178 research outputs found
L'effet de l'entrainement avec le ballon d'exercice pendant la grossesse sur l'accouchement
RĂ©sumĂ© Introduction : Lâentrainement avec le ballon dâexercice pendant la grossesse a des effets positifs sur le dĂ©roulement de lâaccouchement. Le but de lâĂ©tude Ă©tait dâidentifier si une association existe entre le volume dâentrainement avec le ballon dâexercice durant la grossesse en milieu naturel sur lâissue du dĂ©roulement de lâaccouchement, soit la durĂ©e des phases 1 (dilatation/phase active) et 2 (expulsion), ainsi que lâusage de la pĂ©ridurale et de la cĂ©sarienne. MĂ©thode: Cette Ă©tude quasi-expĂ©rimentale a Ă©tĂ© menĂ©e auprĂšs d'un Ă©chantillon de convenance composĂ©e de 32 femmes enceintes qui ont pris part entre un et 28 cours d'exercice supervisĂ© durant la grossesse (programme Ballon Forme), avec la possibilitĂ© d'effectuer des exercices supplĂ©mentaires Ă la maison avec le ballon dâexercice. Un questionnaire et un journal de bord ont Ă©tĂ© remplis par les participantes, avec l'aide d'une infirmiĂšre de lâhĂŽpital pour les donnĂ©es mĂ©dicales. RĂ©sultats: Un volume dâentrainement Ă©levĂ©, incluant lâentraĂźnement sous forme de cours et Ă domicile, a Ă©tĂ© significativement associĂ© Ă une durĂ©e plus courte dâaccouchement, que ce soit pour le temps total de lâaccouchement (r = -0,408, p = 0,031) ou pour les deux phases spĂ©cifiques de lâaccouchement [la phase 1: r = -0,372 ; p = 0,043 et la phase 2: r = -0,415, p = 0,028]. Un volume dâentrainement Ă©levĂ© a aussi Ă©tĂ© liĂ© Ă une rĂ©duction de la deuxiĂšme phase chez les femmes qui donnaient naissance pour la premiĂšre fois. La durĂ©e totale des exercices exĂ©cutĂ©s lors des cours a Ă©tĂ© significativement associĂ©e Ă cette rĂ©duction comparativement aux exercices Ă la maison. Aucun effet indĂ©sirable n'a Ă©tĂ© observĂ© avec le volume dâentrainement Ă©levĂ© sur les paramĂštres de lâaccouchement et la santĂ© du bĂ©bĂ© (Apgar et poids du bĂ©bĂ© Ă la naissance). En fait, un nombre trĂšs faible de cĂ©sarienne (6%), de recours Ă la pĂ©ridurale (47%) et d'extraction instrumentale (forceps ou ventouse: 13%) a Ă©tĂ© observĂ© dans notre Ă©chantillon de femmes. Conclusion: La pratique du ballon dâexercice est une avenue prometteuse pour les femmes enceintes et un niveau Ă©levĂ© dâentraĂźnement est associĂ© Ă un accouchement plus rapide et sans complications pour le bĂ©bĂ©. Lâimplantation de ce programme pourrait Ă©ventuellement contribuer Ă rĂ©duire considĂ©rablement les coĂ»ts de santĂ© au QuĂ©bec en favorisant lâaccouchement naturel. Des interventions et des recherches ultĂ©rieures devront considĂ©rer et examiner cette modalitĂ© spĂ©cifique dâentrainement pour les femmes enceintes.Abstract Introduction: The training with a birth ball during pregnancy has positive effects on labor. However, the dose-response to achieve a reduction in the length of phases 1 (dilatation-active phase) and 2 (expulsion) of labor, a decrease of epidurals and cesarean sections is unknown. Purpose: The purpose of the study was to determine if an association is present between the level of training with a birth ball during pregnancy and labor outcomes in natural settings. Methods: This quasi-experimental study was conducted with a convenient sample composed of 32 pregnant women who participated in one to 28 supervised exercise classes during the pregnancy (the Ballon Forme program), with the option of performing additional birth ball exercises at home. A questionnaire and a logbook were completed by the participants, with the assistance of a nurse for the medical information. Results: A long training time is significantly associated with a shorter labor duration, and this remained the case when the total labor time (r= -0.408; p= 0.031) or specific stages of labor were considered [phase 1 (r= -0.372; p= 0.043, and phase 2 (r= -0.415; p= 0.028]. Longer training times is more specifically linked to a reduced second phase in women who gave birth for the first time, and high levels of class attendance is more associated with faster deliveries than home exercises. No adverse effects on labor parameters or the babyâs health were noted with higher amounts of training. In fact, a very low number of cesarean sections (6%), epidurals (47%) and instrumental deliveries (forceps or vacuum: 13%) characterize this sample of trained women. Conclusion: Exercise with a birth ball is a promising way for women to exercise during pregnancy, and a higher involvement in the practice led to faster deliveries and without any complications for the baby. The implementation of this program could help to significantly reduce health costs in Quebec by promoting natural childbirth. Future research should examine in depth this specific exercise modality for pregnant women
Leisure practice and its relations to cognitive vitality for seniors attending community organizations
The purpose of this study was to explore the relations between certain dimensions of leisure practice and cognitive vitality in seniors and identify which of their sociodemographic and health characteristics (SHC) are related to leisure practice. A cross-sectional analysis of leisure practice, cognitive performance, self-perceived memory and SHC was performed among 294 French-speaking Canadian seniors attending community centres (255 women, average age: 71), by multiple linear regressions and partial correlations controlled for SHC. Outcomes from the project show that the diversity of leisure was related to the Montreal Cognitive Assessment and the California Verbal Learning Test, the frequency of cognitive leisure was associated to the Stroop Test, and the frequency of social leisure showed no significant association. âPaper and pencil gamesâ, âcomputer useâ and âhelping a siblingâ were related to various cognitive tests. Frequency of leisure (total) was related to gender and education, and diversity of leisure was related to education, age and depression. Study outcomes indicate that diversity of leisure was more related to cognitive vitality than frequency. Future studies should address leisure diversity as a way to promote cognitive vitality among seniors. Moreover, seniorsâ characteristics should be considered when seeking to facilitate their participation in leisure activities.Le but de cette Ă©tude Ă©tait dâexplorer les relations entre certaines dimensions de la pratique de loisirs et la vitalitĂ© cognitive chez des aĂźnĂ©s et dâidentifier leurs caractĂ©ristiques sociodĂ©mographiques et de santĂ© (CSS) qui Ă©taient liĂ©es Ă leur pratique de loisirs. Une analyse transversale de la pratique de loisirs, de la performance cognitive, du niveau perçu de la mĂ©moire et des CSS a Ă©tĂ© rĂ©alisĂ©e auprĂšs de 294 aĂźnĂ©s canadiens parlant français et qui participaient aux activitĂ©s dâun centre communautaire (255 femmes, Ăąge moyen : 71 ans), par des rĂ©gressions linĂ©aires multiples et des corrĂ©lations partielles contrĂŽlĂ©es pour les CSS. Les rĂ©sultats montrent que la variĂ©tĂ© des loisirs Ă©tait liĂ©e au Montreal Cognitive Assessment et au California Verbal Learning Test, que la frĂ©quence des loisirs cognitifs Ă©tait associĂ©e au test de Stroop et que la frĂ©quence des loisirs sociaux ne montrait aucune association. Les « jeux papier-crayon », « lâutilisation de lâordinateur » et « prendre soin dâun proche » Ă©taient reliĂ©s Ă plusieurs tests cognitifs. La frĂ©quence totale des loisirs Ă©tait liĂ©e au sexe et Ă lâĂ©ducation et la variĂ©tĂ© des loisirs Ă©tait liĂ©e Ă lâĂ©ducation, Ă lâĂąge et Ă la dĂ©pression. Les rĂ©sultats de cette Ă©tude montrent que la variĂ©tĂ© des loisirs Ă©tait davantage liĂ©e Ă la vitalitĂ© comparĂ©e Ă la frĂ©quence des loisirs. De futures Ă©tudes devraient aborder la variĂ©tĂ© des loisirs comme une maniĂšre de promouvoir la vitalitĂ© cognitive chez les aĂźnĂ©es. De plus, les caractĂ©ristiques des aĂźnĂ©s devraient ĂȘtre considĂ©rĂ©es afin de favoriser leur participation aux activitĂ©s de loisirs dans les centres communautaires
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