Sedentary Behavior and Blood Pressure in Patients with Multiple Sclerosis

Hubbard, Elizabeth A.; Motl, Robert W.; Fernhall, Bo

doi:10.7224/1537-2073.2016-021

Cited by 36 publications

(16 citation statements)

References 46 publications

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“…Other common co-morbidities associated with MS like hypertension and diabetes could be related unhealthy lifestyle. This finding supported by [54,55] who reported that hypertension is one co-morbid condition that affects 10% to 30 % of MS patients and increases with age. While [56] mentioned that some autoimmune diseases like MS, associated with certain genotypes that increased risk of damage of islet beta cells and may lead to occurrence of diabetes.…”

Section: Discussionsupporting

confidence: 83%

“…It can cause; extensive physical disabilities, delay MS diagnosis, increase hospitalization, increase the chance of death or lack of effective treatment and negative impact quality of life. [54] confirmed that hypertension is consider as one of the main top five leading causes of disability among MS patients as a result of sedentary life behavior. While [60] reported that co-morbid medical conditions such as diabetes can substantially affect neurologic disease such as MS outcomes, higher blood glucose concentration is associated with poorer self management outcomes and this due to reduced mobility and sedentary lifestyle.…”

Section: Discussionmentioning

confidence: 79%

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Fatigue and Self-management among Multiple Sclerosis Patients

Shawli¹,

Abdulmutalib²,

Nagshabandi³

2019

AJNR

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Fatigue is considered as the most revealed symptoms in multiple sclerosis patients, reported by 88% of patients and has significant impact on all stages of life such as altering in daily living activity or psychosocial/mental functions. The pathogenesis of fatigue remain poorly understood and how its impact on self-management. The aim of study was to assess fatigue and self management among multiple sclerosis patients. A quantitative descriptive correlational design was used in this study. The study was conducted at both King Abdulaziz University Hospital and King Fahad Armed Forces Hospitals in Jeddah City from January till March 2018, data collected from outpatients' clinic and Inpatients' medical-wards. A convenience sample of 50 Multiple Sclerosis patients. Data was collected through the main one tool, it consists of three parts; Part I, Socio-demographic and clinical data constructed by the researchers. Part П, Modified Fatigue Impact scale; to assess the Impact of fatigue on physical, cognitive, and psychosocial functioning in patient with Multiple Sclerosis.. Part ПІ, Multiple Sclerosis Self Management Scale Revised; to provide a multidimensional and psychometrically assessment of self-management knowledge and behavior among Multiple Sclerosis patients. The study results showed there was a statistically significant negative correlations between fatigue subscales and overall self-management among Multiple Sclerosis patients with p-value (.019). Also, there was a statistically significant negative correlations between self-management factor scales and overall fatigue among Multiple Sclerosis patients with p-value (.019). It was concluded that there was a negative correlations between overall fatigue and overall self-management among Multiple Sclerosis patients, whenever fatigue severity increases, self-management decreases. It was a recommendation to encourage governmental policy and other decision makers in the Saudi community to develop periodically structure health education training program regarding self-management in MS and provide appropriate environments or facilities to conduct such programs, where nurses play a key role through health education and cooperate with other health care system.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 79%

Fatigue and Self-management among Multiple Sclerosis Patients

Shawli¹,

Abdulmutalib²,

Nagshabandi³

2019

AJNR

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“… 3 – 7 In MS, we are aware of one study linking sitting time with blood pressure. 11 Comorbidities could accelerate disease progression 9 and result in a vicious cycle among manifestations of MS, SB, comorbidity, and disease progression. Whereas studies examining those associations are necessary to establish if SB has deleterious effects in patients with MS, a current priority is to determine the prevalence of this behavior in MS.…”

Section: Introductionmentioning

confidence: 99%

National estimates of self-reported sitting time in adults with multiple sclerosis

Sasaki

Motl

Cutter

et al. 2018

Multiple Sclerosis Journal - Experimental, Translational and Cl

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BackgroundLimited data exist on the prevalence and distribution of sedentary behavior (SB) in multiple sclerosis (MS).ObjectiveThe objective of this paper is to describe sitting time as a metric of SB in a large national sample of people with MS.MethodsA total of 8004 individuals from the North American Research Committee on MS (NARCOMS) Registry completed the sitting time question from the International Physical Activity Questionnaire in spring 2015. We present descriptive data on sitting time for the total sample and across sociodemographic, clinical, and behavioral characteristics.ResultsThe final sample included 6483 individuals. Of these, 36.7% were classified with mild disability, 24.7% with moderate disability, and 38.6% with severe disability. Median sitting time for the total sample was 480 min/day (P25 = 310 min/day, P75 = 720 min/day). Sitting time was highest for individuals with MS who were male (540 min/day), not married (540 min/day), had a disease duration >30 years (540 min/day), were underweight (540.5 min/day), had an annual income of < $15,000 (585 min/day), presented with a progressive form of MS (600 min/day), were classified as insufficiently active (600 min/day), or presented with severe disability (661 min/day).ConclusionSitting time is twice as high in individuals with MS compared to the general population (240 min/day).

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“…Among the general population, sedentary behaviour has adverse effects on health such as increased cardiometabolic risk,19 depression,20 type 2 diabetes21 and mortality,22 23 even in those who are physically active. Recent work with persons with MS shows that sedentary behaviour is related to blood pressure 24. In addition to the health benefits of sitting less, research with older adults and those with disability shows that less sitting, and especially more breaks from sitting, is positively associated with less frailty25 and better mobility 26.…”

Section: Introductionmentioning

confidence: 99%

Management of multiple sclerosis symptoms through reductions in sedentary behaviour: protocol for a feasibility study

et al. 2019

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IntroductionPeople with multiple sclerosis (MS) are less physically active, and more sedentary than their peers despite evidence that activity helps to manage MS-related symptoms. Traditional approaches to increasing physical activity, such as exercise programmes, can be challenging for people with MS, especially those with walking disability. Focusing on decreasing prolonged sitting, and increasing light-intensity activities may be more feasible and result in more sustainable behaviour change in persons with MS. This paper describes the rationale and development of a sedentary behaviour intervention targeting persons with MS.Methods and analysisThe feasibility and preliminary efficacy of a sedentary behaviour intervention will be tested using a prepost intervention design in 40 adults with MS. The 22-week programme includes a 15-week intervention and a 7-week follow-up. The intervention itself is divided into two stages: Sit-Less and Move-More. The Sit-Less stage is designed to encourage participants to break up prolonged sitting bouts, while the Move-More stage promotes increasing steps per day, in addition to interrupting sitting. The intervention is delivered through individual coaching sessions between an interventionist and a participant, and an accompanying newsletter based on social cognitive theory. A Fitbit is used to monitor activity throughout the programme. Process, resource and management metrics will be recorded (eg, retention, time required for communication during the trial). Sedentary and physical activities and MS-related symptoms are measured before and after the intervention and again during follow-up. Experiences with the programme are explored through an online survey and one-on-one interviews.Ethics and disseminationThe Health Research Ethics Board at the University of Alberta granted permission to conduct this study. Results will be disseminated in scientific journals and conferences, and the MS Society of Alberta. Physical therapists and kinesiologists are important stakeholders and will be targeted during dissemination.Trial registration numberNCT03136744.

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Sedentary Behavior and Blood Pressure in Patients with Multiple Sclerosis

Cited by 36 publications

References 46 publications

Fatigue and Self-management among Multiple Sclerosis Patients

Fatigue and Self-management among Multiple Sclerosis Patients

National estimates of self-reported sitting time in adults with multiple sclerosis

Management of multiple sclerosis symptoms through reductions in sedentary behaviour: protocol for a feasibility study

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