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Karimian R, Burton K, Naghizadeh MM, Karimian M, Sobhanipur M. Online exercise added to ergonomic advice for reducing habitual upper body postures: A randomized trial. Musculoskelet Sci Pract 2024; 72:102979. [PMID: 38805905 DOI: 10.1016/j.msksp.2024.102979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Revised: 04/19/2024] [Accepted: 05/21/2024] [Indexed: 05/30/2024]
Abstract
BACKGROUND Online learning during the COVID-19 pandemic is associated with unfavorable habitual upper body postures. OBJECTIVE This study explored whether adding a remedial exercise routine to an ergonomic advice intervention, delivered remotely, is helpful for reducing habitual postures of the neck, shoulders, and upper back. DESIGN Pragmatic randomized controlled trial. METHODS 42 male adolescent students, initially selected with a forward head posture, were randomized to one of two intervention groups: ergonomic advice alone or exercise + ergonomic advice. Outcome measures were specific postural angles of, measured by a photogrammetric profile technique using a bespoke app before and after the 8-week intervention period. RESULTS During online learning, most students used mobile phones (76%), while 35% used a table-chair-computer arrangement. At 8-week follow-up, a statistically significant reduction of forward head, shoulder protraction, and thoracic kyphosis angles was found in both groups (P < 0.001). However, the effect was significantly greater in the exercise + ergonomic advice group (P < 0.001): forward head, shoulder protraction, and thoracic kyphosis angles reduced by some 9, 6, and 5° respectively, compared with 4° for head and 2° for shoulder and thoracic angles for the ergonomic advice alone group. CONCLUSION The results show that, a remedial online exercise routine is a beneficial addition to an ergonomic advice program for improving unfavorable habitual upper body postures. The impact of this intervention may extend beyond postural issues related just to online learning at home.
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Affiliation(s)
- Razieh Karimian
- Department of Public Health, Fasa University of Medical Sciences, Fasa, Fars, Iran.
| | - Kim Burton
- Centre for Applied Research in Health, University of Huddersfield, Huddersfield, UK.
| | | | | | - Mostafa Sobhanipur
- Department of Public Health, Fasa University of Medical Sciences, Fasa, Fars, Iran.
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Zhao W, Vandelanotte C, Khalesi S, Alley SJ, Williams SL, Thwaite TL, Fenning AS, Stanton R, To QG. Depression, anxiety, stress, and physical activity of Australian adults during COVID-19: A combined longitudinal and repeated cross-sectional study. Front Psychol 2022; 13:962962. [PMID: 36275328 PMCID: PMC9581268 DOI: 10.3389/fpsyg.2022.962962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 09/16/2022] [Indexed: 11/13/2022] Open
Abstract
Background The COVID-19 pandemic has led to a worsening of mental health and health behaviors. While physical activity is positively associated mental health, there is limited understanding of how mental health and physical activity evolve throughout the COVID-19 pandemic. This study aimed to examine changes in depression, anxiety and stress and physical activity, and associations between depression, anxiety, and stress with physical activity in Australian adults across three-time points during the COVID-19 pandemic. Materials and methods This study collected both longitudinal and cross-sectional data at three-time points during the COVID-19 pandemic in Australia (i.e., April, July/August, and December 2020). Australians aged 18 years and over were invited to complete online surveys hosted on Qualtrics survey platform. Linear mixed models with random subject effect and general linear models were used to analyze the longitudinal and repeated cross-sectional data respectively. Results The number of participants in cross-sectional surveys and longitudinal surveys was 1,877 and 849, respectively. There was an overall reduction between time 2 vs. time 3 in depression (d = 1.03, 95% CI = 0.20, 1.85), anxiety (d = 0.57, 95% CI = 0.02, 1.12), and stress (d = 1.13, 95% CI = 0.21, 2.04) scores but no significant differences in physical activity across three-time points. On average, participants who met the physical activity guidelines had lower depression (d = −2.08, 95% CI = −2.90, −1.26), anxiety (d = −0.88, 95% CI = −1.41, −0.34), and stress (d = −1.35, 95% CI = −2.13, −0.56) scores compared to those not meeting the guidelines. Conclusion In the context of the ongoing COVID-19 pandemic, both governments and service providers should continue to provide the public with timely mental health support and promote the benefits of physical activity, as a cost-effective strategy to improve mental health and wellbeing.
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Affiliation(s)
- Wei Zhao
- Physical Activity Research Group, School for Health Medical and Applied Science, Appleton Institute, Central Queensland University, Rockhampton, QLD, Australia
| | - Corneel Vandelanotte
- Physical Activity Research Group, School for Health Medical and Applied Science, Appleton Institute, Central Queensland University, Rockhampton, QLD, Australia
| | - Saman Khalesi
- Physical Activity Research Group, School for Health Medical and Applied Science, Appleton Institute, Central Queensland University, Rockhampton, QLD, Australia
| | - Stephanie J. Alley
- Physical Activity Research Group, School for Health Medical and Applied Science, Appleton Institute, Central Queensland University, Rockhampton, QLD, Australia
| | - Sue L. Williams
- Physical Activity Research Group, School for Health Medical and Applied Science, Appleton Institute, Central Queensland University, Rockhampton, QLD, Australia
| | - Tanya L. Thwaite
- Physical Activity Research Group, School for Health Medical and Applied Science, Appleton Institute, Central Queensland University, Rockhampton, QLD, Australia
| | - Andrew S. Fenning
- Physical Activity Research Group, School for Health Medical and Applied Science, Appleton Institute, Central Queensland University, Rockhampton, QLD, Australia
| | - Robert Stanton
- Cluster for Resilience and Wellbeing, School for Health Medical and Applied Science, Appleton Institute, Central Queensland University, Rockhampton, QLD, Australia
| | - Quyen G. To
- Physical Activity Research Group, School for Health Medical and Applied Science, Appleton Institute, Central Queensland University, Rockhampton, QLD, Australia
- *Correspondence: Quyen G. To,
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Wernhart S, Weihe E, Rassaf T. Reduced physical activity and weight gain are associated with an increase of depressive symptoms during the COVID-19 pandemic. A general practitioners' prospective observational study. JRSM Cardiovasc Dis 2021; 10:20480040211047742. [PMID: 34631041 PMCID: PMC8495516 DOI: 10.1177/20480040211047742] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Accepted: 09/02/2021] [Indexed: 01/09/2023] Open
Abstract
Objectives We aimed to assess associations between depressive symptoms, lifestyle, and
somatic symptoms during the COVID-19 pandemic. Design A prospective, observational study using a self-designed questionnaire. Setting Three general practitioners’ (GP) offices in rural Germany. Participants 271 adult patients without manifest cardiovascular or pulmonary disease with
(n = 82) and without (n = 189) hypertension reporting to our GP offices. Main outcome measures The reported increase of depressive symptoms (loneliness, sleeplessness,
joylessness, listlessness) prior to the first documented case in Germany on
27.01.2020 (t0) as opposed to patients’ health perception during
the Corona pandemic (t1) was the primary outcome measure. The
secondary outcome measures were changes in physical activity (PA), dyspnea
and angina in the two groups. Results Out of 271 patients (50.8 ± 16.8 years, 55.1% females), 1.5% were tested
positive for COVID-19. Overall, listlessness (8.5%, p = 0.001),
sleeplessness (5.2%, p = 0.001) and joylessness (4.2%, p = 0.003) were
increased. Dyspnea significantly increased (9.2%, p < 0.001) and
employment status worsened (6.5%, p < 0.001). There were significant
associations between the increase of depressive symptoms, weight increase
(p = 0.017), and reduction in physical activity (p = 0.046). However, after
adjusting for age, hypertensive patients did not show more depressive
symptoms (p = 0.704), dyspnea (p = 0.063) or angina (p = 0.432), nor was
there any difference in PA (p = 0.906) compared to healthy individuals. Conclusions We demonstrate an association between the deterioration of depressive
symptoms, weight gain, and reduced physical activity during COVID-19, both
in hypertensives and healthy controls. Hypertension is no driver of symptom
deterioration during the pandemic. The trial was registered in the German
Clinical Trials Registry (DRKS00022157).
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Affiliation(s)
- Simon Wernhart
- Sauerlandpraxis, Medebach, Germany
- Department of Cardiology and Vascular Medicine, University Hospital Essen, University Duisburg-Essen, West German Heart- and Vascular
Center, Essen, Germany
- Simon Wernhart, Department of Cardiology
and Vascular Medicine, University Hospital Essen, University Duisburg-Essen,
West German Heart- and Vascular Center, Hufelandstrasse 55 45122 Essen, Germany.
| | - Eberhard Weihe
- Institute of Anatomy and Cell Biology of
the Philipps-University Marburg, Marburg, Germany
| | - Tienush Rassaf
- Department of Cardiology and Vascular Medicine, University Hospital Essen, University Duisburg-Essen, West German Heart- and Vascular
Center, Essen, Germany
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The Impact of the COVID-19 Pandemic on Students' Body Posture During Online Learning Should not be Overlooked. IRANIAN JOURNAL OF PEDIATRICS 2021. [DOI: 10.5812/ijp.118197] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Cross TJ, Isautier JMJ, Morris SJ, Johnson BD, Wheatley-Guy CM, Taylor BJ. The Influence of Social Distancing Behaviors and Psychosocial Factors on Physical Activity During the COVID-19 Pandemic: Cross-sectional Survey Study. JMIR Public Health Surveill 2021; 7:e31278. [PMID: 34509976 PMCID: PMC8477911 DOI: 10.2196/31278] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 08/16/2021] [Accepted: 08/16/2021] [Indexed: 12/26/2022] Open
Abstract
Background The COVID-19 pandemic has arguably facilitated a shift toward increased sedentariness and reduced physical activity. Moreover, there is mounting evidence that mental health has also declined during the pandemic. However, it remains unknown to what extent social distancing (SD) behaviors and mental health have affected the physical activity levels of the general population. Objective The purpose of this study was to determine the influence of SD behaviors and prevailing mental health on the odds of being physically active during the early COVID-19 pandemic response. Methods A total of 4819 adults (2474/4819, 51.3%, female) from the US population with a median age of 46 (IQR 35-59) completed an online survey during the early pandemic response (April-June 2020). The survey included questions on adherence to 11 SD behaviors, and validated questionnaires which assessed self-reported physical activity, depression, anxiety, and mental well-being. Respondents were categorized into 2 physical activity groups: inactive (0-599 metabolic equivalent of task [MET]-minutes/week) and active (≥600 MET-minutes/week). A logistic generalized additive model (GAM) was used to determine which SD factors and mental health outcomes were associated with physical activity level. Results The GAM analysis revealed that wearing a facemask in public (odds ratio [OR] 1.46, 95% CI 1.14-1.79; P=.003), limiting the use of public transport (OR 1.47, 95% CI 1.19-1.83; P=.001), and restricting travel outside the house (OR 1.56, 95% CI 1.19-2.05; P=.002) were SD behaviors associated with higher odds of being more physically active. Conversely, avoiding physical activity outside the house was associated with higher odds of being inactive (OR 0.52, 95% CI 0.46-0.63; P<.001). Leaving the house more frequently, and a higher mental well-being were associated with increasing odds of being physically active (P<.001). Engaging with a moderate number of SD behaviors (3-7 total) was positively associated with physical activity, whereas a very high SD vigilance (ie, engaging with ≥10 total behaviors) decreased the odds of being active during the early pandemic response. Conclusions Based on the findings of our study, we suggest that future public health messaging of SD guidelines should include (1) a clear portrayal of the benefits of regular exercise on mental health; and (2) a specific focus on how to be physically active outdoors in a COVID-safe manner.
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Affiliation(s)
- Troy J Cross
- Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia.,Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, United States
| | - Jennifer M J Isautier
- Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia.,Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, United States
| | - Sarah J Morris
- Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia
| | - Bruce D Johnson
- Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, United States
| | | | - Bryan J Taylor
- Department of Cardiovascular Diseases, Mayo Clinic, Jacksonville, FL, United States
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Vancini RL, Andrade MS, Viana RB, Nikolaidis PT, Knechtle B, Campanharo CRV, de Almeida AA, Gentil P, de Lira CAB. Physical exercise and COVID-19 pandemic in PubMed: Two months of dynamics and one year of original scientific production. SPORTS MEDICINE AND HEALTH SCIENCE 2021; 3:80-92. [PMID: 34189482 PMCID: PMC8105136 DOI: 10.1016/j.smhs.2021.04.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 04/18/2021] [Accepted: 04/19/2021] [Indexed: 01/08/2023] Open
Abstract
Our aim was to conduct a narrative review about physical exercise and Corona Virus Disease 2019 (COVID-19). A literature search was completed crossing the keywords “COVID-19” and “physical exercise”, for a narrative review, and physical activity (PA), physical exercise, physical training, sport, physical fitness, for a systematic review; search strategy (Randomized Controlled Trial, in the last 1 year, English). The first search date was closed on 04/26/2020 and 06/26/2020. This strategy was chosen to assess the dynamics of scientific information production for the pandemic. In two months, an increase of 76%, from 12 (19.4%) to 50 (80.64%) COVID-19 articles (n = 62, 100%) was found. The main types of articles published were editorial articles (16.13%, n = 10 of 62 articles) and commentary (9.68%, n = 6 of 62 articles). The most frequent country of origin of the scientific production was the United States (12.90%, n = 8 of 62 articles), the United Kingdom (12.90%, n = 8 of 62 articles), and Brazil (11.29%, n = 7 of 62 articles). However, in 2020, there were only 2 relevant randomized controlled trials on the COVID-19 topic in the context of physical exercise. Scientific information production shows the concern of the PA science community to bring a solution to the increase in physical inactivity generated by the COVID-19 pandemic. Our findings show the dynamics of scientific production on the COVID-19, in a situation so unique such as a pandemic, denotes that the practice of PA is essential to improve and/or maintain physical and mental health.
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Affiliation(s)
- Rodrigo L Vancini
- Centro de Educação Física e Desportos (CEFD), Universidade Federal do Espírito Santo (UFES), Espírito Santo (ES), Brazil
| | - Marília S Andrade
- Departamento de Fisiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil
| | - Ricardo B Viana
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO), Brazil
| | | | - Beat Knechtle
- Medbase St. Gallen Am Vadianplatz, St. Gallen and Institute of Primary Care, University of Zurich, Zurich, Switzerland
| | | | - Alexandre A de Almeida
- Instituto Federal de Educação, Ciência e Tecnologia do Tocantins (IFTO Araguatins), Campus Araguatins. Povoado Santa Tereza, Km 05 S/N Zona Rural, Araguatins, Tocantins (TO), Brazil
| | - Paulo Gentil
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO), Brazil
| | - Claudio A B de Lira
- Setor de Fisiologia Humana e do Exercício, Faculdade de Educação Física e Dança, Universidade Federal de Goiás (UFG), Goiânia, Goiás (GO), Brazil
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Joshi M, Gupta L. Preparing Infographics for Post-publication Promotion of Research on Social Media. J Korean Med Sci 2021; 36:e41. [PMID: 33527783 PMCID: PMC7850859 DOI: 10.3346/jkms.2021.36.e41] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Accepted: 01/08/2021] [Indexed: 12/13/2022] Open
Abstract
Infographics are pictorial representations of information intended to disseminate information quickly and clearly. Their use has increased in the past decade due to wider and easy access to technology. Infographics are being increasingly used for public advisories, disseminating protocols for healthcare professionals, and post-publication promotion of research. Due to their potential to rapidly reach a vast audience, these have gained larger importance during the coronavirus disease 2019 pandemic. Two key aspects determine the quality of infographics, content and visual appeal. In this brief, the authors attempt to delineate the key aspects of designing an infographic, and the freeware that they may have at their disposal for creating informative, appealing, and useful infographics.
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Affiliation(s)
- Mrudula Joshi
- Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospitals, Pune, India
| | - Latika Gupta
- Department Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
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