Lessons learned from a home-based exercise program for adolescents with pre-existing chronic diseases during the COVID-19 quarantine in Brazil

Marques, Isabela G.; Astley, Camilla; Iraha, Amanda Yuri; Franco, Tathiane Christine; Smaira, Fabiana Infante; Mazzolani, Bruna Caruso; Miranda, Luana Cristina do Amaral; Ihara, Bianca Pires; Pereira, Rosa Maria Rodrigues; Queiroz, Lígia Bruni; Silva, Clóvis A.; Gualano, Bruno

doi:10.6061/clinics/2021/e2655

Cited by 8 publications

(4 citation statements)

References 24 publications

(28 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This report is part of a larger observational and exploratory study aimed at screening lifestyle and overall health in youth with multiple chronic conditions; this cross-sectional, case-control assessment was conducted between July and October 2020, during which important social distancing measures were in place to contain the spread of COVID-19 in São Paulo, Brazil ( 5 , 17 ).…”

Section: Methodsmentioning

confidence: 99%

Food consumption based on processing level (according to Nova system) during the COVID-19 pandemic among adolescents with immunocompromised conditions: a case-control study

et al. 2023

Self Cite

View full text Add to dashboard Cite

The COVID-19 pandemic impacts on eating habits among adolescents may be more relevant in pediatric patients with immunocompromised chronic diseases. This case-control study conducted between June and October 2020 aimed to: (i) describe dietary patterns of adolescents with chronic conditions compared to healthy controls and (ii) determine associations between food consumption, health-related quality of life (HRQL) and sleep quality during the COVID-19 pandemic. Participants (184 immunocompromised and 58 healthy adolescents, aged 14.3 [SD 2.5]) responded to HRQL and sleep validated instruments (PedsQL and PSQI) and three 24 h food recalls via online software. Adjusted linear and logistic regressions were used to assess differences in dietary patterns and associations between food consumption (according to Nova classification) and HRQL and sleep quality. Adolescents with gastrohepatic, rheumatic, and kidney diseases had an improved dietary pattern vs. their healthy peers, showing greater consumption of unprocessed and minimally processed foods (unstandardized coefficient (b) = 7.35%[95%CI 1.59; 13.1]; b = 15.10%[95%CI 7.00; 23.1]; and b = 11.2%[95%CI 5.68; 16.8]), and lower consumption of ultraprocessed foods (b = −7.53%[95%CI-12.90; −2.18]; b = −11.4%[95%CI-18.90; −3.94]; b = −10.8%[95%CI-16.00; −5.68]). Consumption of culinary ingredients was associated with reduced psychological HRQL in controls (standardized coefficient (β) = −0.26[95%CI-0.52; −0.004]), and processed food consumption was associated with improved sleep latency in immunocompromised participants (β = 0.16[95%CI 0.01; 0.31]). These findings suggest diet quality may play a role in HRQL and sleep quality in this population, and may be relevant for clinical practitioners and policy makers when considering the importance of dietary quality in immunocompromised youths.

show abstract

Section: Methodsmentioning

confidence: 99%

Food consumption based on processing level (according to Nova system) during the COVID-19 pandemic among adolescents with immunocompromised conditions: a case-control study

et al. 2023

Self Cite

View full text Add to dashboard Cite

show abstract

“…The home-based exercise program consisted of a 12-weeks, three times a week aerobic and bodyweight exercise training program, which is thoroughly described elsewhere. 32 Training sessions were divided into two parts. Initially, the warm-up included predominantly aerobic exercises such as jumping jacks, skipping, and mobility and flexibility exercises.…”

Section: Methodsmentioning

confidence: 99%

A home-based exercise program during COVID-19 pandemic: Perceptions and acceptability of juvenile systemic lupus erythematosus and juvenile idiopathic arthritis adolescents.

Astley

Marques

Iraha

et al. 2022

Lupus

Self Cite

View full text Add to dashboard Cite

Objectives To investigate the perceptions and acceptability of a home-based exercise intervention in systemic lupus erythematosus (JSLE) and juvenile idiopathic arthritis (JIA) adolescent patients during the COVID-19 pandemic, and to explore the effects of the intervention on health-related quality of life (HRQoL), sleep quality, and mental health conditions parameters. Methods This was a randomized controlled trial of a 12-week, home-based exercise training program conducted between October and December 2020. During this period, social distancing measures were in place in Brazil to contain the spread of COVID-19. Adolescent patients diagnosed with JSLE and JIA participated in the study. Health-related qualitative and quantitative data were collected before and after the follow-up. Results 21 JSLE patients and 30 JIA patients were analyzed. Six themes emerged from patients’ feedback: 1) Suitability of the home-based format; 2) Appropriate trainer supervision, 3) Motivators and facilitators for the program; 4) Barriers to the program; 5) Health benefits; 6) Patients’ suggestions to improve the program. Overall, data indicated that the intervention showed good acceptability and elicited improvements in the perceived HRQoL and fatigue in JIA and JSLE patients during the pandemic. However, further quantitative analyses with validated HRQoL, sleep quality, and mental health conditions instruments did not capture these benefits (p>0.05). Conclusion Our main findings based on in-depth qualitative assessments suggest that a home-based exercise training program was suitable and well-accepted by adolescents with JSLE and JIA during the COVID-19 pandemic. Nonetheless, adherence was not high, particularly among JIA patients, suggesting that facilitators and barriers identified in the current study should be explored to improve the quality of new home-based exercise programs implementation, particularly in a future emerging crisis.

show abstract

“… 1 Despite a low death incidence among adolescents, 2 , 3 home confinement, school restrictions and social isolation due to quarantine/lockdown brought a great impact on this population. 4 , 5 , 6 , 7 …”

Section: Introductionmentioning

confidence: 99%

Emotional, hyperactivity and inattention problems in adolescents with immunocompromising chronic diseases during the COVID-19 pandemic

Campos

Lindoso

Sousa

et al. 2023

Clinics

Self Cite

View full text Add to dashboard Cite

Lessons learned from a home-based exercise program for adolescents with pre-existing chronic diseases during the COVID-19 quarantine in Brazil

Abstract: All authors contributed substantially to the conception and design of the study, and in the analysis and interpretation of data. All authors critically revised and approved the final version of the manuscript.

Cited by 8 publications

References 24 publications

Food consumption based on processing level (according to Nova system) during the COVID-19 pandemic among adolescents with immunocompromised conditions: a case-control study

Food consumption based on processing level (according to Nova system) during the COVID-19 pandemic among adolescents with immunocompromised conditions: a case-control study

A home-based exercise program during COVID-19 pandemic: Perceptions and acceptability of juvenile systemic lupus erythematosus and juvenile idiopathic arthritis adolescents.

Emotional, hyperactivity and inattention problems in adolescents with immunocompromising chronic diseases during the COVID-19 pandemic

Contact Info

Product

Resources

About