was to assess whether aerobic fitness is effective in lowering excessive BP responses induced by the blockade of histamine receptors. Methods: In twelve male and female subjects (6 …

Acute Effect Of Dietary Supplementation With Grape Seed Extract Attenuates Blood Pressure Increase During Cold Pressor Test In Prehypertensive Men, Sarah Greenawalt, Albert A. Lira Jr., Kylie J. Morrison, Ronaldo U. Meneses, Christen J. Lutz, Savannah C. Ulhir, Jong-Kyung Kim

International Journal of Exercise Science: Conference Proceedings

It is well documented that prehypertension or hypertension is associated with sympathetic overdrive and loss of parasympathetically mediated cardiac variability. Previous studies demonstrated that increased NO bioavailability reduced central sympathetic output. Despite the fact that grape seed extract (GSE) treatment increases the production of NO and improves endothelial function in prehypertensive males, no studies have assessed the effects of GSE on autonomic balance and autonomic function. PURPOSE: the aim of the study was to investigate the acute effect of dietary GSE supplementation on heart rate variability (HRV) and cold pressor test (CPT). METHODS: Six males were recruited in this study. …

Effect Of 4-Week Creatine Monohydrate Supplementation On Absolute Strength In Trained And Untrained Healthy Adults, Carson C. Vollmer, Brittany K. Sanchez

International Journal of Exercise Science: Conference Proceedings

Creatine monohydrate (CrM) is a synthetic form of creatine which has similar effects on the body as compared to the endogenous form. Creatine is used by the body to supply rapid ATP to muscles for contractile movements and is regularly obtained in the diet, primarily from meat products, or synthesized by the liver at a 24-hour turnover rate of approximately 1-2 g/day. Creatine supplementation is commonly used with the intention of improving muscular strength and hypertrophy for athletic performance along with enhanced recovery time, injury prevention, rehabilitation, and potential neuroprotective benefits. PURPOSE: The specific aim of this study is …

Cannabis And Cannabidiol Use In Active Individuals: A Survey Of Timing And Reasons For Use, Matthew M. Schubert, Jamie E. Hibbert, Richard Armenta, Erik A. Willis, Whitney Ogle

International Journal of Exercise Science: Conference Proceedings

The use of cannabis for medicinal and recreational purposes is widespread across the globe. However, relatively little is known regarding the use of cannabis and its constituents among athletic populations. PURPOSE: The aim of this study was to examine timing of cannabis use relative to exercise, reasons for use, forms of consumption, and sources of information in active adults. METHODS: This cross-sectional survey was administered electronically beginning in September 2020. Participants were recruited through social media advertisements, email blasts, and word of mouth. Data were collected on health and exercise habits, use of cannabis/cannabidiol (CBD), reasons for use, …

Validity Of Average Heart Rate And Energy Expenditure In Polar Oh1 And Verity Sense While Self-Paced Running, Damian Gil, Bryson Carrier, Wyatt Fullmer, Kyle Cruz, Charli D. Aguilar, Dustin W. Davis, Elias M. Malek, Nathaniel Bodell, Jeff Montes, Jacob W. Manning, James W. Navalta, Marcus M. Lawrence, Mark Debeliso Phd

International Journal of Exercise Science: Conference Proceedings

Running is one of the most common forms of exercise in the world today. Technological advancements have contributed to the rise in the usage of wearable technology. Polar is a household name leading this amelioration of wearable technology. The Polar OH1 and Verity Sense are two of the typical models used to measure heart rate and energy expenditure, however, the validity of these devices have yet to be investigated. PURPOSE: The purpose of this study was to determine the validity of the Polar OH1 and the Verity Sense during self-paced running. METHODS: Twenty participants (n=10 female, n=10 male; …

The Effects Of Exercise On Inflammatory Biomarkers Over A 36-H Fast, Austin F. Duersch, Bruce W. Bailey, Landon Deru

International Journal of Exercise Science: Conference Proceedings

Postprandial and diet-induced chronic inflammation has become a popular point of discussion over recent years in lifestyle medicine as studies have uncovered the effects that various inflammation markers have on chronic diseases including heart disease, diabetes mellitus, and arthritis. Interventions to help lower inflammation could help promote longevity and decrease risk of chronic diseases. PURPOSE: While previous research has shown various effects of fasting on inflammatory biomarkers, this study assessed the impact of an acute 36h fast with or without exercise at the beginning on inflammatory biomarkers (IL-6, C-peptide, GIP, MCP-1, and TNF-alpha). METHODS: Twenty healthy subjects (11 …

Law Library Blog (November 2021): Legal Beagle's Blog Archive, Roger Williams University School Oflaw

Law Library Newsletters/Blog

No abstract provided.

Up And Moving: An Integrative Review Evaluating Early Mobility In The Intensive Care Unit, Rachel Huffman

Doctoral Dissertations and Projects

Existing literature has highlighted the benefits of early mobility of patients in intensive care units. This integrative review (IR) sought to determine the best methods of early mobility intervention implementation. The search process utilized databases relevant to the selected topic, and the flow of information abstracted from the search process was placed into a PRISMA flow diagram. Additionally, review software was used to manage the collected data, ensuring that the search was documented with precision. To appraise the literature, a matrix was developed. The literature revealed that early mobility programs, protocols, and algorithms were guiding themes noted throughout this IR, …

The Impact Of Covid-19 On Community-Based Exercise Classes For People With Parkinson Disease, Mark M Mañago, Laura A Swink, Emily R Hager, Robyn Gisbert, Gammon M Earhart, Cory L Christiansen, Margaret Schenkman

2020-Current year OA Pubs

OBJECTIVE: he purpose of the study was to determine the impact of novel coronavirus 2019 (COVID-19) restrictions on community-based exercise classes for people with Parkinson disease (PD) and their instructors.

METHODS: Data were collected via custom-designed electronic surveys for people with PD and class instructors who reported attending or teaching PD-specific exercise class ≥1 time/week for ≥3 months prior to pandemic restrictions (March 2020). The PD group also completed the Godin Leisure-Time Questionnaire, Self-Efficacy for Exercise scale, Schwab-England scale, and Parkinson's Disease Questionnaire 8.

RESULTS: Eighty-seven people with PD (mean = 70 [7.3] years old) and 43 instructors (51 [12.1] …

Musculoskeletal Responses To Exercise Plus Nutrition In Men With Prostate Cancer On Androgen Deprivation: A 12-Month Rct, Jack Dalla Via, Patrick J. Owen, Robin M. Daly, Niamh L. Mundell, Patricia M. Livingston, Timo Rantalainen, Stephen J. Foulkes, Jeremy L. Millar, Declan G. Murphy, Steve F. Fraser

Research outputs 2014 to 2021

Purpose:

Androgen deprivation therapy (ADT) for prostate cancer has multiple adverse effects on musculoskeletal health. This 12-month randomized controlled trial aimed to assess the effects of multicomponent exercise training combined with whey protein, calcium and vitamin D supplementation on bone mineral density (BMD), structure and strength, body composition, muscle strength, and physical function in ADT-treated men.

Methods:

Seventy ADT-treated men were randomized to exercise plus supplementation (Ex + Suppl; n = 34) or usual care (control; n = 36). Ex + Suppl involved thrice weekly progressive resistance training plus weight-bearing impact exercise with daily multinutrient supplementation. Primary outcomes were DXA …

Physical Activity, Exercise Training And Heart Failure: Does Intensity Matter?, Elizabeth Moxley

Faculty Peer-Reviewed Publications

Heart failure currently affects an estimated 6.2 million US adults¹ and approximately 2% of individuals on a global scale.² According to heart failure exercise guidelines by the American College of Cardiology Foundation and the American Heart Association (AHA), exercise training is considered an effective treatment for chronic heart failure at a class 1 level³ and recognized as a therapeutic approach for stable heart failure. Physical activity and exercise reduce symptoms, improve the quality of life and left ventricle function, lower heart rate response to submaximal exercise, and reverse remodeling in heart failure patients.^4-6

Work The Heart, Train The Brain, Monica Sciturro, Jenna Knafo

be Still

No abstract provided.

Advancing Knowledge Of Exercise As A Therapeutic Management Strategy For Women With Polycystic Ovary Syndrome, Pamela J. Wright

Theses and Dissertations

Polycystic ovary syndrome (PCOS) is the most common endocrinopathy among premenopausal women with a prevalence that ranges 15-21%. The estimated financial burden in the United States for evaluating and treating premenopausal women with PCOS was over $8 billion in 2020. PCOS etiology is complex and poorly understood, as is the optimal treatment and management. Endocrine Society Clinical Practice Guidelines recommend exercise as first-line treatment. Yet, the optimal exercise type and “dosing” are not defined. As last reported for women with PCOS, less than 60% are regularly physically active and more than 25% are sedentary. Additionally, little to no published data …

Exercise For Individuals With Bone Metastases: A Systematic Review, Sarah Weller, Nicolas H. Hart, Kate A. Bolam, Sami Mansfield, Daniel Santa Mina, Kerri M. Winters-Stone, Anna Campbell, Friederike Rosenberger, Joachim Wiskemann, Morten Quist, Prue Cormie, Jennifer Goulart, Kristin L. Campbell

Research outputs 2014 to 2021

BACKGROUND: Exercise has the potential to improve physical function and quality of life in individuals with bone metastases but is often avoided due to safety concerns. This systematic review summarizes the safety, feasibility and efficacy of exercise in controlled trials that include individuals with bone metastases. METHODS: MEDLINE, Embase, Pubmed, CINAHL, PEDro and CENTRAL databases were searched to July 16, 2020. RESULTS: A total of 17 trials were included incorporating aerobic exercise, resistance exercise or soccer interventions. Few (n = 4, 0.5%) serious adverse events were attributed to exercise participation, with none related to bone metastases. Mixed efficacy results were …

White Matter Plasticity In Healthy Older Adults: The Effects Of Aerobic Exercise, Andrea Mendez Colmenares, Michelle W Voss, Jason Fanning, Elizabeth A Salerno, Neha P Gothe, Michael L Thomas, Edward Mcauley, Arthur F Kramer, Agnieszka Z Burzynska

2020-Current year OA Pubs

White matter deterioration is associated with cognitive impairment in healthy aging and Alzheimer's disease. It is critical to identify interventions that can slow down white matter deterioration. So far, clinical trials have failed to demonstrate the benefits of aerobic exercise on the adult white matter using diffusion Magnetic Resonance Imaging. Here, we report the effects of a 6-month aerobic walking and dance interventions (clinical trial NCT01472744) on white matter integrity in healthy older adults (n = 180, 60-79 years) measured by changes in the ratio of calibrated T1- to T2-weighted images (T1w/T2w). Specifically, the aerobic walking and social dance interventions …

Are Family Medicine Residents Trained To Counsel Patients On Physical Activity? The Canadian Experience And A Call To Action., Jane Thornton, Karim Khan, Richard Weiler, Christopher Mackie, Robert Petrella

Family Medicine Publications

Physical inactivity is a leading risk factor for non-communicable diseases (NCDs) and early mortality. Family physicians have an important role in providing physical activity counselling to patients to help prevent and treat NCDs. Lack of training on physical activity counselling is a barrier in undergraduate medical education, yet little is known regarding physical activity teaching in postgraduate family medicine residency. We assessed the provision, content and future direction of physical activity teaching in Canadian postgraduate family medicine residency programs to address this data gap. Fewer than half of Canadian Family Medicine Residency Programme directors reported providing structured physical activity counselling …