Physical Activity and Exercise Training Prescriptions for Patients

Foster, Carl; Cadwell, Khristy; Crenshaw, Brian S.; Dehart-Beverley, Mehgan; Hatcher, Stefanie; Karlsdottir, Arna E.; Shafer, Natalie N.; Theusch, Carla; Porcari, John P.

doi:10.1016/s0733-8651(05)70228-9

Cited by 10 publications

(6 citation statements)

References 59 publications

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“…This category comprised the greatest number of studies included in the review, included the greatest number of RCTs and had the greatest number of significant results, therefore strongly influencing the rating of the evidence. In addition, it should not come as a surprise that exercise training does improve physical fitness, whatever setting [52,53]. In contrast, for this same type of intervention, there was only inconclusive evidence of effectiveness on obesity-related outcomes.…”

Section: Discussionmentioning

confidence: 99%

Worksite Physical Activity Interventions and Obesity: A Review of European Studies (the HOPE Project)

Vuillemin

Rostami

Maes³

et al. 2011

Obes Facts

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Objective: Our aim was to review the effectiveness of physical activity promotion interventions in the worksite setting in Europe in order to identify those studies that had measured obesity-related outcomes and to evaluate how external validity of the findings had been assessed. Methods: We conducted a review of studies conducted in Europe, published up to December 2009. We assessed levels of evidence regarding effectiveness and analysed external validity using the RE-AIM framework. Results: Studies included (n = 33) were divided in 6 intervention categories. Moderate evidence of effectiveness was found for physical fitness outcomes with exercise training interventions and for physical activity outcomes with active commuting interventions. There was no or inconclusive evidence for obesity-related outcomes for all intervention categories. For external validity, elements receiving the least attention (<20%) were representativeness of participants, setting-level inclusion/exclusion criteria and representativeness, characteristics regarding intervention staff, implementation of intervention, costs, long-term effects and programme sustainability. Conclusions: Active commuting and exercise training appear as promising approaches to promote physical activity or fitness in the workplace. The effect of interventions on obesity-related outcomes remains to be further investigated. There is a need to better report elements of generalizability and dissemination for translation into practice of worksite physical activity interventions.

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Section: Discussionmentioning

confidence: 99%

Worksite Physical Activity Interventions and Obesity: A Review of European Studies (the HOPE Project)

Vuillemin

Rostami

Maes³

et al. 2011

Obes Facts

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“…3,4 The improvements in exercise capacity and VO 2peak brought about by training are related to improved quality of life (QOL), particularly in patients with exercise capacity limited by various disease processes. 5 In adult cancer patients/survivors, it is not untypical to measure VO 2peak levels considerably lower (B50%) than predicted, which reflects the sedentary life habits and poor physical condition of this population group. 6 Poor physical condition self-perpetuated by sedentarism is largely responsible for the disrupting symptoms of fatigue that these individuals experience during normal activities of daily living, with subsequent impairment in QOL.…”

Section: Introductionmentioning

confidence: 92%

Is physical fitness decreased in survivors of childhood leukemia? A systematic review

et al. 2004

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The aim of this review is to determine whether physical fitness, assessed by peak oxygen uptake (VO 2peak ) measurement, is reduced in survivors of acute lymphoblastic leukemia (ALL) compared to healthy children. A systematic literature search (up to June 2004) was performed using Medline, Sportdiscus, Cinahl, Embase, Cochrane and PEDro database and reference tracking. The VO 2peak (ml kg À1 min À1 ) reached during a maximal exercise test until volitional exhaustion was used as the main outcome for this review. In all, 17 studies were identified in the literature. Data from three studies (102 ALL survivors, age ranging from 7 to 19 years) were pooled in a meta-analysis. Although there was a significant heterogeneity between the included studies (P ¼ 0.0006), the standardized mean difference (SMD) value of À0.61 (P ¼ 0.07) indicated that VO 2peak tended to be reduced in survivors of childhood ALL compared to healthy control subjects, that is, decrease of À5.97 ml kg À1 min À1 (95% confidence interval (CI): (À12.35, 0.41); P ¼ 0.07) or À13% (95 % CI: (À27, 0.004)). Physical fitness tends to be reduced in survivors of ALL during childhood, which suggests the need for this population group to engage in regular physical activities with the purpose of increasing their functional capacity. Although more research is needed, this functional improvement might ameliorate the quality of life of ALL survivors as physical and outdoors activities are an essential part of daily routine during childhood.

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“…We also included resistance exercises (with elastic medium resistance bands) involving some of the main muscle groups in each of the three weekly training sessions. Resistance exercise should be an integral component of any exercise training program in chronically diseased individuals [11]. Indeed, increased muscle strength induced by resistance training results in an attenuated cardiovascular stress response to any given load during ADLs because the load now represents a lower percentage of the maximal voluntary contraction [24].…”

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confidence: 99%

Exercise Training is Beneficial for Alzheimer's Patients

et al. 2008

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Decreased ability to perform activities of daily living (ADLs) associated with deterioration in physical capacity are key determinants of the poor quality of life and loss of independence of patients with Alzheimer's disease (AD). The purpose of this study was to determine the effects of a 12-week training program (including resistance, flexibility, joint mobility and balance/coordination exercises) for Spanish patients with AD on their i) overall functional capacity (muscle strength and flexibility, agility and balance while moving, and endurance fitness), and ii) ability to perform ADLs. Using a randomized block design, 16 patients were assigned to a training (mean [SD] age: 76 [4] yrs) or control group (73 [4] yrs) (n = 8 subjects [3 male, 5 female] per group). The results showed significant improvements after training (p < 0.05) in upper and lower body muscle strength and flexibility, agility and dynamic balance, and endurance fitness (using the Senior Fitness test), gait and balance abilities (with subsequent decrease in risk of falls) (Tinetti scale) and in the ability to perform ADLs independently (Katz and Barthel scores). No changes (p > 0.05) were found in the control group over the 12-week period. Exercise training could be included in the overall medical/nursing care protocol for patients with AD.

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Physical Activity and Exercise Training Prescriptions for Patients

Cited by 10 publications

References 59 publications

Worksite Physical Activity Interventions and Obesity: A Review of European Studies (the HOPE Project)

Worksite Physical Activity Interventions and Obesity: A Review of European Studies (the HOPE Project)

Is physical fitness decreased in survivors of childhood leukemia? A systematic review

Exercise Training is Beneficial for Alzheimer's Patients

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