Physiotherapists should take a primary role in relation to the prevention and management of all diseases that are associated with low levels of physical activity. The benefits of regular physical activity on health, longevity, and well being easily surpass the effectiveness of any drugs or other medical treatment. Physical activity has many beneficial effects on the body, helps prevent the development of many chronic diseases and is a useful complement to drug treatment in many diseases. As the importance of physical activity for health might well be underrated and undervalued even by manual therapists we describe the physiological consequences and health dangers of being inactive in this paper.
PurposeTo determine which factors are associated with physical inactivity in hospitalized adults of all ages.MethodsA cross-sectional sample of 114 adults admitted to a gastrointestinal surgery, internal medicine or cardiology hospital ward (median age 60, length of stay 13 days) were observed during one random day from 8 am to 8 pm using wireless accelerometers and behavioral mapping protocols. Factors (e.g., comorbidities, self-efficacy, independence in mobility, functional restraints) were collected from medical records, surveys, and observations.ResultsPatients were physically active for median(IQR) 26 (13–52.3) min and were observed to lie in bed for 67.3%, sit for 25.2%, stand for 2.5%, and walk for 5.0% of the time. Multivariable regression analysis revealed that physical inactivity was 159.87% (CI = 89.84; 255.73) higher in patients dependent in basic mobility, and 58.88% (CI = 10.08; 129.33) higher in patients with a urinary catheter (adjusted R2 = 0.52). The fit of our multivariable regression analysis did not improve after adding hospital ward to the analysis (p > 0.05).ConclusionsIndependence in mobility and urine catheter presence are two important factors associated with physical inactivity in hospitalized adults of all ages, and these associations do not differ between hospital wards. Routine assessments of both factors may therefore help to identify physically inactive patients throughout the hospital.IMPLICATIONS FOR REHABILITATIONHealthcare professionals should be aware that physical inactivity during hospital stay may result into functional decline.Regardless of which hospital ward patients are admitted to, once patients require assistance in basic mobility or have a urinary catheter they are at risk of physical inactivity during hospital stay.Implementing routine assessments on the independence of basic mobility and urine catheter presence may therefore assist healthcare professionals in identifying physically inactive patients before they experience functional decline.
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The consequences of cardiovascular diseases are substantial and include increasing numbers of morbidity and mortality. With a population getting more and more inactive and having a sedentary lifestyle, the risk for cardiovascular disease and type 2 diabetes rises. This dissertation reports on people with one or more cardiovascular risk factor(s) and who are having an inactive lifestyle, and how healthcare professionals can encourage these people at risk to become and stay physically active in a way that cardiovascular fitness is improved. The assumption is that if an intervention can reduce the prevalence of risk factors, it can also reduce the prevalence of disease. When cardiovascular fitness improves and a person is capable of keeping a physically active lifestyle, levels and number of cardiovascular risk factors can decrease in a population.
it is on going project.That is an exploratory research project to identify the demographics of inactive people in three different disadvantaged areas in city of Groningen, as well as understanding the reasons of being inactive or having insufficient physical activity. The main question to answer isWhat intervention design can help those inactive people to embed physical activity into their daily life? That's important because provision of outdoor fitness in their neighbourhood was not enough to encourage them to be active. A third year student is helping in this project as his internship, collected the data, will develop the intervention, implement it and evaluate it.
Main goal of the Sport Physical Education And Coaching in Health (SPEACH) Project is to increase awareness and behavioural change in sport professionals and European citizens towards an active and healthy lifestyle.Sedentariness and physical inactivity are a cross-national problem. Therefore, the Project builds upon a strong collaborative-partnership to contribute in solving this problem on the European level and to increase sport and physical activity participation. To achieve this, the project will develop HEPA related educational modules, which will be included into existing education structures in the areas of sport coaching and physical education (PE), in order to stimulate pupils, young athletes and adults towards an active and healthy lifestyle.An innovative aspect of the project is the diversity of partners involved. The consortium consists of ten organizations and actors from seven EU countries in the field of sport, PE and health. The partners involved are national and international sports committees, sport federations and higher educational institutes in the field of sport, PE teacher education and health. Finally, the project is strongly supported by the European Network of Sport Science, Education & Employment (ENSSEE).
