Physical activity, nutrition and bone health

This review aims to describe the roles that physical activity and nutrition have in bone metabolism and to examine their effects on bone in a situation of altered metabolism as a consequence of inadequate nutrition and/or excessive physical activity. Referring to the recent studies and the main guidelines in the literature on athlete nutrition, the paper also focuses on essential nutrients for bone health during performance. Finally, it discusses the negative effect of some nutrients on bone mineral density

Stay home, stay active with superjump®: A home-based activity to prevent sedentary lifestyle during covid-19 outbreak

The purpose of this study was to investigate the intensity of SuperJump® workout as a home-based activity for fulfilling physical activity recommendations during COVID-19 home-confinement. Seventeen (males: n = 10; females: n = 7) college students (age: 25.8 ± 2.7 years; height: 1.7 ± 0.1 m; weight: 66.2 ± 12.1 kg) participated in the study. To assess the intensity of the activity (30-min), heart rate (HR), expressed as percentages of age-predicted maximal HR (%HRmax), and session ratings of perceived exertion (sRPE), collected on a CR10 scale, were used. %HRmax data were categorically separated in five classes of intensity according to the American College of Sport Science’s guidelines. Enjoyment was evaluated using the Physical Activity Enjoyment Scale (PACES). Repeated measures ANOVA was used to evaluate differences (p < 0.05) in relation to gender and exercise intensity. No gender difference emerged for %HRmax and sRPE. Significantly higher (p < 0.05) %HRmax were found for the moderate intensity (47.1 ± 34.4%) with respect to very light (3.6 ± 6.9%), light (14.5 ± 23.3%) and vigorous (34.6 ± 39.6%) and for the vigorous intensity with respect to very light; no near maximal to maximal values were observed. Subjects perceived SuperJump® as moderate (sRPE = 3.1 ± 1.2) while showing high levels of enjoyability (PACES = 86.6 ± 16.2%). SuperJump® can be classified as moderate-to-vigorous activity, representing an effective alternative and enjoyable home-based activity for preventing the effects of a sedentary lifestyle during home-confinement

Supportive care for older people with frailty in hospital: An integrative review

BACKGROUND: Growing numbers of older people living with frailty and chronic health conditions are being referred to hospitals with acute care needs. Supportive care is a potentially highly relevant and clinically important approach which could bridge the practice gap between curative models of care and palliative care. However, future interventions need to be informed and underpinned by existing knowledge of supportive care. AIM: To identify and build upon existing theories and evidence about supportive care, specifically in relation to the hospital care of older people with frailty, to inform future interventions and their evaluation. DESIGN: An integrative review was used to identify and integrate theory and evidence. Electronic databases (Cochrane Medline, EMBASE and CIHAHL) were searched using the key term 'supportive care'. Screening identified studies employing qualitative and/or quantitative methods published between January 1990 and December 2015. Citation searches, reference checking and searches of the grey literature were also undertaken. DATA SOURCES: Literature searches identified 2733 articles. After screening, and applying eligibility criteria based on relevance to the research question, studies were subject to methodological quality appraisal. Findings from included articles (n=52) were integrated using synthesis of themes. RESULTS: Relevant evidence was identified across different research literatures, on clinical conditions and contexts. Seven distinct themes of the synthesis were identified, these were: Ensuring fundamental aspects of care are met, Communicating and connecting with the patient, Carer and family engagement, Building up a picture of the person and their circumstances, Decisions and advice about best care for the person, Enabling self-help and connection to wider support, and Supporting patients through transitions in care. A tentative integrative model of supportive care for frail older people is developed from the findings. CONCLUSION: The findings and model developed here will inform future interventions and can help staff and hospital managers to develop appropriate strategies, staff training and resource allocation models to improve the quality of health care for older people

Physical activity, nutrition and bone health

This review aims to describe the roles that physical activity and nutrition have in bone metabolism and to examine their effects on bone in a situation of altered metabolism as a consequence of inadequate nutrition and/or excessive physical activity. Referring to the recent studies and the main guidelines in the literature on athlete nutrition, the paper also focuses on essential nutrients for bone health during performance. Finally, it discusses the negative effect of some nutrients on bone mineral density

An evaluation of models that estimate droplet size from subsurface oil releases

Highlights • Roughly 250 high-quality lab experiments of oil droplet-size are now available. • Comparisons with observations show the best droplet-size models have confidence limits of ±50%. • Inaccuracies in predicted oil droplet-size can substantially affect calculated fates. • Further improvement of droplet-size models is needed, especially validation at field-scales. Abstract Droplet size substantially affects the fate of oil released from deep subsea leaks. A baseline dataset of volume-median droplet diameters (d50), culled from ~250 laboratory observations, is used to validate seven droplet-size models. Four models compare reasonably well, having 95% confidence limits in d50 of ~±50%. Simulations with a near-field fate model (TAMOC) reveals that the four best-performing models, with d50 of 1.3–2.2 mm, agree similarly with observed fractionation of petroleum compounds in the water column during June 4–July 15, 2010. Model results suggest that, had a higher dose of dispersant been applied at the wellhead during Deepwater Horizon oil spill (DWH), the d50 would have dropped by an order of magnitude, reducing surfacing C1–C9 volatiles by 3.5×. Model uncertainty is found to be substantial for DWH-like blowouts treated with chemical dispersants, suggesting the need for further droplet-size model improvement