A Pilot Study: The Effects of Group Exercise On Fatigue and Quality of Life During Cancer Treatment

Fatigue affects 60-100% of all cancer patients, is difficult to manage, and can have a profound impact on everyday functioning and quality of life. Though seemingly counterintuitive, exercise has emerged as a promising intervention for the management of cancer related fatigue (CRF). Current research predominantly involves individual, home-based exercise programs with few studies exploring other modes of exercise delivery. The purpose of this pilot study was to determine if participation in a structured group exercise program (SGEP) was a feasible intervention for adult oncology patients receiving cancer treatment and to test the impact of a SGEP on reducing CRF and improving quality of life (QOL). This unique study integrated the known benefits of exercise with the powerful effects of group dynamics in a group of adult oncology patients with mixed cancers, at various stages of treatment. Using a pretest and posttest one-group design, findings showed a significant decrease in bodily pain (p=0.0118); subscale scores for physical role, vitality, and social function increased, but did not yield statistical significance. No difference was found in reported fatigue. A post-program questionnaire identified themes of support, learning from shared information, and usefulness of having an exercise program serve concurrently as an informal support group. The findings of this pilot study provide encouraging data that suggests a SGEP is feasible, safe, and well tolerated by adult oncology patients receiving cancer treatment, and may have positive effects on CRF and QOL

A methodological framework for capturing relative eyetracking coordinate data to determine gaze patterns and fixations from two or more observers

While physical activity during cancer treatment is found beneficial for breast cancer patients, evidence indicates ambiguous findings concerning effects of scheduled exercise programs on treatment-related symptoms. This study investigated effects of a scheduled home-based exercise intervention in breast cancer patients during adjuvant chemotherapy, on cancer-related fatigue, physical fitness, and activity level. Sixty-seven women were randomized to an exercise intervention group (n=33, performed strength training 3x/week and 30 minutes brisk walking/day) and a control group (n=34, performed their regular physical activity level). Data collection was performed at baseline, at completion of chemotherapy (Post1), and 6-month postchemotherapy (Post2). Exercise levels were slightly higher in the scheduled exercise group than in the control group. In both groups, cancer-related fatigue increased at Post1 but returned to baseline at Post2. Physical fitness and activity levels decreased at Post1 but were significantly improved at Post2. Significant differences between intervention and control groups were not found. The findings suggest that generally recommended physical activity levels are enough to relief cancer-related fatigue and restore physical capacity in breast cancer patients during adjuvant chemotherapy, although one cannot rule out that results reflect diminishing treatment side effects over time

What does the vibration therapy add?: a quasi-experimental, pilot study on the short term effects of whole-body vibration as mode of exercise for nursing home residents aged 80+

Aims: To compare the responses of nursing home residents aged 80+ to an 8 weeks exercise program performed on a vibratory device and to the same exercise program preformed without vibration on lower limb performance, functional dependence and quality of life. Methods:Lower limb performance was evaluated using the 30 seconds Chair Sit to Stand test. Functional mobility was assessed using the timed up and go test. Postural stability was measured using a force platform. The Barthel Index was used to assess functional dependence and the EuroQol was used to evaluate Health-Related Quality of Life. 44 participants were allocated to the whole-body vibration group (n= 15), non-vibration group (n= 15) or to the control group (n= 14). Results:Significant differences were detected in favour of the whole-body vibration group in lower limb muscle performance (p= 0.001), mobility (p= 0.001), functional independence (p= 0.009) and quality of life (p <0.001) as compared to the control and non-vibration groups. Conclusions: Whole body vibration based interventions may add additional benefits to conventional exercise programs in terms of lower limb muscle performance, functional dependence and quality of life among nursing home residents over 80 years

Eliminating Barriers: Connecting Seniors to Services in Chittenden County

Introduction. Physical activity programs for older adults help to improve physical, social, and emotional health and reduce impairments in activities of daily living1. In Chittenden county, less than 1⁄3 of older adults participate in programs, while 48% report that they would like to exercise more. Our aim was to identify barriers to participation in physical activity programs by older adults in Chittenden county, such as accessibility, transportation, health, affordability, and social isolation, and to identify strategies to overcome these barriers. Methods. 144 paper and electronic surveys were administered in Chittenden County, Vermont to assess use of group programs among older adults aged ≥ 50 years including transportation, motivation, preferences, advertisement, and barriers to access. A focus group explored aspects of ideal group activities for seniors. Results. 87.9% of respondents were active for two or more hours each week, while 46.5% had participated in group programming in the past 6 months. Group par- ticipation was significantly higher among physically active respondents (p=0.020). Motivators for participation in group activity included health benefits, social aspects, and physical activity, while the most cited barrier to attendance was timing conflicts. Respondents received information about programming via word of mouth, email, and online resources. Discussion. Overall, our findings indicate that the majority of respondents are highly active, however, they frequently experience barriers that prevent them from participating in group programming. We recommend offering flexible scheduling, advertising programming via word of mouth and email, and emphasizing program health benefits.https://scholarworks.uvm.edu/comphp_gallery/1260/thumbnail.jp

Perceptions towards aqua-based exercise among older adults with osteoarthritis who have discontinued participation in this exercise mode

Aim: This study aimed to investigate reasons for ceasing participation in aqua-based exercise among older adults with osteoarthritis (OA). Methods: Eleven adults over 60 years of age with OA participated in one of two focus groups, during which they discussed barriers to aqua-based exercise and the potential benefits of this exercise mode. Each focus group was audiotaped, transcribed and then analysed using the general inductive thematic approach. The investigators reached a consensus on all coding categories and then identified themes. Results: Key barriers identified were: a lack of suitable classes; insufficient instructor knowledge, which often led to increased pain; cold water and the changing facilities. Key perceived benefits included increased physical ability in water and social interaction. Conclusions: A greater understanding of reasons for ceasing participation in aqua-based exercise among older adults with OA may help facilitate development of suitable exercise programs that minimise barriers for this group

The effect of an exercise program on the health-quality of life in older adults

INTRODUCTION: An essential public health goal is to reduce age-related disabilities in the elderly. The present study aimed to investigate the effect of exercise program on health-quality of life (HQL) in older adults. METHODS: Subjects were sixty healthy adult volunteers over the age of �� years. None of the subjects had any experience in exercise programs but were physically active and able to perform activities of daily living independently. The subjects were randomly assigned into one of two groups each with �� people: test (exercise) group and control (no exercise) group. The test group was taken into a � - week aerobic exercise program. The exercises included a �- �� minute circulatory warm-up, a �� minute walking and a �-�� minute stretching/cool-down period. The exercises were performed three times per week under supervision of an experienced instructor. No exercise program was prescribed for the control group. Both groups were assessed before and after the exercise program. The LEIPAD questionnaire was used to measure HQL. RESULTS: The results showed significant improvements in all domains of the LEIPAD questionnaire whilst the level of HQL did not change and none of the scores obtained by the LEIPAD was significant. Measures of HQL improved with exercise so that there were no HQL changes in the control but significant changes were observed in the exercise group. CONCLUSION: This study suggests that an exercise program has resulted in a signific

RESPONS AKUT KADAR GULA DARAH AKIBAT LATIHAN “SENAM DIABETES MELLITUS VERSI JAKARTA” DAN SENAM DIABETES MELLITUS VERSI JOGJA PADA PENDERITA DIABETES MELLITUS

By the rapid development of science and technology, the development in the economic sector and uncontrolled healthy life patterns can cause serious diseases. Degenerative diseases have replaced chronic diseases. The prominent degenerative diseases these days are heart disease, hypertension, and diabetes mellitus. The diseases are caused by unhealthy life style, diet, and less physical activity. Minor diabetes mellitus can be controlled through diet and exercise programs, and if the programs do not work, the patients can consume anti-diabetes medicines. The patients who perform the exercise experience the decrease of the needs of insulin until 40%. This is an experimental research study using Randomized pre-test post-test Design. The populations involved in this study were patients of diabetes mellitus which were the members of diabetes mellitus exercise fitness program in dr. Sardjito Hospital, Yogyakarta. The samples were 12 participants which were divided into two groups. The tool used in this research was One Touch BASIC Plus Life Scan 2000 made in USA. The results of this study show that there were different decreases of blood sugar levels as the effect of treatment of Senam Diabetes Mellitus Versi Jakarta and Senam Diabetes Mellitus Versi Jakarta Dan Versi Jogja (Jakarta and Jogja Versions of Diabetes Mellitus Exercise). The stressors of Jakarta version of diabetes mellitus exercise could stimulate the decrease of sugar blood levels (pre-post) of 15mg/100ml in average, while the stressors of Jogja version of diabetes mellitus exercise could stimulate the decrease of sugar blood level (pre-post) of 20.83mg/100ml in average. Statistically, the results show that t count was 0.913 with the probability level of 0.403 (p>0.05). Thus, statistically the levels of sugar blood before and after performing Jakarta version of diabetes mellitus exercise were relatively similar. It implies that Jakarta version of diabetes mellitus exercise was not effective to decrease the acute levels of sugar blood. The results of t-test on the group of Jogja version of diabetes mellitus exercise show that t count was 2.016 with the probability level of 0.100 (p>0.05). It implies that the levels of sugar blood before and after performing Jogja version of diabetes mellitus exercise were relatively similar. Therefore, it was said that Jogja version of diabetes mellitus exercise could not effectively decrease the levels of sugar blood. Keywords: acute response, diabetes mellitus, sugar bloo

What factors influence persistence rates in active older adult group exercise programs?

The purpose of this research is to determine factors that influence the persistence rates of active older adults participating in group exercise classes. During the study, group participants and instructors in a Florida facility were asked to respond to surveys ascertaining motivational factors regarding participation in active older adult classes. Utilizing participant data, instructors were given a professional development course as part of the treatment. Data indicates participants prefer working in group settings to prevent health related illness, for socialization, and for instructors. Research demonstrates that the instructor plays a critical role in advancing exercise understanding and providing motivation that encourages participants to attend classes. Instructor response included a heightened awareness of motivational factors and a determination to improve standards

Influence of a Concurrent Exercise Training Intervention during Pregnancy on Maternal and Arterial and Venous Cord Serum Cytokines: The GESTAFIT Project

The aim of the present study was to analyze the influence of a supervised concurrent exercise-training program, from the 17th gestational week until delivery, on cytokines in maternal (at 17th and 35th gestational week, and at delivery) and arterial and venous cord serum. Fifty-eight Caucasian pregnant women (age: 33.5 +/- 4.7 years old, body mass index: 23.6 +/- 4.1kg/m(2)) from the GESTAFIT Project (exercise (n = 37) and control (n = 21) groups) participated in this quasi-experimental study (per-protocol basis). The exercise group followed a 60-min 3 days/week concurrent (aerobic-resistance) exercise-training from the 17th gestational week to delivery. Maternal and arterial and venous cord serum cytokines (fractalkine, interleukin (IL)-1 beta, IL-6, IL-8, IL-10, interferon (IFN)-gamma, and tumor necrosis factor (TNF)-alpha) were assessed using Luminex xMAP technology. In maternal serum (after adjusting for the baseline values of cytokines), the exercise group decreased TNF-alpha (from baseline to 35th week, p = 0.02), and increased less IL-1 beta (from baseline to delivery, p = 0.03) concentrations than controls. When adjusting for other potential confounders, these differences became non-significant. In cord blood, the exercise group showed reduced arterial IL-6 and venous TNF-alpha (p = 0.03 and p = 0.001, respectively) and higher concentrations of arterial IL-1 beta (p = 0.03) compared to controls. The application of concurrent exercise-training programs could be a strategy to modulate immune responses in pregnant women and their fetuses. However, future research is needed to better understand the origin and clearance of these cytokines, their role in the maternal-placental-fetus crosstalk, and the influence of exercise interventions on them