Purpose: This study aimed to explore the determinants of adherence and assess changes in fitness and health outcomes in participants of group-based beginner running programs. Methods: Participants completed adherence diaries (n = 34) during the 10-week program and underwent fitness and health testing (n = 20) at the program start and end. Diaries included weekly visual analogue scales of enjoyment, motivation, confidence, fatigue, satisfaction and support along with a record of training sessions. Space was provided for free-text comments.Fitness was assessed by the multi-stage 20-metre shuttle run test, and measurements were taken of resting heart rate, blood pressure, body composition and free-living physical activity. Results:Overall adherence to the 10-week program was 53 ± 27% with injury the most common reason for missing sessions and for discontinuing training. Adherence to group sessions was positively correlated with enjoyment, motivation, confidence, satisfaction with progress and social support. Qualitative analysis of diary entries indicated three distinct themes (self-awareness, social support, personal challenge) underlying progression through the programme. Significant changes were observed after 10 weeks in distance run on the fitness test (+189 ± 133 m), body mass index (-0.54 ± 0.72 kg/m 2 ) and percentage body fat (-1.5 ± 1.6%). Blood pressure, resting heart rate and physical activity were unchanged. Conclusion:Engagement in beginner running programs was associated with improvements in cardiorespiratory fitness and body composition within 10 weeks. A larger and longer-term study is required to determine if these programs can lead to sustained engagement in running and additional health benefits.Running represents an accessible low-cost form of exercise that leads to a range of healthrelated benefits. These include increased cardiometabolic fitness, decreased adiposity (Oja et al., 2015), lower disability rates (Chakravarty, Hubert, Lingala, Fries, 2008), improved mental
Background: Menopause is the consistent and continuous absence of menses for twelve consecutive months among women. Aim: The study was conducted to assess the Anthropometry and Nutrient intake of pre and post-menopausal civil servant in Abeokuta, Ogun state. Body Mass Index (BMI) and Waist/Hip ratio were used to classify the anthropometric characteristics of the respondents and were compared with the WHO reference standard. Methods: All statistical analysis was performed using Statistical Package for Social Science (SPSS/RC) Programme (version 16). Chi-square, t-test and Pearson linear correlation were used to assess the relationship between variables. Results: Result of Body Mass Index (BMI) revealed that a total of 17.4% of pre-menopausal women and 14.8% of the menopausal were obese. Consumption of fruit and vegetable was low for both groups of women. There was a significant difference in the WHR (p< 0.05) and no significant difference in the mean intake of the two groups considered at p< 0.05. There was a positive correlation (r=0.246) between age and BMI and a positive correlation (r=0.164) between BMI and activity level. Conclusion: There is a need to educate respondents on weight maintenance. An improvement in respondents' knowledge on the importance of fruit and vegetable, through nutrition education, and way to incorporate these sources of nutrient in the diet will go a long way in improving nutritional status.
BackgroundPain and physical function are common factors targeted for osteoarthritis (OA) management. However, fatigue has been reported as an important component of OA experience and a significant concern for people with OA (Power et al., 2008). Despite this, fatigue has received very little attention. However, with increasing interests in fatigue, it is expedient that fatigue be considered a top priority in clinical practice (Overman et al., 2016). Thus, there is dire need for evidence-based fatigue interventions in OA given the paucity of evidence in this area.ObjectivesTo identify fatigue interventions and determine the effectiveness of the interventions in reducing fatigue immediately and over time in OA.MethodsA review protocol was developed and registered with the PROSPERO database, with the ID-CRD42020163730. Studies included comprised peer-reviewed randomized controlled trials (RCTs) that examined the effects of any intervention in the management of fatigue or vitality outcomes in people with upper limb and lower limb OA. Studies that used spiritual, pharmacological or surgical interventions to manage fatigue in patients with upper limb and lower limb OA were excluded. The Cochrane Collaboration’s tool for assessing the risk of bias (ROB) was used assess the quality of evidence for the included RCTs. Narrative synthesis was used to summarise the identified fatigue interventions while only studies on exercise interventions were used in the meta-analysis.ResultsOut of 2,586 studies identified from database search, 31 RCTs studies were included after screening for titles, abstracts and full texts. Of the 31 included RCTs, only nine studies were included in the meta-analysis comparing the effects of exercise versus non-exercise interventions on fatigue. From the ROB assessment, 11 RCTs were of low ROB whilst 11 had moderate and 9 high ROB respectively. The narrative synthesis identified 12 interventions for fatigue and these include activity pacing, cognitive behavioural therapy (CBT), yoga, exercise, acupuncture, moxibustion, pain-coping skills, BEMER therapy, modified shoes, massage/aromatherapy, education and thermotherapy. Exercises interventions included strengthening, balance, kinesthesia, and mobilization, hand-based, stretching, aquatic danced-based and web-based exercises. Activity pacing (mean difference [MD]=0.8; (standard deviation [SD]=0.3), CBT (MD=4.32; [SD]=1.85), moxibustion (vitality: MD=-2.61; [standard error]=-1.69) had statistically significant reductive immediate effect on fatigue. The meta-analysis pooled effects showed that exercise interventions on fatigue in OA was not statistically significant both immediately (SMD=-0.10; 95% CI -0.74, 0.54; I2=94%) and overtime (SMD=-0.79; 95% CI -2.30, 0.73; I2=98%), although the effects was in favour of exercise interventions relative to other comparison non-exercise interventions.ConclusionActivity pacing, CBT and moxibustion interventions showed beneficial effects on fatigue in OA immediately. Cumulatively, the pooled effect of exercise on fatigue was not statistically significant immediately and overtime but the effect was in favour of the exercise interventions relative to other control interventions. However, there is currently insufficient evidence regarding the effectiveness of majority of identified fatigue interventions in this review. Further, the findings of the meta-analysis may have been affected by high level of heterogeneity. Largely populated RCTs with low ROB are needed to ascertain the effectiveness of fatigue interventions in OA population.References[1]Power JD, Badley EM, French MR, Wall AJ, Hawker GA., 2008. Fatigue in osteoarthritis: a qualitative study. BMC Musculoskelet Disord. 9(1):63. doi:10.1186/1471-2474-9-63[2]Overman CL, Kool MB, Da Silva JA, Geenen R. 2016. The prevalence of fatigue in rheumatic disease: An international study. Clin Rheumatol.25(2), 409-415. doi.10.1007/s10067-015-3035-6Acknowledgements:NIL.Disclosure of InterestsNone Declared.
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