المؤلفون: Tatiana Plekhanova, Alex V. Rowlands, Rachael A. Evans, Charlotte L. Edwardson, Nicolette C. Bishop, Charlotte E. Bolton, James D. Chalmers, Melanie J. Davies, Enya Daynes, Paddy C. Dempsey, Annemarie B. Docherty, Omer Elneima, Neil J. Greening, Sharlene A. Greenwood, Andrew P. Hall, Victoria C. Harris, Ewen M. Harrison, Joseph Henson, Ling-Pei Ho, Alex Horsley, Linzy Houchen-Wolloff, Kamlesh Khunti, Olivia C. Leavy, Nazir I. Lone, Michael Marks, Ben Maylor, Hamish J. C. McAuley, Claire M. Nolan, Krisnah Poinasamy, Jennifer K. Quint, Betty Raman, Matthew Richardson, Jack A. Sargeant, Ruth M. Saunders, Marco Sereno, Aarti Shikotra, Amisha Singapuri, Michael Steiner, David J. Stensel, Louise V. Wain, Julie Whitney, Dan G. Wootton, Christopher E. Brightling, William D-C. Man, Sally J. Singh, Tom Yates, Writing group (on behalf of the PHOSP-COVID Collaborative Group)

المصدر: International Journal of Behavioral Nutrition and Physical Activity, Vol 19, Iss 1, Pp 1-13 (2022)

مصطلحات موضوعية: Accelerometer, Long COVID, MVPA, Sleep timing, PHOSP-COVID, Nutritional diseases. Deficiency diseases, RC620-627, Public aspects of medicine, RA1-1270

الوصف: Abstract Background The number of individuals recovering from severe COVID-19 is increasing rapidly. However, little is known about physical behaviours that make up the 24-h cycle within these individuals. This study aimed to describe physical behaviours following hospital admission for COVID-19 at eight months post-discharge including associations with acute illness severity and ongoing symptoms. Methods One thousand seventy-seven patients with COVID-19 discharged from hospital between March and November 2020 were recruited. Using a 14-day wear protocol, wrist-worn accelerometers were sent to participants after a five-month follow-up assessment. Acute illness severity was assessed by the WHO clinical progression scale, and the severity of ongoing symptoms was assessed using four previously reported data-driven clinical recovery clusters. Two existing control populations of office workers and individuals with type 2 diabetes were comparators. Results Valid accelerometer data from 253 women and 462 men were included. Women engaged in a mean ± SD of 14.9 ± 14.7 min/day of moderate-to-vigorous physical activity (MVPA), with 12.1 ± 1.7 h/day spent inactive and 7.2 ± 1.1 h/day asleep. The values for men were 21.0 ± 22.3 and 12.6 ± 1.7 h /day and 6.9 ± 1.1 h/day, respectively. Over 60% of women and men did not have any days containing a 30-min bout of MVPA. Variability in sleep timing was approximately 2 h in men and women. More severe acute illness was associated with lower total activity and MVPA in recovery. The very severe recovery cluster was associated with fewer days/week containing continuous bouts of MVPA, longer total sleep time, and higher variability in sleep timing. Patients post-hospitalisation with COVID-19 had lower levels of physical activity, greater sleep variability, and lower sleep efficiency than a similarly aged cohort of office workers or those with type 2 diabetes. Conclusions Those recovering from a hospital admission for COVID-19 have low levels of physical activity and disrupted patterns of sleep several months after discharge. Our comparative cohorts indicate that the long-term impact of COVID-19 on physical behaviours is significant.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1479-5868Test

الوصول الحر: https://doaj.org/article/bb42c9910e0b47d5b3c217c0dc21f500Test

المؤلفون: Deirdre M. Harrington, Melanie J. Davies, Danielle H. Bodicoat, Joanna M. Charles, Yogini V. Chudasama, Trish Gorely, Kamlesh Khunti, Tatiana Plekhanova, Alex V. Rowlands, Lauren B. Sherar, Rhiannon Tudor Edwards, Thomas Yates, Charlotte L. Edwardson

المصدر: International Journal of Behavioral Nutrition and Physical Activity, Vol 15, Iss 1, Pp 1-18 (2018)

مصطلحات موضوعية: Intervention, Physical education, Teacher, Adolescent female, Nutritional diseases. Deficiency diseases, RC620-627, Public aspects of medicine, RA1-1270

الوصف: Abstract Background Globally, adolescent girls’ physical activity (PA) levels are low. The ‘Girls Active’ secondary school-based programme, developed by the Youth Sport Trust, aims to increase PA in adolescent girls. This paper explores the effectiveness of the ‘Girls Active’ school-based PA programme. Methods A random sample of girls aged 11–14 from 20 secondary schools (Midlands, UK) participated in a two-arm cluster randomised controlled trial. Ten schools received Girls Active and 10 continued with usual practice. Measurements were taken at baseline, seven- and 14-month follow-up. Primary outcome: wrist-worn accelerometer measured moderate- to vigorous-intensity PA (MVPA). Secondary outcomes: overall PA, light PA, sedentary time, body composition, and psychosocial outcomes. Generalised estimating equations, adjusted for school cluster and potential confounders, were used and A priori subgroup analysis was undertaken. Micro-costing and cost-consequence analyses were conducted using bespoke collection methods on programme delivery information. Outcomes for the cost-consequence analysis were health related quality of life measured by the Child Health Utility-9D and service use. Results Overall, 1752 pupils participated, 1211 (69.1%) provided valid 14-month accelerometer data. No difference in MVPA (mins/day; 95% confidence intervals) was found at 14 months (1.7; -0.8 to 4.3), there was at seven months (2.4; 0.1 to 4.7). Subgroup analyses showed significant intervention effects on 14-month in larger schools (3.9; 1.39 to 6.09) and in White Europeans (3.1; 0.60 to 6.02) and in early maturers (5.1; 1.69 to 8.48) at seven months. The control group did better in smaller schools at 14-months (-4.38; -7.34 to -1.41). Significant group differences were found in 14-month identified motivation (-0.09; -0.18 to -0.01) and at seven months in: overall PA (1.39 mg/day; 0.1 to 2.2), after-school sedentary time (-4.7; -8.9 to -0.6), whole day (5.7; 1.0 to 10.5) and school day (4.5; 0.25 to 8.75) light PA, self-esteem. Small, statistically significant, differences in some psychosocial variables favoured control schools. Micro-costing demonstrated that delivering the programme resulted in a range of time and financial costs at each school. Cost-consequence analysis demonstrated no effect of the programme for health related quality of life or service use. Conclusions Compared with usual practice, ‘Girls Active’ did not affect 14-month MVPA. Trial registration ISRCTN10688342

وصف الملف: electronic resource

العلاقة: http://link.springer.com/article/10.1186/s12966-018-0664-6Test; https://doaj.org/toc/1479-5868Test

الوصول الحر: https://doaj.org/article/10e16e817f264975bfea7f42eac8b3b6Test