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Ho CL, Anantharaman V. Relevance of the Get Active Questionnaire for Pre-Participation Exercise Screening in the General Population in a Tropical Environment. Healthcare (Basel) 2024; 12:815. [PMID: 38667577 PMCID: PMC11050380 DOI: 10.3390/healthcare12080815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Revised: 04/05/2024] [Accepted: 04/10/2024] [Indexed: 04/28/2024] Open
Abstract
The Get Active Questionnaire (GAQ), developed by the Canadian Society for Exercise Professionals (CSEP), was recently recommended for pre-participation screening of the general population in Singapore before increasing their exercise levels. This literature review examines the evidence behind the GAQ and its relevance to our tropical environment. Searches were carried out via Pubmed, MEDLINE and the Cochrane Central Register of Controlled Trials. Resources referenced by the CSEPs were hand searched. The CSEP was also contacted for further information. The evidence behind each GAQ question was compared to international literature and guidelines, where applicable. Out of 273 studies, 49 were suitable for analysis. Two GAQ studies commissioned by the CSEP showed a high negative predictive value but high false negative rate. Of the nine GAQ questions, those on dizziness, joint pains and chronic diseases appear to be justified. Those on heart disease/stroke, hypertension, breathlessness and concussion require modification. The one on syncope can be amalgamated into the dizziness question. The remaining question may be deleted. No long-term studies were available to validate the use of the GAQ. Heat disorders were not considered in the GAQ. Modification of the GAQ, including the inclusion of environmental factors, may make it more suitable for the general population and should be considered.
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Affiliation(s)
- Cuiying Lisa Ho
- Department of Orthopaedic Surgery, Sengkang General Hospital, 110 Sengkang East Way, Singapore 544886, Singapore
| | - Venkataraman Anantharaman
- Department of Emergency Medicine, Singapore General Hospital, Duke-NUS Academic Medical Centre, Outram Road, Singapore 169608, Singapore
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Wattanapisit A, Hemarachatanon P, Somrak K, Manunyanon S, Wattanapisit S, Amornsriwatanakul A, Katewongsa P, Sangkaew S, Vichitkunakorn P, Lee PY, Ramdzan SN, Salim H, Ng CJ, Stoutenberg M. Physical Activity with Sports Scientist (PASS) programme to promote physical activity among patients with non-communicable diseases: a pragmatic randomised controlled trial protocol. BMJ Open Sport Exerc Med 2024; 10:e001985. [PMID: 38601124 PMCID: PMC11002402 DOI: 10.1136/bmjsem-2024-001985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2024] [Indexed: 04/12/2024] Open
Abstract
Physical activity (PA) effectively prevents and treats non-communicable diseases in clinical settings. PA promotion needs to be more consistent, especially in busy primary care. Sports scientists have the potential to support PA promotion in primary care. The Physical Activity with Sports Scientist (PASS) programme is created to personalise PA promotion led by a sports scientist in a primary care clinic. A pragmatic randomised controlled trial with two parallel groups will be conducted at a family medicine clinic. Physically inactive participants aged 35-70 years who have type 2 diabetes mellitus, hypertension or dyslipidaemia will be invited. The control group (n=60) will receive usual care. The intervention group (n=60) will receive the PASS programme and usual care. The PASS programme will consist of a tailored PA prescription after the physician's consultation at the first visit and monthly phone follow-ups. The primary outcome is the proportion of participants who have achieved the PA goal defined as aerobic activity (≥150 min/week of moderate to vigorous-intensity PA), muscle-strengthening activity (≥2 days/week of moderate or greater intensity) and multicomponent PA (≥2 days/week of moderate or greater intensity). Secondary outcomes are body composition and physical fitness. The primary and secondary outcomes will be measured and compared between the control and intervention groups at visit 1 (month 0: baseline measurements), visit 2 (months 3-4: follow-up measurements), visit 3 (months 6-8: end-point measurements) and visit 4 (months 9-12: continuing measurements). The study protocol was registered with the Thai Clinical Trials Registry. Trial registration number: TCTR20240314001.
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Affiliation(s)
- Apichai Wattanapisit
- Department of Clinical Medicine, School of Medicine, Walailak University, Nakhon Si Thammarat, Thailand
- Family Medicine Clinic, Walailak University Hospital, Nakhon Si Thammarat, Thailand
| | - Poramet Hemarachatanon
- Department of Sport and Exercise Science, School of Medicine, Walailak University, Nakhon Si Thammarat, Thailand
| | - Kamlai Somrak
- Department of Community Nursing, School of Nursing, Walailak University, Nakhon Si Thammarat, Thailand
- Department of Health Promotion, Walailak University Hospital, Nakhon Si Thammarat, Thailand
| | - Saranrat Manunyanon
- Division of Student Support and Development, Walailak University, Nakhon Si Thammarat, Thailand
| | | | | | - Piyawat Katewongsa
- Institute for Population and Social Research, Mahidol University, Nakhon Pathom, Thailand
| | - Sorawat Sangkaew
- Department of Social Medicine, Hatyai Hospital, Songkhla, Thailand
| | - Polathep Vichitkunakorn
- Department of Family and Preventive Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
| | - Ping Yein Lee
- UMeHealth Unit, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Siti Nurkamilla Ramdzan
- Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Hani Salim
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia
| | - Chirk Jenn Ng
- Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
- Department of Research, SingHealth Polyclinics, Singapore
- Health Services and Systems Research, Duke-NUS Medical School, Singapore
| | - Mark Stoutenberg
- Department of Sport and Exercise Sciences, Durham University, Durham, UK
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Ekegren C, Skouteris H, Ayton D, Soh SE. Impact of the Exercise Right for Active Ageing program on physical function in older adults: a quasi-experimental pre-post study. BMC Geriatr 2023; 23:799. [PMID: 38049747 PMCID: PMC10696865 DOI: 10.1186/s12877-023-04499-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 11/21/2023] [Indexed: 12/06/2023] Open
Abstract
BACKGROUND The Exercise Right for Active Ageing (ERAA) program was established to improve access to exercise classes for community-dwelling older Australians. The aims of this study were to determine whether older adults, who participated in ERAA exercise classes experienced a change in physical function, and identify factors associated with this change. METHODS Participants included community-dwelling older adults, aged ≥ 65 years, from every state and territory of Australia. The ERAA program included 12 subsidised, weekly, low- to moderate-intensity exercise classes, delivered by accredited exercise scientists or physiologists (AESs/AEPs). Primary outcomes included the 30 s Sit-to-Stand (STS) and the 3-metre Timed Up and Go (TUG) tests. Secondary outcomes included grip strength, the Chair Sit and Reach test, and waist circumference. Linear mixed-effects regression models were used to evaluate the change in outcomes following program completion, and to determine factors associated with changes in the primary outcomes. RESULTS 3,582 older adults (77% female) with a median (IQR) age of 72 (69-77) years completed follow-up testing. For all primary and secondary outcomes, there was a statistically significant improvement after program completion (p < 0.001). The STS increased by 2.2 repetitions (95% CI: 2.1, 2.3), the TUG decreased by 0.9 s (95% CI: -1.0, -0.8), right and left grip strength increased by 1.3 kg (95% CI: 1.2, 1.5) and 1.5 kg (95% CI: 1.3, 1.6), respectively, right and left reach increased by 1.7 cm (95% CI: 1.4, 2.0), and waist circumference decreased by 1.2 cm (95% CI: -1.4, -1.1). Greater improvements in STS were observed for participants aged 65-69 years, females, and those with greater socio-economic disadvantage. For the TUG, greater improvements were observed in participants reporting 2 + comorbidities, and residing in outer regional areas and areas with greater socio-economic disadvantage. CONCLUSIONS Participation of older Australians in the ERAA program, led to statistically significant improvements in physical function. The program reached a large number of older Australians from every state and territory, including those from regional and remote parts of Australia, aged over 85 years, and with high levels of comorbidity, which supports the feasibility and acceptability of AES- and AEP-led exercise classes amongst community-dwelling older Australians. TRIAL REGISTRATION Australian New Zealand Clinical Trials Registry (ANZCTR) (ACTRN12623000483651). Registered 12 May 2023 - Retrospectively registered, https://www.anzctr.org.au/ACTRN12623000483651.aspx .
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Affiliation(s)
- Christina Ekegren
- Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, 47-49 Moorooduc Hwy, Frankston, VIC, 3199, Australia.
| | - Helen Skouteris
- Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Monash, Australia
| | - Darshini Ayton
- Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Monash, Australia
| | - Sze-Ee Soh
- Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, Monash, Australia
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Singh V, Pollard K, Okasheh R, Percival J, Cramp F. Understanding the role of allied health professional support workers with exercise qualifications in the delivery of the NHS Long Term Plan within allied health professional services in England. BMJ Open Sport Exerc Med 2023; 9:e001625. [PMID: 37654513 PMCID: PMC10465888 DOI: 10.1136/bmjsem-2023-001625] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/18/2023] [Indexed: 09/02/2023] Open
Abstract
Demand modelling for the allied health professionals (AHPs) workforce showed that significant expansion would be needed to successfully deliver on the National Health Service (NHS) Long Term Plan. The aim was to explore the use of AHP support workers with exercise qualifications in AHP services and to understand their current and potential role in NHS commissioned AHP services in England. The project had two phases and took place between October 2020 and January 2021. In phase one, an electronic survey was carried out to identify the scope and variation of exercise professionals working in AHP support roles in NHS commissioned services. Semi-structured interviews were conducted in phase two to gain further understanding about the experiences of those involved in AHP commissioned services. Survey data were analysed using descriptive statistics and interview data were qualitatively analysed using thematic analysis. Recorded interviews were transcribed and initially coded. Coding was then refined and themes were identified. Support workers with exercise qualifications made a valued contribution to AHP services and were considered cost-effective in delivering a specialised exercise intervention. AHP support workers contributed to a range of tasks relating to clinical exercise prescription. Collated data highlighted inconsistency in the way AHP support workers with exercise qualifications identified themselves, despite similar roles. Variation existed in the level of autonomy for AHP support workers with exercise qualifications, even within the same NHS Agenda for Change band. Attempts to manage this disparity involved numerous governance processes to ensure safe, high-quality healthcare in the context of delegation to support workers. Limited training and development opportunities and the lack of career progression for support workers were consistently acknowledged as a source of frustration and hindrance to individuals fulfilling their potential. AHP support workers with exercise qualifications have potential to positively impact service delivery providing added value to the NHS workforce.
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Affiliation(s)
- Vincent Singh
- College of Health, Science and Society; School of Health and Social Wellbeing, University of the West of England, Bristol, UK
| | - Katherine Pollard
- College of Health, Science and Society; School of Health and Social Wellbeing, University of the West of England, Bristol, UK
| | - Rasha Okasheh
- College of Health, Science and Society; School of Health and Social Wellbeing, University of the West of England, Bristol, UK
| | - John Percival
- College of Health, Science and Society; School of Health and Social Wellbeing, University of the West of England, Bristol, UK
| | - Fiona Cramp
- College of Health, Science and Society; School of Health and Social Wellbeing, University of the West of England, Bristol, UK
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Cho KH, Park JB, Jung YH. Effects of Service Quality Characteristics of Neighborhood Sports Facilities on User Satisfaction and Reuse Intention of the Elderly during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14606. [PMID: 36361484 PMCID: PMC9653674 DOI: 10.3390/ijerph192114606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 10/27/2022] [Accepted: 11/01/2022] [Indexed: 06/16/2023]
Abstract
PURPOSE this study aimed to examine the user satisfaction and reuse intention of the elderly for neighborhood sports facilities in South Korea during the COVID-19 pandemic. METHODS this study surveyed 386 Korean elderly individuals aged ≥ 65 years, who were users of neighborhood sports facilities, from 1 May to 31 August 2022. A total of 386 questionnaires were used for data analysis, which was carried out using SPSS 23.0 statistical software. Descriptive statistics of the mean, standard deviation, and frequency distribution were used at the descriptive level. Moreover, one-way analysis of variance (ANOVA), Scheffe's post hoc pair-wise comparison analysis, Pearson's correlation coefficient, and multiple regression analysis were used at the inferential level. The significance level of these tests was considered for less than 0.05. RESULTS the mechanistic and humanistic service factors of neighborhood sports facilities affected user satisfaction and reuse intention. Furthermore, user satisfaction of the elderly during the COVID-19 pandemic had a positive effect on reuse intention. CONCLUSION this study confirmed that the service quality characteristics of neighborhood sports facilities during the COVID-19 pandemic had a positive effect on user satisfaction and intention to continue to exercise among the elderly.
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Affiliation(s)
- Kyoung Hwan Cho
- Department of Special Physical Education, Daelim University College, Anyang-si 13916, Korea
| | - Jeong-Beom Park
- Department of Special Physical Education, Daelim University College, Anyang-si 13916, Korea
| | - Yang Hun Jung
- Department of Special Physical Education, Hanshin University, Osan-si 18101, Korea
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6
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Pan M, Ying B, Lai Y, Kuan G. Status and Influencing Factors of Physical Exercise among College Students in China: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13465. [PMID: 36294043 PMCID: PMC9602818 DOI: 10.3390/ijerph192013465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Revised: 10/12/2022] [Accepted: 10/12/2022] [Indexed: 06/16/2023]
Abstract
The status of the physical exercise of college students has been a popular topic in China. This study systematically reviewed the exercise status of Chinese college students and its influencing factors. A keyword and reference search were conducted in the Web of Science, PubMed, Cochrane library, and the China National Knowledge Infrastructure. Additionally, Google Scholar was searched to collect literatures related to physical activity of Chinese university students published in Chinese and English from 1 January 2017 to 30 July 2022. Fifteen studies met the selection criteria and were included in the review. The results show that the main motivation for Chinese college students to exercise is to strengthen their bodies, with running and walking ranking first and ball games ranking second in importance. Most of the college students exercised three times a week, which is the recommended minimum, and most of their workouts were of moderate intensity. Additionally, the workouts lasted for 30 min to 60 min. The main factors affecting college students' exercise are lack of time due to academic pressure, facilities constraints, and lack of professional exercise guidance. In conclusion, the physical fitness of university students should not be underestimated, and this study provides additional reference to promote healthier lifestyles among Chinese college students.
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Affiliation(s)
- Mingzhu Pan
- School of Physical Education, Shangrao Normal University, Shangrao 334001, China
- Exercise and Sports Science Programme, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia
| | - Binbin Ying
- Health Supervision Institute of Shanghai Huangpu District Health Bureau, Shanghai 200011, China
| | - Yani Lai
- School of Education Science, Shangrao Normal University, Shangrao 334001, China
| | - Garry Kuan
- Exercise and Sports Science Programme, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia
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7
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Song H, Zeng W, Zeng T. Modeling Community Residents' Exercise Adherence and Life Satisfaction: An Application of the Influence of the Reference Group. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13174. [PMID: 36293754 PMCID: PMC9603160 DOI: 10.3390/ijerph192013174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 09/30/2022] [Accepted: 10/09/2022] [Indexed: 06/16/2023]
Abstract
To expand the application area of the reference group and enrich exercise theoretical research, based on Stimulus-Organism-Response (SOR) framework, this study examines the external factors that motivate adherence to exercise. Taking reference group and strategy and cultural fit as the main stimuli, and personal investment and life satisfaction as mediating variables, this study explores the influence of external stimuli on residents' exercise behavior. In order to enrich the sample size, two surveys of 734 Chinese residents in two cities (Xiamen vs. Fuzhou) were conducted using factor analyses, regression analysis, and t-test analysis. The results indicated that the reference group and strategic and cultural fit as external stimuli impact on residents' personal investment, life satisfaction and exercise adherence, and that personal investment and life satisfaction as the organism has an impact on residents' exercise adherence. Personal investment and life satisfaction play a chain mediating role between the reference group and exercise adherence, and between strategy and cultural fit and exercise adherence. Moreover, the t-test determined the differences between Xiamen and Fuzhou residents' exercise adherence and life satisfaction. Residents' surroundings affect their exercise behavior and life satisfaction. These findings have implications for policymaking aimed at promoting national exercise, which could gradually improve residents' physical fitness, particularly in light of the current coronavirus emergency.
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Affiliation(s)
- Huimin Song
- College of Tourism, Huaqiao University, Quanzhou 362021, China
| | - Wei Zeng
- College of Tourism, Huaqiao University, Quanzhou 362021, China
| | - Tingting Zeng
- Business School, Nanfang College, Guangzhou 510970, China
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8
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Rodrigues F, Macedo R, Mallett CJ, Kawabata M, Monteiro D. Examining the Coach Motivation Questionnaire in Fitness Professionals (CMQ-FP): Factor Structure, Invariance, and Predictive Analysis. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2022; 93:379-390. [PMID: 33297869 DOI: 10.1080/02701367.2020.1846674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 10/29/2020] [Indexed: 06/12/2023]
Abstract
Purpose: To date, most research on the assessment of motivation has been exerciser-focused and has not considered how fitness professionals' motivations impact their behaviors toward exercisers during training sessions. The purpose of this study was to examine the factor structure of the Coach Motivation Questionnaire in a sample of fitness professionals (CMQ-FP) to ascertain its usefulness for this vocational grouping. Measurement invariance analysis was conducted between female and male fitness professionals, and predictive validity was tested considering need-supportive and need-thwarting behaviors as outcomes. Methods: Participants were 799 fitness professionals (female = 412) aged between 20 and 56 years (M = 28.71, SD = 3.24), who completed a multi-section survey assessing their motivation toward work and their interpersonal behaviors when engaging with exercisers. Results: The results of this research supported all three hypotheses. First, the hypothesized 6-factor measurement model showed acceptable fit to the data. Second, the factor structure of the CMQ-FP was invariant across gender (male and female fitness professionals). Third, fitness professionals' (autonomous or controlled) motivation was a valid predictor of need-supportive or need-thwarting behaviors. Conclusion: This study supported the factor structure of the CMQ-FP, presenting as a valid measure of motivation in fitness professionals. Understanding fitness professionals' perceptions of their coaching motivation can inform professional development activities to assist fitness professionals to increase understanding of what motivates these professionals and how they might be more need-supportive and less need-thwarting in their pedagogical behaviors.
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Affiliation(s)
- F Rodrigues
- Sport Science School of Rio Maior (ESDRM-IPsantarém)
- Life Quality Research Center (CIEQV)
- Research Center in Sport, Health and Human Development (CIDESD)
| | - R Macedo
- Center for Organizational and Social Studies of P. PORTO, (CEOS P.PORTO)
| | - C J Mallett
- The University of Queensland
- Technical University of Munich
| | - M Kawabata
- The University of Queensland
- Nanyang Technological University
| | - D Monteiro
- Research Center in Sport, Health and Human Development (CIDESD)
- ESECS, Polytechnique of Leiria
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Sarcopenia and cancer-related inflammation measurements in advanced gastric and junctional cancers – Ready for prime time? Ann Oncol 2022; 33:669-671. [DOI: 10.1016/j.annonc.2022.04.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Accepted: 04/09/2022] [Indexed: 11/23/2022] Open
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10
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Carrard J, Gut M, Croci I, McMahon S, Gojanovic B, Hinrichs T, Schmidt-Trucksäss A. Exercise Science Graduates in the Healthcare System: A Comparison Between Australia and Switzerland. Front Sports Act Living 2022; 4:766641. [PMID: 35419518 PMCID: PMC8998636 DOI: 10.3389/fspor.2022.766641] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2021] [Accepted: 01/31/2022] [Indexed: 12/17/2022] Open
Abstract
Physical inactivity (PI) is a leading risk factor for global mortality worldwide, a major preventable cause of non-communicable diseases (NCDs) and a socioeconomic burden for healthcare systems. Fortunately, evidence shows that exercise interventions delivered by qualified exercise science graduates is an effective way to reduce PI, prevent and treat NCDs. This study compares the integration of exercise science graduates, defined as university graduates with degrees in sport and exercise science, in the healthcare systems of Australia, a commonly cited model in this regard, and Switzerland, a country considered to have an effective but costly healthcare system. For both countries, three domains were reviewed: healthcare system, exercise science graduates' education, and roles played by exercise science graduates in healthcare system. Australia formally recognizes specifically trained exercise science graduates (referred to as Accredited Exercise Physiologists) as healthcare professionals. The exercise interventions they deliver, which were shown to be cost-effective and lead to positive health outcomes, are covered by Medicare, the Australian universal health insurance. However, Medicare covers only a maximum of 5 yearly sessions of all allied-health services taken together. Conversely, Switzerland, despite offering university master's degrees that focus on physical activity delivery to clinical populations, does not recognize the respective graduates as healthcare providers. As a result, their services are not covered by the Swiss health insurances. The latter do, however, cover a generous number of services (not formally limited) delivered by other allied-health professionals. In conclusion, Australia makes a better use of exercise science graduates than Switzerland does. Switzerland would benefit from establishing a clinical profession for exercise science graduates, defining competencies that they should acquire and setting their scope of practice. The very restricted number of therapy sessions covered by Medicare might limit the positive impact exercise science graduates have on the Australian healthcare system. Overall, mutual learning between countries can promote development and global recognition of clinical positions for exercise science graduates.
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Affiliation(s)
- Justin Carrard
- Division of Sports and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
- *Correspondence: Justin Carrard
| | - Maurin Gut
- Division of Sports and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Ilaria Croci
- Division of Sports and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
- K.G. Jebsen Center of Exercise in Medicine, Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway
| | - Stephen McMahon
- Emergency Department and Orthopaedics Unit, Ballarat Health Services, Ballarat, VIC, Australia
| | - Boris Gojanovic
- Sports Medicine, Swiss Olympic Medical Center, Hôpital de la Tour, Meyrin, Switzerland
- Centre SportAdo, Woman-Mother-Child Department (DFME), Lausanne University and Hospital (CHUV), Lausanne, Switzerland
| | - Timo Hinrichs
- Division of Sports and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Arno Schmidt-Trucksäss
- Division of Sports and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
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11
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Crozier A, Watson PM, Graves LEF, George K, Naylor L, Green DJ, Rosenberg M, Jones H. Clinical exercise provision in the UK: comparison of staff job titles, roles and qualifications across five specialised exercise services. BMJ Open Sport Exerc Med 2022; 8:e001152. [PMID: 35136656 PMCID: PMC8788312 DOI: 10.1136/bmjsem-2021-001152] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/23/2021] [Indexed: 11/14/2022] Open
Abstract
Objectives In the UK, the National Health Service long-term plan advocates exercise as a key component of clinical services, but there is no clearly defined workforce to deliver the plan. We aimed to provide an overview of current UK clinical exercise services, focusing on exercise staff job titles, roles and qualifications across cardiovascular, respiratory, stroke, falls and cancer services. Methods Clinical exercise services were identified electronically between May 2020 and September 2020 using publicly available information from clinical commissioning groups, national health boards and published audit data. Data relating to staff job titles, roles, qualifications and exercise delivery were collected via electronic records and telephone/email contact with service providers. Results Data were obtained for 731 of 890 eligible clinical services (216 cardiac, 162 respiratory, 129 stroke, 117 falls, 107 cancer). Cardiac rehabilitation services provided both clinical (phase III) and community (phase IV) exercise interventions delivered by physiotherapists, exercise physiologists (exercise specific BSc/MSc) and exercise instructors (vocationally qualified with or without BSc/MSc). Respiratory, stroke and falls services provided a clinical exercise intervention only, mostly delivered by physiotherapists and occupational therapists. Cancer services provided a community exercise service only, delivered by vocationally qualified exercise instructors. Job titles of ‘exercise physiologists’ (n=115) bore little alignment to their qualifications, with a large heterogeneity across services. Conclusion In the UK, clinical exercise services job titles, roles and qualifications were inconsistent. Regulation of exercise job titles and roles is required to remove the current disparities in this area.
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Affiliation(s)
- Anthony Crozier
- Sport & Exercise Sciences, Liverpool John Moores University, Liverpool, UK
| | - Paula Mary Watson
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK
| | - Lee E F Graves
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK
| | - Keith George
- RISES, Liverpool John Moores University, Liverpool, UK
| | - Louise Naylor
- School of Sport Science, Exercise and Health, The University of Western Australia, Perth, Western Australia, Australia
| | - Daniel J Green
- School of Sport Science, Exercise and Health, The University of Western Australia, Perth, Western Australia, Australia
| | - Michael Rosenberg
- Sport Science, Exercise and Health, University of Western Australia, Perth, Western Australia, Australia
| | - Helen Jones
- Sport & Exercise Sciences, Liverpool John Moores University, Liverpool, UK
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12
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Sun Q, Qi M, Moyle W, Jones C, Weeks B, Xie Z, Li P. Physical Activity Participation and Psychological Wellbeing in University Office Workers in China and Australia: An Online Survey. Healthcare (Basel) 2021; 9:healthcare9121618. [PMID: 34946344 PMCID: PMC8702085 DOI: 10.3390/healthcare9121618] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2021] [Revised: 11/18/2021] [Accepted: 11/19/2021] [Indexed: 11/16/2022] Open
Abstract
Background and purpose: Physical inactivity and prolonged sitting have associations with adverse health. University office workers are at a high risk of psychological and pain issues. This study aimed to explore the differences in sitting time, levels of physical activity participation, stress, depression, anxiety, and pain among university office workers in China and Australia. Methods: Online surveys were distributed to university office workers over 55 years at two universities in China and Australia, respectively. Results: A total of 185 participants completed the online survey (119 in China and 66 in Australia). Significant differences were found in sitting time during workdays between the two countries (p < 0.05) with a longer sitting time in the Australian respondents (7.5 h/day) than those in China (4.6 h/day). Additionally, there were also significant differences in terms of levels of depression and pain symptoms within the two countries (p < 0.05). The Australian respondents reported high levels of depression and pain (M = 7.38, SD = 5.86 and M = 3.65, SD = 2.21, respectively) than those in China (M = 5.71, SD = 4.87 and M = 1.89, SD = 1.89, respectively). The gender, education level, and sitting time of participants were found to be associated with pain scores (p < 0.05). A significant association between marital status and pain scores was found among the Australian respondents (p < 0.05). Conclusions: Future studies with a larger population are needed to validate the results and to further explore the association between physical activity participation and psychological wellbeing among university office workers.
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Affiliation(s)
- Qian Sun
- School of Physical Education, Shandong University, Jinan 250012, China;
| | - Meiling Qi
- School of Nursing and Rehabilitation, Shandong University, Jinan 250012, China;
- Correspondence: (M.Q.); (P.L.)
| | - Wendy Moyle
- Menzies Health Institute Queensland, Nathan Campus, Griffith University, Brisbane, QLD 4111, Australia; (W.M.); (C.J.); (B.W.)
- School of Nursing and Midwifery, Nathan Campus, Griffith University, Brisbane, QLD 4111, Australia
| | - Cindy Jones
- Menzies Health Institute Queensland, Nathan Campus, Griffith University, Brisbane, QLD 4111, Australia; (W.M.); (C.J.); (B.W.)
- Faculty of Health Science & Medicine, Bond University, Gold Coast, QLD 4226, Australia
| | - Benjamin Weeks
- Menzies Health Institute Queensland, Nathan Campus, Griffith University, Brisbane, QLD 4111, Australia; (W.M.); (C.J.); (B.W.)
- School of Health Sciences and Social Work, Gold Coast Campus, Griffith University, Gold Coast, QLD 4222, Australia
| | - Zihui Xie
- School of Nursing and Rehabilitation, Shandong University, Jinan 250012, China;
| | - Ping Li
- School of Nursing and Rehabilitation, Shandong University, Jinan 250012, China;
- Correspondence: (M.Q.); (P.L.)
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Levinger P, Hill KD. Are the Recommended Physical Activity Guidelines Practical and Realistic for Older People With Complex Medical Issues? J Geriatr Phys Ther 2021; 44:2-8. [PMID: 33347040 DOI: 10.1519/jpt.0000000000000291] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
The world population is aging. With increased life expectancy comes increased risk of major health problems that affect the health and well-being of older adults. Adequate levels of physical activity as specified by current global guidelines can reduce the risk of health problems in older adults. However, fewer than half of older adults are sufficiently active, and thus are unlikely to achieve these health benefits. Older adults living in residential aged care are even more sedentary, with multiple health issues and comorbidities. While meeting physical activity guidelines confers the greatest benefit for physical function, the practicality of adherence to these guidelines for older people who are not healthy and have complex medical issues is questionable. This special interest paper discusses research evidence on the topic of physical activity for older people across the health spectrum, with and without multiple comorbidities. This discussion is informed by professional experience, and suggests practical recommendations to positively impact physical activity engagement in the older adult population.
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Affiliation(s)
- Pazit Levinger
- National Ageing Research Institute, Royal Melbourne Hospital, Parkville, Victoria, Australia
- Institute for Health and Sport, Victoria University, Melbourne, Australia
- Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Melbourne, Australia
| | - Keith D Hill
- Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Melbourne, Australia
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Menhas R, Dai J, Ashraf MA, M Noman S, Khurshid S, Mahmood S, Weng Y, Ahmad Laar R, Sang X, Kamran M, Shahzad B, Iqbal W. Physical Inactivity, Non-Communicable Diseases and National Fitness Plan of China for Physical Activity. Risk Manag Healthc Policy 2021; 14:2319-2331. [PMID: 34113188 PMCID: PMC8184286 DOI: 10.2147/rmhp.s258660] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Accepted: 05/10/2021] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND China has the world's largest population, going under health transition due to industrialization, urbanization, and a sedentary lifestyle. About 82% of China's disease burden is due to the prevalence of non-communicable diseases (NCDs). Physical activity (active travel) is the best preventive measure against NCDs. The Chinese government has introduced several steps to improve national fitness and overcome NCDs among the aging population. Exercise and sports play a vital role in promoting physical activity and helpful in accomplishing the national fitness level for Healthy China under the national fitness plan (NFP). OBJECTIVE The current study aimed to explore the role of national fitness plan (NFP) in promoting physical activity and health well-being preventing NCDs under built environment intervention. METHODS The study was exploratory, and the mixed-method approach was used to analyze the primary and secondary data. Quantitative content analysis was used to analyze the collected data. A purposive sampling technique was used to collect the primary data from those individuals rich in knowledge about the National Fitness Plan (NFP) of China and its role in promoting physical activity for physical fitness. RESULTS The majority of the participants (32.0%) said that the national fitness plan helps promote sports environment and health. About 28.0% reported that NFP helps promote cycling and walk environments for physical activity and health promotion and preventing non-communicable diseases (NCDs). CONCLUSION Participation in physical exercise and sports is the preferred approach to prevent different diseases. In the context of rising active living among the Chinese people, the facilities such as built environment and green parks under the national fitness plan (NFP) for sports play a crucial role in the mitigation of NCDs.
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Affiliation(s)
- Rashid Menhas
- Research Center of Sports Social Sciences, School of Physical Education and Sports, Soochow University, Suzhou, 215006, Jiangsu Province, People’s Republic of China
| | - Jianhui Dai
- School of Physical Education and Sports, Soochow University, Suzhou, 215006, Jiangsu Province, People’s Republic of China
| | - Muhammad Azeem Ashraf
- Research Institute of Educational Science, Hunan University, Changsha, 410082, People’s Republic of China
- Correspondence: Muhammad Azeem Ashraf Research Institute of Educational Science, Hunan University, Changsha, 410082, People’s Republic of China Email
| | - Sohail M Noman
- Department of Cell Biology and Genetics, Shantou University Medical College, Shantou, Guangdong, 515041, People’s Republic of China
| | - Sumaira Khurshid
- School of Education and Science, Neijiang Normal University, Neijiang, Sichuan Province, People’s Republic of China, 641112
| | - Sajid Mahmood
- Department of Zoology, Hazara University, Mansehra, 21120, Pakistan
| | - Yu Weng
- School of Physical Education and Sports, Soochow University, Suzhou, 215006, Jiangsu Province, People’s Republic of China
| | - Rizwan Ahmad Laar
- School of Sports Science and Physical Education, Nanjing Normal University, Nanjing, 210023, People’s Republic of China
| | - Xuehui Sang
- School of Physical Education and Sports, Soochow University, Suzhou, 215006, Jiangsu Province, People’s Republic of China
| | - Muhammad Kamran
- NRSP Microfinance Bank Shorkot City Branch, Shorkot, 35050, Punjab, Pakistan
| | - Babar Shahzad
- School of Energy, Soochow University, Suzhou, 215006, Jiangsu Province, People’s Republic of China
| | - Waseem Iqbal
- School of Energy, Soochow University, Suzhou, 215006, Jiangsu Province, People’s Republic of China
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