“I Was Having My Midlife Fat Crisis”: Exploring the Experiences and Preferences of Home-Based Exercise Programmes for Adults Living with Overweight and Obesity

The involvement of people with lived experience in the design of exercise programmes is more likely to lead to a more needs-sensitive and population-specific intervention. There is limited evidence of the integration of people with lived experience, particularly regarding home-based exercise programmes for adults living with overweight and obesity, despite this being a population that would significantly benefit from a suitably tailored programme. Semi-structured interviews were virtually conducted to explore 20 participants’ experiences of exercising at home and their preferences for the design of future home-based exercise programmes. Codes were generated through thematic analysis, highlighting considerations such as comfort within a home-based environment, a desire for social connection, and the integration of technology. Four corresponding themes were generated, encapsulating participants’ choice reasoning for home-based exercise, difficulties of engaging in home-based exercise, undertaking and adhering to home-based exercise, and factors that constitute the perfect programme. Although the involvement of people with lived experience in research can be time-consuming, this process is fundamental to the design of an effective and efficacious programme. These findings will inform the design and development of a home-based exercise programme for adults living with overweight and obesity

The effect of a selected home-based exercise program by consuming coffee on blood lipid profile of inactive middle-aged men in COVID-19 pandemic condition

The purpose of this study was to examine the effect of 8 week a selected home based exercise program by consuming coffee on blood lipid profile of inactive middle-aged men in pandemic COVID-19 condition. The present study is a semi-experimental methodology and 44 middle-aged men with fatty liver were randomly divided into four groups of 11 cases: home-based exercise, coffee, home-based exercise + coffee, control. Blood test was used to measure blood lipid profile. The combined home-based exercise intervention was performed for 8 weeks, three sessions and 60 minutes per session. Coffee intervention consumed 10 grams of coffee per every other day. The results showed that weight, body mass index, LDL cholesterol, total cholesterol and triglyceride decreased significantly after eight weeks of training in all three experimental groups and HDL cholesterol increased significantly (p < .05). It seems that performed combined home- based exercise and in combination with coffee consumption can be effective in improving the blood lipid profile of inactive middle-aged men in quarantine and paired COVID-19 conditions and prevent liver damage

Changes in body weight, C-reactive protein, and total adiponectin in non-obese women after 12 months of a small-volume, home-based exercise program

OBJECTIVE: Our objective was to evaluate the effects of small-volume, home-based exercise combined with slight caloric restriction on the inflammatory markers C-reactive protein and adiponectin. METHODS: In total, 54 women were randomly assigned to one of two groups for exercise intervention: the control or home-based exercise groups. Weight, waist and hip circumferences, and inflammatory markers were measured at baseline and after 6 and 12 months. Women allocated to the home-based exercise group received a booklet explaining the physical exercises to be practiced at home at least 3 times per week, 40 minutes per session, at low-to-moderate intensity. All participants received dietary counseling aimed at reducing caloric intake by 100-300 calories per day, with a normal distribution of macro-nutrients (26-28% of energy as fat). Clinicaltrials.gov: NCT01206413 RESULTS: The home-based exercise group showed a significantly greater reduction in weight and body mass index at six months, but no difference between groups was observed thereafter. With regard to the inflammatory markers, a greater but non-statistically significant reduction was found for C-reactive protein in the home-based exercise group at six months; however, this difference disappeared after adjusting for weight change. No differences in adiponectin were found at the 6- or 12-month follow-up. CONCLUSION: Small-volume, home-based exercise did not promote changes in inflammatory markers independent of weight change

Supplemental home-based exercise during cardiac rehabilitation

In this study, the effects of supplemental, home-based walking on resting systolic blood pressure, waist circumference, and quality of life (QoL) in cardiac rehabilitation (CR) patients were evaluated. Twelve patients wore pedometers during the last four weeks of their 12-week CR program. Resting systolic blood pressure, waist circumference, and QoL were measured at weeks 1, 8, and 12. After data collection, participants were categorized into low, moderate, and high volume groups based on their average number of steps taken per week. There was significant improvement in QoL during the 12-week CR program (F(2,9) = 10.940, p \u3c .001). Participants rated their QoL better at weeks 8 (p = .02) and 12 (p \u3c .001) than at week 1. However, the amount of supplemental walking during the final four weeks of the CR program did not affect QoL scores (F(2,9) =.165, p \u3e .05). Although there were no significant differences in waist circumference across time or walking groups, the number of average weekly steps was significantly correlated with changes in waist circumference between weeks 1 and 12 (r = -.592, p = .042), and between weeks 8 and 12 (r = -.645, p = .024). Surprisingly, there was a statistically significant increase in resting systolic blood pressure across all groups during the CR program (F(2,9) = 5.002, p = .019). Thus participating in the CR program resulted in improved QoL; however, the small number of participants limited the power to detect differences in the outcome measures between walking groups

Dampak Home Based Exercise Training Terhadap Kapasitas Fungsional Pasien Gagal Jantung

DAMPAK HOME BASED EXERCISE TRAINING TERHADAP KAPASITAS FUNGSIONAL PASIEN GAGAL JANTUNG The Impact Of The Home Based Exercise Training To Functional Capacity Of Heart Failure PatientTony SuharsonoPSIK-FK Universitas Brawijaya MalangJl. Veteran, Malang 65145E-mail : [email protected] serviks adalah kanker yang menyerang uterus yaitu bagian serviks uterus atau leher rahim, merupakan Penurunan toleransi latihan dan sesak nafas merupakan manifestasi klinis utama gagal jantung. Kondisi ini menyebabkan pasien tidak dapat melakukan aktivitas sehari-hari yang berakibat pada penurunan kapasitas fungsional. Tujuan dari penelitian ini adalah mengidentifikasi dampak HBET terhadap kapasitas fungsional pasien gagal jantung. Desain penelitian ini adalah quasi experiment, pre-post with control group. Teknik sampling yang digunakan purposive sampling, didapatkan 23 responden yang terbagi menjadi 11 responden kelompok kontrol dan 12 responden kelompok intervensi. Pengumpulan data kapasitas fungsional dilakukan dengan 6MWT. Hasil pengukuran didapatkan perbedaan yang signifikan kapasitas fungsional sebelum dan setelah perlakuan pada kedua kelompok. Hasil analisis kapasitas fungsional setelah perlakuan antara kelompok kontrol dan intervensi tidak didapatkan perbedaan yang signifikan, walaupun kelompok intervensi mempunyai mean kapasitas fungsional. Berdasarkan hasil penelitian tersebut, HBET dapat digunakan sebagai modalitas keperawatan bagi pasien gagal jantung. HBET hendaknya dijadikan bagian integral dari management gagal jantung setelah keluar dari rumah sakit. Kata Kunci : Home based exercise training, kapasitas fungsional, dan gagal jantungABSTRACTA reduced exercise tolerance and shortness of breathing are the main clinical manifestations in patient with heart failure. These conditions cause patient's inability to do their daily activities and lead to reduce functional capacity. The aim of this study was to identify the impact of the home based exercise training to functional capacity of heart failure patient. It used quasy experimental study design pre-post with control group, recruited 23 respondents with purposive sampling technique. They were divided into two groups, 11 respondents as control group and 12 respondents as experimental group. Functional capacity was obtain through observation of six minute walk test. The result showed that there was a significant difference of functional capacity before and after intervention in both groups. Statistically, the result of functional capacity data analysis after intervention showed that there wasn't significant difference in both groups, although the experimental group has a higher mean data of functional capacity. Based on this study, HBET could be used as nursing modality for patient with heart failure. HBET should be integrated with heart failure management after discharging from hospital

Effect of early supervised progressive resistance training compared to unsupervised home-based exercise after fast-track total hip replacement applied to patients with preoperative functional limitations. A single-blinded randomised controlled trial

SummaryObjectiveTo examine if 2 weekly sessions of supervised progressive resistance training (PRT) in combination with 5 weekly sessions of unsupervised home-based exercise is more effective than 7 weekly sessions of unsupervised home-based exercise in improving leg-extension power of the operated leg 10 weeks after total hip replacement (THR) in patients with lower pre-operative function.MethodA total of 73 patients scheduled for THR were randomised (1:1) to intervention group (IG, home based exercise 5 days/week and PRT 2 days/week) or control group (CG, home based exercise 7 days/week). The primary endpoint was change in leg extension power at 10 week follow up. Secondary outcomes were isometric hip muscle strength, sit-to-stand test, stair climb test, 20 m walking speed and patient-reported outcome (HOOS).ResultsSixty-two completed the trial (85%). Leg extension power increased from baseline to the 10 week follow up in both groups; mean [95% CI] IG: 0.29 [0.13; 0.45] and CG: 0.26 [0.10; 0.42] W/kg, with no between-group difference (primary outcome) (P = 0.79). Maximal walking speed (P = 0.008) and stair climb performance (P = 0.04) improved more in the IG compared to CG, no other between-group differences existed.ConclusionsIn this trial, supervised PRT twice a week in addition to 5 weekly sessions of unsupervised exercise for 10 weeks was not superior to 7 weekly sessions of unsupervised home-based exercise for 10 weeks in improving the primary outcome, leg-extension power of the operated leg, at the primary endpoint 10 weeks after surgery in THR patients with lower pre-operative function.Trial registration: NCT01214954

Diz osteoartriti olan yaşlı hastaların ev egzersiz tedavisine uyumu

Objectives: This study aims to evaluate the compliance to home-based exercise regimen by elderly patients with osteoarthritis of the knee. Patients and methods: Between May 2012 and May 2013 year, a total of 72 patients (54 females, 18 males) over 65 years old with knee osteoarthritis admitted to the Physical Medicine and Rehabilitation outpatient clinic were included in the study. The patients were given a home-based exercise program. They were recommended to perform the exercises 10 times twice a day, for a month. We evaluated the patients’ demographic data, comorbid diseases, whether they exercised previously and compliance to exercise. Results: All patients’ home exercise program compliance was 62.5%. Males were more compliant than female patients and high education and comorbidity were also associated with poor compliance. Conclusion: The compliance of the geriatric patients to home-based exercise program is difficult and multiple variables affect the compliance

Is It Really Home-Based?:A Commentary on the Necessity for Accurate Definitions across Exercise and Physical Activity Programmes

Background: There is wide discrepancy in how published research defines and reports home-based exercise programmes. Studies consisting of fundamentally different designs have been labelled as home-based, making searching for relevant literature challenging and time consuming. This issue has been further highlighted by an increased demand for these programmes following the COVID-19 pandemic and associated government-imposed lockdowns. Purpose: To examine what specifically constitutes home-based exercise by: 1) developing definitions for a range of terms used when reporting exercise and physical activity programmes and 2) providing examples to contextualise these definitions for use when reporting exercise and physical activity programmes. Methods: A literature search was undertaken to identify previous attempts to define home-based exercise programmes. A working document, including initial definitions and examples were developed, which were then discussed between six experts for further refinement. Results: We generated definitions for universal key terms within three domains (and subdomains) of programme design: location (home-based, community/centre-based, or clinical setting), prescription (structured or unstructured) and delivery (supervised, facilitated, or unsupervised). Examples for possible combinations of design terms were produced. Conclusions: Definitions will provide consistency when using reporting tools and the intention is to discuss the issues presented as part of a Delphi study. This is of paramount importance due to the predicted increase in emerging research regarding home-based exercise

Co-Designing and Refining a Home-Based Exercise Programme for Adults Living with Overweight and Obesity:Insight from People with Lived Experience

Undertaking a home-based exercise programme should be a positive, health-enhancing lifestyle behaviour, particularly for adults living with overweight and obesity. However, exercise programmes are seldom designed in collaboration with people with lived experience, limiting adherence, efficacy, and effectiveness. Two focus groups (in-person n = 6 and virtual n = 7) were undertaken in the United Kingdom, to glean feedback and further refine a home-based exercise programme, developed from previously conducted semi-structured interviews with adults living with overweight and obesity. Both focus groups provided an opportunity for participants to discuss the proposed programme, highlighting strengths and areas for further improvement. Three key priorities were identified for consideration throughout the design process, specifically for adults living with overweight and obesity: (1) individualisation—a person-centred programme was non-negotiable; (2) motivation—integration of motivational features affected adherence and engagement; (3) more than just weight loss—consideration of other outcomes aside from solely numerical weight loss. These priorities provide direction for further refinement of the proposed home-based exercise programme, in an effort to ensure the final intervention is truly population-specific and needs-sensitive. Following completion, the programme will be assessed using a feasibility randomised controlled trial design