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The stimulation of muscle protein synthesis (MPS) by dietary protein is reduced with age. We hypothesized that twice-daily milk consumption would increase daily rates of MPS in older women relative to a nondairy milk alternative and that MPS would be enhanced by increased physical activity (PA).Twenty-two older women were randomly assigned to 1 of 3 experimental groups: whole milk (WM; n = 7, 69 ± 3 y), skim milk (SM; n = 7, 68 ± 3 y), or an almond beverage (AB; n = 8, 63 ± 3 y). From days 1 to 3, participants consumed a standardized diet (0.8 g protein⋅kg-1 ⋅d-1) and performed their habitual PA (Phase 1, Baseline). From days 4 to 6, participants continued to perform habitual PA, but consumed an intervention diet consisting of the standardized diet plus twice-daily beverages (250 mL each) of either WM, SM, or AB (Phase 2, Diet Intervention). Finally, from days 7 to 9, the intervention diet was consumed, and PA via daily steps was increased to ∼150% of habitual daily steps (Phase 3, Intervention Diet + PA). Deuterated water was ingested throughout the study, and muscle biopsies were taken on days 1, 4, 7, and 10 to measure MPS.Daily MPS rates were not differentially affected by the addition of WM, SM, or AB to a standardized diet. There was, however, a significant effect of study phase such that, when collapsed across conditions, MPS was significantly increased from Phase 1 to Phase 2 (+0.133%⋅d-1; 95% CI: 0.035-0.231; P 0.01) and further increased from Phase 2 to Phase 3 (+0.156%⋅d-1; 95% CI: 0.063-0.250; P 0.01).Increasing PA through walking was sufficient to increase daily MPS rates in older women, irrespective of whether dietary protein intake is increased beyond the recommended intake of 0.8 g⋅kg-1 ⋅d-1. The trial was registered at clinicaltrials.gov as NCT04981652.

In this pilot project, patient-selected SMART (Specific, Measurable, Attainable, Relevant, Time-bound) goals were used a to increase self-reported physical activity and decrease hemoglobin A1C (HbA1C) in patients with type II diabetes (T2DM). We assessed pre- and postintervention physical activity levels and HbA1C at the follow-up visits spaced 3–4 months apart. In this 23-participant study, patients showed a statistically significant improvement in physical activity when SMART goals were met and a statistically significant decrease in HbA1C with increased physical activity.

Introduction: Efficiency criteria of recreational facilities for children shall be updated in the light of goals and tasks set for contemporary camps. Objective: To evaluate parents’ opinion about organization of recreation and health improvement in children’s summer camps. Materials and methods: In 2019–2020, an anonymous questionnaire-based survey of 343 parents, potential consumers of children’s recreation services, from 48 Russian regions was carried out with support of the Internet catalog of children’s camps incamp.ru. Results: According to the parents, the main purpose of the children’s stay in the camp is rest (88.0 % of the respondents; 95 % confidence interval (CI): 84.6–91.5), mastering of communication skills and making new friends (79.9 %; 95 % CI: 75.6–84.1), health improvement (49.0 %; 95 % CI: 43.7–54.3), and acquisition of new knowledge (48.1 %; 95 % CI: 42.8–53.4). A third of the parents positively assessed health improvement of their child in the camp without specifying its criteria (32.3 %; 95 % CI: 27.4–37.4); 27.1 % (95 % CI: 22.4–31.8) noted an improvement in the child physical and emotional state. The respondents believed that child health improvement was strongly influenced by increased physical activity (86.6 %; 95 % CI: 83.0–90.2), diet quality (83.7 %; 95 % CI: 79.8–87.6), camp location (77.0 %; 95 % CI: 72.5–81.4), and living conditions (74.3 %; 95 % CI: 69.7–79.0). The parents were of the opinion that the length of stay was of least importance for health improvement (32.1 %; 95 % CI: 27.1–37.0). Conclusions: An effective system of developing children’s recreation and health improvement should take into account that parents and guardians are an essential part of it as potential consumers of children’s recreation services and their current expectations need to be considered when updating efficiency criteria for children’s camps.

В огляді наведено дані закордонної та вітчизняної літератури, рекомендації світових консенсусів 2016–2018 рр. щодо особливостей модифікації способу життя, корекції вживання алкоголю, відмови від паління, підвищення фізичної активності, дієтичного харчування, превентивних властивостей окремих нутрієнтів, характеристики харчових раціонів з доведеною ефективністю у хворих на артеріальну гіпертензію з порушеннями вуглеводного обміну.

The primary aim of this investigation was to examine the efficacy, feasibility, and acceptability of adding SC skills training to a standard behavioral weight loss program (BWLP + SC), with the secondary aim of replicating prior research utilizing video conferencing technology to deliver a small group, weekly BWLP. The sample originally consisted of 54 individuals. The BWLP utilized Webex video conferencing software to deliver a 12-week interactive BWLP. Participants were randomized to a standard BWLP or a standard BWLP augmented with self-compassion skills training (BWLP + SC). Over the course of treatment, participants lost on average 7.2 lbs or 3.3% of their body weight. Other gains included a significant reduction in total calories, increased physical activity, and a reduction in maladaptive eating patterns. Among all participants, significant associations were observed between higher baseline SC, lower maladaptive eating, and higher intuitive eating. Among participants in the self-compassion group, a significant increase in self-compassion was observed, but treatment outcomes were not improved among these participants relative to the BWLP participants. The promising results from the current investigation suggest that the utilization of video conferencing software and the addition of SC skills training to the treatment of obesity has merit. Continued investigation of both SC skills training and virtual technology platforms in the delivery of weight loss research is recommended.

BACKGROUND Increased levels of plasma lipoproteins are among some of the modifiable risk factors for cardiovascular disease (CVD). Dietary changes and increased physical activity are the most powerful non-pharmacological interventions for achieving optimal plasma lipid levels. OBJECTIVES To investigate the effect of an intensive short-term lifestyle intervention on plasma lipid trajectories in overweight non-diabetic females. MATERIAL AND METHODS A total of 202 healthy overweight (body mass index (BMI) >27.5 kg/m2) females underwent an intensive short-term (ten-week) intervention (at least 4 units of one-hour exercise activity weekly at optimal energy intake) aimed at lowering body weight. Plasma lipid (total cholesterol (TC), low-density-lipoprotein cholesterol (LDL-C), high-density-lipoprotein cholesterol (HDL-C), and triglycerides (TG)) levels were examined at baseline and every 2 weeks over the course of the ten-week intervention. RESULTS There was a significant decrease in BMI (Δ -4.7%, p < 0.001) and body weight (Δ -4.9%, p < 0.001) after the intervention. Positive changes (decreases) in TC (Δ -8%, p < 0.001), TG (Δ -9%, p < 0.001) and LDL-C (Δ -11%, p < 0.001) were observed immediately after 2 weeks, but levels did not decrease further thereafter. In contrast, HDL-C did not increase as expected: after 2 weeks of intervention, we observed a significant decrease of about 6% (p < 0.001) followed by a slow return to baseline values. But even after 10 weeks of intervention, HDL-C values had not reached the values detected at baseline. CONCLUSIONS In overweight females, HDL-C decreased after short-term intensive lifestyle intervention. To confirm the protective effect of increased physical activity, plasma lipids need to be examined over a longer time period.

Coronavirus 2019 (COVID-19), is an acute respiratory syndrome caused by the corona-2 virus (SARS-CoV-2). Elderly is a condition where the tissue's ability to repair itself or replace itself slowly disappears and maintains its normal structure and function so that it cannot survive. Problems that may arise, it is necessary to improve or improve the physical condition of the elderly, which can help them to maintain their health in their retirement. This study aims to reduce the impact of the Covid 19 pandemic on the elderly, provide an overview of the physical problems of Covid 19 in the elderly and prevention of Covid 19 in the elderly. This type of research is a type of experimental research that uses a pre- experimental research design in the form of a one-group pretest-posttest design. showed a probability value with a value of p

Objective This study examined office workstation types' impact on the relationship between fatigue and three health metrics: physical activity, stress, and sleep quality. Methods Data from 225 office workers were collected for perceived fatigue, perceived sleep quality (Pittsburgh Sleep Quality Index [PSQI]), physiological stress response (standard deviation of heart rate variability [HRV]), and physical activity (total activity in minutes) during three consecutive workdays. Stress and physical activity were measured using chest-worn sensors. Workers were then categorized as tired or not-tired based on the median of the fatigue rating. Results Among tired workers, open-bench seating workers had increased physical activity, improved sleep quality, and reduced stress compared with workers in private offices and cubicles. Conclusions Office workstation types influence physical activity and levels of stress during work hours, which in turn affect sleep quality.

Objective. To determine the importance of rehabilitation compliance of patients in long-term lifestyle modification in the process of body weight correction as part of a physical therapy program. Methods. 288 people of the second mature age with alimentary-exogenous obesity of the I-III degree were examined. According to the results of determining rehabilitation compliance, they were divided into two parts. The comparison group consisted of individuals with a low level of compliance, informed about the risks of obesity and the principles of weight loss. The main group consisted of individuals with a high level of compliance who underwent a one-year correction program using measures to support compliance, nutrition modification, increased physical activity, lymphatic drainage, and psychocorrection. The control group consisted of 60 people with normal body weight. The questionnaire was used to determine the prevalence of modified lifestyle risk factors for obesity. After the introduction of the rehabilitation program, their prevalence was re-determined; the effectiveness of the program was determined by the dynamics of the body mass index. Results. The initial questionnaire showed the widespread prevalence of modified etiological factors of obesity. In patients of the main group, after a follow-up period for all questions of the questionnaire, a significant decrease in the prevalence of risk factors for obesity was determined. Against the background of the use of the rehabilitation program using measures to maintain compliance at a high level, a statistically significant improvement in body mass index was achieved. Conclusion. A high level of compliance contributes to the long-term modification of the lifestyle of obese patients, their fulfillment of the recommendations provided and, as a result, a significant reduction in body weight. A low level of compliance is accompanied by non-compliance with recommendations for lifestyle modification and a lack of weight loss.

Limited data are available on physical activity tracking among adults in low- and middle-income countries. Using a longitudinal design, we assessed trends and correlates of physical activity among Sri Lankan adults. Individuals selected through age-stratified random sampling, were screened initially in 2007 (n = 2986) and reevaluated in 2014 (n = 2148). On both occasions, structured interviews and clinical measurements were completed. Approximately 40% of the participants engaged in recommended levels of physical activity both at baseline and follow-up. One-fifth reported increased physical activity at follow-up, a similar proportion reported being persistently inactive or a reduction in physical activity. In the adjusted analysis, being persistently active was associated with male sex, a lower educational level and income, being free of any chronic disease conditions, better self-rated health, and sitting time

Mosaic loss of chromosome Y (mLOY) in leukocytes has attracted much attention as an emerging biomarker of aging and aging-related diseases. We evaluated the usefulness of saliva for mLOY analysis and showed that saliva-derived mLOY is significantly associated with aging and increased physical activity, but not with smoking. While these data support the robust association between saliva-derived mLOY and aging, caution is required when comparing data from saliva-derived and blood-derived mLOY.

Despite the general relationship between obesity and its co-morbidities, there are both obese individuals who scarcely present the associated pathologies (metabolically healthy obese; MHO) and individuals who present obesity alterations despite having normal weight (metabolically obese normal weight; MONW). It is still difficult to define metabolically MHO and MONW individuals because different classifications have been used in the studies reported. Indeed, different inclusion criteria have been used to discriminate between metabolically healthy and metabolically unhealthy subjects. Due to this and other reasons, such as differences in ethnicity, genetics, and lifestyle of the populations, data concerning the prevalence of MHO and MONW are very variable. The main determinants of MHO are type of growth (hypertrophy or hyperplasia), anatomical location, inflammation of adipose tissue, ectopic fat accumulation, genetic factors, and lifestyles factors. In the case of MONW, the main determinants are genetic background and lifestyle factors. With regard to treatment, it is not clear whether MHO subjects would benefit from traditional lifestyle interventions, based on diet energy restriction and increased physical activity. For MONW subjects, there is still no specialized treatment, and the therapies are the same as those used in obese subjects.

OBJECTIVE The aim: Is to investigate the impact of comprehensive treatment on diabetic polyneuropathy (DPN) patients' quality of life by including rehabilitation approaches with increased physical activity in standard drug treatment regimens. PATIENTS AND METHODS Materials and methods: 117 patients with type 2 diabetes and DPN were examined. The patients under examination were divided into 4 groups: the control group (group I) included 32 patients who received medicinal (drug) treatment. 12 supplementary daily treatment procedures with polarized light were additionally prescribed to 32 patients of the second experimental group. In addition to drug treatment and polarizing light procedures, 31 patients of group III and 22 patients of group IV were prescribed dosed therapeutic walking 3 times a week №12 (group III) or Nordic walking 3 times a week №12 (group IV). RESULTS Results: The supplemental use of dosed therapeutic walking and Nordic walking in addition to the protocol treatment regimens contributes to the positive dynamics of quality of life of patients with DPN-complicated type 2 diabetes mellitus, which is confirmed by significant positive dynamics reflected in the following sections of the EQ-5D-3L questionnaire, such as motor (2.3 times, p

Objectives: Long-term engagement and participation in physical activity by older adults in the general population is poor. The Exercise interveNtion outdoor proJect in the cOmmunitY for older people (the ENJOY project) is a community-based research project utilizing an outdoor Seniors Exercise Park that demonstrated increased physical activity level as well as physical and mental health benefits. This study aims to explore participants’ perceptions about barriers and facilitators to ongoing participation as well as the usage pattern of the Seniors Exercise Park. Method: People aged ≥60 yr underwent a 12-wk structured supervised physical activity program using outdoor exercise park equipment followed by a 6-month maintenance phase. Participants completed two surveys: at the completion of the 12-wk structured supervised program and at the completion of the 6-month maintenance phase. Access to the Seniors Exercise Park was also electronically monitored during the maintenance phase. Results: The social aspect (60%), health benefits/improvement (41.5%), and supervision (36.9%) were the most cited factors in positively supporting participation, with 60.8% continued using the Exercise Park regularly during the maintenance phase. The main barriers to continued usage for both regular users and nonusers included other commitments (71.4%), the weather (60.7%), and medical/health problems (42.8%). Conclusions: The Seniors Exercise Park can be utilized to promote sustainable engagement in physical activity for older people. However, future implementation strategies should consider approaches to overcome barriers for participation.

Care-farms are increasingly utilized as a means of providing care, support, and therapy for a wide range of different populations, enabling people to cultivate social, physical, mental, and emotional well-being. This study explores the impacts of a care-farm intervention for traumatically bereaved individuals, a population at high-risk of poor physical and psychological outcomes. The study examines how a care-farming model can enable and encourage participants to cultivate healthy and sustainable lifestyles. Following their participation in a care-farming intervention, bereaved parents, siblings, and spouses described significant pivots toward healthier eating, improved sleep outcomes, and increased physical activity. Our results indicate that care-farming may have potential to influence positive changes to health and health behaviors that last beyond the intervention period.

Background/Objective This study examined the chronic effect of increased physical activity on postprandial triglycerides in older women. Methods Twenty-six women, aged 72 ± 5 years (mean ± SD), participated in this study. Participants in the physical activity group (n = 11) were asked to increase their activities above their usual lifestyle levels for 12 weeks. Participants in the control group (n = 15) maintained their usual lifestyle for 12 weeks. All participants rested and consumed a standardized breakfast after a 24-h period of physical activity avoidance at baseline, 4 weeks, and 12 weeks. Blood samples were collected in the fasted state (0 h) and at 2, 4, and 6 h after breakfast. Results The average increased time spent in self-selected activities per day was 1.1 ± 19.3 min over the 12 weeks compared with the baseline in the physical activity group. There was no difference in the postprandial time-averaged triglyceride area under the curve at baseline (1.59 ± 0.81 vs. 1.39 ± 0.67 mmol/L, p = 0.515) or over the 12-week intervention (1.78 ± 1.00 vs. 1.31 ± 0.67 mmol/L, p = 0.212) between the physical activity and control groups. Conclusion Postprandial triglyceride concentrations were not reduced after performing self-selected activities under free-living conditions in older women when these responses were determined 24 h after the last physical activity bout. (Trial registration ID: UMIN000037420).

Physical development is the main indicator of a child’s harmonious development. At the same time, during the period of growth and differentiation, organs and their systems become vulnerable to the influence of environmental factors. One of these factors that directly affects the development of the child is physical activity. The article presents the results of assessing the physical development of children in an educational organization with increased physical activity. The data obtained indicate a positive impact of the training program in this educational institution.

Recreational opportunities are associated with increased physical activity if they are conveniently located and feature adequate amenities. A pilot study on an urban trail in Austin, Texas revealed that 40% of the popular trail was underutilized despite adequate access and amenities over the entire length of the trail. The purpose of this study was to expand this research to identify the perceptions that are causing users to avoid the underutilized sections. An online survey measured user perception of 11 trail characteristics and a trail user count sought to replicate earlier findings and supplement the online survey data. Results showed that perception of safety, trail continuity, and route flexibility impacted trail utilization.

Physical inactivity is a well-established risk factor for cardiovascular disease (CVD) incidence and mortality. In the last decade, there is also emerging evidence of the role of sedentary behaviors (sitting) as a risk factor for CVD. Therefore, there is increasing interest in understanding the independent and joint effects of physical activity and sedentary behavior on CVD risk. Higher levels of moderate-to-vigorous physical activity and less time spent in sedentary behavior are associated with a decreased risk of CVD. There is also preliminary evidence that higher levels of light-intensity physical activity are associated with lower all-cause mortality rates; however, the cardio-protective effects of light-intensity physical activity are yet to be determined. The results from several studies have demonstrated that the effects of sedentary behavior on CVD risk is more pronounced among individuals who are physically inactive, compared to those who are more active. Further, high levels (60–75 min per day) of moderate-to-vigorous physical activity appear to eliminate the increased risk of CVD associated with excessive sedentary behavior. Replacing sedentary behavior with any intensity of physical activity will produce health benefits; however, the greatest benefits occur when replacing sedentary behavior with moderate-to-vigorous intensity physical activity.

Background: One in every ten deaths globally is reported by physical inactivity related risks. Adolescents constitute 18% of the total population, due to physical inactivity they are more at risk of noncommunicable diseases. This study aims to find the level, stages of behaviour changes, associated barriers related to physical activity among adolescents. Methods: Quantitative, cross-sectional study was done at Tagore College based on Multi-stage cluster sampling. 920 adolescents in the age group of 18-19 years were included in the study. Global Physical Activity Questionnaire (GPAQ) and Trans theoretic models were used to assess the level of physical activity and stages of behaviour change related to physical activity. In addition, barriers to participating in physical activity were also elicited. Result: About one-fifth of the subjects (20.4%) were physically inactive. It was found that they are in pre-contemplation and contemplation stages (14.7%) of behaviour change related to physical activity. Compared to females, males have a higher chance to do physical activity and was statistically significant (p

Obesity is associated with the development and progression of multiple cardiovascular risk factors, such as hypertension, dyslipidemia, and type 2 diabetes mellitus, and is an important contributor to the global burden of atherosclerotic cardiovascular disease (CVD). Guidelines suggest that clinicians provide lifestyle counseling and promote lifestyle modifications before considering weight-loss surgery. However, despite lifestyle modifications and increased physical activity, most patients with obesity will not lose significant weight or will experience weight regain. Weight-loss pharmacotherapy added to lifestyle modification has long been perceived as a bridge between lifestyle modifications alone and weight-loss surgery. However, since its inception, weight-loss pharmacotherapy has been plagued by variable efficacy and concern about cardiovascular safety. Following requirements from regulatory authorities, efficacy and cardiovascular safety trials have been conducted for the currently available weight-loss pharmacotherapeutic agents. Overall, these trials have shown that weight-loss pharmacotherapy is only modestly efficient for the inducement of weight loss. Recent trials have also demonstrated the cardiovascular safety of some of these agents. We review these trials with a focus on the clinical impact of these weight-loss pharmacotherapeutic agents in patients with atherosclerotic CVD.

Outdoor risky play provides developmental and health benefits for children, such as risk-assessment skills, increased physical activity and well-being and promoting social competencies and resilien...

Objective: comparative estimation of anthropometric parameters and body composition of elite athletes, specialized in some non-playing sports – bobsleigh, biathlon, bullet shooting and snowboarding. Materials ant methods: anthropometric measurements and bioimpedance analysis of body composition of 180 women and men elite athletes at precompetitive period were held. Average age of surveyed men (n=107) was 21,7±0,8; women (n=73) – 23,1±1,5. Results: anthropometric data analysis indicated that athletes who engaged in bobsleigh, had the highest mass-height indicators (men: height – 183,4±5,27 cm, body mass – 89,5±8,17 kg; women: height – 172±4,71 cm, body mass – 70,3±7,19). Percent of athletes with exceed waist/ hip index (WHR) was higher among bobsledders. It was indicated, that athlete’s body composition differed from average non-athletes population standards. Average indicators of absolute muscle body mass (MBM) among studied men and women athletes who engaged in all four sports exceeded the average reference population values. What is more, it was finding that significant increase of this indicator was detected among men (48,5±5,14 kg) and women (36,9±6,67 kg) bobsledders that was typical for individuals with increased physical activity. The highest indicators of %MBM were registered in bobsleigh athletes of both sexes (men – 54,18%, women – 52,62%). Average values of absolute and relative amount of fat body mass (FBM) of shooters, bobsledders and snowboarders of both sexes were in limits of population standards; but men (7.91±1.5 kg; 11.51%) and women (9.0±1.77 kg; 15.83%) biathlonists had values below average due to specificity of this sport. Conclusions: significant differences in height-weight indicators and body mass index (BMI) of athletes involved in various non-playing sports were found. Also, features of the body component composition of athletes of various specializations were revealed: the lowest absolute indicators of fat body mass were found in biathlonists; the most pronounced muscle body mass indicators were observed in representatives of the bobsleigh. A pronounced correlation between some body composition indicators and anthropometric indexes of physical development was revealed: correlation of WHR, BMI and %FBM, mainly among shooters and bobsleighists; MBM indicator with extracellular liquid (Extra.F) and intracellular liquid (Intra.F) indicators. Also the prevailing majority of athletes had excess Intra.F: 1.03-1.63 times higher relative to the reference values of the population standard.

The paper reviews Russian and foreign literature on atypical depression (AtD). It sets forth the historical aspects of identifying AtD among other depressive disorders: the authors have traced the path from depression with individual atypical manifestations to a syndrome with a clearly defined pattern and inclusion criteria in the international DSM-4 and DSM-5 classifications. The paper gives epidemiological indicators and shows their diversity due to various approaches to the determination and clinical assessment of AtD. It analyzes the results of studying AtD in the presence of various affective disorders, such as recurrent depressive disorder, bipolar affective disorder, and psychogenic depression, and notes their heterogeneity in both symptoms and genesis. The authors present approaches to treating AtD and the results of investigating drug (antidepressant) and non-drug (cognitive-behavioral psychotherapy, increased physical activity therapy) treatments.

A large number of studies have shown a positive correlation between high novelty-seeking (HNS), substance/medication use (S/MU), high physical activity (HPA), and academic burnout (AB); however, the outcome of individuals with HNS in the terms of catching AB is doubtful. The present study was conducted to find out whether the personality traits such as HNS in medical students predisposes the AB or decreases its severity by increased physical activity (PA). This cross-sectional study, 227 medical students with HNS were selected from three major cities of Iran during February, 2019 to July, 2019 using convenience sampling and were assessed using demographic information form, Baecke’s physical activity questionnaire, and Breso’s academic burnout questionnaire. In this study, 126 male and 151 female participants were divided into four groups namely HNS + low physical activity (LPA) (n = 68); HNS + HPA (n = 73); HNS + S/MU + LPA (n = 72); and HNS + S/MU + HPA (n = 64). The study results indicated that the maximum and minimum mean scores of AB and its subscales were in the HNS + S/MU + LPA and HNS + HPA groups, respectively. In addition, the hierarchical multiple regression analysis results for the two groups of students with and without S/MU indicated that PA plays a moderating role in the relationship between AB and HNS. Given that the AB can be considered as an antecedent of depressive disorders, its lowered level could be effective in preventing major depressive disorder. Regarding the moderating role of PA in the relationship between HNS and AB, PA, as a relatively simple and inexpensive alternative to pharmacotherapy and psychotherapy, can be raised in the treatment and prevention of the AB.

Modern broilers are selected for fast growth and a large proportion of breast tissue, contributing to a top-heavy phenotype, leg disorders, and inactivity as birds reach market weight. Therefore, the objective was to motivate broilers to move through environmental enrichment. A total of 1,200 Ross 308 broilers were housed in pens of 30 for 6 wk: 600 birds were exposed to a novel laser enrichment device (LASER) and 600 were control. Each device projected 2 randomly moving red laser dots onto the floor 4 times/day for 4-min “laser periods.” Seven LASER and 7 control pens, with 5 focal birds/pen (n = 70), were randomly selected to be video-recorded day 0 to 8 and once weekly for the remainder of the trial. Videos were analyzed to measure broiler time-budget and behaviors such as latency to feed and distance walked during laser periods. Focal birds were gait scored weekly on-farm. A test of the human-approach paradigm was carried out on weeks 1 and 6 on all pens. LASER birds were more active on days 0, 1, 3, 4, 5, 7, and 8, moving 254% more on day 7 (P ≤ 0.05). Time spent active was increased in LASER treatment by 114% on week 2; 157% on week 3; 90% on week 4; and 82% on week 5. LASER birds spent more time at the feeder on days 0, 1, 2, 5, 8, and on weeks 1 and 5, with 84% more time at feeder than control on day 5 (P ≤ 0.05). LASER birds walked further during laser periods on day 0 to 8, reaching 646.5 cm greater (day 1), and on weeks 2, 3, 4, and 5, with an increase of 367.5 cm on week 2 (P ≤ 0.05). Over week 1 to 6, 60.54 ± 7.4% of focal birds in the laser treatment were at the feeder during or within 5 min following laser periods. The laser enrichment device was successful in stimulating broiler physical activity and feeding, and did not negatively impact walking ability.

Meniscus injuries affect the young and physically active population. Although meniscus injuries are common in many sports, football, soccer, basketball, and wrestling are associated with the greatest risk. In an occupational setting, jobs requiring kneeling, squatting, and increased physical activity level have the greatest risk. Meniscus injury can be isolated to the meniscus or associated with other concomitant injuries, including anterior cruciate ligament tears and tibial plateau fractures. The frequency of meniscal repair is increasing because of a better understanding of meniscal pathophysiology, technological advancements, and a focus on meniscal preservation following injury to mitigate long-term consequences such as osteoarthritis.

Today's young people do not reach the recommendations that exist regarding physical activity, despite the majority of studies showing positive health effects of physical activity. As a consequence, Swedish schools have decided to implement increased physical activity. The aim of this study was to examine, from a teacher’s perspective, why different schools have chosen to implement increased physical activity and how it is described by active teachers. This qualitative study, using semi-structured interviews, examined four compulsory schoolteacher’s experiences of working with increased physical activity. The study showed that the reasons behind the implementation of increased physical activity varied. The differences vary from PE teachers seeing the health benefits as well as the academic benefits that the student could gain by participating in the activities provided by the school. However, many factors, such as resources, collaboration between colleagues and activity content, played a major role in actually implementing increased physical activity and making it successful. How different schools worked with different activities also varied, however, the results of this study presents seven different types of activities named as: “idrottsprofil”, “skolgårdsdisco”, “pulspass”, “rörelsepauser”, “rastaktiviteter”, “extra idrott” and “motorikpass”. However, it could be problematic that some schools provide students the opportunity to be more physically active while others may not get the same opportunity. Further findings from the study also showed that the teachers did not have any common documents to base the implementation on. A common document and a clear vision on why and how we can implement increased physical activity could help us create a long-term solution to get students to be more physically active.

Aims Physical activity is a fundamental component of rehabilitation following coronary artery bypass (CABG) surgery. Proximity to neighbourhood green spaces may encourage physical activity. We investigated the association between residential greenness and exercise-related physical activity post-CABG surgery. Methods Participants in a prospective cohort study of 846 patients (78% men) who underwent CABG surgery at seven cardiothoracic units during the time period 2004–2007 were interviewed regarding their physical activity habits one day before and one year after surgery. Exposure to residential neighbourhood greenness (within a 300 m buffer around their place of residence) was measured using the Normalized Difference Vegetative Index. Participation in exercise-related physical activity (yes/no), weekly duration of exercise-related physical activity and the change in exercise-related physical activity between baseline and follow-up were examined for associations with residential greenness, adjusting for socio-demographic factors, propensity score adjusted participation in cardiac rehabilitation and health-related covariates after multiple imputation for missing variables. Results Living in a higher quartile of residential greenness was associated with a 52% greater odds of being physically active (OR 1.52, 95% CI 1.22–1.90). This association persisted only (OR 1.75, 95% CI 1.35–2.27) among patients who did not participate in cardiac rehabilitation following surgery and was stronger in women (OR 2.38, 95% CI 1.40–4.07) than in men (OR 1.37, 95% CI 1.07–1.75). Participants who lived in greener areas were more likely to increase their post-surgical physical activity than those who lived in less green areas (OR 1.59, 95% CI 1.25–2.01). Conclusions Residential greenness appears to be beneficial in increasing exercise-related physical activity in cardiac patients, especially those not particpating in cardiac rehabilitation after CABG surgery.

Este artigo avalia, de um ponto de vista sociológico, as motivações e as repercussões formativas da frequência de formações em agricultura biológica a partir de uma abordagem extensiva baseada num inquérito on-line. Os resultados revelam uma alteração para comportamentos alimentares saudáveis, nomeadamente marcados pelo consumo de alimentos biológicos. Associam-se igualmente efeitos positivos para a saúde revelados pelo aumento da atividade física e bem-estar, bem como redução do stress e cansaço. Parece haver uma tendência para os formandos melhoraram a sua qualidade de vida, ao mesmo tempo que assumiram uma maior consciência ambiental. Porém, a frequência do curso não foi uma oportunidade para mudar sua atividade profissional. In a sociological perspective, this article evaluates the motivations and the formative repercussions of the frequency of training in organic farming from an extensive approach based on a survey online. The results reveal a change to healthy eating behaviours, notably marked by the consumption of organic foods. While at the same time, due to increased physical activity, revealing positive health effects, and well-being as well as reduced stress and tiredness. There seems to be a tendency for quality of life improvement, while at the greater environmental awareness. However, attending the course was not an opportunity to change their professional activity. Cet article évalue d'un point de vue sociologique les motivations et les répercussions formatives du suivi de formations en agriculture biologique, par une enquête basée sur des questionnaires en ligne. Les résultats révèlent meilleurs comportements alimentaires, notamment marqués par la consommation d'aliments biologiques. Cette observation a été fortement corrélée avec des effets positifs sur la santé révélés par une augmentation de l'activité physique et du bien-être, ainsi que par une réduction du stress et de la fatigue. Les stagiaires semblent vouloir améliorer leur qualité de vie, tout en ayant acquis une meilleure conscience de l'environnement. Néanmoins, la présence à la formation n'a pas été saisie comme une opportunité de changer leur activité professionnelle. Este artículo evalúa desde un punto de vista sociológico las motivaciones y las repercusiones formativas de la participacion a una formaciónen agricultura biologica, por un estudio baseado en unos cuestionarios on - line. Los resultados revelan un cambio para mejores comportamientos alimentarios, especialmente marcados por un consume de productos biológicos. También observamos efectos positivos sobre la salud, revelados por una aumentación de la actividad fisica e del bienestar, asi como una reducción del estrés e del cansancio. Parece que hay una tendencia de los aprendices para mejorar su calidad de vida, al mismo tiempo que adquirieron una mejor conciencia ambiental. Sin embargo, la participación a la formación no fue una oportunidad para cambiar su actividad profesional.

Obesity has a negative effect on muscle contractile function, and the effects of obesity are not reversed by weight loss. It is therefore important to determine how muscle function can be restored, and exercise is the most promising approach. We tested the hypothesis (in zebrafish, Danio rerio) that moderate aerobic exercise (forced swimming for 30 min/day, raising metabolic rates to at least twice resting levels) will alleviate the negative effects of obesity on muscle function. We allocated zebrafish randomly to experimental treatments in a fully factorial design with diet treatment [three levels: lean control, diet-induced obese, obese followed by weight loss (obese-lean)], and exercise (exercise and sedentary control) as independent factors. Treatments were conducted for 10 wk, and we measured locomotor performance, isolated muscle mechanics, and myosin heavy chain composition. Obesity led to decreased muscle force production per unit area ( P = 0.01), and slowed muscle contraction ( P = 0.004) and relaxation rates ( P = 0.02). These effects were not reversible by weight loss or exercise. However, at the level implemented in our experimental animals, neither diet nor exercise affected swimming performance or myosin heavy chain concentrations. The moderate levels of exercise we implemented therefore are not sufficient to reverse the effects of obesity on muscle function, and higher intensity or a combination of modes of exercise may be necessary to improve muscle quality during obesity and following weight loss. NEW & NOTEWORTHY Obesity can have a negative effect on muscle function and thereby compromise mobility. Even though aerobic exercise has many physiological benefits in obese and normal-weight individuals, we show that in zebrafish aerobic exercise does not improve obesity-induced reductions in muscle contractile function. A combination between different modes of exercise may be more effective than aerobic exercise alone.

Background : The six-minute walk test (6MWT) is a safe, easy to perform, and inexpensive test to evaluate the functional and exercise capacity in the elderly. The purpose of this study was to describe the 6MWT distance achieved among elderly patients. Methods : This descriptive study was conducted from January to November 2014 using medical records in the geriatric outpatient clinic of the Department of Internal Medicine at Dr. Hasan Sadikin General Hospital from 2012 to 2014. The main variable was the distance achieved by the 6MWT, compared based on age, sex, and body mass index. Results : The average distance of the 6MWT in 122 elderly was 237.56 m. The highest results were in the youngest age group of 60–69 year old with an average distance of 243.87 m. A male elderly patients had an average distance of 245.26 m, and the elderly with high body mass index had 248.57 m. Conclusions : The distance achieved among the elderly during the 6MWT is relatively short. Increased physical activity such as walking is recommended for the elderly.

Active commuting provides an opportunity for increased physical activity levels by a simple, inexpensive, and easy way to be incorporated in daily routines and could be considered a steppingstone for achieving a sustainable society since it provides physical, psychological, environmental, and economic benefits. Objective: (a) to describe the commuting patterns to and from university in students regarding gender, (b) to provide new self-report variables to measure the active commuting behavior, and (c) to examine the sociodemographic characteristics associated with commuting behaviors. Material and Methods: A total of 1257 university students (52.4% females) participated (22.4 ± 5.6 years old) from three Chilean universities located in different cities. Results: 56.1% of women and 42.0% men use public bus to and from university. The commuting energy expenditure was higher in active commuting followed by public and private modes of commuting (p < 0.001). The most active commuters were those older (men: OR = 3.637; 95% CI = 1.63, 8.10; women: OR = 8.841; 95% CI = 3.94, 13.78), those who lived in university residence (men: OR = 12.432; 95% CI = 4.39, 35.19; women: OR = 3.952; 95% CI = 1.31, 11.85), belonged to low socioeconomic level (men: OR = 3.820; 95% CI = 1.43, 10.18; women: OR = 4.936; 95% CI = 1.63, 14.90), and to public universities (men: OR = 26.757; 95% CI = 10.63, 67.34; women: OR = 8.029; 95% CI = 3.00, 21.48). Conclusion: The sociodemographic characteristics may influence in the mode of commuting to university. New variables of commuting behaviors may be efficient to quantify the physical activity., National Agency for Research and Development (ANID)/ Scholarship Program/DOCTORADO BECAS CHILE/2020—[Grant N◦ 72210020], Postdoctoral programme “BECAS CHILE” 2019 [Grant N◦ 74200025], ’FPU’ Predoctoral Research Fellowship from the Spanish Ministry of Universities [Grant N◦ FPU18/04251]

Obesity prevention and treatment involve individual strategies, but also encompass a variety of community, state, national, and international policies and strategies. Policies to encourage healthy eating include the provision of more fruits and vegetables and strategies to reduce the cost of such products. Support for active living can occur in school settings but also in community- wide settings including increased walking and biking trails, playing fields, etc. Clinicians should advocate for the importance of healthy eating and increased physical activity as key strategies which carry health benefits on their own and also reduce the risk of weight gain and obesity.

Purpose The Trials within Cohorts (TwiCs) design aims to overcome problems faced in conventional RCTs. We evaluated the TwiCs design when estimating the effect of exercise on quality of life (QoL) and fatigue in inactive breast cancer survivors. Methods UMBRELLA Fit was conducted within the prospective UMBRELLA breast cancer cohort. Patients provided consent for future randomization at cohort entry. We randomized inactive patients 12–18 months after cohort enrollment. The intervention group (n = 130) was offered a 12-week supervised exercise intervention. The control group (n = 130) was not informed and received usual care. Six-month exercise effects on QoL and fatigue as measured in the cohort were analyzed with intention-to-treat (ITT), instrumental variable (IV), and propensity scores (PS) analyses. Results Fifty-two percent (n = 68) of inactive patients accepted the intervention. Physical activity increased in patients in the intervention group, but not in the control group. We found no benefit of exercise for dimensions of QoL (ITT difference global QoL: 0.8, 95% CI = − 2.2; 3.8) and fatigue, except for a small beneficial effect on physical fatigue (ITT difference: − 1.1, 95% CI = − 1.8; − 0.3; IV: − 1.9, 95% CI = − 3.3; − 0.5, PS: − 1.2, 95% CI = − 2.3; − 0.2). Conclusion TwiCs gave insight into exercise intervention acceptance: about half of inactive breast cancer survivors accepted the offer and increased physical activity levels. The offer resulted in no improvement on QoL, and a small beneficial effect on physical fatigue. Trial registration Netherlands Trial Register (NTR5482/NL.52062.041.15), date of registration: December 07, 2015.

BACKGROUND AND AIM: Increased exposure to greenness has been linked to increased physical activity and improved health outcomes, including better mental health and lower cardiovascular disease and ...

Glycemic variability is a more sensitive assessment of glycemic health as opposed to traditional clinical measurements. It considers all blood glucose concentrations over a given period to better account for glucose oscillations that occur and provides clinicians with insight into how individuals regulate and/or maintain their glycemic health. The advancement of continuous glucose monitoring (CGM) allows for the measurement of free-living glucose concentrations while providing a more reliable assessment of treatment of dysregulated glycemic. CGM coupled with management of lifestyle behavioral factors, such as reduced sedentary behavior and increased physical activity and regular exercise, potentially offers a previously untapped method for promoting improved glycemic health through greater regulation of glucose concentrations. The aim of this review is to critically evaluate the evidence regarding the measurement of glycemic variability and summarize the current understanding of the relationship between glycemic variability, sedentary behavior, physical activity, the influence of a single exercise session or repeated exercise sessions, and exercise training. This review considers information pertaining to the strengths and limitations for measuring glycemic variability and provides insight into future study designs aimed at evaluating the relationship between sedentary behavior and physical activity with, as well as the influence of exercise on, glycemic variability as a primary outcome.

Despite tremendous advances in medicine over the past few decades and significantly improved understanding of the symptomology and contributors to breast cancer (BC) incidence, BC rates continue to rise worldwide, with BC being a leading cause of cancer-related death among women. To reduce BC incidence, it is necessary to focus on promoting prevention strategies through a population-based approach of lowering exposure to modifiable risk factors in addition to the application of newer drug interventions (chemoprevention) for prevention in high-risk populations. Currently, available data suggest that lifestyle modifications through a healthy diet and increased physical activity (PA) play a crucial role in BC prevention; specifically, there is growing evidence to indicate that the Mediterranean diet (MeD) lowers cancer risk. This review summarizes the potential role of the MeD and PA in reducing BC risk, with an additional focus on microbial modulation in BC prevention, based on the current evidence obtained from PubMed. After reviewing the immunomodulatory and anticarcinogenic effects of both the MeD and PA, we conclude that further evaluation and proper implementation of both interventions can significantly reduce the risk of BC and associated mortality in the general population.

Background: Increased physical activity (PA) through cardiac rehabilitation (CR) improves outcomes in patients with heart failure and coronary disease, but CR referral remains infrequent. Implantable cardioverter-defibrillators (ICDs) can provide daily PA measurements to patients that may motivate them to increase PA, but it remains unclear if increased ICD measured PA is associated with improved outcomes with and without CR. Methods: This is a retrospective observational study of 41 731 Medicare beneficiaries with ICD implantation between January 1, 2014 and December 31, 2016. We linked daily ICD PA measurements and Medicare claims data to determine if increased PA is associated with a reduction in the likelihood of death or heart failure hospitalization. To determine if CR participation altered the effect of PA on outcomes, we performed two additional analyses matching CR participants and nonparticipants using propensity scores. The first match included demographics, comorbidities, and baseline PA measurements. The second match also included the change in PA measured during CR or the same time frame after ICD implant among nonparticipants. Results: The mean age was 75 (SD, 10) years, 30 182 beneficiaries (72.3%) were male, and 1324 (3%) participated in CR. Increased ICD detected PA was associated with improved survival. CR participants had a mean PA change of +9.7 (SD, 57.8) min/d, whereas nonparticipants had a mean change of −1.0 (SD, 59.7) min/d ( P P =0.03). After additionally matching for the ICD measured change in PA during CR there were no differences in mortality with and without CR (hazard ratio, 1.00 [95% CI, 0.82–1.21], P =0.87). Every 10 minutes of increased daily PA was associated with a 1.1% reduction in all-cause mortality in both groups. Conclusions: Among Medicare beneficiaries with ICDs, small increases in PA were associated with significant reductions in all-cause mortality.

Current guidelines published by the American Heart Association and the American College of Cardiology broadly recommend lifestyle approaches to prevent and treat elevated blood pressure and cholesterol. For patients with mildly or moderately elevated blood pressure and blood cholesterol, lifestyle-only approaches are the first line of therapy. The purpose of this scientific statement is to: (1) highlight the mild-moderate–risk patient groups indicated for lifestyle-only treatment for elevated blood pressure or cholesterol; (2) describe recommendations, average effects, and additional considerations when prescribing lifestyle treatment with physical activity; and (3) provide guidance and resources for clinicians to assess, prescribe, counsel, and refer to support increased physical activity in their patients. An estimated 21% and 28% to 37% of US adults, respectively, have mild-moderate–risk blood pressure and cholesterol and should receive lifestyle-only as first-line treatment. Of the recommended lifestyle changes, increasing physical activity has extensive benefits, including improving both blood pressure and blood cholesterol, that are comparable, superior, or complementary to other healthy lifestyle changes. Physical activity assessment and prescription are an excellent lifestyle behavior treatment option for all patients, including for the large population of mild-moderate–risk patients with elevated blood pressure and blood cholesterol.

Mass participation events are promoted in South Africa as a positive public health initiative. Parkrun has grown to be one of the most popular. The present study identifies the motives of residents in the Western Cape Province to join parkrun and how their involvement influences future physical activity levels. Participants (N = 1787) completed a survey consisting of demographic history, parkrun participation history, motivations for participation, and physical activity-related behaviour changes associated with parkrun participation. The majority of participants were female (n = 952) and over 50 years of age (median = 50, IQR = 38–59). Along with health-related benefits, the provision of a safe and organised event was reported as a key motive to participate. The social connectedness developed by parkrun encouraged continued participation and promoted uptake of more physical activity. Close to half the participants reported increases in physical activity levels after joining parkrun, which demonstrates the benefit obtained from participation in structured mass participation events. With the large diversity in socioeconomic status in South Africa related to physical activity levels, parkrun provides a protected and engaging environment that provides opportunity for increased physical activity and potentially reducing the burden on the healthcare system.

School-based interventions are promising for targeting a change in obesity-related behaviours in children. However, the efficacy of school-based interventions to prevent obesity remains unclear. This review examined the effectiveness of school-based interventions at changing obesity-related behaviours (increased physical activity, decreased sedentary behaviour and improved nutrition behaviour) and/or a change in BMI/BMI z-score. Following PRISMA guidelines, seven databases were systematically searched from 1 January 2009 to 31 December 2020. Two review authors independently screened studies for eligibility, completed data extraction and assessed the risk of bias of each of the included studies. Forty-eight studies met the inclusion criteria and were included in a narrative synthesis. Thirty-eight studies were eligible for inclusion in a meta-analysis. The findings demonstrate that interventions in children when compared to controls resulted in a small positive treatment effect in the control group (2.14; 95% CI = 0.77, 3.50). There was no significant effect on sedentary behaviour, energy intake and fruit and vegetable intake. Significant reductions were found between groups in BMI kg/m2 (−0.39; 95% CI = −0.47, −0.30) and BMI z-score (−0.05; 95% CI = −0.08, −0.02) in favour of the intervention. The findings have important implications for future intervention research in terms of the effectiveness of intervention components and characteristics.

Introduction.Excessive stress on the functional reserves of the body of military personnel can lead to persistent health disorders, disability and dismissal from the Armed Forces of Russia.Aim.Compare the dismissal for health reasons in the military personnel of the Navy of Russia and the Russian Armed Forces in 2003–2018. by categories of military personnel.Material and methods.We conducted a statistical analysis of medical reports on the health status of personnel and medical service activity according to Form 3/MED in military units with a sample comprising about 60% of the total number of military personnel of the Russian Armed Forces and the Navy served from 2003 to 2018.The results and their discussion.Dismissal for health reasons in officers of the Russian Navy over 2003 to 2018 was 15,90±1,36, officers of other branches of the Russian Armed Forces — 7,98±1,10‰ (pConclusion.Accounting for and prevention of leading diseases that caused dismissals due to health reasons will contribute to improving the health of military personnel. It is necessary to focus the attention of the Russian Navy on a healthy lifestyle and increased physical activity.

This study evaluated the effect of increased physical activity on high-frequency (HF) heart rate variability (HRV) during the first hour after sleep onset in patients with hypertension and/or stable angina pectoris. Physical activity and HF were measured using activity monitors and 24-hour Holter monitors at baseline and 6 months later. The physical activity increased in 28 patients (increase group) and decreased in 20 patients (decrease group) after 6 months. In this study, after 6 months, compared to the decreased physical activity group, the increased physical activity group showed a significant increase in the HF index during the first hour after sleep onset. Therefore, the increase in the HF index may have been due to the increase in physical activity. An increase in physical activity suggests that the quality of sleep early in the sleep cycle may be improved, which may affect the patient’s prognosis.

The aim of the current randomized attention control pilot study was to conduct a preliminary test of a facilitated reminiscence intervention about past physical activity for the effect on increased physical activity and reduced pain in older adults with osteoarthritis. Thirteen older adults were randomized to the facilitated reminiscence or health education group and participated in six individual sessions over 6 weeks. Reminiscence functions, self-reported physical activity, pain intensity, and pain interference with function were measured at baseline and 1 and 3 months postintervention. Facilitated reminiscence did not result in increased physical activity, but instead resulted in increased pain intensity. Content analysis of reminiscence session transcripts indicated most reminiscence was conversational. Benefits from reminiscence included reconnecting with estranged family and distraction from pain. Past physical activities might be helpful to include as part of a program of facilitated integrated reminiscence for individuals with sufficient history of past physical activity. [Res Gerontol Nurs. 2019; 12(4):193–202.]

Sedentary lifestyle, being a behavioral risk factor for chronic non-communicable diseases, is relevant for preventive medicine. A key role in the correction of behavioral risk factors for chronic non-communicable diseases is occupied by general medical practice, where the patient is continuously observed for many years. Increased physical activity reduces the risk of atherosclerosis, diseases of the musculoskeletal system, malignant tumors, has a positive effect on the psychological state of patients and reduces the overall morbidity and mortality. Increasing the reserves of the cardiorespiratory system of the body, physical activity improves the quality of life of patients and reduces the cost of medical care.To effectively combat sedentary lifestyle, it is necessary to adequately motivate patients that can be achieved through routine counseling to enhance physical activity. The method of such consultation should take into account limited time of outpatient admission and all personal characteristics of patients (starting level of physical activity, health group and risk of disease).The article presents a summary of modern scientific views in the field of increasing physical activity of patients, discusses current issues of counseling. The groups of patients with or without chronic diseases and the high risk of cardiovascular complications were discussed. The variant of rational outpatient counseling with the help of the algorithm of organization of physical activity mode, providing stratification of patients, planning, optimization and control of personal motor activity was presented. The proposed method of optimization of counseling successfully solves the problems of motivation, increase of physical activity and individual approach in outpatient practice.

The article describes the experience of developing a standard menu for ballet students feeding, in accordance with the requirements of nutrient and natural consumption standards of SANPIN-2409 and taking into account the increased physical activity on the basis of a specialized computer program 1C:Medicine. Dietary food. A special computer system for monitoring physical development and nutrient status of those who feed according to the indicators of anthropometry, physical activity, body composition, actual nutrition, physical qualities, as well as laboratory analyses was developed to substantiate individual nutrition assignments on the 1C:Enterprise platform. Data sets of WHO development standards (anthropometry) were integrated into the system to assess development taking into account the statistical nature of measurements. The system is used for joint work of a nutritionist and medical staff in order to justify personalized consumption standards.

Objetivo: Describir la efectividad y seguridad de las intervenciones no farmacológicas preventivas para la disfunción eréctil. Métodos: Se realizo una búsqueda sistemática de estudios identificados durante el periodo del año 2002 hasta el año 2018, con búsquedas en dos bases de datos electrónicas Medline (Pubmed) y Embase. Resultados: Los estudios publicados mostraron que las intervenciones preventivas sobre los factores de riesgo como la actividad física aeróbica, la dieta mediterránea y la terapia sexual, contribuyen a la prevención del desarrollo de disfunción eréctil. Conclusiones:Los hallazgos sugieren que realizar recomendaciones desde temprana edad sobre el aumento en la actividad física, una dieta adecuada rica en frutas, verduras y frutos secos, podría ayudar a prevenir la aparición de disfunción sexual en edades avanzadas.

Advancements in antiretroviral therapy have extended the longevity of people living with HIV (PLWH). However, their lives are often still fraught with symptoms that may negatively impact their quality of life. Some of these symptoms include fatigue, weight change, depression, bloating, muscle pain, and memory loss. Although there is a dearth of data on the effect of physical activity (PA) for HIV-associated symptom management, increased PA has generally been associated with improvements in strength, body composition, and overall quality of life in PLWH. We hypothesized that increased PA would reduce HIV symptom burden. In this study, we enrolled 40 participants (mean age = 51.5; 40% female; 17.4 mean years living with HIV). We used Omron pedometers to measure PA (daily step counts) over 12 weeks. HIV symptom burden was measured using the 20-item HIV Symptom Index at baseline and week 12. Overall, increased PA was not associated with improvement in overall HIV symptom burden. However, bothersome symptoms were reduced, and total symptom burden was highly correlated with PA level at week 12 (r = −.48, p = .01), such that participants who had higher step counts reported lower symptom burden. Significant gender differences in symptom burden were noted, such that males on average reported lower symptom burden. Further research is needed to examine associations between PA and HIV symptom burden and to further explore gender differences in HIV symptom burden to improve overall quality of life for all older PLWH.