Combined aerobic and resistance exercise program improves task performance in patients with heart failure

OBJECTIVES: To assess the effects of a home-based aerobic and resistance training program on the physical function of adults with New York Heart Association (NYHA) class II and III patients and systolic heart failure (HF). DESIGN: Randomized controlled trial. SETTING: Home based. PARTICIPANTS: Stable patients (N=24; mean age, 60±10y; left ventricular ejection fraction, 25%±9%; 50% white; 50% women) with New York Heart Association (NYHA) classes II and III (NYHA class III, 58%) systolic heart failure (HF). INTERVENTION: A 12-week progressive home-based program of moderate-intensity aerobic and resistance exercise. Attention control wait list participants performed light stretching and flexibility exercises. MAIN OUTCOME MEASURES: A 10-item performance-based physical function measure, the Continuous Scale Physical Functional Performance test (CS-PFP10), was the major outcome variable and included specific physical activities measured in time to complete a task, weight carried during a task, and distance walked. Other measures included muscle strength, HRQOL (Minnesota Living With Heart Failure Questionnaire, Epworth Sleepiness Scale), functional capacity (Duke Activity Status Index), and disease severity (brain natriuretic peptide) levels. RESULTS: After the exercise intervention, 9 of 10 specific task activities were performed more rapidly, with increased weight carried by exercise participants compared with the attention control wait list group. Exercise participants also showed significant improvements in CS-PFP10 total score (P<.025), upper and lower muscle strength, and HRQOL (P<.001) compared with the attention control wait list group. Adherence rates were 83% and 99% for the aerobic and resistance training, respectively. CONCLUSIONS: Patients with stable HF who participate in a moderate-intensity combined aerobic and resistance exercise program may improve performance of routine physical activities of daily living by using a home-based exercise approach. Performance-based measures such as the CS-PFP10 may provide additional insights into physical function in patients with HF that more commonly used exercise tests may not identify. Early detection of subtle changes that may signal declining physical function that are amenable to intervention potentially may slow further loss of function in this patient population

Longitudinal assessment of cognitive and psychosocial functioning after Hurricanes Katrina and Rita: Exploring disaster impact on middle-aged, older, and oldest-old adults

The authors examined the effects of Hurricanes Katrina and Rita on cognitive and psychosocial functioning in a lifespan sample of adults 6-14 months after the storms. Participants were recruited from the Louisiana Healthy Aging Study. Most were assessed during the immediate impact period and retested for this study. Analyses of pre- and post-disaster cognitive data confirmed that storm-related decrements in working memory for middle-aged and older adults observed in the immediate impact period had returned to pre-hurricane levels in the post-disaster recovery period. Middle-aged adults reported more storm-related stressors and greater levels of stress than the two older groups at both waves of testing. These results are consistent with a burden perspective on post-disaster psychological reactions. © 2012 Wiley Periodicals, Inc

Distress under Duress: The Relationship between Campus Climate and Depression in Asian American College Students

Student perceptions of negative campus climate were predictive of Asian American students’ depression levels in spite of students’ entering proclivities toward depression and in spite of varying institutional types. In addition, these findings were consistent whether individual Asian American perceptions of campus climate were entered into the equation or whether institutional levels of campus perceptions (which included all racial and ethnic groups) were entered into the equation. Therefore, higher education institutions that are perceived by students to discriminate against individuals based on race or ethnicity, gender, sexual orientation, or disability may put their Asian American students at risk for severe psychological consequences. Implications for mental health services are discussed

Partnering in Tough Times: Service-Learning for Economic Vitality

This paper focuses on the results and lessons of the CARE initiative. With support from the Learn and Serve America program of the Corporation for National and Community Service, six California universities—California Polytechnic State University, San Luis Obispo; California State University, Fresno; Humboldt State University; San Francisco State University; University of California, Berkeley; and University of San Diego—received two-year grants to serve as lead institutions with CARE. Each developed service and service-learning projects themselves and engaged other colleges and universities in their local area in related efforts. Together these campuses collaborated with more than 300 community organizations, 105 of which completed CARE evaluation surveys. Local partners and campus coordinators agreed that the initiative succeeded in increasing the capacity of both nonprofit organizations and higher education institutions to serve their communities during the economic downturn. While each lead institution took a distinctive approach, they all reflected CARE’s overall goal of reducing poverty and enhancing economic opportunity through community building, microfinance, and social entrepreneurship

A lifetime of fitness : exercise in the perimenopausal and postmenopausal woman

Activité physique et ménopause : effets de l'exercice et de l'entraînement aérobie ou musculaire sur la symptomatologie de la ménopause. Effets sur la densité osseuse, l'arthrose, la masse musculaire, l'adiposité corporelle. Recommandations pour la prescription d'un programme d'exercice adapté à l'âge et à la condition physique de la femme

Validity of the German Version of the Continuous-Scale Physical Functional Performance 10 Test

Background. The Continuous-Scale Physical Functional Performance 10 Test (CS-PFP 10) quantitatively assesses physical functional performance in older adults who have a broad range of physical functional ability. This study assessed the validity and reliability of the CS-PFP 10 German version. Methods. Forward-translations and backtranslations as well as cultural adaptions of the test were conducted. Participants were German-speaking Swiss community-dwelling adults aged 64 and older. Concurrent validity was assessed using Pearson correlation coefficients between CS-PFP 10 and gait velocity, Timed Up and Go Test, hand grip strength, SF-36 physical function domain, and Freiburger Physical Activity Questionnaire. Internal consistency was calculated by Cronbach’s alpha. Results. Backtranslation and cultural adaptions were accepted by the CS-PFP 10 developer. CS-PFP 10 total score and subscores (upper body strength, upper body flexibility, lower body strength, balance and coordination, and endurance) correlated significantly with all measures of physical function tested. Internal consistency was high (Cronbach’s alpha 0.95–0.98). Conclusion. The CS-PFP 10 German version is valid and reliable for measuring physical functional performance in German-speaking Swiss community-dwelling older adults. Quantifying physical function is essential for clinical practice and research and provides meaningful insight into physical functional performance of older adults. This trial is registered with ClinicalTrials.gov NCT01539200

Large energetic adaptations of elderly muscle to resistance and endurance training

Etude de l'énergie cellulaire et de l'adaptation structurelle du muscle vieillissant à l'exercice physique. 40 sujets âgés sont répartis dans trois groupes : un groupe pilote, un groupe pratiquant des exercices d'endurance et un troisième groupe suivant un entraînement de musculation. Les propriétés énergétiques du muscle ainsi que la taille du muscle quadriceps fémoris sont mesurées par spectroscopie à résonance magnétique

Resistance training on physical performance in disabled older female cardiac patients

This book examines how social media have transformed politics in established democracies. Specifically, the authors examine the influence of the unique qualities of social media on the power balance between and within parties. They present a general theory as well as an in-depth case study of the Netherlands and compare it to the US and European democracies. The authors show how and why social media's introduction leads to equalization for some and normalization for others. Additional to national politics, Jacobs and Spierings investigate often-overlooked topics such as local and European politics and the impact on women and ethnic minorities