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Pelters P. The good, the bad and the ugly - a Swedish qualitative interview study about the landscape of meaning-imbued, exercise-related physical pain, as experienced by 'normal' gym-users. BMC Public Health 2024; 24:1167. [PMID: 38664787 PMCID: PMC11047003 DOI: 10.1186/s12889-024-18623-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Accepted: 04/16/2024] [Indexed: 04/28/2024] Open
Abstract
BACKGROUND The gym is a well-known place for health promoting or rehabilitating exercise whose availability to all is regarded significant for people's personal health work and the public's health. In this context, physical pain is usually discussed as something negative that people seek to dispose of. However, certain painful experiences appear to be an appreciated part of the gym experience. To investigate this seemingly contradictory landscape of meaning-imbued physical pain, the study aims to explore the different kinds of physical pain present at the gym and their significance for exercising, as experienced by 'normal' gym-users. METHODS 24 semi-structured in-depth interviews with active, dedicated, reasonably healthy (= normal) adult gym-users have been analyzed using qualitative content analysis from a hermeneutical stance. RESULTS Participants differentiate between three kinds of physical pain: the good pain of enhancement (often connected to muscle soreness and effort burn), the bad pain of impediment (primarily related to acute damage) and the composite, neutral pain of acceptance (potentially linked to all pains). CONCLUSION When pursuing the goal of personal health development, normal gym-users argue that exercising at the gym means to expose yourself to pain and to do so willingly, even longingly. Refusing to share this understanding may diminish people's chances to occupy the gym space and, hence, reduce their chances to promote their health.
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Affiliation(s)
- Pelle Pelters
- Department of Education, University of Stockholm, Stockholm, SE-106 91, Sweden.
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Abhishek S, Garg S, Keshri VR. How useful do communities find the health and wellness centres? A qualitative assessment of India's new policy for primary health care. BMC Prim Care 2024; 25:91. [PMID: 38504174 PMCID: PMC10949732 DOI: 10.1186/s12875-024-02343-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Accepted: 03/13/2024] [Indexed: 03/21/2024]
Abstract
BACKGROUND The policy attention to primary health care has seen a global upswing in recent years, including in India. Earlier assessments had shown that a very small proportion of Indian population used the government primary health facilities. Starting in 2018, Indian government has established more than 100,000 Health and Wellness Centres (HWCs) to increase rural population's access to primary health care. It is crucial to know how useful people find the services of HWCs. METHODS A qualitative inquiry was made to understand the perceptions, experiences and expectations of the rural communities regarding HWCs in Chhattisgarh state. Fourteen focus group discussions were conducted with community members. The study areas were chosen to include both the central and remote districts of the state. The study used accessibility, availability, acceptability and quality (AAAQ) framework to assess HWCs. RESULTS Community members felt that the most important change brought about by HWCs was to offer a wider range of curative services than previously available. Services for noncommunicable diseases such as hypertension and diabetes were seen as a key value addition of HWCs. People felt improvements in services for acute ailments also. The services people found missing in HWCs were for injuries, dental care and mental health. In people's experience, the availability of essential medicines and point-of-care tests at HWCs was satisfactory and the treatment was effective. People appreciated the supportive behaviour of health workers in HWCs. They did not find the referrals from HWCs as excessive but often faced difficulties in receiving necessary services at higher facilities. CONCLUSIONS The assessment based on community perceptions showed that the services of HWCs matched well with people's needs of curative primary care. It shows that people are willing to use the government facilities for primary health care if the services are relevant, adequately functional and accessible.
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Affiliation(s)
| | - Samir Garg
- State Health Resource Centre, Chhattisgarh, Raipur, India.
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Wafi AM, Alhazmi OA, Jathmi AJ, Otaif AA, Sharif MA, Ismael AI, Qadry EA, Shaikh AY, Alfaify FH, Jesudoss HJ, Salih S. Protein supplement intake by non-athlete gym attendees in Jazan region: misconceptions and gender differences. J Sports Med Phys Fitness 2024; 64:151-159. [PMID: 38093639 DOI: 10.23736/s0022-4707.23.15251-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2024]
Abstract
BACKGROUND Protein supplements (PSs) have gained widespread popularity among non-athlete gym attendees, who often perceive them as essential tools for muscle growth and recovery. However, misinformation surrounding PSs may lead to inappropriate use and negative health consequences. This study aimed to assess whether non-athlete gym attendees using PSs have greater misconceptions than non-users while also examining the prevalence of PS consumption and gender differences. METHODS A cross-sectional study of 387 participants in the Jazan region was conducted. Customers of 10 fitness centers were screened with a questionnaire comprising questions to measure PS misconceptions. Participants were divided into PS users and non-users. Data were analyzed using descriptive statistics and the Chi-square test to assess the associations between variables. An independent t-test was used to compare the PS Misconception Index Score between the two groups. RESULTS A total of 82.4% of non-athlete gym attendees consumed at least one PS. Our findings revealed a significant association between gender and PS utilization (P<0.001), with a higher proportion of females (90.8%) consuming PS than males (77.6%). PS users had a significantly lower PS Misconception Index Score than non-users (26.8 vs. 28.3; P=0.006), indicating that PS users had a higher number of misconceptions. The internet (41.37%) and coaches (gym instructors/trainers) (34.48%) were the most common sources of information about PSs, with muscle gain being the primary reason for consumption (82.75%). CONCLUSIONS PS consumption is highly prevalent among non-athlete gym attendees in the Jazan region, with many individuals having misconceptions about their benefits and potential risks. Targeted educational interventions are needed to promote evidence-based knowledge about PSs for gym attendees, as well as for coaches, given that they were among the primary sources of information on supplements.
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Affiliation(s)
- Ahmed M Wafi
- Physiology Department, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia -
| | | | - Ali J Jathmi
- Faculty of Medicine, Jazan University, Jazan, Saudi Arabia
| | | | - Murad A Sharif
- Faculty of Medicine, Jazan University, Jazan, Saudi Arabia
| | - Ahmed I Ismael
- Faculty of Medicine, Jazan University, Jazan, Saudi Arabia
| | - Esam A Qadry
- Faculty of Medicine, Jazan University, Jazan, Saudi Arabia
| | - Ali Y Shaikh
- Faculty of Medicine, Jazan University, Jazan, Saudi Arabia
| | | | | | - Sarah Salih
- Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia
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Lakeman R. A file audit of gym usage in an Australian private inpatient psychiatric hospital. Australas Psychiatry 2024; 32:74-78. [PMID: 38105642 PMCID: PMC10809721 DOI: 10.1177/10398562231222835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2023]
Abstract
OBJECTIVE This study aimed to determine the extent to which people admitted to a private psychiatric inpatient unit access and utilise the gymnasium and individualised coaching with an exercise physiologist (EP). METHODS An audit of the medical record of 100 consecutive discharges and 60 individuals referred to an EP during the audit period was undertaken. Selected demographic information, physical health status, psychiatric diagnosis and routinely collected outcome data were extracted from files. RESULTS Twenty-four percent of people discharged from the hospital had documentary evidence of having attended the gym. These people were noted to have used the gym regularly and had an exercise prescription documented on discharge. Those with substance use disorder were more likely to use the gym than those diagnosed with an affective disorder. There were no significant differences in outcomes between those who were noted to exercise and those who did not. CONCLUSION Those who may most benefit from coaching around exercise in the context of hospital admission are not presently the individuals most likely to be referred to an EP. Standardised procedures for assessment, referral, exercise prescription and ongoing monitoring of activity and outcomes are recommended across the care continuum.
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Affiliation(s)
- Richard Lakeman
- Faculty of Health, Southern Cross University, Bilinga, QLD, Australia
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Okamoto-Mizuno K, Mizuno K. How staying in a gymnasium affects sleep and bed climate in children. J Physiol Anthropol 2024; 43:2. [PMID: 38167528 PMCID: PMC10759418 DOI: 10.1186/s40101-023-00350-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Accepted: 12/06/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND We investigated the relationship between sleep, ambient climate, and bed climate in school-aged children during a one-night stay in a simulated shelter in a gymnasium to demonstrate the effect of ambient climate, and bed climate on sleep. METHODS We obtained measurements during a one-night stay in a school gymnasium (C), days before C (BC), on the day after (A1), and on the second day after C (A2) in 13 healthy school-aged children during summer. Sleep was evaluated using an actigraph, and the temperature and humidity of the bedrooms in the participants' homes and in the gymnasium were monitored for 3 days before and after C. The bed climate of the chest and foot areas was measured for two nights before and after C. The participants were asked to report on their subjective sleep estimations and thermal sensations two nights before and after C. RESULTS The ambient temperature in C was significantly higher than that in BC at the initial 180 min, while it significantly decreased compared to A1 and A2 in the last 100 min. The ambient humidity was significantly higher in both C and BC compared to A1 and A2. The sleep efficiency index decreased significantly in C (43±4.8%) compared to other conditions. Sleep time was significantly shorter in C than in other conditions during the initial 195 min. The increase in the bed climate temperature of the chest area in C was significantly delayed compared to that in the other conditions, around the initial 30 min after the lights were off. Subjective estimation revealed that in C, 85% of the participants were out of their sleeping bag at sleep onset, and their sleep was disturbed by heat (77%). CONCLUSIONS Our study revealed that the disturbed sleep patterns observed with children in a simulated shelter may be related to a delayed increase in bed climate temperature in the chest area. This delayed increase could be related to the children not entering the sleeping bag and a delayed chest skin temperature increase during the sleep onset period.
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Affiliation(s)
- Kazue Okamoto-Mizuno
- Faculty of Human Ecology, Wayo Women's University, 2-3-1 Konodai, Ichikawa, Chiba, 272-8533, Japan.
| | - Koh Mizuno
- Faculty of Education, Tohoku Fukushi University, 6-149-1 Kunimigaoka, Aoba, Sendai, Miyagi, 989-3201, Japan
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Lubega M, Ogwok J, Nabunya B, Mbalinda SN. Role of community-based health clubs in promoting patients' health education for diabetes self-care management: an interventional qualitative study in a Ugandan urban setting. BMJ Open Qual 2023; 12:e002473. [PMID: 38135300 DOI: 10.1136/bmjoq-2023-002473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Accepted: 12/02/2023] [Indexed: 12/24/2023] Open
Abstract
BACKGROUND Self-care management support is a core component of the Chronic Care Model that emphasises the need for empowering and preparing patients to manage their healthcare. In diabetes mellitus (DM) management, health education towards self-care empowers patients to make day-to-day decisions on their own disease and live with a healthy lifestyle. Although several strategies have been undertaken to improve the management of DM in Uganda, little has been done to empower patients to manage their own health. Community-based health clubs have been suggested as a novel way of improving diabetes management especially in settings with uneven distribution of healthcare facilities and inaccessibility to healthcare services that limit patients' awareness of the disease and self-care management. This interventional study was aimed at exploring the role of community-based health clubs in promoting patients' health education for diabetes self-care management. METHODS A cross-sectional qualitative study was conducted among 20 participants using focus group discussions with each having six to eight members. Only patients with diabetes who seek routine diabetes healthcare services at Wakiso Health Centre IV and had participated in the 8-week community-based health clubs' health education sessions were recruited for the study. The audio-recordings were transcribed verbatim and translated into English; thematic data analysis was conducted to generate codes and themes. Similar codes were merged and a group consensus was reached on coding discrepancies. RESULTS Three major themes on the role of health clubs in promoting patients' health education were merged from the study. These include promoting sharing of experiences among patients, improving awareness of healthy self-care practices and offering sufficient patient-health worker interaction time. CONCLUSIONS This is the first publication reporting on the role of community-based health clubs in promoting patients' health education towards diabetes self-care management in Uganda. The ability to share experiences among patients, improve patients' awareness on healthy living practices and the increased health worker-patient interaction time contribute heavily to the capacity-building for self-care among patients.
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Affiliation(s)
- Martin Lubega
- Department of Nursing, Makerere University College of Health Sciences, Kampala, Uganda
| | - James Ogwok
- Makerere University College of Health Sciences, Kampala, Uganda
| | - Brenda Nabunya
- Department of Nursing, Makerere University College of Health Sciences, Kampala, Uganda
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Chao DL, Arzika AM, Abdou A, Maliki R, Karamba A, Galo N, Beidi D, Harouna N, Abarchi M, Root E, Mishra A, Lebas E, Arnold BF, Oldenburg CE, Keenan JD, Lietman TM, O’Brien KS. Distance to Health Centers and Effectiveness of Azithromycin Mass Administration for Children in Niger: A Secondary Analysis of the MORDOR Cluster Randomized Trial. JAMA Netw Open 2023; 6:e2346840. [PMID: 38100110 PMCID: PMC10724761 DOI: 10.1001/jamanetworkopen.2023.46840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 10/13/2023] [Indexed: 12/18/2023] Open
Abstract
Importance The MORDOR (Macrolides Oraux pour Réduire les Décès avec un Oeil sur la Résistance) trial demonstrated that mass azithromycin administration reduced mortality by 18% among children aged 1 to 59 months in Niger. The identification of high-risk subgroups to target with this intervention could reduce the risk of antimicrobial resistance. Objective To evaluate whether distance to the nearest primary health center modifies the effect of azithromycin administration to children aged 1 to 59 months on child mortality. Design, Setting, and Participants The MORDOR cluster randomized trial was conducted from December 1, 2014, to July 31, 2017; this post hoc secondary analysis was conducted in 2023 among 594 clusters (communities or grappes) in the Boboye and Loga departments in Niger. All children aged 1 to 59 months in eligible communities were evaluated. Interventions Biannual (twice-yearly) administration of a single dose of oral azithromycin or matching placebo over 2 years. Main Outcomes and Measures A population-based census was used to monitor mortality and person-time at risk (trial primary outcome). Community distance to a primary health center was calculated as kilometers between the center of each community and the nearest health center. Negative binomial regression was used to evaluate the interaction between distance and the effect of azithromycin on the incidence of all-cause mortality among children aged 1 to 59 months. Results Between December 1, 2014, and July 31, 2017, a total of 594 communities were enrolled, with 76 092 children (mean [SD] age, 31 [2] months; 39 022 [51.3%] male) included at baseline, for a mean (SD) of 128 (91) children per community. Median (IQR) distance to the nearest primary health center was 5.0 (3.2-7.1) km. Over 2 years, 145 693 person-years at risk were monitored and 3615 deaths were recorded. Overall, mortality rates were 27.5 deaths (95% CI, 26.2-28.7 deaths) per 1000 person-years at risk in the placebo arm and 22.5 deaths (95% CI, 21.4-23.5 deaths) per 1000 person-years at risk in the azithromycin arm. For each kilometer increase in distance in the placebo arm, mortality increased by 5% (adjusted incidence rate ratio, 1.05; 95% CI, 1.03-1.07; P < .001). The effect of azithromycin on mortality varied significantly by distance (interaction P = .02). Mortality reduction with azithromycin compared with placebo was 0% at 0 km from the health center (95% CI, -19% to 17%), 4% at 1 km (95% CI, -12% to 17%), 16% at 5 km (95% CI, 7% to 23%), and 28% at 10 km (95% CI, 17% to 38%). Conclusions and Relevance In this secondary analysis of a cluster randomized trial of mass azithromycin administration for child mortality, children younger than 5 years who lived farthest from health facilities appeared to benefit the most from azithromycin administration. These findings may help guide the allocation of resources to ensure that those with the least access to existing health resources are prioritized in program implementation. Trial Registration ClinicalTrials.gov Identifier: NCT02047981.
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Affiliation(s)
| | - Ahmed M. Arzika
- Centre de Recherche et Interventions en Santé Publique, Birni N’Gaoure, Niger
| | - Amza Abdou
- Programme Nationale de Santé Oculaire, Niamey, Niger
| | - Ramatou Maliki
- Centre de Recherche et Interventions en Santé Publique, Birni N’Gaoure, Niger
| | - Alio Karamba
- Centre de Recherche et Interventions en Santé Publique, Birni N’Gaoure, Niger
| | - Nasser Galo
- Centre de Recherche et Interventions en Santé Publique, Birni N’Gaoure, Niger
| | - Diallo Beidi
- Centre de Recherche et Interventions en Santé Publique, Birni N’Gaoure, Niger
| | - Nasser Harouna
- Centre de Recherche et Interventions en Santé Publique, Birni N’Gaoure, Niger
| | - Moustapha Abarchi
- Centre de Recherche et Interventions en Santé Publique, Birni N’Gaoure, Niger
| | | | - Anu Mishra
- Bill & Melinda Gates Foundation, Seattle, Washington
| | - Elodie Lebas
- Francis I. Proctor Foundation, University of California, San Francisco
| | - Benjamin F. Arnold
- Francis I. Proctor Foundation, University of California, San Francisco
- Department of Ophthalmology, University of California, San Francisco
| | - Catherine E. Oldenburg
- Francis I. Proctor Foundation, University of California, San Francisco
- Department of Epidemiology and Biostatistics, University of California, San Francisco
| | - Jeremy D. Keenan
- Francis I. Proctor Foundation, University of California, San Francisco
- Department of Ophthalmology, University of California, San Francisco
| | - Thomas M. Lietman
- Francis I. Proctor Foundation, University of California, San Francisco
- Department of Ophthalmology, University of California, San Francisco
- Department of Epidemiology and Biostatistics, University of California, San Francisco
- Institute for Global Health Sciences, University of California, San Francisco
| | - Kieran S. O’Brien
- Francis I. Proctor Foundation, University of California, San Francisco
- Department of Ophthalmology, University of California, San Francisco
- Department of Epidemiology and Biostatistics, University of California, San Francisco
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Plage S, Baker K, Parsell C, Stambe R, Kuskoff E, Mansuri A. Staying safe, feeling welcome, being seen: How spatio-temporal configurations affect relations of care at an inclusive health and wellness centre. Health Expect 2023; 26:2620-2629. [PMID: 37656503 PMCID: PMC10632618 DOI: 10.1111/hex.13858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Revised: 08/08/2023] [Accepted: 08/18/2023] [Indexed: 09/02/2023] Open
Abstract
BACKGROUND People experiencing homelessness also experience poorer health and frequently attend acute care settings when primary health care would be better equipped to meet their needs. Existing scholarship identifies a complex mix of individual and structural-level factors affecting primary health care engagement driving this pattern of health services utilisation. We build on this existing knowledge, by bringing the spatio-temporal configurations of primary health care into focus. Specifically, we interrogate how space and time inflect situated practices and relations of care. METHODS This study took an ethnographic approach and was conducted 2021-2022 at an inclusive health and wellness centre ("the Centre") in Southeast Queensland, Australia. The data consists of 46 interviews with 48 people with lived experience of homelessness, including participants who use the services offered at the Centre (n = 26) and participants who do not (n = 19). We also interviewed 20 clinical and non-clinical service providers affiliated with the Centre and observed how service delivery took place. Interviews and observations were complemented by visual data, including participant-produced photography. All data were analysed employing a narrative framework. RESULTS We present three interrelated themes demonstrating how space and time affect care, that is 'staying safe', 'feeling welcome' and 'being seen'. 'Staying safe' captures the perceptions and practices around safety, which sit in tension with making service users feel welcome. 'Feeling welcome' attends to the sense of being invited to use services free of judgment. 'Being seen' depicts capacities to see a health care provider as well as being understood in one's lived experience. CONCLUSION Spatio-temporal configurations, such as attendance policies, consultation modalities and time allocated to care encounters afford differential opportunities to nurture reciprocal relations. We conclude that flexible service configurations can leverage a relational model of care. PATIENT OR PUBLIC CONTRIBUTION Service providers were consulted during the design stage of the project and had opportunities to inform data collection instruments. Two service providers contributed to the manuscript as co-authors. People with lived experience of homelessness who use the services at the inclusive health centre contributed as research participants and provided input into the dissemination of findings. The photography they produced has been featured in an in-person exhibition, to which some have contributed as consultants or curators. It is hoped that their insights into experiences of welcomeness, safety and being seen will inform flexible and relational primary health care design, delivery, and evaluation to better cater for people experiencing housing instability and poverty.
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Affiliation(s)
- Stefanie Plage
- ARC Centre of Excellence for Children and Families over the Life CourseIndooroopillyAustralia
| | - Kirsten Baker
- Australian Research Centre in Complementary and Integrative MedicineThe University of Technology SydneyBroadwayAustralia
- Inclusive Health and Wellness HubSouth BrisbaneAustralia
| | - Cameron Parsell
- ARC Centre of Excellence for Children and Families over the Life CourseIndooroopillyAustralia
| | - Rose‐Marie Stambe
- ARC Centre of Excellence for Children and Families over the Life CourseIndooroopillyAustralia
| | - Ella Kuskoff
- ARC Centre of Excellence for Children and Families over the Life CourseIndooroopillyAustralia
| | - Arif Mansuri
- Inclusive Health and Wellness HubSouth BrisbaneAustralia
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Peixoto C, Pereira MDC, Morais S, Slezakova K. Assessment of indoor air quality in health clubs: insights into (ultra)fine and coarse particles and gaseous pollutants. Front Public Health 2023; 11:1310215. [PMID: 38089025 PMCID: PMC10715262 DOI: 10.3389/fpubh.2023.1310215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 11/10/2023] [Indexed: 12/18/2023] Open
Abstract
Introduction Exercising on regular basis provides countless health benefits. To ensure the health, well-being and performance of athletes, optimal indoor air quality, regular maintenance and ventilation in sport facilities are essential. Methods This study assessed the levels of particulate, down to the ultrafine range (PM10, PM2.5, and particle number concentration in size range of 20-1,000 nm, i.e., - PNC20-1000 nm), gaseous pollutants (total volatile organic compounds - TVOCs, CO2, and O3) and comfort parameters (temperature - T, relative humidity - RH) in different functional spaces of health clubs (n = 8), under specific occupancy and ventilation restrictions. Results and Discussion In all HCs human occupancy resulted in elevated particles (up to 2-3 times than those previously reported), considering mass concentrations (PM10: 1.9-988.5 μg/m3 PM2.5: 1.6-479.3 μg/m3) and number (PNC 1.23 × 103 - 9.14 × 104 #/cm3). Coarse and fine PM indicated a common origin (rs = 0.888-0.909), while PNC showed low-moderate associations with particle mass (rs = 0.264-0.629). In addition, up to twice-higher PM and PNC were detected in cardiofitness & bodybuilding (C&B) areas as these spaces were the most frequented, reinforcing the impacts of occupational activities. In all HCs, TVOCs (0.01-39.67 mg/m3) highly exceeded the existent protection thresholds (1.6-8.9 times) due to the frequent use of cleaning products and disinfectants (2-28 times higher than in previous works). On contrary to PM and PNC, TVOCs were higher (1.1-4.2 times) in studios than in C&B areas, due to the limited ventilations combined with the smaller room areas/volumes. The occupancy restrictions also led to reduced CO2 (122-6,914 mg/m3) than previously observed, with the lowest values in HCs with natural airing. Finally, the specific recommendations for RH and T in sport facilities were largely unmet thus emphasizing the need of proper ventilation procedures in these spaces.
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Affiliation(s)
- Cátia Peixoto
- REQUIMTE–LAQV, Instituto Superior de Engenharia do Porto, Instituto Politécnico do Porto, Rua Dr. António Bernardino de Almeida, Porto, Portugal
- LEPABE-ALiCE, Faculdade de Engenharia da Universidade do Porto, Rua Dr. Roberto Frias, Porto, Portugal
| | - Maria do Carmo Pereira
- LEPABE-ALiCE, Faculdade de Engenharia da Universidade do Porto, Rua Dr. Roberto Frias, Porto, Portugal
| | - Simone Morais
- REQUIMTE–LAQV, Instituto Superior de Engenharia do Porto, Instituto Politécnico do Porto, Rua Dr. António Bernardino de Almeida, Porto, Portugal
| | - Klara Slezakova
- LEPABE-ALiCE, Faculdade de Engenharia da Universidade do Porto, Rua Dr. Roberto Frias, Porto, Portugal
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Solomon E, Joa B, Coffman S, Faircloth B, Altshuler M, Ku B. Designing for community engagement: user-friendly refugee wellness center planning process and concept, a health design case study. BMC Health Serv Res 2023; 23:1232. [PMID: 37946170 PMCID: PMC10636912 DOI: 10.1186/s12913-023-10007-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Accepted: 09/06/2023] [Indexed: 11/12/2023] Open
Abstract
BACKGROUND Refugee and immigrant populations have diverse cultural factors that affect their access to health care and must be considered when building a new clinical space. Health design thinking can help a clinical team evaluate and consolidate these factors while maintaining close contact with architects, patients' community leaders, and hospital or institutional leadership. A diverse group of clinicians, medical students, community leaders and architects planned a clinic devoted to refugee and immigrant health, a first-of-its-kind for South Philadelphia. METHODS The planning process and concept design of this wellness center is presented as a design case study to demonstrate how principles and methods of human-centered design were used to create a community clinic. Design thinking begins with empathizing with the end users' experiences before moving to ideation and prototyping of a solution. These steps were accomplished through focus groups, a design workshop, and iterations of the center's plan. RESULTS Focus groups were thematically analyzed and generated two themes of access and resources and seven subthemes that informed the design workshop. A final floor plan of the wellness center was selected, incorporating priorities of all stakeholders and addressing issues of disease prevention, social determinants of health, and lifestyle-related illness that were relevant to the patient population. CONCLUSIONS Design thinking methods are useful for health care organizations that must adapt to the needs of diverse stakeholders and especially populations that are underserved or displaced. While much has been written on the theory and stages of design thinking, this study is novel in describing this methodology from the beginning to the end of the process of planning a clinical space with input from the patient population. This study thus serves as a proof of concept of the application of design thinking in planning clinical spaces.
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Affiliation(s)
- Ellen Solomon
- Health Design Lab, Thomas Jefferson University, Philadelphia, PA, USA
| | - Brandon Joa
- Health Design Lab, Thomas Jefferson University, Philadelphia, PA, USA
| | - Shandon Coffman
- Health Design Lab, Thomas Jefferson University, Philadelphia, PA, USA
| | | | - Marc Altshuler
- Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA, USA
| | - Bon Ku
- Health Design Lab, Thomas Jefferson University, Philadelphia, PA, USA.
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Ravindran B, Gatens E, Pal N, Sheppeard V, Calik A, Alexander K, Ashraf K, Arnott A, Sintchenko V, Dalton CB. First documented gymnasium cluster of COVID-19 with whole genome sequencing in Australia. Commun Dis Intell (2018) 2023; 47. [PMID: 37817336 DOI: 10.33321/cdi.2023.47.55] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 09/13/2023] [Indexed: 10/12/2023]
Abstract
Background Transmission of coronavirus disease 2019 (COVID-19) has been demonstrated in fitness settings internationally. We report the first documented case of transmission of COVID-19 in a gymnasium in Australia in 2020. Methods Case finding and case interviews were conducted among attendees in a Western Sydney gymnasium, Australia. Whole genome sequencing using an amplicon-based approach was performed on all SARS CoV-2 polymerase chain reaction positive samples detected through surveillance. Results We show that five cases of COVID-19 were linked to the gymnasium, with transmission occurring on 7 July 2020, when the index case transmitted the infection to four other gymnasium attendees through the sharing of an enclosed space. Conclusions There is an ongoing risk of transmission of COVID-19 within gymnasium environments and they are justifiably classified as a 'high-risk' venue. There may be a need to expand ventilation and space requirements to prevent transmission of COVID-19 in such settings in the context of severe COVID-19 variants or to prevent respiratory disease transmission in general.
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Affiliation(s)
- Bhavi Ravindran
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia
| | - Elizabeth Gatens
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia
| | - Naru Pal
- Public Health Unit, Population Health, South Western Sydney Local Health District, New South Wales, Australia
| | - Vicky Sheppeard
- South Eastern Sydney Public Health Unit, New South Wales, Australia
| | - Anna Calik
- Public Health Unit, Population Health, South Western Sydney Local Health District, New South Wales, Australia
| | - Kate Alexander
- Public Health Unit, Population Health, South Western Sydney Local Health District, New South Wales, Australia
| | - Khizar Ashraf
- Public Health Unit, Population Health, South Western Sydney Local Health District, New South Wales, Australia
| | - Alicia Arnott
- Institute of Clinical Pathology and Medical Research, NSW Health Pathology, Westmead, New South Wales, Australia
| | - Vitali Sintchenko
- Institute of Clinical Pathology and Medical Research, NSW Health Pathology, Westmead, New South Wales, Australia
| | - Craig B Dalton
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia.
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12
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Beiter D, Koy S, Flessa S. Improving the technical efficiency of public health centers in Cambodia: a two-stage data envelopment analysis. BMC Health Serv Res 2023; 23:912. [PMID: 37641129 PMCID: PMC10463960 DOI: 10.1186/s12913-023-09570-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Accepted: 05/17/2023] [Indexed: 08/31/2023] Open
Abstract
BACKGROUND Cambodia is undergoing a series of reforms with the objective of reaching universal health coverage. Information on the causes of inefficiencies in health facilities could pave the way for a better utilization of limited resources available to ensure the best possible health care for the population. OBJECTIVES The purpose of this study is to evaluate the technical efficiency of health centers and the determinants for inefficiencies. METHODS This cross-sectional study used secondary data from a costing study on 43 health centers in six Cambodian provinces (2016-2017). Firstly, the Data Envelopment Analysis method with output-orientation was applied to calculate efficiency scores by selecting multiple input and output variables. Secondly, a tobit regression was performed to analyze potential explanatory variables that could influence the inefficiency of health centers. RESULTS Study findings showed that 18 (43%) health centers were operating inefficiently with reference to the variable returns to scale efficiency frontier and had a mean pure technical efficiency score of 0.87. Overall, 22 (51%) revealed deficits in producing outputs at an optimal scale size. Distance to the next referral hospital, size and quality performance of the health centers were significantly correlated with health center inefficiencies. CONCLUSION Differences in efficiency exist among health centers in Cambodia. Inefficient health centers can improve their technical efficiency by increasing the utilization and quality of health services, even if it involves higher costs. Technical efficiency should be continuously monitored to observe changes in health center performance over time.
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Affiliation(s)
- Dominik Beiter
- Social Health Protection Programme, Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ), Phnom Penh, Cambodia.
| | - Sokunthea Koy
- Social Health Protection Programme, Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ), Phnom Penh, Cambodia
| | - Steffen Flessa
- Department of General Business Administration and Health Care Management, University of Greifswald, Greifswald, Germany
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13
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Pandey AR, Adhikari B, Lamichhane B, Joshi D, Regmi S, Lal BK, Dahal S, Baral SC. Service availability and readiness for basic emergency obstetric and newborn care: Analysis from Nepal Health Facility Survey 2021. PLoS One 2023; 18:e0282410. [PMID: 37590204 PMCID: PMC10434927 DOI: 10.1371/journal.pone.0282410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Accepted: 08/01/2023] [Indexed: 08/19/2023] Open
Abstract
BACKGROUND Although there has been a significant focus on improving maternal and newborn health and expanding services in Nepal, the expected positive impact on the health of mothers and newborns has not been achieved to the desired extent. Nepal not only needs to focus on improving access to and coverage of services but also the quality to achieve Sustainable Development Goals (SDG) by 2030. In this context, we aimed to analyze Basic Emergency Obstetric and Neonatal Care (BEmONC) service availability and readiness in Health Facilities (HFs) of Nepal. METHODS We analyzed data from nationally representative Nepal Health Facility Survey (NHFS), 2021. BEmONC service availability and readiness in HFs was measured based on the "Service Availability and Readiness" manual of World Health Organization (WHO). We measured service availability by seven BEmONC signal functions. The readiness score was calculated for three domains- guidelines and staff training, essential equipment/supplies, and essential medicines on a scale of 100, and the average score for the three domains was the overall readiness score. We performed weighted descriptive and inferential analysis to account complex survey design of NHFS 2021. We summarized continuous variables with descriptive statistics like mean, standard deviation, median and interquartile range whereas categorical variables with percent and 95% confidence interval (CI). We applied simple, and multivariate linear regression to determine factors associated with the readiness of HFs for BEmONC services, and results were presented as beta (β) coefficients and 95% CI. RESULTS Of total 804 HFs offering normal vaginal delivery services, 3.1%, 89.2%, 7.7% were federal/provincial hospitals, local HFs, and private hospitals respectively. A total of 45.0% (95% CI: 34.9, 55.6) federal/provincial hospitals, 0.3% (95% CI: 0.2, 0.6), local HFs (district hospital, primary health care centers, health posts, urban health centers) and 10.5% (95% CI: 6.6, 16.4) private hospitals, had all seven BEmONC signal functions. The overall readiness of federal/provincial hospitals, local HFs, and private hospitals were 72.9±13.6, 54.2±12.8, 53.1±15.1 respectively. In multivariate linear regression, local HFs (β = -12.64, 95% CI: -18.31, -6.96) and private hospitals had lower readiness score (β = -18.08, 95% CI: -24.08, -12.08) compared to federal/provincial level hospitals. HFs in rural settings (β = 2.60, 95% CI: 0.62, 4.58), mountain belts (β = 4.18, 95% CI: 1.65, 6.71), and HFs with external supervision (β = 2.99, 95% CI:1.08, 4.89), and quality assurance activities (β = 3.59, 95% CI:1.64, 5.54) had better readiness scores. CONCLUSION The availability of all seven BEmONC signal functions and readiness of HFs for BEmONC services are relatively low in local HFs and private hospitals. Accelerating capacity development through training centers at the federal/provincial level, onsite coaching, and mentoring, improving procurement and supply of medicines through federal/provincial logistic management centers, and regular supportive supervision could improve the BEmONC service availability and readiness in facilities across the country.
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Affiliation(s)
| | | | | | | | | | - Bibek Kumar Lal
- Family Welfare Division, Department of Health Services, Ministry of Health and Population, Kathmandu, Nepal
| | - Sagar Dahal
- Family Welfare Division, Department of Health Services, Ministry of Health and Population, Kathmandu, Nepal
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Schlickmann DDS, Molz P, Uebel GC, Santos C, Brand C, Colombelli RAW, da Silva TG, Steffens JP, Limberger Castilhos EDS, Benito PJ, Rieger A, Franke SIR. The moderating role of macronutrient intake in relation to body composition and genotoxicity: A study with gym users. Mutat Res Genet Toxicol Environ Mutagen 2023; 890:503660. [PMID: 37567647 DOI: 10.1016/j.mrgentox.2023.503660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 07/14/2023] [Accepted: 07/15/2023] [Indexed: 08/13/2023]
Abstract
In a cross-sectional study of gymnasium users (both sexes, ages = 41.9 ± 14.8 years), we examined the moderating role of macronutrient intake in relation to body composition and genotoxicity. A questionnaire was administered to evaluate characteristics of the participants. To assess macronutrient consumption, we used 24-h food recalls on three non-consecutive days. Body composition (body fat percentage and muscle mass) was evaluated with a bioimpedance scale. Genotoxicity was assessed with the buccal micronucleus cytome assay. Multiple linear regression models were applied, adjusting for age; sex; tobacco and alcohol consumption; and (with regard to exercise habits) frequency, training time, intensity, and types. Micronucleus frequency was directly associated with body fat and inversely associated with muscle mass. Our study shows that carbohydrate and fat intakes affect body fat percentage and micronucleus frequency in gymnasium users.
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Affiliation(s)
- Diene da Silva Schlickmann
- Graduate Program in Health Promotion, University of Santa Cruz do Sul. Department of Health Science, Santa Cruz do Sul, Brazil; Laboratory of Experimental Nutrition. Department of Health Science, University of Santa Cruz do Sul, Santa Cruz do Sul, Brazil
| | - Patrícia Molz
- Graduate Program in Health Promotion, University of Santa Cruz do Sul. Department of Health Science, Santa Cruz do Sul, Brazil; Laboratory of Experimental Nutrition. Department of Health Science, University of Santa Cruz do Sul, Santa Cruz do Sul, Brazil; Graduate Program in Biosciences, Federal University of Health Sciences of Porto Alegre, Brazil
| | - Gabriela Cristina Uebel
- Course of Biomedicine, University of Santa Cruz do Sul, Department of Health Science, Santa Cruz do Sul, Brazil
| | - Caroline Santos
- Graduate Program in Health Promotion, University of Santa Cruz do Sul. Department of Health Science, Santa Cruz do Sul, Brazil; Laboratory of Experimental Nutrition. Department of Health Science, University of Santa Cruz do Sul, Santa Cruz do Sul, Brazil
| | - Caroline Brand
- IRyS Group, Physical Education School, Pontificia Universidad Católica de Valparaiso, Valparaíso, Chile
| | - Renato Alberto Weber Colombelli
- Laboratory of Experimental Nutrition. Department of Health Science, University of Santa Cruz do Sul, Santa Cruz do Sul, Brazil
| | - Thalia Gama da Silva
- Laboratory of Experimental Nutrition. Department of Health Science, University of Santa Cruz do Sul, Santa Cruz do Sul, Brazil
| | - Juliana Priebe Steffens
- Laboratory of Experimental Nutrition. Department of Health Science, University of Santa Cruz do Sul, Santa Cruz do Sul, Brazil
| | | | - Pedro J Benito
- LFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sports Sciences, Universidad Politécnica de Madrid, Madrid, Spain
| | - Alexandre Rieger
- Graduate Program in Health Promotion, University of Santa Cruz do Sul. Department of Health Science, Santa Cruz do Sul, Brazil; Graduate Program in Environmental Technology, University of Santa Cruz do Sul, Santa Cruz do Sul, Brazil
| | - Silvia Isabel Rech Franke
- Graduate Program in Health Promotion, University of Santa Cruz do Sul. Department of Health Science, Santa Cruz do Sul, Brazil; Laboratory of Experimental Nutrition. Department of Health Science, University of Santa Cruz do Sul, Santa Cruz do Sul, Brazil.
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15
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Bennett MR, Charron C, Valcke P. Stretching a Penny: Completing a Rapid Needs Assessment for a Nonprofit Community-Based Hospice Wellness Center in Ontario, Canada. J Soc Work End Life Palliat Care 2023; 19:229-251. [PMID: 37382901 DOI: 10.1080/15524256.2023.2229037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/30/2023]
Abstract
The literature pertaining to community-based hospice wellness centres, especially concerning program evaluation, is sparse. This article describes the development and implementation of a mixed-method, rapid needs assessment for a nonprofit community-based hospice wellness centre in Ontario, Canada. As part of the needs assessment, a survey and focus groups were performed to elicit responses from service users. Individuals registered for services and wellness centre attendees were asked about their needs, opinions, and preferences to help guide future program and service options. Findings and recommendations are presented for programming and service options, and implications for future program evaluation projects are discussed. The methodology of this time and cost-efficient evaluation provides insights that can be utilized by other hospice wellness centres facing similar challenges of time, money, and program evaluation expertise constraints. The findings and recommendations may inform program and service offerings at other Canadian hospice wellness centres.
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Affiliation(s)
- Michael R Bennett
- School of Social Work, University of Texas at Arlington, Arlington, Texas, USA
| | - Carly Charron
- School of Social Work, University of Windsor, Windsor, Canada
| | - Patricia Valcke
- Hospice of Windsor and Essex County, Inc., Windsor, Canada
- Schulich School of Medicine & Dentistry, Western University, London, Canada
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16
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Rial-Vázquez J, Nine I, Guerrero-Moreno JM, Rúa-Alonso M, Fariñas J, Márquez G, Giráldez-García MA, Méndez-Bouza KY, López-Pillado H, Coutado-Sánchez E, Losada-Rodríguez A, Iglesias-Soler E. Face Masks at the Gymnasium: Physiological Responses and Mechanical Performance Are Not Compromised by Wearing Surgical or Filtering Facepiece 2 Masks in Healthy Subjects. J Strength Cond Res 2023; 37:1404-1410. [PMID: 37347944 DOI: 10.1519/jsc.0000000000004401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/24/2023]
Abstract
ABSTRACT Rial-Vázquez, J, Nine, I, Guerrero-Moreno, JM, Rúa-Alonso, M, Fariñas, J, Márquez, G, Giráldez-García, MA, Méndez-Bouza, KY, López-Pillado, H, Coutado-Sánchez, E, Losada-Rodríguez, A, and Iglesias-Soler, E. Face masks at the gym: physiological responses and mechanical performance are not compromised by wearing surgical or filtering facepiece 2 masks in healthy subjects. J Strength Cond Res 37(7): 1404-1410, 2023-This study explored the effects of wearing 2 types of face masks on mechanical performance and physiological responses during high-intensity resistance exercise. Twelve healthy men performed 3 workout protocols in a randomized order: wearing a surgical or filtering facepiece 2 (FFP2) mask or without a mask. Each workout consisted of 3 sets of 10 repetitions of bench press (BP) and parallel squat (SQ) with a 12 repetition maximum load, including 2 minutes of recovery between sets and exercises. Mechanical performance was evaluated through the mean propulsive velocity and the number of repetitions completed during each session. Physiological responses were the oxygen saturation (SpO2), blood lactate concentration, heart rate (HR), and HR variability. Perceived exertion was recorded after each set, and The Beck Anxiety Inventory scale was completed at the end of each workout. The number of repetitions completed and the session mean propulsive velocity {(BP [m·s-1]: surgical: 0.35 ± 0.05; FFP2: 0.36 ± 0.04; nonmask: 0.38 ± 0.06) and (SQ: surgical: 0.43 ± 0.05; FFP2: 0.40 ± 0.07; nonmask: 0.41 ± 0.05)} were similar between conditions (p > 0.05). Heart rate recorded during sessions was similar across conditions: surgical: 119 ± 14, FFP2: 117 ± 13, and nonmask: 118 ± 10 bpm (p = 0.919). Face masks had no effect on SpO2, blood lactate concentration, HR variability, perceived exertion, and anxiety values (p > 0.05). Face masks do not compromise strength performance, physiological parameters, and perceived comfort of young and healthy individuals during a high-intensity resistance training session.
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Affiliation(s)
- Jessica Rial-Vázquez
- Performance and Health Group, Department of Physical Education and Sport, Faculty of Sports Sciences and Physical Education, University of A Coruna, A Coruña, Spain; and
| | - Iván Nine
- Performance and Health Group, Department of Physical Education and Sport, Faculty of Sports Sciences and Physical Education, University of A Coruna, A Coruña, Spain; and
| | - Jose María Guerrero-Moreno
- Performance and Health Group, Department of Physical Education and Sport, Faculty of Sports Sciences and Physical Education, University of A Coruna, A Coruña, Spain; and
| | - María Rúa-Alonso
- Performance and Health Group, Department of Physical Education and Sport, Faculty of Sports Sciences and Physical Education, University of A Coruna, A Coruña, Spain; and
| | - Juan Fariñas
- Performance and Health Group, Department of Physical Education and Sport, Faculty of Sports Sciences and Physical Education, University of A Coruna, A Coruña, Spain; and
| | - Gonzalo Márquez
- Faculty of Sports Sciences and Physical Education, University of A Coruna, A Coruña, Spain
| | - Manuel Avelino Giráldez-García
- Performance and Health Group, Department of Physical Education and Sport, Faculty of Sports Sciences and Physical Education, University of A Coruna, A Coruña, Spain; and
| | | | - Hugo López-Pillado
- Faculty of Sports Sciences and Physical Education, University of A Coruna, A Coruña, Spain
| | - Etham Coutado-Sánchez
- Faculty of Sports Sciences and Physical Education, University of A Coruna, A Coruña, Spain
| | | | - Eliseo Iglesias-Soler
- Performance and Health Group, Department of Physical Education and Sport, Faculty of Sports Sciences and Physical Education, University of A Coruna, A Coruña, Spain; and
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Teixeira DS, Ekkekakis P, Andrade AJ, Bastos V, Palmeira AL. Exploring the impact of individualized pleasure-oriented exercise sessions in a health club setting: Protocol for a randomized controlled trial. Psychol Sport Exerc 2023; 67:102424. [PMID: 37665877 DOI: 10.1016/j.psychsport.2023.102424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 02/06/2023] [Accepted: 03/13/2023] [Indexed: 09/06/2023]
Abstract
Research on the relationship between exercise-induced affect and exercise or physical activity behavior has gained momentum in recent years, yielding several observational and longitudinal studies. However, experimental tests demonstrating a causal role of affective responses on exercise adherence are lacking. Given the need to devise exercise prescriptions that can facilitate adherence and promote regular physical activity, a Randomized Controlled Trial targeting individual pleasurable responses in a health-club setting will be conducted. The experimental protocol will compare two individualized evaluation, prescription, and supervision methods, adjusted for intensity, with the aim to explore their impact on behavioral, affective, and motivational outcomes. The planned study will be a pragmatic randomized, single-blinded, controlled superiority trial with two parallel groups and an allocation ratio of 1:1. Apparently healthy volunteer participants (N = 46) between 18 and 45 years old, who are not regularly active, will be randomly allocated to a control or experimental group. The control group will follow a general American College of Sports Medicine exercise prescription; the experimental group will follow the same prescription but with enhancements aimed at promoting pleasure: (1) individualization based on individual differences in preference for and tolerance of exercise intensity; (2) self-regulation of intensity; and (3) repeated assessments of core affect. The primary outcome will be post-intervention exercise-session attendance. Affective and motivational variables will be examined as secondary outcomes. The results are expected to advance exercise prescriptions by promoting affective regulation, thus helping to improve exercise adherence and related outcomes. TRIAL REGISTRATION: ClinicalTrials.gov; ID: NCT05416593.
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Affiliation(s)
- Diogo S Teixeira
- Faculty of Physical Education and Sport, Lusófona University of Humanities and Technologies, Lisbon, Portugal; Research Center in Sport, Physical Education, and Exercise and Health (CIDEFES), Lisbon, Portugal.
| | | | - Ana J Andrade
- Faculty of Physical Education and Sport, Lusófona University of Humanities and Technologies, Lisbon, Portugal; Research Center in Sport, Physical Education, and Exercise and Health (CIDEFES), Lisbon, Portugal
| | - Vasco Bastos
- Faculty of Physical Education and Sport, Lusófona University of Humanities and Technologies, Lisbon, Portugal; Research Center in Sport, Physical Education, and Exercise and Health (CIDEFES), Lisbon, Portugal
| | - António L Palmeira
- Faculty of Physical Education and Sport, Lusófona University of Humanities and Technologies, Lisbon, Portugal; Research Center in Sport, Physical Education, and Exercise and Health (CIDEFES), Lisbon, Portugal
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Downey MM, Thompson-Lastad A. From Apathy to Structural Competency and the Right to Health: An Institutional Ethnography of a Maternal and Child Wellness Center. Health Hum Rights 2023; 25:23-38. [PMID: 37266317 PMCID: PMC9973510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023] Open
Abstract
Given the persistence of health inequities in the United States, scholars and health professionals alike have turned to the social determinants of health (SDH) framework to understand the overlapping factors that produce and shape these inequities. However, there is scant empirical literature on how frontline health and social service workers perceive and apply the SDH framework, or related movements such as the right to health, in their daily practice. Our study seeks to bridge this gap by applying constructs from the sociological imagination and structural competency (an emerging paradigm in health professions' education) to understand the perspectives and experiences of social work case managers, community health workers, legal advocates, and mental health counselors at a maternal and child health center in a large US city. This frontline workforce displayed strong sociological imagination, elements of structural competency, and engagement with the principles of the right to health. Workers shared reflections on the SDH framework in ways that signaled promising opportunities for frontline workers to link with the global movement for the right to health. We offer a novel approach to understanding the relationships between frontline worker perspectives on and experiences with the SDH, sociological imagination, structural competency, and the right to health.
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Affiliation(s)
- Margaret Mary Downey
- Member of the Structural Competency Working Group and an assistant professor at Tulane University’s School of Social Work, New Orleans, United States
| | - Ariana Thompson-Lastad
- Member of the Structural Competency Working Group’s leadership team, an assistant professor at the University of California San Francisco School of Medicine, and core faculty at the Osher Center for Integrative Medicine, San Francisco, United States
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19
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Herawati MH, Besral, Lolong DB, Pracoyo NE, Sukoco NEW, Supratikta H, Veruswati M, Asyary A. Service availability and readiness of malaria surveillance information systems implementation at primary health centers in Indonesia. PLoS One 2023; 18:e0284162. [PMID: 37104477 PMCID: PMC10138467 DOI: 10.1371/journal.pone.0284162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Accepted: 03/24/2023] [Indexed: 04/28/2023] Open
Abstract
One of the most important indicators in malaria eradication is the malaria surveillance information system (SISMAL) for recording and reporting medical cases. This paper aims to describe the availability and readiness of SISMALs at primary health centers (PHCs) in Indonesia. A cross-sectional survey was implemented in seven provinces for this study. The data was analyzed using bivariate, multivariate, and linear regression. The availability of the information system was measured by assessing the presence of the electronic malaria surveillance information system (E-SISMAL) at the studied PHCs. The readiness was measured by averaging each component of the assessment. From 400 PHC samples, only 58.5% had available SISMALs, and their level of readiness was only 50.2%. Three components had very low levels of readiness: (1) the availability of personnel (40.9%), (2) SISMAL integration and storage (50.2%), and (3) the availability of data sources and indicators (56.8%). Remote and border (DTPK) areas had a 4% better readiness score than non-DTPK areas. Endemic areas were 1.4% better than elimination areas, while regions with low financial capacity were 3.78% better than regions with high financial capacity, with moderate capacity (2.91%). The availability rate of the SISMAL at PHCs is only 58.5%. Many PHCs still do not have SISMALs. The readiness of the SISMAL at these PHCs is significantly related to DTPK/remote area, high endemicity status, and low financial capacity. This study found that the implementation of SISMAL is more accessible to malaria surveillance for the remote area and regions with low financial capacity. Therefore, this effort will well-fit to address barrier to malaria surveillance in developing countries.
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Affiliation(s)
| | - Besral
- Department of Biostatistics and Population Studies, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
| | | | | | | | - Hadi Supratikta
- National Research and Innovation Agency, Jakarta, Indonesia
- Study Program of Management Studies, Postgraduate School, Universitas Pamulang, South Tangerang, Banten, Indonesia
| | - Meita Veruswati
- Study Program of Public Health, Faculty of Health Sciences, Universitas Muhammadiyah Prof. Dr. HAMKA, Jakarta, Indonesia
- PhD in Business and Management, Postgraduate School, Management and Science University, Shah Alam, Selangor Darul Ehsan, Malaysia
| | - Al Asyary
- Department of Environmental Health, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
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20
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Pack A, Bailey SC, Light SW, Zuleta A, Batio S, Svoboda S, Cross MW, Wolf M. Development and Validation of COVID-19 Vaccine Messaging Materials for Latinx Communities. J Health Commun 2023; 28:264-271. [PMID: 37038762 PMCID: PMC10330455 DOI: 10.1080/10810730.2023.2199255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
With pervasive health misinformation and mistrust, many of those at greatest risk from COVID-19 have demonstrated lower vaccine acceptance. In Chicago, IL, surveillance data has revealed lower rates of vaccine uptake among Black and Latinx individuals compared with others. We partnered with two local federally qualified health centers (FQHCs) to develop and implement language-concordant, low literacy patient education materials to promote COVID-19 vaccine knowledge, acceptance, and uptake. Our multi-phase study included: 1) iterative content generation and refinement by health literacy experts, health center providers and staff, and community-dwelling adults; and 2) materials testing via a two-arm randomized experiment among adults from Latinx communities in the Chicagoland area. Results indicate that our English and Spanish-language COVID-19 Fact Sheets increase knowledge about COVID-19 vaccination. These materials are publicly available and can be used by health centers or community organizations to promote COVID-19 vaccination among diverse populations.
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Affiliation(s)
- Allison Pack
- Division of General Internal Medicine, Feinberg School of Medicine at Northwestern University, Chicago, Illinois, USA
| | - Stacy Cooper Bailey
- Division of General Internal Medicine, Feinberg School of Medicine at Northwestern University, Chicago, Illinois, USA
| | - Sophia W Light
- Division of General Internal Medicine, Feinberg School of Medicine at Northwestern University, Chicago, Illinois, USA
- Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine at Northwestern University, Chicago, Illinois, USA
| | - Andrea Zuleta
- Division of General Internal Medicine, Feinberg School of Medicine at Northwestern University, Chicago, Illinois, USA
| | - Stephanie Batio
- Division of General Internal Medicine, Feinberg School of Medicine at Northwestern University, Chicago, Illinois, USA
| | - Sophia Svoboda
- Division of General Internal Medicine, Feinberg School of Medicine at Northwestern University, Chicago, Illinois, USA
| | | | - Michael Wolf
- Division of General Internal Medicine, Feinberg School of Medicine at Northwestern University, Chicago, Illinois, USA
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Alpi KM, Johnson JR, Langford ME. Characterizing History of Health Sciences Organizations at Academic Health Sciences Centers. J Hist Med Allied Sci 2023; 78:9-19. [PMID: 36749627 DOI: 10.1093/jhmas/jrac041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Questions of how to sustain interest in the history of medicine and broader health sciences (HOM/HS) in a changing institutional environment, and how to collaborate with stakeholders to offer activities to do so, are on the radar for many academic health sciences centers and their libraries. This essay is an initial exploratory study of non-curricular HOM/HS efforts at United States medical schools ranked in the top thirty in primary care or research. In 2019, we collected public information pertinent to any presence of an on-campus HOM/HS community and the group's structure, including funding, activities, and the library's involvement with the group. Seventeen of forty-five institutions in the sample presented information about an institutional HOM/HS group. All posted a mission statement. Their funding varied in nature; some collected fees from members, while others relied on university support. Half were student-led. Most groups hosted regular lecture series, with fifteen groups hosting at least one annually. Six groups sponsored publications or awards. These findings indicate that several institutions with active programs offer potential models and lessons for sustaining HOM/HS communities. Beyond providing a physical or digital space in which HOM/HS groups connect, libraries play an active role in fostering some of these communities.
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Bas TG, Astudillo P, Rojo D, Trigo A. Opinions Related to the Potential Application of Artificial Intelligence (AI) by the Responsible in Charge of the Administrative Management Related to the Logistics and Supply Chain of Medical Stock in Health Centers in North of Chile. Int J Environ Res Public Health 2023; 20:4839. [PMID: 36981748 PMCID: PMC10048829 DOI: 10.3390/ijerph20064839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 02/21/2023] [Accepted: 03/06/2023] [Indexed: 06/18/2023]
Abstract
The research evaluated the opinion of those in charge of the administrative management of the logistics and supply chain of medical and pharmaceutical stocks of health care centers in the north of Chile and a potential improvement of their operations through the use of artificial intelligence (AI). The identification of the problem arose from the empirical analysis, where serious deficiencies in the manual handling and management of the stock of medicines and hospital supplies were evidenced. This deficiency does not allow a timely response to the demand of the logistics and supply chain, causing stock ruptures in health centers. Based on this finding, we asked ourselves how AI was observed as the most efficient tool to solve this difficulty. The results were obtained through surveys of personnel in charge of hospital and pharmacy supplies. The questions focused on the level of training, seniority in positions related to the problem, knowledge of regulations, degree of innovation in the procedures used in logistics and supply chain and procurement. However, a very striking fact was related to the importance of the use of AI, where, very surprisingly, 64.7% considered that it would not help to reduce human errors generated in the areas analyzed.
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Koy S, Fuerst F, Tuot B, Starke M, Flessa S. The Flipped Break-Even: Re-Balancing Demand- and Supply-Side Financing of Health Centers in Cambodia. Int J Environ Res Public Health 2023; 20:1228. [PMID: 36674006 PMCID: PMC9858853 DOI: 10.3390/ijerph20021228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 01/02/2023] [Accepted: 01/03/2023] [Indexed: 06/17/2023]
Abstract
Supply-side healthcare financing still dominates healthcare financing in many countries where the government provides line-item budgets for health facilities irrespective of the quantity or quality of services rendered. There is a risk that this approach will reduce the efficiency of services and the value of money for patients. This paper analyzes the situation of public health centers in Cambodia to determine the relevance of supply- and demand-side financing as well as lump sum and performance-based financing. Based on a sample of the provinces of Kampong Thom and Kampot in the year 2019, we determined the income and expenditure of each facility and computed the unit cost with comprehensive step-down costing. Furthermore, the National Quality Enhancement Monitoring Tool (NQEMT) provided us with a quality score for each facility. Finally, we calculated the efficiency as the quotient of quality and cost per service unit as well as correlations between the variables. The results show that the largest share of income was received from supply-side financing, i.e., the government supports the health centers with line-item budgets irrespective of the number of patients and the quality of care. This paper demonstrates that the efficiency of public health centers increases if the relevance of performance-based financing increases. Thus, the authors recommend increasing performance-based financing in Cambodia to improve value-based healthcare. There are several alternatives available to re-balance demand- and supply-side financing, and all of them must be thoroughly analyzed before they are implemented.
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Affiliation(s)
- Sokunthea Koy
- Improving Social Protection and Health, Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ), Phnom Penh 120102, Cambodia
| | - Franziska Fuerst
- Improving Social Protection and Health, Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ), Phnom Penh 120102, Cambodia
| | - Bunnareth Tuot
- Improving Social Protection and Health, Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ), Phnom Penh 120102, Cambodia
| | - Maurice Starke
- Improving Social Protection and Health, Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ), Phnom Penh 120102, Cambodia
| | - Steffen Flessa
- Department of Health Care Management, University of Greifswald, 17487 Greifswald, Germany
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Kennedy RA, McKenzie G, Holmes C, Shields N. Social Support Initiatives That Facilitate Exercise Participation in Community Gyms for People with Disability: A Scoping Review. Int J Environ Res Public Health 2022; 20:699. [PMID: 36613019 PMCID: PMC9819822 DOI: 10.3390/ijerph20010699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 12/22/2022] [Accepted: 12/26/2022] [Indexed: 06/17/2023]
Abstract
People with disability report social support facilitates participation in physical activity. A scoping review explored social support strategies used to facilitate exercise participation for people with disability (aged ≥ 15 years) in community gym settings. Seven electronic databases were searched. Studies were screened for eligibility based on title and abstract followed by full-text review. Data were analysed using content analysis and narrative synthesis. Forty-two articles reporting data from 35 studies were included. Eight types of social support were identified: supervision (n = 30), peer support (n = 21), specialist support (n = 19), orientation (n = 15), education (n = 7), logistical support (n = 6), motivational support (n = 5) and organised social activities (n = 4). Direct supervision was typically provided 1:1 or in small groups by staff experienced working with people with disability. Peer support typically involved support from exercise group participants or a peer mentor. Specialist support was usually provided by a health or exercise professional either directly to people with disability or to the people providing support to them (e.g., trainer). Orientation to the gym environment, equipment and exercise program was usually provided over 1 or 2 sessions. Gym staff may use these strategies to guide the implementation of social supports within their facilities to promote social connectedness and participation for people with disability.
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Affiliation(s)
- Rachel A. Kennedy
- Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, Bundoora 3086, Australia
| | - Georgia McKenzie
- Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, Bundoora 3086, Australia
| | - Carlee Holmes
- CP Achieve Centre of Research Excellence, Neurodisability and Rehabilitation, Murdoch Children’s Research Institute, Parkville 3052, Australia
| | - Nora Shields
- Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, Bundoora 3086, Australia
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Fritz JM, Del Fiol G, Gibson B, Wetter DW, Solis V, Bennett E, Thackeray A, Goode A, Lundberg K, Romero A, Ford I, Stevens L, Siaperas T, Morales J, Yack M, Greene T. BeatPain Utah: study protocol for a pragmatic randomised trial examining telehealth strategies to provide non-pharmacologic pain care for persons with chronic low back pain receiving care in federally qualified health centers. BMJ Open 2022; 12:e067732. [PMID: 36351735 PMCID: PMC9664275 DOI: 10.1136/bmjopen-2022-067732] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
INTRODUCTION Although evidence-based guidelines recommend non-pharmacologic treatments as first-line care for chronic low back pain (LBP), uptake has been limited, particularly in rural, low-income and ethnically diverse communities. The BeatPain study will evaluate the implementation and compare the effectiveness of two strategies to provide non-pharmacologic treatment for chronic LBP. The study will use telehealth to overcome access barriers for persons receiving care in federally qualified health centres (FQHCs) in the state of Utah. METHODS AND ANALYSIS BeatPain Utah is a pragmatic randomised clinical trial with a hybrid type I design investigating different strategies to provide non-pharmacologic care for adults with chronic LBP seen in Utah FQHCs. The intervention strategies include a brief pain consult (BPC) and telehealth physical therapy (PT) component provided using either an adaptive or sequenced delivery strategy across two 12-week treatment phases. Interventions are provided via telehealth by centrally located physical therapists. The sequenced delivery strategy provides the BPC, followed by telehealth PT in the first 12 weeks for all patients. The adaptive strategy uses a stepped care approach and provides the BPC in the first 12 weeks and telehealth PT to patients who are non-responders to the BPC component. We will recruit 500 English-speaking or Spanish-speaking participants who will be individually randomised with 1:1 allocation. The primary outcome is the Pain, Enjoyment and General Activity measure of pain impact with secondary outcomes including the additional pain assessment domains specified by the National Institutes (NIH) of Health Helping to End Addiction Long Initiative and implementation measures. Analyses of primary and secondary measures of effectiveness will be performed under longitudinal mixed effect models across assessments at baseline, and at 12, 26 and 52 weeks follow-ups. ETHICS AND DISSEMINATION Ethics approval for the study was obtained from the University of Utah Institutional Review Board. On completion, study data will be made available in compliance with NIH data sharing policies. TRIAL REGISTRATION NUMBER NCT04923334.
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Affiliation(s)
- Julie M Fritz
- Department of Physical Therapy & Athletic Training, The University of Utah, Salt Lake City, Utah, USA
| | - Guilherme Del Fiol
- Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA
| | - Bryan Gibson
- Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA
| | - David W Wetter
- Population Sciences, Huntsman Cancer Institute, Salt Lake City, Utah, USA
| | - Victor Solis
- Department of Physical Therapy & Athletic Training, The University of Utah, Salt Lake City, Utah, USA
| | - Emily Bennett
- Association for Utah Community Health, Salt Lake City, Utah, USA
| | - Anne Thackeray
- Department of Physical Therapy & Athletic Training, The University of Utah, Salt Lake City, Utah, USA
| | - Adam Goode
- Orthopedic Surgery and Population Health Sciences, Duke University, Durham, North Carolina, USA
| | - Kelly Lundberg
- Department of Psychiatry, University of Utah, Salt Lake City, Utah, USA
| | - Adrianna Romero
- Department of Physical Therapy & Athletic Training, The University of Utah, Salt Lake City, Utah, USA
| | - Isaac Ford
- Department of Physical Therapy & Athletic Training, The University of Utah, Salt Lake City, Utah, USA
| | - Leticia Stevens
- Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA
| | - Tracey Siaperas
- Association for Utah Community Health, Salt Lake City, Utah, USA
| | - Jennyfer Morales
- Department of Population Health Sciences, University of Utah, Salt Lake City, Utah, USA
| | - Melissa Yack
- Center for Health Outcomes and Population Equity - Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA
| | - Tom Greene
- Division of Epidemiology, University of Utah, Salt Lake City, Utah, USA
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Morgan KA, Heeb R, Flynn A, Sukow K, Tormey E, Tucker S, Walker K, Hollingsworth H. An observational study of personal and environmental factors associated with attendance at a community-based adaptive fitness center for adults with physical disabilities. Disabil Health J 2022; 15:101342. [PMID: 35710900 DOI: 10.1016/j.dhjo.2022.101342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 05/11/2022] [Accepted: 05/13/2022] [Indexed: 11/03/2022]
Abstract
BACKGROUND Regular exercise has many benefits for adults with physical disabilities (AwPD). Despite these benefits, significant barriers to participating in exercise exist for AwPD. Community-based adaptive fitness centers promote exercise for AwPD by minimizing barriers. Research has yet to clearly examine the personal and environmental factors associated with enrollment and attendance rates of AwPD in community-based adaptive fitness centers. OBJECTIVE The purpose of our study was to explore personal and environmental factors associated with AwPD and their attendance at a community-based adaptive fitness center once enrolled. METHODS Individuals aged 18-85 with a physical disability interested in exercising were referred to a community-based adaptive fitness center. At initial assessment, participants completed demographics, health, barriers to exercise, and exercise self-efficacy (ESE) surveys. Following initial assessment, participant visits to the fitness center were tracked for six months. RESULTS Of 106 participants, 27 never visited the facility after initial assessment, and the remaining participants with six months of attendance data (n = 67) averaged 14.9 (SD = 14.2) visits. Correlation results showed a negative curvilinear relationship between number of visits and years living with disability (rs = -0.24, p < 0.05), with higher attendance associated with more recent diagnosis. Logistic and stepwise regressions showed that ESE score (β = 0.107, p = 0.026) was the only significant predictor of attending the fitness center once enrolled. CONCLUSIONS This study demonstrates the importance of understanding personal and environmental factors and assessing ESE for AwPD who are newly enrolled in a community-based adaptive fitness center.
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Affiliation(s)
- Kerri A Morgan
- Washington University School of Medicine, Program in Occupational Therapy, St. Louis, MO, United States.
| | - Rachel Heeb
- Washington University School of Medicine, Program in Occupational Therapy, St. Louis, MO, United States
| | - Ashley Flynn
- Washington University School of Medicine, Program in Occupational Therapy, St. Louis, MO, United States
| | - Kayleigh Sukow
- Washington University School of Medicine, Program in Occupational Therapy, St. Louis, MO, United States
| | - Erin Tormey
- Washington University School of Medicine, Program in Occupational Therapy, St. Louis, MO, United States
| | - Susan Tucker
- Washington University School of Medicine, Program in Occupational Therapy, St. Louis, MO, United States
| | - Kim Walker
- Washington University School of Medicine, Program in Occupational Therapy, St. Louis, MO, United States
| | - Holly Hollingsworth
- Washington University School of Medicine, Program in Occupational Therapy, St. Louis, MO, United States
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Chen X, Zheng L, Xu Y. Study on the Construction and Development Path of Gymnasiums considering Ecological Environment Restrictions. J Environ Public Health 2022; 2022:2700957. [PMID: 35978586 PMCID: PMC9377851 DOI: 10.1155/2022/2700957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 06/24/2022] [Accepted: 07/14/2022] [Indexed: 11/18/2022]
Abstract
Under the restriction of ecological and environmental factors, our requirements have improved for the development path of gymnasium construction. According to the previous way to carry out the development path of gymnasium construction will make our construction work encounter a lot of unnecessary troubles, so we can improve the success rate of the development path of gymnasium construction under the constraints of the ecological environment by carrying out relevant evasive operations according to the constraints of ecological environment. The topological path and path algorithm used to improve the efficiency of stadium construction and development path under the constraints of ecological environment, TEG algorithm, Q-TEG model, Q-TEG algorithm, Dtra algorithm, TraD algorithm, ResR algorithm, and Q-TED algorithm used in resource reservation plus time slot plus hosting bring the following advantages: (1) we use topological path and path algorithm to explore topological representation methods suitable for development path. The overview provides a theoretical basis for guidance, for forwarding technology scheduling mechanisms and multi-path forwarding mechanisms to provide higher flexibility. (2) We use the TEG algorithm of resource reservation plus time slot plus trusteeship, Q-TEG model, and Q-TEG algorithm under multi-model model can deal with the capacity and link of queue in each stadium construction development path well. It is more convenient to set the packet loss threshold for the propagation experiment tested in the simulation. Better help gymnasium construction and development path transmission is successful. (3) The use of the Dtra algorithm, TraD algorithm, ResR algorithm, and Q-TED algorithm in our stadium construction development path of a good deal of the transmission link structure between each node, so that the transmission efficiency between nodes becomes higher, making our stadium construction development path operation more efficient and convenient.
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Affiliation(s)
- Xiaming Chen
- Quanzhou Normal University, Quanzhou 362000, China
| | - Linhong Zheng
- Quanzhou Normal University, Quanzhou 362000, China
- Centre for Sport and Exercise Sciences, University of Malaya, Kuala Lumpur 50603, Malaysia
| | - Yueyun Xu
- Quanzhou Normal University, Quanzhou 362000, China
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Adhikari B, Ranashing S, Miller BA, Novak VD, Jiang C. Learning Dynamic Patient-Robot Task Assignment and Scheduling for A Robotic Rehabilitation Gym. IEEE Int Conf Rehabil Robot 2022; 2022:1-6. [PMID: 36176110 DOI: 10.1109/icorr55369.2022.9896498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
A robotic rehabilitation gym is a setup that allows multiple patients to exercise together using multiple robots. The effectiveness of training in such a group setting could be increased by dynamically assigning patients to specific robots. In this simulation study, we develop an automated system that dynamically makes patient-robot assignments based on measured patient performance to achieve optimal group rehabilitation outcome. To solve the dynamic assignment problem, we propose an approach that uses a neural network classifier to predict the assignment priority between two patients for a specific robot given their task success rate on that robot. The priority classifier is trained using assignment demonstrations provided by a domain expert. In the absence of real human data from a robotic gym, we develop a robotic gym simulator and create a synthetic dataset for training the classifier. The simulation results show that our approach makes effective assignments that yield comparable patient training outcomes to those obtained by the domain expert.
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Perera M, Arambepola C, Gillison F, Peacock O, Thompson D. Perceived barriers and facilitators of physical activity in adults living in activity-friendly urban environments: A qualitative study in Sri Lanka. PLoS One 2022; 17:e0268817. [PMID: 35653333 PMCID: PMC9162315 DOI: 10.1371/journal.pone.0268817] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Accepted: 05/09/2022] [Indexed: 11/24/2022] Open
Abstract
Background Despite reforming health policies to create more enabling environments, insufficient physical activity in Sri Lanka remains a major public health issue. Socio-culture specific determinants underlying the physical activity of adults living in such environments need to be identified. The aim of this study was to explore the barriers and facilitators for physical activity, as perceived by adult urban dwellers in activity-friendly environments in Colombo District, Sri Lanka. Methods A qualitative study using in-depth interviews was conducted among adults aged 20–60 years living in an urban area which has been recently re-designed for recreational and rejuvenating purposes in Sri Lanka. Recruitment targeted varying socio-economic status and risk of non-communicable diseases; and was continued until the data saturation point was reached. Interviews were conducted in homes, primary healthcare units and fitness centres, and were transcribed verbatim and analysed using framework analysis. Results A total of 31 eligible and consenting adults were interviewed. Of the reported barriers to physical activity, lack of time was very common. Other frequently reported barriers included unpleasant experiences following exercise and misconceptions about exercise, whereas physical environmental factors, weather and road safety were reported less frequently. All participants reported at least one facilitator for engaging in exercise. Expectations of preventing diseases, improving health, physical fitness, psycho-social wellbeing, optimising body functions and increasing lifespan were frequently cited as reasons to be active, while social factors such as positive attitudes of family members and the influence of peers were found to be motivating. Conclusions The study showed that while participants valued the health benefits of physical activity and refurbished activity-friendly urban environments, these were not sufficient to support them to overcome key perceived barriers to being physically active.
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Affiliation(s)
- Madhawa Perera
- Department of Gynaecology and Obstetrics, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka
- * E-mail:
| | - Carukshi Arambepola
- Department of Community Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka
| | - Fiona Gillison
- Department for Health, University of Bath, Bath, United Kingdom
| | - Oliver Peacock
- Department for Health, University of Bath, Bath, United Kingdom
| | - Dylan Thompson
- Department for Health, University of Bath, Bath, United Kingdom
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Mangweth-Matzek B, Decker B, Erschbaumer I, Wurnig V, Kemmler G, Bichler CS, Rupp CI. Disordered eating symptoms in Austrian men of different ages in the context of fitness centers. Eat Weight Disord 2022; 27:1765-1773. [PMID: 34727358 PMCID: PMC9122871 DOI: 10.1007/s40519-021-01317-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Accepted: 10/08/2021] [Indexed: 11/25/2022] Open
Abstract
PURPOSE To assess eating behavior and associated factors in male fitness-center attendees. METHODS An anonymous questionnaire was administered to male fitness center members of Innsbruck (Austria), aged 18-80 years to assess socio-demographic features, weight history, sports activity, eating behavior including disordered eating based on the Eating Disorder Examination Questionnaire (EDE-Q) and DSM-5 key symptoms for eating disorders (anorexia nervosa, binge eating, bulimia nervosa, purging disorder) and body image. Three age groups (younger-middle-aged-older men) were compared regarding the variables described above. RESULTS A total of 307 men included displayed high rates of disordered eating as described by EDE-Q cutoff scores (5-11%) as well as by DSM-5 eating disorder symptoms (10%). While EDE-Q cutoff scores did not differentiate between the groups, the prevalences of DSM-5 eating disorder symptoms yielded significant differences indicating a clear decrease with increasing age. Binge eating and bulimic symptoms with excessive exercising as the purging method were the most often reported symptoms. CONCLUSION Although described as typically female, disordered eating does occur in male fitness-gym attendees across all ages. The older the men, the less prevalent are the symptoms. Awareness of disordered eating and possible negative effects need to be addressed for attendees and trainers of the gym. LEVEL OF EVIDENCE V-descriptive survey study.
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Affiliation(s)
- Barbara Mangweth-Matzek
- Department of Psychotherapy, Psychotherapy and Psychosomatics, University Hospital of Psychiatry II, Medical University Innsbruck, Innsbruck, Austria.
| | - Benjamin Decker
- Department of Psychotherapy, Psychotherapy and Psychosomatics, University Hospital of Psychiatry II, Medical University Innsbruck, Innsbruck, Austria
| | - Irene Erschbaumer
- Department of Psychotherapy, Psychotherapy and Psychosomatics, University Hospital of Psychiatry II, Medical University Innsbruck, Innsbruck, Austria
| | - Verena Wurnig
- Department of Psychotherapy, Psychotherapy and Psychosomatics, University Hospital of Psychiatry II, Medical University Innsbruck, Innsbruck, Austria
| | - Georg Kemmler
- Department of Psychotherapy, Psychotherapy and Psychosomatics, University Hospital of Psychiatry II, Medical University Innsbruck, Innsbruck, Austria
| | - Carina S Bichler
- Department of Sport Science, University of Innsbruck, Innsbruck, Austria
| | - Claudia I Rupp
- Department of Psychotherapy, Psychotherapy and Psychosomatics, University Hospital of Psychiatry I, Medical University Innsbruck, Innsbruck, Austria
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Sheill G, Hennessy M, Neill LO, Reynolds S, Towns J, Gill M, Guinan E. Exercise and chronic health conditions in the community: A qualitative Study of Patients and Fitness instructors. Health Soc Care Community 2022; 30:1025-1034. [PMID: 33704862 DOI: 10.1111/hsc.13288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Revised: 11/14/2020] [Accepted: 12/18/2020] [Indexed: 06/12/2023]
Abstract
Further information is needed on how community exercise facilities can be effectively utilised to engage people living with chronic health conditions in exercise. The aim of this study was to identify the exercise barriers, facilitators and needs of patients with chronic disease in the community; and to provide recommendations to support the transition from hospital-based to community-based exercise. Using a qualitative approach, four focus groups were conducted with patients who had completed hospital-based exercise programmes (n = 11) and fitness instructors (n = 10). Data were audio recorded, member checked and transcribed verbatim for thematic analysis using NVivo. The side effects of chronic health conditions, the gym environment and a need for support when joining/attending a gym were perceived as barriers to exercising in the community. In contrast, the presence of supportive staff was perceived by patients as a facilitator to engaging in exercise in the community. A total of three themes emerged from participants views on exercise needs in the community; the referral and induction process in community gyms, fitness instructor training and experience and creating a supportive exercise environment. Themes informed eight key recommendations to support patients to exercise in the community, including supportive gym referral and induction processes for patients with chronic conditions, increased professional training for fitness instructors in the area of chronic disease management and exercise prescription, and exercise support at regular intervals for those with chronic conditions attending community gyms. This study found that there is potential for community gyms to play a key role in promoting health among people with chronic conditions. However, more can be done to foster an inclusive atmosphere in this space. Patients living with chronic conditions need information and advice on exercising in their communities. Community gyms require further support to ensure that facilities meet the exercise needs of people with chronic conditions.
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Affiliation(s)
- Gráinne Sheill
- Wellcome HRB Clinical Research Facility, St James's Hospital, Dublin, Ireland
| | - Martina Hennessy
- Wellcome HRB Clinical Research Facility, St James's Hospital, Dublin, Ireland
- School of Medicine, Trinity College Dublin, Dublin, Ireland
| | - Linda O Neill
- School of Medicine, Trinity College Dublin, Dublin, Ireland
| | | | - Jeremy Towns
- Wellcome HRB Clinical Research Facility, St James's Hospital, Dublin, Ireland
| | - Michael Gill
- School of Medicine, Trinity College Dublin, Dublin, Ireland
- Department of Psychiatry & Institute of Molecular Medicine, Trinity College Dublin, Dublin, Ireland
| | - Emer Guinan
- School of Medicine, Trinity College Dublin, Dublin, Ireland
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MacLean A, Maycock M, Hunt K, Mailer C, Mason K, Gray CM. Fit for LIFE: the development and optimization of an intervention delivered through prison gymnasia to support incarcerated men in making positive lifestyle changes. BMC Public Health 2022; 22:783. [PMID: 35436873 PMCID: PMC9017016 DOI: 10.1186/s12889-022-13004-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Accepted: 03/11/2022] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Despite prison settings presenting opportunities for healthy eating and regular exercise, many incarcerated men supplement prison food with unhealthy snacks and drinks, and are less likely to achieve recommended physical activity guidelines than non-incarcerated men. This paper describes the co-development with prison staff of a healthy lifestyle intervention for delivery to incarcerated men, and feasibility testing of its delivery through prison physical education departments. METHODS The starting point for intervention development was Football Fans in Training (FFIT), an evidence-based intervention successful in engaging men and supporting them to lose weight, make positive lifestyle changes and maintain these long term. We iteratively tested and adapted FFIT for delivery in prison gym facilities through a four Phase pilot and optimisation study. Methods used to evaluate each phase included: observations of session deliveries; semi-structured interviews with participants; and a focus group/semi-structured interviews with prison Physical Education Instructors (PEIs) who delivered the programme. Data were analysed thematically using the Framework approach. Findings from each phase informed development of the optimised programme. RESULTS We iteratively co-developed a healthy lifestyle intervention (known as Fit for LIFE) tailored to the needs of incarcerated men and prison operational constraints. Fit for LIFE comprises elements specifically designed to address common barriers to a healthy lifestyle within prison, including: discussion of healthiest available food choices; trying out different physical activity options in the prison gym; and strategies (such as in-cell workouts) for dealing with prolonged time in cells at evenings/weekends. Weight loss was not always the most valued outcome. Instead, participants cited a wide range of behavioural, physical and mental health improvements as important to them, and were more motivated if they could focus on identifying and achieving personally relevant objectives. CONCLUSIONS Fit for LIFE is a 10-week, group-based healthy lifestyle programme tailored for delivery to incarcerated men in prison gymnasia. Weekly 90-min sessions include informative and interactive 'classroom' activities followed by a practical physical activity training session, often with group activities. Fit for LIFE aims to help incarcerated men to: increase physical activity; reduce sedentary time; eat more healthily; and start and maintain using prison gym facilities with confidence.
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Affiliation(s)
- Alice MacLean
- Institute of Social Marketing and Health, University of Stirling, Stirling, UK
| | - Matthew Maycock
- School of Education and Social Work, University of Dundee, Dundee, UK
| | - Kate Hunt
- Institute of Social Marketing and Health, University of Stirling and Institute for Health and Wellbeing, University of Glasgow, Glasgow, UK
| | | | | | - Cindy M. Gray
- Institute of Health and Wellbeing, School of Social and Political Sciences, University of Glasgow, Glasgow, UK
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Ezeonu CT, Asiegbu UV, Andrew O, Joe-Akunne CI, Nwobashi LN. The importance of health clubs in asthma management. Ghana Med J 2021; 55:257-264. [PMID: 35957936 PMCID: PMC9334968 DOI: 10.4314/gmj.v55i4.5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Objectives To describe the importance of Health clubs in Asthma management in Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi state. Design a cross-sectional qualitative study using focus group discussions (FGD) and Key informant interviews (KII). Setting the study was conducted from June to July 2019 at the Pulmonology Unit, Department of Pediatrics, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, a tertiary health facility in Ebonyi State, Nigeria. Participants 15 out of 25 caregivers of our pediatric asthma clients who attend the Asthma club and nine key informants drawn from club members and some care givers. Data Collection/Intervention With informed consent, data were collected from participants using recorded interviews. Statistical analysis/Main outcome measure This was done using the descriptive phenomenological psychological by sorting out each description's explanation and separating them into inferred meaning units for analyses and discussion for easier analysis. Results Out of 25 caregivers invited, 15 participated in the FGD, all were females aged 32-57 years. For the KII, two out of nine participants were males, three were parents (adults), whereas six were children, 9 to 16 years. Generally, most respondents expressed that the Asthma club improved their sense of well-being y providing a better understanding of the illness, and skills for its management. Conclusion The asthma club provides informational and affirmational supportive value to clients. We encourage as many centres as possible to raise an asthma club for more effective health communication and asthma care. Funding none declared.
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Affiliation(s)
- Chinonyelum T Ezeonu
- Department of Pediatrics, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria
- Institute of Child Health, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria
- Department of Pediatrics, Ebonyi State University, Abakaliki, Nigeria
| | - Uzoma V Asiegbu
- Department of Pediatrics, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria
- Institute of Child Health, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria
- Department of Pediatrics, Ebonyi State University, Abakaliki, Nigeria
| | - Odirichi Andrew
- Department of Pediatrics, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria
- Institute of Child Health, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria
| | - Chinwe I Joe-Akunne
- Department of Pediatrics, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria
| | - Lilian N Nwobashi
- Department of Pediatrics, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria
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Sobreiro P, Guedes-Carvalho P, Santos A, Pinheiro P, Gonçalves C. Predicting Fitness Centre Dropout. Int J Environ Res Public Health 2021; 18:10465. [PMID: 34639766 PMCID: PMC8508547 DOI: 10.3390/ijerph181910465] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 09/27/2021] [Accepted: 09/30/2021] [Indexed: 11/17/2022]
Abstract
The phenomenon of dropout is often found among customers of sports services. In this study we intend to evaluate the performance of machine learning algorithms in predicting dropout using available data about their historic use of facilities. The data relating to a sample of 5209 members was taken from a Portuguese fitness centre and included the variables registration data, payments and frequency, age, sex, non-attendance days, amount billed, average weekly visits, total number of visits, visits hired per week, number of registration renewals, number of members referrals, total monthly registrations, and total member enrolment time, which may be indicative of members' commitment. Whilst the Gradient Boosting Classifier had the best performance in predicting dropout (sensitivity = 0.986), the Random Forest Classifier was the best at predicting non-dropout (specificity = 0.790); the overall performance of the Gradient Boosting Classifier was superior to the Random Forest Classifier (accuracy 0.955 against 0.920). The most relevant variables predicting dropout were "non-attendance days", "total length of stay", and "total amount billed". The use of decision trees provides information that can be readily acted upon to identify member profiles of those at risk of dropout, giving also guidelines for measures and policies to reduce it.
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Affiliation(s)
- Pedro Sobreiro
- Sport Sciences School of Rio Maior (ESDRM), Polytechnic Institute of Santarém, 2001-904 Santarém, Portugal;
- Life Quality Research Center, 2001-904 Santarém, Portugal
| | - Pedro Guedes-Carvalho
- Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), 5001-801 Vila Real, Portugal; (P.G.-C.); (C.G.)
| | - Abel Santos
- Sport Sciences School of Rio Maior (ESDRM), Polytechnic Institute of Santarém, 2001-904 Santarém, Portugal;
- Life Quality Research Center, 2001-904 Santarém, Portugal
| | - Paulo Pinheiro
- Departamento de Ciências e Tecnologia, Universidade Aberta, 1269-001 Lisbon, Portugal;
| | - Celina Gonçalves
- Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), 5001-801 Vila Real, Portugal; (P.G.-C.); (C.G.)
- Sport Department, University of Maia, 4475-690 Maia, Portugal
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Valcarce-Torrente M, Javaloyes V, Gallardo L, García-Fernández J, Planas-Anzano A. Influence of Fitness Apps on Sports Habits, Satisfaction, and Intentions to Stay in Fitness Center Users: An Experimental Study. Int J Environ Res Public Health 2021; 18:10393. [PMID: 34639692 PMCID: PMC8507994 DOI: 10.3390/ijerph181910393] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 09/28/2021] [Accepted: 09/28/2021] [Indexed: 01/20/2023]
Abstract
The use of technology in sports and fitness is proliferating thanks to advances to facilitate its practice and improve adherence. Beyond adherence, it is important that technology is understood as a facilitating medium. The main objective of this study is to know the influence of the use of the fitness application (app) on sports habits, customer satisfaction and maintenance intention of fitness center users. For this, an experimental, controlled and randomized study was carried out, characterized by being a field trial, with a sample of 66 participants divided into a control group (n = 33) and an experimental group (n = 33), with 38 (57.6%) men and 28 (42.4%) women who self-monitored their physical activity for 8 weeks. The dimensions analyzed between the pre- and post-intervention phases were the changes in their sporting habits (frequency of attendance and duration of the session), the changes in satisfaction and the intention to stay with respect to the fitness center. The results in general do not show significant differences between the two groups and conclude that the use of the fitness app did not directly influence the sports habits of the participants. There were also no significant differences in terms of satisfaction with the fitness center or in their intention to stay in the fitness center. Therefore, it is shown that the use of the fitness app, as a single download or use element, is not enough to improve habits, satisfaction or the intention to stay in the fitness center.
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Affiliation(s)
- Manel Valcarce-Torrente
- Department of Business Management, Universidad Internacional de Valencia (VIU), 46002 Valencia, Spain
| | - Vicente Javaloyes
- Centro Lleida, Department of Sport Management, Instituto Nacional de Educación Física de Cataluña, 08038 Barcelona, Spain; (V.J.); (A.P.-A.)
| | - Leonor Gallardo
- IGOID Research Group, Physical Activity and Sport Sciences Department, Universidad de Castilla-La Mancha, 45004 Toledo, Spain;
| | - Jerónimo García-Fernández
- Research Group of Management and Innovation in Sports Science, Leisure and Recreation (GISDOR), Universidad de Sevilla, 41013 Seville, Spain;
| | - Antoni Planas-Anzano
- Centro Lleida, Department of Sport Management, Instituto Nacional de Educación Física de Cataluña, 08038 Barcelona, Spain; (V.J.); (A.P.-A.)
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Boonrattanakij N, Yomchinda S, Lin FJ, Bellotindos LM, Lu MC. Investigation and disinfection of bacteria and fungi in sports fitness center. Environ Sci Pollut Res Int 2021; 28:52576-52586. [PMID: 34018112 PMCID: PMC8137265 DOI: 10.1007/s11356-021-14323-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Accepted: 05/03/2021] [Indexed: 05/13/2023]
Abstract
This study investigated the air quality improvement in terms of bacterial and fungal contamination in an exercise room of a fitness center under normal operating conditions. Environmental conditions including air conditioning, ventilation, moisture, CO2, particulate matters, and total number of users were also recorded. In addition, fungal and bacterial load were assessed and disinfection on sports equipment surface was also examined. Background bacteria and fungi densities in bioaerosols were in the range of 249 ± 65 to 812 ± 111 CFU/m3 and 226 ± 39 to 837 ± 838 CFU/m3 in the exercise room of the fitness center and 370 ± 86 to 953 ± 136 CFU/m3 and 465 ± 108 to 1734 ± 580 CFU/m3 in the outdoor air, respectively. Chlorine dioxide and weak acid hypochlorous water aerosols could remove both bacteria and fungi much better than water scrubbing. Contact time of 15 min was sufficient to control both bacteria and fungi to comply with the official air quality standards. User density and carbon dioxide deteriorated both bacteria and fungi disinfection performance whereas temperature was only statistically significant on fungi disinfection. Other factors including relative humidity, airflow velocity, and particulate matters did not have any statistically significant effect on microbial inactivation. Apart from bioaerosol disinfection, inactivation of microorganisms on surfaces of sports equipment was also conducted using chlorine dioxide, zinc oxide, weak acid hypochlorous water, and commercial disinfectant. The surfaces of bicycle handle, dumbbell, and sit-up bench were found to be contaminated with bacteria. Overall bacterial load was 390 to 3720 CFU/cm2 with Escherichia coli specifically 550 to 1080 CFU/cm2. Chlorine dioxide and zinc oxide were noticeably better than weak acid hypochlorous water and commercial disinfectant in terms of bacteria inactivation whereas all tested disinfectants had comparable effectiveness on E. coli disinfection. Targeted microorganisms on the sports equipment surface were sufficiently inactivated within 2 min after the application of disinfectant.
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Affiliation(s)
- Nonglak Boonrattanakij
- Department of Environmental Engineering, Faculty of Engineering, King Mongkut's University of Technology Thonburi, Bangkok, 10140, Thailand
| | - Sirikorn Yomchinda
- Department of Environmental Engineering, Faculty of Engineering, King Mongkut's University of Technology Thonburi, Bangkok, 10140, Thailand
- Department of Environmental Resources Management, Chia Nan University of Pharmacy and Science, Tainan, 71710, Taiwan
| | - Fang-Jia Lin
- Department of Environmental Resources Management, Chia Nan University of Pharmacy and Science, Tainan, 71710, Taiwan
| | | | - Ming-Chun Lu
- Department of Environmental Engineering, National Chung Hsing University, Taichung, 40227, Taiwan.
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Bart SM, Flaherty E, Alpert T, Carlson S, Fasulo L, Earnest R, White EB, Dickens N, Brito AF, Grubaugh ND, Hadler JL, Sosa LE. Multiple Transmission Chains within COVID-19 Cluster, Connecticut, USA, 2020 1. Emerg Infect Dis 2021; 27:2669-2672. [PMID: 34545794 PMCID: PMC8462310 DOI: 10.3201/eid2710.211196] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
In fall 2020, a coronavirus disease cluster comprising 16 cases occurred in Connecticut, USA. Epidemiologic and genomic evidence supported transmission among persons at a school and fitness center but not a workplace. The multiple transmission chains identified within this cluster highlight the necessity of a combined investigatory approach.
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Chattopadhyay S. Cost-efficiency in the patient centered medical home model: New evidence from federally qualified health centers. Int J Health Econ Manag 2021; 21:295-316. [PMID: 33638724 DOI: 10.1007/s10754-021-09295-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Accepted: 02/10/2021] [Indexed: 06/12/2023]
Abstract
This research analyzes the cost-efficiency of the Patient Centered Medical Home (PCMH) model vis-à-vis the traditional care delivery model in the Federally Qualified Health Centers (FQHC). We apply the three-stage least squares modeling approach on 2014 UDS data on all FQHCs to estimate per-visit and per-patient cost functions. Log-quadratic and linear-quadratic functional forms of cost are used for the analysis. The estimated models reveal substantial scale economies and cost advantages associated with PCMH status. Aggregate cost-saving impact of PCMH across all FQHCs in 2014 is estimated to be $1.05 billion. Simulations reveal that the PCMH impact on cost savings grows with the size of the patient population. Reaching the full cost-saving potential in PCMH-recognized FQHCs hinges on expanding the health workforce at all levels of care to meet the need of the growing patient population due to aging and Medicaid expansion. For FQHCs that are not PCMH-recognized, capacity/infrastructural expansion appears to be the immediate policy choice.
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Affiliation(s)
- Sudip Chattopadhyay
- San Francisco State University, San Francisco, USA.
- National Center for Health Workforce Analysis, Health Resources and Services Administration, 5600 Fishers Lane, , Rockville, MD, 20857, USA.
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Nikolajsen H, Sandal LF, Juhl CB, Troelsen J, Juul-Kristensen B. Barriers to, and Facilitators of, Exercising in Fitness Centres among Adults with and without Physical Disabilities: A Scoping Review. Int J Environ Res Public Health 2021; 18:ijerph18147341. [PMID: 34299792 PMCID: PMC8304633 DOI: 10.3390/ijerph18147341] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Revised: 07/05/2021] [Accepted: 07/07/2021] [Indexed: 12/15/2022]
Abstract
Fitness centres are an obvious arena for performing physical activity for the general population but representation of adults with physical disabilities (AwPD) is lacking. To increase possibilities for AwPD to exercise in fitness centres together with adults without physical disabilities (AwoPD), the aim of this study was to identify, synthesise, and compare barriers to, and facilitators of, exercising in fitness centres for each group. A scoping review was conducted and data extraction of the barriers and facilitators was performed independently by two researchers on six categories of contextual factors based on the framework of Di Blasi: (1) The fitness centre setting; (2) The fitness centre user characteristics; (3) The fitness instructor/staff characteristics; (4) The fitness centre user–instructor/management relationship; and (5) The fitness/exercise characteristics. An extra category, (6) Other relationships, was added. The PRISMA Extension for Scoping Reviews was used for reporting. Of the 102 included papers, only 26 (25%) of the papers were on AwPD, which focused mainly on physical barriers (category 1: inaccessible settings). In contrast, the remaining 76 papers involving AwoPD focused primarily on facilitators (category 2: motivational factors and exercising effects). In categories 3–6, the two groups had similar results, as both groups preferred skilled instructors, a welcoming and comfortable fitness centre environment, an ability to exercise at their preferred type and level, and good social connections. Since most data were based on AwoPD, more studies on actual experiences from AwPD are needed, to reveal the facilitators/motivational factors for fitness centre use.
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Affiliation(s)
- Helene Nikolajsen
- Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, 5230 Odense, Denmark; (C.B.J.); (B.J.-K.)
- Department of Physiotherapy, Institute of Health Studies, University College South Denmark, 6705 Esbjerg Ø, Denmark
- Correspondence:
| | - Louise Fleng Sandal
- Research Unit for Physical Activity and Health in Work Life, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, 5230 Odense, Denmark;
| | - Carsten Bogh Juhl
- Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, 5230 Odense, Denmark; (C.B.J.); (B.J.-K.)
- Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Herlev and Gentofte, 2900 Hellerup, Denmark
| | - Jens Troelsen
- Research Unit for Active Living, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, 5230 Odense, Denmark;
| | - Birgit Juul-Kristensen
- Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, 5230 Odense, Denmark; (C.B.J.); (B.J.-K.)
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Wang JV, Noell C, Sodha P, Albornoz CA, Friedman PM, Zachary CB, Saedi N. Comparing Medical Spas and Physician Practices for Cosmetic Procedures: A Survey of Millennial Consumers. Dermatol Surg 2021; 47:1042-1044. [PMID: 33165081 DOI: 10.1097/dss.0000000000002861] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Jordan V Wang
- Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, Pennsylvania
- Laser & Skin Surgery Center of New York, New York, NY
| | - Claire Noell
- Maryland Dermatology Laser, Skin, and Vein Institute, Hunt Valley, Maryland
| | - Pooja Sodha
- Dermatology and Laser Surgery Center, Houston, Texas
| | - Christian A Albornoz
- Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, Pennsylvania
| | | | | | - Nazanin Saedi
- Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, Pennsylvania
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Cilhoroz BT, DeRuisseau LR. Safety protocols in an exercise facility result in no detectable sars-CoV2 spread: A case study. Physiol Rep 2021; 9:e14967. [PMID: 34288594 PMCID: PMC8293596 DOI: 10.14814/phy2.14967] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Revised: 06/08/2021] [Accepted: 06/12/2021] [Indexed: 11/24/2022] Open
Abstract
Coronavirus 2019 (COVID-19) disease has been a public health emergency of international concern with millions of confirmed cases globally. Closed environments with reduced ventilation contribute to the spread of COVID-19, including superspreading events. Exercising in closed places further increases the risk for transmission. Therefore, many fitness facilities were closed as part of mandated shutdowns early in the pandemic. Evidence-based safety protocols have now emerged and substantially reduce the risk of transmission. We report three positive cases of SARS-CoV-2 identified at a Dojo exercise facility in Manlius, NY, at three distinct time points. All cases were present in the Dojo 2 days prior to symptoms, a time period considered to be highly infectious. The safety protocols included universal mask wearing (no valves), multiple high-efficiency particulate air (HEPA) filters, and reduced capacity which resulted in no known spread of COVID-19.
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Chu DKW, Gu H, Chang LDJ, Cheuk SSY, Gurung S, Krishnan P, Ng DYM, Liu GYZ, Wan CKC, Tsang DNC, Peiris M, Poon LLM. SARS-CoV-2 Superspread in Fitness Center, Hong Kong, China, March 2021. Emerg Infect Dis 2021; 27:2230-2232. [PMID: 34004137 PMCID: PMC8314845 DOI: 10.3201/eid2708.210833] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
To investigate a superspreading event at a fitness center in Hong Kong, China, we used genomic sequencing to analyze 102 reverse transcription PCR–confirmed cases of severe acute respiratory syndrome coronavirus 2 infection. Our finding highlights the risk for virus transmission in confined spaces with poor ventilation and limited public health interventions.
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Aguilo A, Lozano L, Tauler P, Nafría M, Colom M, Martínez S. Nutritional Status and Implementation of a Nutritional Education Program in Young Female Artistic Gymnasts. Nutrients 2021; 13:nu13051399. [PMID: 33919356 PMCID: PMC8143314 DOI: 10.3390/nu13051399] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 04/16/2021] [Accepted: 04/19/2021] [Indexed: 12/31/2022] Open
Abstract
Adolescent high-performance gymnasts are considered to be at risk for low energy intake. The aim of the present study was to determine the effects of implementing a nutritional education program during the sports season on the nutritional status and nutrition knowledge of the female artistic gymnasts from the Technification Center of the Balearic Islands (n = 24; age, 14.1 ± 2.3 years). A quasi-experimental intervention design was applied, which consisted of implementing a nutritional education program of seven sessions given during eight months. Measurements of nutritional intake, nutrition knowledge, and anthropometric parameters, as well as hematological and biochemical blood parameters, were performed. Gymnasts reported low energy and carbohydrate intakes, with significant increases during the study (energy, 28.3 ± 1.4 vs. 32.8 ± 1.4 kcal kg−1, p = 0.015, carbohydrate 3.2 ± 0.2 vs. 3.9 ± 0.2 g kg−1, p = 0.004). The average values for parameters such as hemoglobin, ferritin, lipoprotein, and vitamin C and E levels in the plasma were within normal ranges. Low intakes of most of the food groups were observed during the study, with similar initial and final values. Nutrition knowledge did not change as a result of the study (28.0 ± 1.7 vs. 31.1 ± 1.3, p = 0.185). In conclusion, gymnasts reported low energy intakes. However, blood markers and most of the anthropometrical parameters measured were within normal ranges. The nutrition education program implemented did not produce significant improvements in the dietary habits or nutritional knowledge of gymnasts.
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Affiliation(s)
- Antoni Aguilo
- Research Group on Evidence, Lifestyles and Health, Department of Nursing and Physiotherapy, Research Institute of Health Sciences (IUNICS), University of the Balearic Islands, 07122 Palma, Spain; (A.A.); (L.L.); (M.N.); (M.C.); (S.M.)
- Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma, Spain
| | - Leticia Lozano
- Research Group on Evidence, Lifestyles and Health, Department of Nursing and Physiotherapy, Research Institute of Health Sciences (IUNICS), University of the Balearic Islands, 07122 Palma, Spain; (A.A.); (L.L.); (M.N.); (M.C.); (S.M.)
| | - Pedro Tauler
- Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma, Spain
- Research Group on Evidence, Lifestyles and Health, Department of Fundamental Biology and Health Sciences, Research Institute of Health Sciences (IUNICS), University of the Balearic Islands, 07122 Palma, Spain
- Correspondence: ; Tel.: +34-971-172858
| | - Mar Nafría
- Research Group on Evidence, Lifestyles and Health, Department of Nursing and Physiotherapy, Research Institute of Health Sciences (IUNICS), University of the Balearic Islands, 07122 Palma, Spain; (A.A.); (L.L.); (M.N.); (M.C.); (S.M.)
| | - Miquel Colom
- Research Group on Evidence, Lifestyles and Health, Department of Nursing and Physiotherapy, Research Institute of Health Sciences (IUNICS), University of the Balearic Islands, 07122 Palma, Spain; (A.A.); (L.L.); (M.N.); (M.C.); (S.M.)
| | - Sonia Martínez
- Research Group on Evidence, Lifestyles and Health, Department of Nursing and Physiotherapy, Research Institute of Health Sciences (IUNICS), University of the Balearic Islands, 07122 Palma, Spain; (A.A.); (L.L.); (M.N.); (M.C.); (S.M.)
- Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma, Spain
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Trott M, Johnstone J, Pardhan S, Barnett Y, Smith L. Changes in body dysmorphic disorder, eating disorder, and exercise addiction symptomology during the COVID-19 pandemic: A longitudinal study of 319 health club users. Psychiatry Res 2021; 298:113831. [PMID: 33652248 PMCID: PMC9754709 DOI: 10.1016/j.psychres.2021.113831] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Accepted: 02/21/2021] [Indexed: 11/18/2022]
Abstract
The aim of this longitudinal study was to examine the effect of COVID-19 quarantines on morbid exercise, eating, and body image behaviours pre vs post COVID-19 lockdown. Participants (n=319; mean age 36.77 SD=11.75; 84% female) were recruited to complete a battery of questions with 14 month follow-up. Exercise addiction scores were significantly lower post-lockdown; eating disorder symptomology scores were significantly higher post-COVID-19 lockdown; and leisure-time exercise significantly increased post-COVID-19 lockdown. No differences in body dysmorphic disorder were found. If future lockdowns are enforced, practitioners working with people with suspected morbid eating habits should monitor this closely.
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Affiliation(s)
- Mike Trott
- Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Compass House, Cambridge, CB1 1PT, England; Vision and Eye Research Institute (VERI), Anglia Ruskin University, Young Street, Cambridge, CB1 2LZ, England.
| | - James Johnstone
- Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Compass House, Cambridge, CB1 1PT, England
| | - Shahina Pardhan
- Vision and Eye Research Institute (VERI), Anglia Ruskin University, Young Street, Cambridge, CB1 2LZ, England
| | - Yvonne Barnett
- Anglia Ruskin University, East Road, Cambridge, CB1 1PT, England
| | - Lee Smith
- Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Compass House, Cambridge, CB1 1PT, England
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Groves LM, Usagawa L, Elm J, Low E, Manuzak A, Quint J, Center KE, Buff AM, Kemble SK. Community Transmission of SARS-CoV-2 at Three Fitness Facilities - Hawaii, June-July 2020. MMWR Morb Mortal Wkly Rep 2021; 70:316-320. [PMID: 33661861 PMCID: PMC7948933 DOI: 10.15585/mmwr.mm7009e1] [Citation(s) in RCA: 38] [Impact Index Per Article: 12.7] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Lendacki FR, Teran RA, Gretsch S, Fricchione MJ, Kerins JL. COVID-19 Outbreak Among Attendees of an Exercise Facility - Chicago, Illinois, August-September 2020. MMWR Morb Mortal Wkly Rep 2021; 70:321-325. [PMID: 33661859 PMCID: PMC7948936 DOI: 10.15585/mmwr.mm7009e2] [Citation(s) in RCA: 33] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Shen LX, Yang YX, Kuo K, Li HQ, Chen SD, Chen KL, Dong Q, Tan L, Yu JT. Social Isolation, Social Interaction, and Alzheimer's Disease: A Mendelian Randomization Study. J Alzheimers Dis 2021; 80:665-672. [PMID: 33579855 DOI: 10.3233/jad-201442] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Social isolation and social interaction have been suggested to be associated with Alzheimer's disease. However, the causality cannot be unambiguously assessed as traditional epidemiological methods are easily subject to unmeasured confounders and potential bias. OBJECTIVE To examine bidirectional relationships between social isolation, social interaction, and Alzheimer's disease using Mendelian randomization method for assessing potential causal inference. METHODS This bidirectional two-sample Mendelian randomization study used independent genetic variants associated with social isolation and social interaction (n = 302,567-487,647), and Alzheimer's disease (n = 455,258). MR analyses were performed using the inverse-variance-weighted (IVW) as the main MR analytical method to estimate the causal effect. For sensitivity analyses, we applied weighted median, MR Egger to further assess the credibility of the causal effect. RESULTS Of the five types of social engagement examined in our study, only one showed evidence of an association with the risk of Alzheimer's disease. Attendance at a gym or sports club (IVW OR per SD change: 0.670; 95% CI: 0.463-0.970; p = 0.034) was inversely associated with the risk of Alzheimer's disease. We also found that AD may reduce the attendance at religious group (IVW OR per SD change: 1.017; 95% CI: 1.005-1.030; p = 0.004). CONCLUSION This study suggests that regular attendance at a gym or sports club is causally associated with reduced risk of Alzheimer's disease. Further studies are warranted to elucidate potential mechanisms.
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Affiliation(s)
- Ling-Xiao Shen
- Department of Neurology and Institute of Neurology, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, China
| | - Yu-Xiang Yang
- Department of Neurology and Institute of Neurology, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, China
| | - Kevin Kuo
- Department of Neurology and Institute of Neurology, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, China
| | - Hong-Qi Li
- Department of Neurology and Institute of Neurology, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, China
| | - Shi-Dong Chen
- Department of Neurology and Institute of Neurology, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, China
| | - Ke-Liang Chen
- Department of Neurology and Institute of Neurology, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, China
| | - Qiang Dong
- Department of Neurology and Institute of Neurology, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, China
| | - Lan Tan
- Department of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, China
| | - Jin-Tai Yu
- Department of Neurology and Institute of Neurology, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, China
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Mettler S, Bosshard JV, Häring D, Morgan G. High Prevalence of Supplement Intake with a Concomitant Low Information Quality among Swiss Fitness Center Users. Nutrients 2020; 12:nu12092595. [PMID: 32859048 PMCID: PMC7550988 DOI: 10.3390/nu12092595] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 08/11/2020] [Accepted: 08/21/2020] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND The aim of this study was to screen the prevalence of supplement use in Swiss fitness center users and what information sources they consulted. METHODS Customers of 10 fitness centers were screened with a quantitative questionnaire. RESULTS Eighty two percent of the 417 fitness center users consumed at least one supplement per week. Supplement intake correlated with training frequency (rs = 0.253, p < 0.001). The most prevalent products were protein supplements (used by 49% of the study population), magnesium (34%), and multi-micronutrient supplements (31%). The average number of supplement servings per week among consumers was 17.1 (SD: 16.1, median: 11.0) and the average number of different products used was 6.9 (SD: 4.4, median: 6.0). The most frequently used information sources were the coach/trainer (28%), the website of the supplement seller (26%), and training peers (24%). Thirty seven percent were informed or informed themselves about potential risks associated with the supplement used. The leading reasons for selecting the information source were the desire for scientific-based information followed by the education level of the informing person. CONCLUSIONS A high prevalence of supplement intake among Swiss fitness center users was associated with a low level of information quality and a low prevalence of risk information. A discrepancy between a desire for high quality evidence-based information and a contrasting behavior was detected.
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Affiliation(s)
- Samuel Mettler
- Department of Health, Bern University of Applied Sciences, 3008 Bern, Switzerland; (J.V.B.); (D.H.)
- Correspondence:
| | - Joëlle Vera Bosshard
- Department of Health, Bern University of Applied Sciences, 3008 Bern, Switzerland; (J.V.B.); (D.H.)
| | - Dino Häring
- Department of Health, Bern University of Applied Sciences, 3008 Bern, Switzerland; (J.V.B.); (D.H.)
| | - Gareth Morgan
- Department of Elite Sport, Swiss Federal Office of Sport, 2532 Magglingen, Switzerland;
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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: 32] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [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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