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Tripette J, Gando Y, Murakami H, Kawakami R, Tanisawa K, Ohno H, Konishi K, Tanimoto M, Tanaka N, Kawano H, Yamamoto K, Morishita A, Iemitsu M, Sanada K, Miyatake N, Miyachi M. Effect of a 1-year intervention comprising brief counselling sessions and low-dose physical activity recommendations in Japanese adults, and retention of the effect at 2 years: a randomized trial. BMC Sports Sci Med Rehabil 2021; 13:133. [PMID: 34696811 PMCID: PMC8543897 DOI: 10.1186/s13102-021-00360-7] [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: 06/16/2021] [Accepted: 10/11/2021] [Indexed: 11/25/2022]
Abstract
Background In an effort to increase people’s adherence to active lifestyles, contemporary physical activity (PA) guidelines now include low-dose PA. Methods PA was evaluated in 583 participants of the Nutritional and Physical Activity Intervention Study (NEXIS) cohort (30–65 years old); 349 inactive participants (MVPA, 2.7 ± 1.0 MET-h/day) were randomly assigned to the intervention or control groups, and 235 active participants participated in follow-up visits. The intervention aimed to increase MVPA and comprised five brief counseling sessions over 1 year. The 1-year target for the participant was increasing their step-count to 10,000 steps/d or +3000 steps/d, relative to the baseline score. The counseling sessions were designed to stimulate progressive changes in physical behaviors by recommendations promoting small and/or light-intensity bouts of PA. PA was measured at baseline, the end of the intervention, and 1 year after the intervention ended. Additionally, several nutrition, health, and fitness parameters were measured. Results Participants in the intervention group significantly increased their step-count from 8415 ± 1924 at baseline to 9493 ± 2575 at the end of the 1-year period. During the same period, MVPA significantly increased by 0.9 MET-h. The daily time spent in ≥ 3, ≥ 4 and ≥ 5 MET activities increased by 11, 6, and 3 min, respectively. This increase in PA remained observable 1 year after intervention concluded. The active group maintained higher physical activity levels throughout the two years. The intervention group showed smaller energy intakes at the end of the 2-year period. Significant correlations were noted between the 1-year change in MVPA and the change in resting heart rate (r = − 0.22), and between the 2-year change in MVPA and the change in waist circumference (r = − 0.08) and peak oxygen consumption capacity (r = 0.23) in the intervention group only. Conclusions A prolonged and progressive PA intervention promoting small bouts of light-to-moderate PA may be used in healthy, not-optimally-active people to increase PA beyond the strict period of the intervention. Further studies are necessary to understand whether low-dose PA messages can be effective in initiating a progressive increase toward larger amounts of PA. Trial registration: Clinical Trials.gov, NCT00926744, retrospectively registered. Supplementary Information The online version contains supplementary material available at 10.1186/s13102-021-00360-7.
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Affiliation(s)
- Julien Tripette
- Center for Interdisciplinary AI and Data Science, Ochanomizu University, Bunkyo, Tokyo, Japan.,Department of Physical Activity Research, National Institutes of Biomedical Innovation, Health and Nutrition, Shinjuku, Tokyo, Japan
| | - Yuko Gando
- Department of Physical Activity Research, National Institutes of Biomedical Innovation, Health and Nutrition, Shinjuku, Tokyo, Japan.,Faculty of Sports Science, Surugadai University, Hanno, Saitama, Japan
| | - Haruka Murakami
- Faculty of Sport and Health Science, Ritsumeikan University, Kusatsu, Shiga, Japan
| | - Ryoko Kawakami
- Faculty of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama, 359-1192, Japan
| | - Kumpei Tanisawa
- Faculty of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama, 359-1192, Japan
| | - Harumi Ohno
- Department of Physical Activity Research, National Institutes of Biomedical Innovation, Health and Nutrition, Shinjuku, Tokyo, Japan.,Faculty of Health Care, Kiryu University, Midori, Gunma, Japan
| | - Kana Konishi
- Department of Physical Activity Research, National Institutes of Biomedical Innovation, Health and Nutrition, Shinjuku, Tokyo, Japan.,Faculty of Food and Nutritional Sciences, Toyo University, Itakura, Gunma, Japan
| | - Michiya Tanimoto
- Faculty of Biology-Oriented Science and Technology, Kindai University, Kinokawa, Wakayama, Japan
| | - Noriko Tanaka
- Research Center of Health, Physical Fitness and Sports, University of Nagoya, Nagoya, Aichi, Japan
| | - Hiroshi Kawano
- Faculty of Letters, Kokushikan University, Setagaya, Tokyo, Japan
| | - Kenta Yamamoto
- Faculty of Pharmaceutical Sciences, Teikyo Heisei University, Nakano, Tokyo, Japan
| | - Akie Morishita
- Okayama Southern Institute of Health, Okayama Health Foundation, Okayama, Okayama, Japan
| | - Motoyuki Iemitsu
- Faculty of Sport and Health Science, Ritsumeikan University, Kusatsu, Shiga, Japan
| | - Kiyoshi Sanada
- Faculty of Sport and Health Science, Ritsumeikan University, Kusatsu, Shiga, Japan
| | | | - Motohiko Miyachi
- Department of Physical Activity Research, National Institutes of Biomedical Innovation, Health and Nutrition, Shinjuku, Tokyo, Japan. .,Faculty of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama, 359-1192, Japan.
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Yamada Y, Itoi A, Yoshida T, Nakagata T, Yokoyama K, Fujita H, Kimura M, Miyachi M. Association of bioelectrical phase angle with aerobic capacity, complex gait ability and total fitness score in older adults. Exp Gerontol 2021; 150:111350. [PMID: 33872735 DOI: 10.1016/j.exger.2021.111350] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2021] [Revised: 04/08/2021] [Accepted: 04/09/2021] [Indexed: 11/26/2022]
Abstract
PURPOSE This study aimed to examine the association between whole-body or segmental phase angle (PhA) based on bioelectrical impedance analysis (BIA) and aerobic capacity (endurance), complex gait ability, and total fitness age score (FAS). METHODS A total of 426 community-dwelling older adults (332 women and 94 men) aged 60 to 93 years participated in this study. PhA and appendicular skeletal mass index (ASMI) were obtained by an eight-electrode standing BIA. Aerobic capacity was assessed using the shuttle stamina walk test (SSTw); complex gait ability, using the timed-up-and-go test (TUG). FAS was obtained using the previously validated multi-dimensional equations based on 7-year longitudinal data. SSTw, TUG, and FAS were compared between the low PhA (<4.4° for women and <5.2° for men) and normal PhA groups. Pearson's correlation between PhA and SSTw, TUG, and FAS was determined. Multiple linear regression analysis was conducted using SSTw, TUG, and FAS as dependent variables. Age, sex, height, body mass index (BMI), ASMI, and PhA were entered into the linear model. RESULTS SSTw and TUG results and FAS were significantly lower in the low PhA group (P < 0.05). PhA was significantly correlated with SSTw, TUG, and FAS (P < 0.001), and leg PhA showed a stronger correlation than whole-body or arm PhA. PhA at 50 kHz had higher correlation coefficients with SSTw, TUG, or FAS compared with PhA at 5 or 250 kHz. Multiple regression analyses indicated that leg PhA at 50 kHz was a significant predictor of SSTw, TUG, and FAS, independent of age, sex, height, BMI, and ASMI. CONCLUSION Our results indicate that leg PhA is associated with multi-dimensional physical fitness in community-dwelling older adults. PhA is a highly informative biomarker of skeletal muscle and exercise physiology in clinical settings.
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Affiliation(s)
- Yosuke Yamada
- Department of Physical Activity Research, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan.
| | - Aya Itoi
- Department of Physical Activity Research, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan; Department of Health, Sports and Nutrition, Faculty of Health and Welfare, Kobe Women's University, Hyogo, Japan
| | - Tsukasa Yoshida
- Department of Physical Activity Research, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan
| | - Takashi Nakagata
- Department of Physical Activity Research, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan
| | - Keiichi Yokoyama
- Department of Physical Activity Research, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan; Institute for Active Health, Institute of Interdisciplinary Research, Kyoto University of Advanced Science, Kyoto, Japan
| | - Hiroyuki Fujita
- Institute for Active Health, Institute of Interdisciplinary Research, Kyoto University of Advanced Science, Kyoto, Japan
| | - Misaka Kimura
- Institute for Active Health, Institute of Interdisciplinary Research, Kyoto University of Advanced Science, Kyoto, Japan
| | - Motohiko Miyachi
- Department of Physical Activity Research, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan
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Iguchi J, Kuzuhara K, Katai K, Hojo T, Fujisawa Y, Kimura M, Yanagida Y, Yamada Y. Seasonal Changes in Anthropometric, Physiological, Nutritional, and Performance Factors in Collegiate Rowers. J Strength Cond Res 2020; 34:3225-3231. [PMID: 33105374 DOI: 10.1519/jsc.0000000000002521] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Iguchi J, Kuzuhara, K, Katai, K, Hojo, T, Fujisawa, Y, Kimura, M, Yanagida, Y, and Yamada, Y. Seasonal changes in anthropometric, physiological, nutritional, and performance factors in collegiate rowers. J Strength Cond Res 34(11): 3225-3231, 2020-Well-controlled seasonal distribution of training intensity seems to be an important variable for endurance athletes' success as competitors and for avoidance of overtraining. The aim of this study was to examine the interrelationships of training distribution, body composition, energy intake/expenditure, and rowing ergometer performance throughout the 2012-2013 season. In this study of 15 collegiate male rowers, most of whom started rowing during their time at the university, we divided the 2012-2013 season (total 37 weeks) into 3 phases (off-season, December to mid-March, 16 weeks; pre-season, late March-April, 5 weeks; and in-season, May-August, 16 weeks) and analyzed the transition of 2,000-m rowing ergometer time, training intensity/volume, body composition (body mass and body fat), and energy intake/expenditure in each phase. There were significant main effects of the training time by the intensities; 2,000-m rowing ergometer time; energy expenditure; and protein, fat, and carbohydrate intake across the seasons (p < 0.05). Two findings were particularly important. First, on-water high-intensity training, especially for inexperienced rowers, may contribute to improvement of 2,000-m rowing ergometer performance. Second, higher intake of carbohydrate, and to a lesser degree, protein, is necessary for optimal training adaptation (e.g., increase of muscle glycogen content), and results in better 2,000-m performance on the rowing ergometer. Also, those findings may be beneficial to the coaches who are interested in designing the well-controlled seasonal training program, which is especially intended to improve the 2,000-m rowing ergometer performance as well as avoidance of overtraining.
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Affiliation(s)
- Junta Iguchi
- Department of Health and Sports Sciences, Faculty of Health and Medical Sciences, Kyoto Gakuen University, Kyoto, Japan
| | - Kenji Kuzuhara
- Department of Human Health, Faculty of Human Health, Aichi Toho University, Nagoya, Japan
| | - Kanako Katai
- Department of Food Science and Nutrition, Faculty of Human Life and Science, Doshisha Women's College of Liberal Arts, Kyoto, Japan
| | - Tatsuya Hojo
- Faculty of Health and Sports Science, Doshisha University, Kyoto, Japan; and
| | - Yoshihiko Fujisawa
- Faculty of Health and Sports Science, Doshisha University, Kyoto, Japan; and
| | - Misaka Kimura
- Department of Health and Sports Sciences, Faculty of Health and Medical Sciences, Kyoto Gakuen University, Kyoto, Japan
| | - Yasuyoshi Yanagida
- Department of Health and Sports Sciences, Faculty of Health and Medical Sciences, Kyoto Gakuen University, Kyoto, Japan
| | - Yosuke Yamada
- Section of Energy Metabolism, Department of Nutritional Science, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan
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Hirano T, Doi K, Matsunaga K, Takahashi S, Donishi T, Suga K, Oishi K, Yasuda K, Mimura Y, Harada M, Suizu S, Murakawa K, Chikumoto A, Ohteru Y, Matsuda K, Uehara S, Hamada K, Ohata S, Murata Y, Yamaji Y, Asami-Noyama M, Edakuni N, Kakugawa T. A Novel Role of Growth Differentiation Factor (GDF)-15 in Overlap with Sedentary Lifestyle and Cognitive Risk in COPD. J Clin Med 2020; 9:E2737. [PMID: 32847145 PMCID: PMC7565594 DOI: 10.3390/jcm9092737] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 08/19/2020] [Accepted: 08/21/2020] [Indexed: 12/18/2022] Open
Abstract
Sedentary behavior and cognitive impairment have a direct impact on patients' outcomes. An energy metabolic disorder may be involved in the overlap of these comorbid conditions (motoric cognitive risk (MCR)) in patients with chronic obstructive pulmonary disease (COPD). We aimed to explore the linkage between a proapoptotic protein, growth differentiation factor (GDF)-15, and MCR. Physical activity (PA), cognitive function (Japanese version of the Montreal Cognitive Assessment: MOCA-J), and the serum GDF-15 levels were assessed in healthy subjects (n = 14), asthmatics (n = 22), and COPD patients (n = 28). In the entire cohort, serum GDF-15 had negative correlations with exercise (Ex) (ρ = -0.43, p < 0.001) and MoCA-J (ρ = -0.44, p < 0.001), and Ex and MOCA-J showed a positive correlation (ρ = 0.52, p < 0.0001). Compared to healthy subjects and asthmatics, COPD patients showed the highest serum GDF-15 levels and had a significantly higher proportion of subjects with MCR (both sedentary lifestyle (EX < 1.5) and cognitive risk (MoCA-J ≤ 25)). Also, we found that serum GDF-15 has a screening potential (100% sensitivity) greater than aging (67% sensitivity) for detecting MCR in COPD patients. In conclusion, higher serum GDF-15 had interrelationships with a sedentary lifestyle and cognitive risk. This protein was not disease-specific but could be a screening biomarker to detect MCR related to poor health outcomes of COPD patients.
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Affiliation(s)
- Tsunahiko Hirano
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.D.); (K.M.); (M.H.); (S.S.); (K.M.); (A.C.); (Y.O.); (K.M.); (S.U.); (K.H.); (S.O.); (Y.Y.); (M.A.-N.); (N.E.)
| | - Keiko Doi
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.D.); (K.M.); (M.H.); (S.S.); (K.M.); (A.C.); (Y.O.); (K.M.); (S.U.); (K.H.); (S.O.); (Y.Y.); (M.A.-N.); (N.E.)
| | - Kazuto Matsunaga
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.D.); (K.M.); (M.H.); (S.S.); (K.M.); (A.C.); (Y.O.); (K.M.); (S.U.); (K.H.); (S.O.); (Y.Y.); (M.A.-N.); (N.E.)
| | - Shun Takahashi
- Department of Neuropsychiatry, Wakayama Medical University, Wakayama 641-8510, Japan; (S.T.); (K.Y.)
| | - Tomohiro Donishi
- Department of System Neurophysiology, Graduate School of Wakayama Medical University, Wakayama 641-8510, Japan;
| | - Kazuyoshi Suga
- Department of Radiology, Semui PET Screening and Radiatiotherapeutic Site, St. Hill Hospital, Ube 755-0155, Japan;
| | - Keiji Oishi
- Department of Medicine and Clinical Science, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.O.); (Y.M.)
| | - Kasumi Yasuda
- Department of Neuropsychiatry, Wakayama Medical University, Wakayama 641-8510, Japan; (S.T.); (K.Y.)
| | - Yusuke Mimura
- Department of Clinical Research, National Hospital Organization Yamaguchi Ube Medical Center, Ube 755-0241, Japan;
| | - Misa Harada
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.D.); (K.M.); (M.H.); (S.S.); (K.M.); (A.C.); (Y.O.); (K.M.); (S.U.); (K.H.); (S.O.); (Y.Y.); (M.A.-N.); (N.E.)
| | - Sumiteru Suizu
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.D.); (K.M.); (M.H.); (S.S.); (K.M.); (A.C.); (Y.O.); (K.M.); (S.U.); (K.H.); (S.O.); (Y.Y.); (M.A.-N.); (N.E.)
| | - Keita Murakawa
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.D.); (K.M.); (M.H.); (S.S.); (K.M.); (A.C.); (Y.O.); (K.M.); (S.U.); (K.H.); (S.O.); (Y.Y.); (M.A.-N.); (N.E.)
| | - Ayumi Chikumoto
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.D.); (K.M.); (M.H.); (S.S.); (K.M.); (A.C.); (Y.O.); (K.M.); (S.U.); (K.H.); (S.O.); (Y.Y.); (M.A.-N.); (N.E.)
| | - Yuichi Ohteru
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.D.); (K.M.); (M.H.); (S.S.); (K.M.); (A.C.); (Y.O.); (K.M.); (S.U.); (K.H.); (S.O.); (Y.Y.); (M.A.-N.); (N.E.)
| | - Kazuki Matsuda
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.D.); (K.M.); (M.H.); (S.S.); (K.M.); (A.C.); (Y.O.); (K.M.); (S.U.); (K.H.); (S.O.); (Y.Y.); (M.A.-N.); (N.E.)
| | - Sho Uehara
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.D.); (K.M.); (M.H.); (S.S.); (K.M.); (A.C.); (Y.O.); (K.M.); (S.U.); (K.H.); (S.O.); (Y.Y.); (M.A.-N.); (N.E.)
| | - Kazuki Hamada
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.D.); (K.M.); (M.H.); (S.S.); (K.M.); (A.C.); (Y.O.); (K.M.); (S.U.); (K.H.); (S.O.); (Y.Y.); (M.A.-N.); (N.E.)
| | - Shuichiro Ohata
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.D.); (K.M.); (M.H.); (S.S.); (K.M.); (A.C.); (Y.O.); (K.M.); (S.U.); (K.H.); (S.O.); (Y.Y.); (M.A.-N.); (N.E.)
| | - Yoriyuki Murata
- Department of Medicine and Clinical Science, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.O.); (Y.M.)
| | - Yoshikazu Yamaji
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.D.); (K.M.); (M.H.); (S.S.); (K.M.); (A.C.); (Y.O.); (K.M.); (S.U.); (K.H.); (S.O.); (Y.Y.); (M.A.-N.); (N.E.)
| | - Maki Asami-Noyama
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.D.); (K.M.); (M.H.); (S.S.); (K.M.); (A.C.); (Y.O.); (K.M.); (S.U.); (K.H.); (S.O.); (Y.Y.); (M.A.-N.); (N.E.)
| | - Nobutaka Edakuni
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan; (K.D.); (K.M.); (M.H.); (S.S.); (K.M.); (A.C.); (Y.O.); (K.M.); (S.U.); (K.H.); (S.O.); (Y.Y.); (M.A.-N.); (N.E.)
| | - Tomoyuki Kakugawa
- Department of Pulmonology and Gerontology Graduate School of Medicine, Yamaguchi University, Ube 755-8505, Japan;
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Hirano T, Matsunaga K, Hamada K, Uehara S, Suetake R, Yamaji Y, Oishi K, Asami M, Edakuni N, Ogawa H, Ichinose M. Combination of assist use of short-acting beta-2 agonists inhalation and guidance based on patient-specific restrictions in daily behavior: Impact on physical activity of Japanese patients with chronic obstructive pulmonary disease. Respir Investig 2019; 57:133-139. [PMID: 30612948 DOI: 10.1016/j.resinv.2018.12.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Revised: 11/26/2018] [Accepted: 12/07/2018] [Indexed: 11/19/2022]
Abstract
BACKGROUND Assist use of inhaled short-acting beta 2 agonists (SABAs) is reportedly effective for preventing shortness of breath on exertion in chronic obstructive pulmonary disease (COPD) patients. However, it is unclear what strategy would be useful for improving physical activity in such patients. The aim is to investigate the effects of assisted use of SABA (procaterol) on physical activity in Japanese COPD patients targeting patient-specific restrictions in daily behavior. METHODS Fourteen patients with stable COPD (age: 72.1±1.5, %FEV1: 55.6±4.5%) were asked to inhale 20 μg of procaterol 15 minutes before patient-specific daily physical activity that had been identified as limited by a questionnaire and document their usage in a diary. Physical activity was measured using a triaxial accelerometer and the results were collected every month for 2 months. In the first month, a clinician assessed whether inhalation of SABA was appropriate based on a usage diary and coached patients to conduct adequate assist use of SABA for limited physical activity. RESULTS The strategy significantly improved the physical activity level, assessed using the values of the metabolic equivalents (METs) multiplied by physical activity endurance, at ≥3.0 METs (p<0.05), and physical activity endurance at ≥2.5 and ≥3.0 METs, (p<0.05, p<0.05, respectively). The degree of improvement of physical activity level was significantly positively correlated with the baseline %FVC and %FEV1 (p<0.05, p<0.05, respectively). CONCLUSIONS Assist use of SABA targeting patient-specific restrictions, particularly when better lung function is still preserved, could be a useful approach for improving physical activity in patients with COPD.
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Affiliation(s)
- Tsunahiko Hirano
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-kogushi, Ube 755-8505, Japan.
| | - Kazuto Matsunaga
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-kogushi, Ube 755-8505, Japan
| | - Kazuki Hamada
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-kogushi, Ube 755-8505, Japan
| | - Sho Uehara
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-kogushi, Ube 755-8505, Japan
| | - Ryo Suetake
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-kogushi, Ube 755-8505, Japan
| | - Yoshikazu Yamaji
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-kogushi, Ube 755-8505, Japan
| | - Keiji Oishi
- Department of Medicine and Clinical Science, Graduate School of Medicine, Yamaguchi University, Japan
| | - Maki Asami
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-kogushi, Ube 755-8505, Japan
| | - Nobutaka Edakuni
- Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-kogushi, Ube 755-8505, Japan
| | - Hiromasa Ogawa
- Department of Occupational Health, Tohoku University Graduate School of Medicine, Sendai, Japan
| | - Masakazu Ichinose
- Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan
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Takayanagi N, Kitamura K, Yamauchi T, Tokimitsu I. Effects of promoting daily physical activity on physical and mental health in older individuals. J Phys Ther Sci 2018; 30:1315-1322. [PMID: 30349171 PMCID: PMC6181653 DOI: 10.1589/jpts.30.1315] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2018] [Accepted: 07/26/2018] [Indexed: 11/24/2022] Open
Abstract
[Purpose] A trial was conducted to examine the effects of promoting daily physical
activity, tailored to specific living situations, on physical and mental health indicators
in older adults. [Participants and Methods] Participants in the ‘Intervention’ group
(N=21) wore accelerometers during the 12-week trial period, and for one week during
preliminary and follow-up surveys. Based on their physical activity levels as measured by
accelerometers, participants were given instructions to increase their daily physical
activity. Participants in the ‘Control’ group (N=18) wore the accelerometer only during
the preliminary and follow-up survey. [Results] Number of steps increased significantly in
the intervention group and a significant decrease in light physical activity time was
observed in the control group. No such decrease was observed in the intervention group.
With regard to health-related quality of life, significant interactions were observed
between groups based on the 36-Item Short-Form Health Survey Mental Component Summary
score, and some sub-items. A combined analysis of both groups found a significant positive
correlation between the change in light physical activity time and the Mental Component
Summary score. [Conclusion] An increase in daily physical activity was considered to have
a sustained bolstering effect on mental health.
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Affiliation(s)
- Naoto Takayanagi
- Tokyo Research Laboratories, Kao Corporation: 2-1-3 Bunka, Sumida-ku, Tokyo 131-8501, Japan
| | - Katsuro Kitamura
- Department of General Education, College of Science and Technology, Nihon University, Japan
| | | | - Ichiro Tokimitsu
- Department of Health Food Sciences, University of Human Arts and Sciences, Japan
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Validity of a triaxial accelerometer and simplified physical activity record in older adults aged 64-96 years: a doubly labeled water study. Eur J Appl Physiol 2018; 118:2133-2146. [PMID: 30019086 DOI: 10.1007/s00421-018-3944-6] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Accepted: 07/12/2018] [Indexed: 12/24/2022]
Abstract
BACKGROUND The aim was to examine the validity of a triaxial accelerometer (ACCTRI) and a simplified physical activity record (sPAR) in estimating total energy expenditure (TEE) and physical activity level (PAL) in older adults with the doubly labeled water (DLW) method. METHODS A total of 44 Japanese elderly individuals (64-96 years), of which 28 were community-dwelling healthy adults with or without sporting habits (S or NS group) and 16 were care home residents with frailty (F group), were included in the study. Basal metabolic rate (BMR) was measured by indirect calorimetry, TEE was obtained by the DLW method, and PAL was calculated as TEE/BMR. Daily step count was monitored by a pedometer (Lifecorder). The 24-h average metabolic equivalent was assessed by ACCTRI and sPAR. RESULTS The TEEDLW in men was 2704 ± 353, 2308 ± 442, and 1795 ± 338 kcal d-1, and that in women was 2260 ± 208, 1922 ± 285, and 1421 ± 274 kcal d-1 for the S, NS, and F groups, respectively. ACCTRI and sPAR systematically underestimated actual TEE (- 14.2 ± 11.6 and - 15.3 ± 12.3% for ACCTRI and sPAR, respectively). After diet-induced thermogenesis was taken into account for ACCTRI and sPAR, TEEDLW was significantly correlated with TEEACCTRI (R2 = 0.714) and TEEsPAR (R2 = 0.668). PALDLW was also significantly correlated with PALACCTRI (R2 = 0.438) and PALsPAR (R2 = 0.402). CONCLUSIONS Age, living conditions, frailty, and sporting habits contribute to TEE and PAL in the elderly population. ACCTRI and sPAR underestimated TEE and PAL, and adequate corrections are required. The corrected ACCTRI and sPAR are both useful tools to estimate TEE and PAL.
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Tonosaki A, Ishikawa M. Physical activity intensity and health status perception of breast cancer patients undergoing adjuvant chemotherapy. Eur J Oncol Nurs 2014; 18:132-9. [PMID: 24485013 DOI: 10.1016/j.ejon.2013.11.008] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2013] [Revised: 11/19/2013] [Accepted: 11/28/2013] [Indexed: 11/18/2022]
Abstract
PURPOSE The aim was to evaluate the physical activity intensity (PAI) of patients receiving adjuvant chemotherapy and investigate the relationship between health status perception and PAI in Japan. METHODS Consenting participants of this prospective, descriptive, repeated measures design were 28 women aged 20-64 with stage I-IIIA initial breast cancer whose regimen included anthracycline. Participants wore a triaxial accelerometer and their PAI was measured for a 14-day period at the beginning of chemotherapy. The SF-36 Survey and Cancer Fatigue Scale were administered. The accelerometer was used to calculate the number of steps, physical activity level (PAL) and total minutes of PAI levels of under 1.5 Mets, 1.5-2.9 Mets, and more than 3.0 Mets during the first half (FH; days 2-7) and second half (SH; days 8-14) of the study. Data were analyzed using Pearson's correlation coefficient and multiple regression analysis. RESULTS During FH, the mean number of steps was 3841.1 steps/day and mean PAL was 1.43; during SH, the mean number of steps was 4058.4 steps/day, mean PAL was 1.43; participants spent over 70% of the day working quietly in a sitting position. PAL during SH was significantly associated with mean time spent during activities of 1.5-2.9 Mets (β = 0.880, p < 0.0001) and 3.0 Mets (β = 0.268, p < 0.0001). CONCLUSION Patients receiving adjuvant chemotherapy had extremely low physical activity. They should be provided useful information of appropriate physical movement and be supported in resolving physical and psychological distress.
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Suh MK, Chen CA, Woodbridge J, Tu MK, Kim JI, Nahapetian A, Evangelista LS, Sarrafzadeh M. A remote patient monitoring system for congestive heart failure. J Med Syst 2011; 35:1165-79. [PMID: 21611788 DOI: 10.1007/s10916-011-9733-y] [Citation(s) in RCA: 101] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2011] [Accepted: 05/03/2011] [Indexed: 11/25/2022]
Abstract
Congestive heart failure (CHF) is a leading cause of death in the United States affecting approximately 670,000 individuals. Due to the prevalence of CHF related issues, it is prudent to seek out methodologies that would facilitate the prevention, monitoring, and treatment of heart disease on a daily basis. This paper describes WANDA (Weight and Activity with Blood Pressure Monitoring System); a study that leverages sensor technologies and wireless communications to monitor the health related measurements of patients with CHF. The WANDA system is a three-tier architecture consisting of sensors, web servers, and back-end databases. The system was developed in conjunction with the UCLA School of Nursing and the UCLA Wireless Health Institute to enable early detection of key clinical symptoms indicative of CHF-related decompensation. This study shows that CHF patients monitored by WANDA are less likely to have readings fall outside a healthy range. In addition, WANDA provides a useful feedback system for regulating readings of CHF patients.
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Affiliation(s)
- Myung-kyung Suh
- Computer Science Department, University of California, Los Angeles, CA, USA.
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Fujita T, Okada J, Okochi S, Higuchi K, Maenaka K. Autonomous Environmental Sensing System for Human Activity Monitoring. JOURNAL OF ADVANCED COMPUTATIONAL INTELLIGENCE AND INTELLIGENT INFORMATICS 2011. [DOI: 10.20965/jaciii.2011.p0383] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Continuous observation of human activities and circumstances are quite important for healthcare applications that collect a lot of data from the various MEMS (Micro Electromechanical Systems) sensors. This study demonstrates the multi-environmental sensing system for human applications that can measure the time-based three-axes acceleration (threeaxes shock), barometric pressure, temperature and relative humidity, simultaneously. The system has battery and large sized memory for autonomous sensing. The measured data are stored in a flash memory via an onboard microcontroller. The detailed configurations of the prototype device and some experimental results are investigated.
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Kume S, Tokumitsu N, Sakamoto S, Hagiwara H. Circadian rest-activity rhythm for maintenance of body shape. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2011; 2011:822-825. [PMID: 22254437 DOI: 10.1109/iembs.2011.6090188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
A recently developed wearable device has gained attention in the area of self-discipline for the prevention of lifestyle-related diseases. The present study aimed to clarify the relationship between circadian rhythm and body shape change using actigraphy. Using a body shape vector, we classified 24 women in their 40s and 50s into 3 groups with different body shape changes. A circadian rhythm experiment was conducted on weekdays for 1 week with 24 healthy women. Amounts of activity of the non-dominant wrist and trunk, subjective evaluation of sleep quality, and subjective state of activity were surveyed. In order to maintain a constant body shape throughout life, a less sedentary lifestyle with more trunk movement during the day, getting adequate sleep at night, and having a varied sleep-wake cycle may be important factors.
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Affiliation(s)
- S Kume
- Graduate School of Science and Engineering, Advanced Information Science and Engineering Major, Human Information Science Course, Ritsumeikan University, 1-1-1 Noji Higashi, Kusatsu, Shiga 525-8577, Japan.
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CAO ZHENBO, MIYATAKE NOBUYUKI, HIGUCHI MITSURU, MIYACHI MOTOHIKO, ISHIKAWA-TAKATA KAZUKO, TABATA IZUMI. Predicting V˙O2max with an Objectively Measured Physical Activity in Japanese Women. Med Sci Sports Exerc 2010; 42:179-86. [DOI: 10.1249/mss.0b013e3181af238d] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Light-intensity activities are important for estimating physical activity energy expenditure using uniaxial and triaxial accelerometers. Eur J Appl Physiol 2008; 105:141-52. [DOI: 10.1007/s00421-008-0883-7] [Citation(s) in RCA: 66] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/23/2008] [Indexed: 10/21/2022]
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