- Understanding the Relationship Between Pet Ownership and Physical Activity Among Older Community-Dwelling Adults-A Mixed Methods Study. [Journal Article]J Aging Phys Act 2019; :1-9JA
- Pet ownership is associated with increased levels of physical activity (PA) in older adults. Studies have mainly focused on the association between PA and dog walking; however, broader aspects of pet ownership may influence PA. The purpose of this study was to explore the association between pet ownership and incidental and purposeful PA using a mixed methods approach. Participants' (N = 15) PA w…
Pet ownership is associated with increased levels of physical activity (PA) in older adults. Studies have mainly focused on the association between PA and dog walking; however, broader aspects of pet ownership may influence PA. The purpose of this study was to explore the association between pet ownership and incidental and purposeful PA using a mixed methods approach. Participants' (N = 15) PA was measured for 7 days using accelerometers and diaries. Semistructured interviews explored participants' perspectives regarding pet-related activities. Participants' mean (SD) daily step count was 14,204 (5,061) steps, and mean (SD) sedentary time per day was 8.76 (1.18) hr. Participants strongly concurred that their pets were an integral part of their daily lives. Incidental and purposeful PA resulted from participants undertaking pet care and socially interacting with their pets. Pets may interrupt sedentary behaviors by nudging older adults to engage in PA as part of their daily lived experience.
- Care challenges in older general hospital patients : Impact of cognitive impairment and other patient-related factors. [Review]Z Gerontol Geriatr 2019ZG
- CONCLUSIONS: The findings suggest a strong impact of different degrees of cognitive impairment on challenges in care. The results might help to design appropriate training programs for hospital staff and other interventions to prevent or reduce critical situations.
- Impact of L-carnitine on imatinib-related muscle cramps in patients with gastrointestinal stromal tumor. [Journal Article]Invest New Drugs 2019IN
- Introduction Muscle cramps constitute one of the leading adverse events of imatinib, the standard first-line treatment for advanced gastrointestinal stromal tumor (GIST). This study aims to assess the impact of L-carnitine on relieving cramps in patients with GIST taking imatinib. Materials and methods We reviewed our prospective database for patients with GIST who took L-carnitine (500-mg tablet…
Introduction Muscle cramps constitute one of the leading adverse events of imatinib, the standard first-line treatment for advanced gastrointestinal stromal tumor (GIST). This study aims to assess the impact of L-carnitine on relieving cramps in patients with GIST taking imatinib. Materials and methods We reviewed our prospective database for patients with GIST who took L-carnitine (500-mg tablet, 2-3 times daily) for muscle cramps in Asan Medical Center. The assessment tool included severity by the numeric rating scale (NRS), frequency, duration of cramps, and questionnaire for the disturbance in basic activities of daily living (ADL), instrumental ADL (iADL), outdoor activity, or sleeping before and after L-carnitine treatment. Results We examined 42 patients [median age: 60 (range: 17-81) years; males, 52.4%] who received L-carnitine for cramps on NRS ≥ 4 intensity during 2016-2017. In 83.3% of patients (n = 35), the NRS score declined to <4 points, with 8 patients (19.0%) experiencing complete disappearance of symptoms [median response time: 10 (range: 2-30) days]. Moreover, the median duration of each episode and frequency decreased from 5 to 2 min and from 30 to 3 times per month (P < 0.001), respectively. We observed substantial improvement in all quality-of-life aspects after L-carnitine (ADL, 73.2%-14.6%; iADL, 73.2%-17.1%; sleeping, 78.0%-22.0%; outdoor activity, 68.3%-17.1%; P < 0.001). ConclusionL-carnitine could effectively relieve imatinib-related muscle cramps in patients with GIST. Accordingly, a randomized phase 3 study is currently ongoing (NCT03426722).
- Population-based dietary exposure to mercury through fish consumption in the Southern Peruvian Amazon. [Journal Article]Environ Res 2019; :108720ER
- CONCLUSIONS: Diet, residential location, and occupation are strong predictors of mercury exposure in Madre de Dios, Peru. Canned fish may represent a previously overlooked source of dietary Hg exposure in the region. In accordance with the Minamata Convention on Mercury, the significant environmental health concern of mercury exposure in ASGM areas demands policy and programmatic attention.
- [Virtual reality in upper extremity dysfunction: specific features of usage in acute stroke]. [Journal Article]Vopr Kurortol Fizioter Lech Fiz Kult 2019; 96(5):19-28VK
- CONCLUSIONS: The vast majority of studies evaluating the effect of VR in upper extremity dysfunction are conducted in patients with stroke lasting longer than 3 months. Despite the validity of using VR in the acute period of cerebral lesion, the investigations of this design are not numerous. At the same time, these studies often have limitations, such as a small number of participants (usually less than 10); a small number of training VR sessions; lack of 'blinding'; different types of software and hardware systems that implement VR technology; heterogeneity of participants according to the degree of upper extremity dysfunction; insufficient detailing of the content and scope of conventional therapy; comparison of VR with basic methods of motor rehabilitation, and sometimes the absence of a control group.Thus, the use of VR in addition to standard rehabilitation measures in the acute period of stroke favors improvements in upper extremity function and a reduction in daily limitations and is safe.
- High-Intensity Functional Training Shows Promise for Improving Physical Functioning and Activity in Community-Dwelling Older Adults: A Pilot Study. [Journal Article]J Geriatr Phys Ther 2019JG
- CONCLUSIONS: The study recruitment rate was 88.9% and 87.5% of participants adhered. Intervention acceptability was promising, as 4 participants reported liking multiple aspects of the intervention (eg, coaching/supervision and similar age peers). Intervention effectiveness was promising with significant improvement in 1 of 5 physical function measures, although clinical effects were most likely trivial. Participants reported increased participation in both leisure and structured physical activities.HIFT appeared feasible and showed promise for counteracting the loss of physical function and sedentary behaviors associated with aging. Results should be confirmed in a longer, fully powered study.
- Assessing Functional Capacity and Factors Determining Functional Decline in the Elderly: A Cross-Sectional Study. [Journal Article]Acta Med Port 2019; 32(10):654-660AM
- CONCLUSIONS: The results demonstrate that no statistically observable differences were found between gender and functional dependence. A significant association between the Barthel index and cohabitation was also found. We should also highlight that this sample revealed the extremely important role of families in determining the protection of highly dependent older people. Likewise, a significant association was observed between instrumental activities of daily living and levels of physical activity in which greater independence was found in those seniors who practiced physical exercise three or more times per week.The results of this study allow us to identify factors that may be associated with the functional decline in the elderly. Useful evidence for the adoption of intervention strategies in the elderly population was added, focused on the prevention of functional decline and maintenance of the functional capacities of the elderly.
- Epidemiological characteristics of rheumatoid arthritis in Japan: Prevalence estimates using a nationwide population-based questionnaire survey. [Journal Article]Mod Rheumatol 2019; :1-15MR
- CONCLUSIONS: High prevalence of RA in older age and mental and physical burden among RA patients were confirmed.
- Early improvement in patient reported disability after bariatric surgery. [Journal Article]Surg Obes Relat Dis 2019SO
- CONCLUSIONS: We report early improvement in disability with a validated tool at 1 and 3 months after bariatric surgery. This equates to global disability in this cohort improving from the 75th percentile of the population norm preoperatively to the 50th percentile at 3 months. Further studies are needed to determine if this is sustained long-term.
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- Effect of subcritical glenoid bone loss on activities of daily living in patients with anterior shoulder instability. [Journal Article]Orthop Traumatol Surg Res 2019OT
- CONCLUSIONS: Glenoid bone loss between 17% and 25% is considered to be a "subcritical bone loss" in our series, especially in male patients who are involved in sports or high-level activities.