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Genç N, Taştan Z, Demirli A, Yılmaz G, Güvendi B, Baikoğlu SB, Güllü S, Akkaya CC. The Effect of Applied Dance Therapy on Life Satisfaction and Fear of Happiness Among Turkish Board High School Students. Healthcare (Basel) 2025; 13:392. [PMID: 39997267 PMCID: PMC11855023 DOI: 10.3390/healthcare13040392] [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: 11/16/2024] [Revised: 01/24/2025] [Accepted: 01/27/2025] [Indexed: 02/26/2025] Open
Abstract
BACKGROUND/OBJECTIVES In this study, we aimed to examine the effect of a 12-week dance (Zumba) performance on the fear of happiness and life satisfaction perceptions of high school students studying at boarding school. METHODS The sample group of this study consisted of high school students staying in the school dormitory in the 2022-2023 academic year. A total of 82 students between the ages of 15 and 17, selected by the convenience sampling method, participated in the study, and 41 of the students were selected as the experimental group and 41 as the control group. The Fear of Happiness Scale and Satisfaction with Life Scale were used in the study. The measurement tools were administered as a pre-test one week before the dance program started and as a post-test one week after the end of the program. Two-way ANOVA for mixed measures was applied to determine whether the fear of happiness and life satisfaction pre-test scores were statistically significantly different between the experimental and control groups and to compare the pre-test and post-test difference scores. RESULTS As a result of the research, it was concluded that the fear of happiness of the students who participated in the dance activity decreased, and their life satisfaction levels increased. These findings emphasize that dance can be an important resource that can increase the psychological well-being of young people. CONCLUSIONS As a result, it can be said that the 12-week dance activity positively affected students' fear of happiness and life satisfaction perceptions.
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Affiliation(s)
- Neşe Genç
- Ministry of National Education, Ziyapaşa Middle School, Adana 01140, Turkey
| | - Zarife Taştan
- Faculty of Sport Sciences, Istanbul University Cerrahpaşa, Istanbul 34320, Turkey; (Z.T.); (S.B.B.); (S.G.)
| | - Abdullah Demirli
- Faculty of Sport Sciences, Istanbul University Cerrahpaşa, Istanbul 34320, Turkey; (Z.T.); (S.B.B.); (S.G.)
| | - Gülsüm Yılmaz
- Faculty of Sport Sciences, İstanbul Topkapı University, Istanbul 34330, Turkey;
| | - Burcu Güvendi
- Faculty of Sport Sciences, Yalova University, Istanbul 77200, Turkey;
| | - Selin Biçer Baikoğlu
- Faculty of Sport Sciences, Istanbul University Cerrahpaşa, Istanbul 34320, Turkey; (Z.T.); (S.B.B.); (S.G.)
| | - Sevim Güllü
- Faculty of Sport Sciences, Istanbul University Cerrahpaşa, Istanbul 34320, Turkey; (Z.T.); (S.B.B.); (S.G.)
| | - Cemre Can Akkaya
- Faculty of Sport Sciences, Istanbul University Cerrahpaşa, Istanbul 34320, Turkey; (Z.T.); (S.B.B.); (S.G.)
- Faculty of Sport Sciences, Istanbul Yeni Yüzyıl University, Istanbul 34010, Turkey
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Badau D, Badau A. Identifying the benefits of recovery programs of aquatic gymnastics, aquatic ludotherapy and therapeutic swimming on human motor, kinetotherapeutic and mental capacity. Heliyon 2024; 10:e38690. [PMID: 39397926 PMCID: PMC11471154 DOI: 10.1016/j.heliyon.2024.e38690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2024] [Revised: 09/17/2024] [Accepted: 09/27/2024] [Indexed: 10/15/2024] Open
Abstract
Introduction This study aimed to evaluate the motor, kinetotherapeutic, and psychological benefits of three aquatic therapeutic programs-aquagym recovery (AG), aquatic ludotherapy (ALT), and therapeutic swimming (TS)-for students specializing in balneo-physio-kinetotherapy. Methods The study group consisted of 101 students, out of which 43 students from the balneo-physiokinetotherapy study program (BFKT) and 67 master's degree students from physical therapy and functional rehabilitation (PTFR). The questionnaire was named Questionnaire regarding the benefits of therapeutic aquatic programs (QBTAP), and included 3 subscales according to the typology of the targeted objectives, namely: motor, kinetotherapeutic and psychological. The items of each subscale correspond to the objectives identified in the content of the 3 aquatic programs stipulated in the content of the courses corresponding to the disciplines in the education plans of academic study programs (BFK, TRFR). The motor subscale included 8 items, the kinetotherapeutic subscale included 16 items, and the psychological subscale included 10 items. The evaluation of the QBTAP questionnaire 5-point Likert scale. The three evaluated programs were: recovery aquagym (AG), aquatic ludotherapy (ALT) and therapeutic swimming (TS). Results The results and conclusion sections should highlight the main findings succinctly. For example: "The QBTAP showed high internal consistency (Cronbach's Alpha >0.9) across all subscales and programs, with significant differences identified between the three programs (p < 0.05). Conclusion The study concludes that aquagym most effectively improves motor capacity, aquatic ludotherapy enhances psychological function, and therapeutic swimming is most beneficial for recovery and rehabilitation.
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Affiliation(s)
- Dana Badau
- Faculty of Physical Education and Mountain Sports, Transilvania University of Brasov, Brasov, Romania
| | - Adela Badau
- Faculty of Physical Education and Mountain Sports, Transilvania University of Brasov, Brasov, Romania
- Department SL2- Physical Education, “G.E. Palade” University of Medicine, Pharmacy, Sciences and Technology, Targu Mures, Romania
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Oliveira TP, Espada MC, Massini DA, Robalo RAM, Almeida TAF, Hernández-Beltrán V, Gamonales JM, Castro EA, Pessôa Filho DM. Effects of Exercise and Sports Intervention and the Involvement Level on the Mineral Health of Different Bone Sites in the Leg, Hip, and Spine: A Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6537. [PMID: 37569078 PMCID: PMC10419061 DOI: 10.3390/ijerph20156537] [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: 05/31/2023] [Revised: 07/11/2023] [Accepted: 07/14/2023] [Indexed: 08/13/2023]
Abstract
The current study analysed whether the osteogenic stimuli of exercises and sports have an independent effect on bone mineral density (BMD). Studies with a design having two different cohorts were searched and selected to distinguish the effect due to long-term involvement (i.e., athletes vs. non-active young with good bone health) and due to the planning of intervention (i.e., pre- vs. post-training) with exercises and sports. Moreover, only studies investigating the bone sites with a body-weight support function (i.e., lower limb, hip, and spine regions) were reviewed, since the osteogenic effects have incongruous results. A meta-analysis was performed following the recommendations of PRISMA. Heterogeneity (I2) was determined by combining Cochran's Q test with the Higgins test, with a significance level of α = 0.05. The studies reporting the effect of involvement in exercise and sports showed high heterogeneity for the lower limb, total hip, and spine (I2 = 90.200%, 93.334%, and 95.168%, respectively, with p < 0.01) and the effect size on sports modalities (Hedge's g = 1.529, 1.652, and 0.417, respectively, with p < 0.05) ranging from moderate to high. In turn, the studies reporting the effect of the intervention planning showed that there was no heterogeneity for the lower limb (I2 = 0.000%, p = 0.999) and spine (I2 = 77.863%, p = 0.000); however, for the hip, it was moderate (I2 = 49.432%, p = 0.054), with a low effect between the pre- and post-training moments presented only for the hip and spine (Hedge's g = 0.313 and 0.353, respectively, with p < 0.05). The current analysis supported the effect of involvement in exercise and sports by evidencing the effect of either weight-bearing or non-weight-bearing movements on BMD at the femoral, pelvic, and lumbar bones sites of the athletes when comparing to non-athletes or non-active peers with healthy bones. Moreover, the effect of different exercise and sports interventions highlighted the alterations in the BMD in the spine bone sites, mainly with long-term protocols (~12 months) planned with a stimulus with high muscle tension. Therefore, exercise and sport (mainly systematic long-term practice) have the potential to increase the BMD of bones with body-weight support beyond the healthy values reached during life phases of youth and adulthood.
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Affiliation(s)
- Thiago P. Oliveira
- Graduate Programme in Human Development and Technology, São Paulo State University (UNESP), Rio Claro 13506-900, Brazil; (T.P.O.); (D.A.M.); (T.A.F.A.); (E.A.C.)
| | - Mário C. Espada
- Instituto Politécnico de Setúbal, Escola Superior de Educação, 2914-504 Setúbal, Portugal; (M.C.E.); (R.A.M.R.)
- Life Quality Research Centre (LQRC-CIEQV, Leiria), Complexo Andaluz, Apartado, 2040-413 Rio Maior, Portugal
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Lisboa, Portugal
| | - Danilo A. Massini
- Graduate Programme in Human Development and Technology, São Paulo State University (UNESP), Rio Claro 13506-900, Brazil; (T.P.O.); (D.A.M.); (T.A.F.A.); (E.A.C.)
- Department of Physical Education, School of Sciences (FC), São Paulo State University (UNESP), Bauru 17033-360, Brazil
| | - Ricardo A. M. Robalo
- Instituto Politécnico de Setúbal, Escola Superior de Educação, 2914-504 Setúbal, Portugal; (M.C.E.); (R.A.M.R.)
- Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Lisboa, Portugal
| | - Tiago A. F. Almeida
- Graduate Programme in Human Development and Technology, São Paulo State University (UNESP), Rio Claro 13506-900, Brazil; (T.P.O.); (D.A.M.); (T.A.F.A.); (E.A.C.)
- Department of Physical Education, School of Sciences (FC), São Paulo State University (UNESP), Bauru 17033-360, Brazil
| | - Víctor Hernández-Beltrán
- Research Group in Optimization of Training and Performance Sports, Faculty of Sport Science, University of Extremadura, 10005 Cáceres, Spain; (V.H.-B.); (J.M.G.)
| | - José M. Gamonales
- Research Group in Optimization of Training and Performance Sports, Faculty of Sport Science, University of Extremadura, 10005 Cáceres, Spain; (V.H.-B.); (J.M.G.)
- Faculty of Health Sciences, University of Francisco de Vitoria, 28223 Madrid, Spain
| | - Eliane A. Castro
- Graduate Programme in Human Development and Technology, São Paulo State University (UNESP), Rio Claro 13506-900, Brazil; (T.P.O.); (D.A.M.); (T.A.F.A.); (E.A.C.)
- LFE Research Group, Universidad Politécnica de Madrid (UPM), 28040 Madrid, Spain
| | - Dalton M. Pessôa Filho
- Graduate Programme in Human Development and Technology, São Paulo State University (UNESP), Rio Claro 13506-900, Brazil; (T.P.O.); (D.A.M.); (T.A.F.A.); (E.A.C.)
- Department of Physical Education, School of Sciences (FC), São Paulo State University (UNESP), Bauru 17033-360, Brazil
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CONDURECHE I, CONFEDERAT L, ROTARIU M, TURNEA M. Improving functional and motor capacity through means/resources and methods specific to acvatic activities. BALNEO AND PRM RESEARCH JOURNAL 2021. [DOI: 10.12680/balneo.2021.456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Introduction. Exercise programs in the aquatic environment have as their main objective the improvement and maintenance of physical capacity/ capability, these being in continuous development and diversification. Water exercise amplifies the effects of general physical exercise, by allowing a more precise control over the movement of each body segment and of the body as a whole. The aquatic environment offers a number of beneficial effects compared to ones offered by the terrestrial environment. The benefits obtained through the aquatic activities are fundamental and are reflected throughout the entire body including both motor, functional and aesthetic level.
Material and method. The objective of this study is represented by the identification of new forms of physical exercise that will increase the motor’s capacity. In order to achieve this goal, several methodological requirements were met, such as: successive engagement of the joints and muscle groups in effort (starting with the neck’s muscles, shoulders, arms, torso and legs, simultaneously with scapular-humeral joints, spine and coxo-femoral joints and legs), the gradually usage of exercises, starting with the most basic and then increasing the complexity of the exercises, the usage of the accessible exercises in the beginning of the training, executed with high amplitude and reduced speed, focusing on the correctness of the execution, the selection and the adequate/ appropriately usage of the initial positions according to the subject’s particularities and the shape/form of the exercise, the optimal control of the effort, achieved through a number of iterations, optimal execution time and breaks, the sets of general physical exercises will consist of sets of 8-12 exercises/reps, the principle of symmetry in the execution of the exercises has to be respected, the continuity of practicing a set of exercises for 6 to 8 consecutive lessons, the recommended work method is fragmented-imitative, efficiently combining the explication with the demonstration, the number of repetitions and the movement’s correction.
Results and discussions. Analyzing results obtained after the evaluation, we have noticed significant growth in the functional and motor capacities.
Conclusions. The systematization of water activities on objective criteria effectively contributes to their knowledge, while allowing them to be included in the spectrum of recreational, sporting, relaxing or therapeutic activities.
Keywords: acvatic activities, physical exercise, evaluations,
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Affiliation(s)
- Iustina CONDURECHE
- Faculty of Medical Bioengineering, “University of Medicine and Pharmacy Grigore T Popa”, Iasi, Romania
| | - Luminița CONFEDERAT
- Faculty of Medicine“University of Medicine and Pharmacy Grigore T Popa”, Iasi, Romania
| | - Mariana ROTARIU
- Faculty of Medical Bioengineering, “University of Medicine and Pharmacy Grigore T Popa”, Iasi, Romania
| | - Marius TURNEA
- Faculty of Medical Bioengineering, “University of Medicine and Pharmacy Grigore T Popa”, Iasi, Romania
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CONDURACHE I, TURNEA M, ROTARIU M. Improving functional and motor capacity through means/resources and methods specific to acvatic activities. BALNEO AND PRM RESEARCH JOURNAL 2021. [DOI: 10.12680/balneo.2021.414] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Introduction. Exercise programs in the aquatic environment have as their main objective the improvement and maintenance of physical capacity/ capability, these being in continuous development and diversification. Water exercise amplifies the effects of general physical exercise, by allowing a more precise control over the movement of each body segment and of the body as a whole. The aquatic environment offers a number of beneficial effects compared to ones offered by the terrestrial environment. The benefits obtained through the aquatic activities are fundamental and are reflected throughout the entire body including both motor, functional and aesthetic level. Material and method. The objective of this study is represented by the identification of new forms of physical exercise that will increase the effort’s capacity. In order to achieve this goal, several methodological requirements were met, such as: successive engagement of the joints and muscle groups in effort (starting with the neck’s muscles, shoulders, arms, torso and legs, simultaneously with scapular-humeral joints, spine and coxo-femoral joints and legs), the gradually usage of exercises, starting with the most basic and then increasing the complexity of the exercises, the usage of the accessible exercises in the beginning of the training, executed with high amplitude and reduced speed, focusing on the correctness of the execution, the selection and the adequate/ appropriately usage of the initial positions according to the subject’s particularities and the shape/form of the exercise, the optimal control of the effort, achieved through a number of iterations, optimal execution time and breaks, the sets of general physical exercises will consist of sets of 8-12 exercises/reps, the principle of symmetry in the execution of the exercises has to be respected, the continuity of practicing a set of exercises for 6 to 8 consecutive lessons, the recommended work method is fragmented-imitative, efficiently combining the explication with the demonstration, the number of repetitions and the movement’s correction. Results and discussions. Analyzing results obtained after the evaluation, we have noticed significant growth in the functional and motor capacities. Conclusions. The systematization of water activities on objective criteria effectively contributes to their knowledge, while allowing them to be included in the spectrum of recreational, sporting, relaxing or therapeutic activities.
Keywords: acvatic activities, physical exercise, evaluations,
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Affiliation(s)
- Iustina CONDURACHE
- Faculty of Medical Bioengineering, “University of Medicine and Pharmacy Grigore T Popa”, Iassy, Romania
| | - Marius TURNEA
- Faculty of Medical Bioengineering, “University of Medicine and Pharmacy Grigore T Popa”, Iassy, Romania
| | - Mariana ROTARIU
- Faculty of Medical Bioengineering, “University of Medicine and Pharmacy Grigore T Popa”, Iassy, Romania
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Gil-Cosano JJ, Ubago-Guisado E, Sánchez MJ, Ortega-Acosta MJ, Mateos ME, Benito-Bernal AI, Llorente-Cantarero FJ, Ortega FB, Ruiz JR, Labayen I, Martinez-Vizcaino V, Vlachopoulos D, Arroyo-Morales M, Muñoz-Torres M, Pascual-Gázquez JF, Vicho-González MC, Gracia-Marco L. The effect of an online exercise programme on bone health in paediatric cancer survivors (iBoneFIT): study protocol of a multi-centre randomized controlled trial. BMC Public Health 2020; 20:1520. [PMID: 33032564 PMCID: PMC7545891 DOI: 10.1186/s12889-020-09607-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Accepted: 09/14/2020] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND New approaches on paediatric cancer treatment aim to maintain long-term health. As a result of radiotherapy, chemotherapy or surgery, paediatric cancer survivors tend to suffer from any chronic health condition. Endocrine dysfunction represents one of the most common issues and affects bone health. Exercise is key for bone mass accrual during growth, specifically plyometric jump training. The iBoneFIT study will investigate the effect of a 9-month online exercise programme on bone health in paediatric cancer survivors. This study will also examine the effect of the intervention on body composition, physical fitness, physical activity, calcium intake, vitamin D, blood samples quality of life and mental health. METHODS A minimum of 116 participants aged 6 to 18 years will be randomized into an intervention (n = 58) or control group (n = 58). The intervention group will receive an online exercise programme and diet counselling on calcium and vitamin D. In addition, five behaviour change techniques and a gamification design will be implemented in order to increase the interest of this non-game programme. The control group will only receive diet counselling. Participants will be assessed on 3 occasions: 1) at baseline; 2) after the 9 months of the intervention; 3) 4 months following the intervention. The primary outcome will be determined by dual energy X-ray absorptiometry (DXA) and the hip structural analysis, trabecular bone score and 3D-DXA softwares. Secondary outcomes will include anthropometry, body composition, physical fitness, physical activity, calcium and vitamin D intake, blood samples, quality of life and mental health. DISCUSSION Whether a simple, feasible and short in duration exercise programme can improve bone health has not been examined in paediatric cancer survivors. This article describes the design, rationale and methods of a study intended to test the effect of a rigorous online exercise programme on bone health in paediatric cancer survivors. If successful, the iBoneFIT study will contribute to decrease chronic health conditions in this population and will have a positive impact in the society. TRIAL REGISTRATION Prospectively registered in isrctn.com: isrctn61195625 . Registered 2 April 2020.
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Affiliation(s)
- Jose J Gil-Cosano
- PROFITH "PROmoting FITness and Health through Physical Activity" Research Group, Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18071, Granada, Spain
| | - Esther Ubago-Guisado
- PROFITH "PROmoting FITness and Health through Physical Activity" Research Group, Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18071, Granada, Spain
| | - Maria J Sánchez
- Andalusian School of Health (EASP), Granada, Spain
- Instituto de Investigación Biosanitaria Ibs.GRANADA, Granada, Spain
- CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain
| | - Maria J Ortega-Acosta
- Servicio de Pediatría y Oncohematología Pediátricas, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - Maria E Mateos
- Pediatric Oncology Unit, Department of Pediatrics, Reina Sofia University Hospital, Córdoba, Spain
- Maimonides Institute for Research in Biomedicine of Cordoba (IMIBIC), Córdoba, Spain
| | | | - Francisco J Llorente-Cantarero
- Maimonides Institute for Research in Biomedicine of Cordoba (IMIBIC), Córdoba, Spain
- CIBEROBN, (Physiopathology of Obesity and Nutrition) Institute of Health Carlos III (ISCIII), 28029, Madrid, Spain
- Department of Specific Didactics, Faculty of Education, University of Córdoba, 14071, Córdoba, Spain
| | - Francisco B Ortega
- PROFITH "PROmoting FITness and Health through Physical Activity" Research Group, Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18071, Granada, Spain
| | - Jonatan R Ruiz
- PROFITH "PROmoting FITness and Health through Physical Activity" Research Group, Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18071, Granada, Spain
| | - Idoia Labayen
- Institute for Innovation and Sustainable Development in Food Chain (IS-FOOD), Navarra's Health Research Institute (IdiSNA), Department of Health Sciences, Public University of Navarra, Calle Tajonar 22, 31006, Pamplona, Navarra, Spain
| | - Vicente Martinez-Vizcaino
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
- Faculty of Health Sciences, Universidad Autónoma de Chile, Talca, Chile
| | - Dimitris Vlachopoulos
- Children's Health and Exercise Research Centre, Sport and Health Sciences, University of Exeter, Exeter, UK
| | - Manuel Arroyo-Morales
- Biohealth Research Institute in Granada (ibs.GRANADA), E-18012, Granada, Spain
- Department of Physiotherapy, University of Granada, E-18016, Granada, Spain
- "Cuídate" Support Unit for Oncology Patients (UAPO), Sport and Health University Research Institute (iMUDS), E-18016, Granada, Spain
| | - Manuel Muñoz-Torres
- Bone Metabolic Unit, Endocrinology and Nutrition Division, Hospital Universitario San Cecilio, Instituto de Investigación Biosanitaria de Granada (Ibs.GRANADA), Granada, Spain
- CIBERFES, Instituto de Salud Carlos III, Madrid, Spain
- Department of Medicine, Universidad de Granada, Granada, Spain
| | - Juan F Pascual-Gázquez
- Servicio de Pediatría y Oncohematología Pediátricas, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - Maria C Vicho-González
- Pediatric Oncology Unit, Department of Pediatrics, Reina Sofia University Hospital, Córdoba, Spain
| | - Luis Gracia-Marco
- PROFITH "PROmoting FITness and Health through Physical Activity" Research Group, Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18071, Granada, Spain.
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Bae S, Kim H, Jung TY, Lim JA, Jo DH, Kang GS, Jeong SH, Choi DK, Kim HJ, Cheon YH, Chun MK, Kim M, Choi S, Chun C, Shin SH, Kim HK, Park YJ, Park O, Kwon HJ. Epidemiological Characteristics of COVID-19 Outbreak at Fitness Centers in Cheonan, Korea. J Korean Med Sci 2020; 35:e288. [PMID: 32776726 PMCID: PMC7416003 DOI: 10.3346/jkms.2020.35.e288] [Citation(s) in RCA: 46] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Accepted: 07/31/2020] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND In February 2020, a coronavirus disease 2019 (COVID-19) outbreak was reported in fitness centers in Cheonan, Korea. METHODS From February 24 to March 13, an epidemiological investigation was conducted on the fitness center outbreak. All those who were screened were tested for severe acute respiratory syndrome coronavirus-2 (SARS CoV-2) using real-time reverse transcriptase polymerase chain reaction. Contacts were traced and self-isolated for 14 days. We determined the epidemiological characteristics of confirmed cases of SARS-CoV-2 infection, and estimated the time-dependent reproduction number to assess the transmission dynamics of the infection. RESULTS A total of 116 cases were confirmed, and 1,687 contacts were traced. The source cases were 8 Zumba instructors who led aerobics classes in 10 fitness centers, and had the largest average number of contacts. A total of 57 Zumba class participants, 37 of their family members, and 14 other contacts were confirmed as cases. The attack rate was 7.3%. The contacts at Zumba classes and homes had a higher attack rate than other contacts. The mean serial interval (± standard deviation) were estimated to be 5.2 (± 3.8) days. The time-dependent reproduction number was estimated to be 6.1 at the beginning of the outbreak, but it dropped to less than 1, 2 days after the epidemiological investigation was launched. CONCLUSION The results suggest that the COVID-19 outbreak was effectively contained with rigorous contact tracing, isolating, and testing in combination with social distancing without a lock-down.
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Affiliation(s)
- Sanghyuk Bae
- Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Hwami Kim
- Epidemiology & Case Management Team, COVID-19 National Emergency Response Center, Korea Centers for Disease Control and Prevention, Cheongju, Korea
| | - Tae Young Jung
- Chungnam Center for Infectious Diseases Control and Prevention, Hongseong, Korea
| | - Ji Ae Lim
- Chungnam Center for Infectious Diseases Control and Prevention, Hongseong, Korea
| | - Da Hye Jo
- Chungnam Center for Infectious Diseases Control and Prevention, Hongseong, Korea
| | - Gi Seok Kang
- Chungnam Center for Infectious Diseases Control and Prevention, Hongseong, Korea
| | - Seung Hee Jeong
- Chungnam Center for Infectious Diseases Control and Prevention, Hongseong, Korea
| | - Dong Kwon Choi
- Chungnam Center for Infectious Diseases Control and Prevention, Hongseong, Korea
| | - Hye Jin Kim
- Chungnam Center for Infectious Diseases Control and Prevention, Hongseong, Korea
| | - Young Hee Cheon
- Chungnam Center for Infectious Diseases Control and Prevention, Hongseong, Korea
| | | | - Miyoung Kim
- Epidemiology & Case Management Team, COVID-19 National Emergency Response Center, Korea Centers for Disease Control and Prevention, Cheongju, Korea
| | - Siwon Choi
- Epidemiology & Case Management Team, COVID-19 National Emergency Response Center, Korea Centers for Disease Control and Prevention, Cheongju, Korea
| | - Chaemin Chun
- Epidemiology & Case Management Team, COVID-19 National Emergency Response Center, Korea Centers for Disease Control and Prevention, Cheongju, Korea
| | - Seung Hwan Shin
- Epidemiology & Case Management Team, COVID-19 National Emergency Response Center, Korea Centers for Disease Control and Prevention, Cheongju, Korea
| | - Hee Kyoung Kim
- Epidemiology & Case Management Team, COVID-19 National Emergency Response Center, Korea Centers for Disease Control and Prevention, Cheongju, Korea
| | - Young Joon Park
- Epidemiology & Case Management Team, COVID-19 National Emergency Response Center, Korea Centers for Disease Control and Prevention, Cheongju, Korea
| | - Ok Park
- Epidemiology & Case Management Team, COVID-19 National Emergency Response Center, Korea Centers for Disease Control and Prevention, Cheongju, Korea.
| | - Ho Jang Kwon
- Chungnam Center for Infectious Diseases Control and Prevention, Hongseong, Korea
- Department of Preventive Medicine, College of Medicine, Dankook University, Cheonan, Korea.
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