Exercise Prescription Considerations for Individuals with Multiple Chronic Diseases: Systematic Review

Hovanec, Nina; Bellemore, Derek; Kuhnow, Jason; Miller, Felicia; Vloten, Alexi van; A.V, Anthony; ervoort,

doi:10.4172/2167-7182.1000201

Cited by 2 publications

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“…They also revealed a multi-system approach to exercise prescription, which proposes assessing important physiological indicators from many bodily systems to properly prescribe exercise to people with numerous chronic conditions. 24 A lifestyle change is also particularly essential in patients who felt that their surroundings was a barrier to exercising.…”

Section: Discussionmentioning

confidence: 99%

Evaluating descriptive and clinical characteristics of type 2 diabetes mellitus patients with physical and environmental barriers to exercise

Lohana,

Kumar

2023

Int J Res Med Sci

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Background: Exercise is critical in the treatment of Type 2 diabetes mellitus. It is critical to identify exercise barriers in non-exercising T2DM patients. The present study aimed to evaluate the physical and environmental barriers among non-exercising T2DM patients attending a tertiary care hospital in Karachi, Pakistan. Methods: A cross-sectional study was conducted by recruiting patients from Family Medicine outpatient clinics at the Agha Khan University Hospital from October 2018 to April 2019. Patients between the ages of 18 and 65 who had T2DM for at least six months and exercised for fewer than 150 minutes per week or 30 minutes per day were enrolled. Barriers to exercise like physical (pain/discomfort, too overweight, co-existing illness) and environmental (too hot or cold weather, unavailability or no convenient place to exercise) were observed. The Chi-square test was used for inferential statistics. Results: Of 275 patients, mean age of the patients was 46.58 ±10.96 years. There were 146 (53.1%) males and 129 (46.9%) females. Pain and physical discomfort 110 (40%) was the most common physical barrier. Moreover, hot or cold weather was reported in 48 (17.5%) patients, no convenient or nearby place to exercise in 53 (19.3%), unavailability of parks/gym in 48 (17.5%), and environmental barriers like traffic in 35 (12.7%). Conclusions: A variety of physical and environmental barriers were discovered in this study; therefore, implementing suitable therapy to overcome these barriers will allow patients to engage in physical activities that will help them control their diabetes.

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Section: Discussionmentioning

confidence: 99%

Evaluating descriptive and clinical characteristics of type 2 diabetes mellitus patients with physical and environmental barriers to exercise

Lohana,

Kumar

2023

Int J Res Med Sci

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A Scoping Review of Tailored Self-management Interventions among Adults with Mobility Impairing Neurological and Musculoskeletal Conditions

Plow

Mangal

Geither

et al. 2016

Front. Public Health

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A critical public health objective is to optimize and disseminate self-management interventions for the 56.7 million adults living with chronic disabling conditions in the United States. A possible strategy to optimize the effectiveness of self-management interventions is to understand how best to tailor self-management interventions to the needs and circumstances of each participant. Thus, the purpose of this scoping review was to describe randomized controlled trials (RCTs) of tailored self-management interventions in adults with neurological and musculoskeletal conditions that characteristically result in mobility impairments. The 13 RCTs included in the scoping review typically compared tailored interventions to non-tailored interventions or usual care among adults with chronic pain, stroke, and/or arthritis. The tailored interventions were diverse in their delivery formats, dosing, behavior change techniques, and tailoring strategies. We identified 13 personal characteristics (e.g., preferences and theoretical constructs) and 4 types of assessment formats (i.e., oral history, self-report questionnaires, provider-reported assessments, and medical records) that were used to tailor the self-management interventions. It was common to tailor intervention content using self-report questionnaires that assessed personal characteristics pertaining to impairments and preferences. Content was matched to personal characteristics using clinical judgment or computer algorithms. However, few studies adequately described the decision rules for matching content. To advance the science of tailoring self-management interventions, we recommend conducting comparative effectiveness research and further developing a taxonomy to standardize descriptions of tailoring. We discuss the opportunities that are now coalescing to optimize tailored self-management. We also provide examples of how to merge concepts from the self-management literature with conceptual frameworks of tailoring from the health communication literature.

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Exercise Prescription Considerations for Individuals with Multiple Chronic Diseases: Systematic Review

Cited by 2 publications

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Evaluating descriptive and clinical characteristics of type 2 diabetes mellitus patients with physical and environmental barriers to exercise

Evaluating descriptive and clinical characteristics of type 2 diabetes mellitus patients with physical and environmental barriers to exercise

A Scoping Review of Tailored Self-management Interventions among Adults with Mobility Impairing Neurological and Musculoskeletal Conditions

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