Abstract:
BACKGROUND:Physical activity is effective for the prevention and treatment of chronic disease, yet insufficient evidence is available to make comparisons regarding adherence to aerobic physical activity interventions among chronic disease populations, or across different settings. The purpose of this review is to investigate and provide a quantitative summary of adherence rates to the aerobic physical activity guidelines among people with chronic conditions, as physical activity is an effective form of treatment and prevention of chronic disease. METHODS:Randomized controlled (RCTs) trials where aerobic physical activity was the primary intervention were selected from PsychInfo, PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Clinical Key, and SCOPUS from 2000 to 2018. Studies were included if the program prescription aligned with the 2008 aerobic physical activity guidelines, were at least 12 weeks in length, and included adult participants living with one of three chronic diseases. The data was extracted by hand and the PRISMA (preferred reporting items for systematic review and meta-analysis) guidelines were used to evaluate risk-of-bias and quality of evidence. Data were pooled using random-effect models. The primary outcome measure was program adherence and the secondary outcome measures were dropout and setting (e.g. home vs. clinic-based). Pooled effect sizes and 95% CiIs (confidence intervals) were calculated using random-effect models. RESULTS:The literature search identified 1616 potentially eligible studies, of which 30 studies (published between 2000 and 2018, including 3,721 participants) met the inclusion criteria. Three clinical populations were targeted: cancer (n = 14), cardiovascular disease (n = 7), and diabetes (n = 9). Although not statistically significant, adherence rates varied across samples (65, 90, and 80%, respectively) whereas dropout rates were relatively low and consistent across samples (5, 4, and 3%). The average adherence rate, regardless of condition, is 77% (95% CI = 0.68, 0.84) of their prescribed physical activity treatment. The pooled adherence rates for clinic-based and home-based programs did not differ (74% [95% CI, 0.65, 0.82] and 80% [95% CI, 0.65, 0.91], respectively). CONCLUSIONS:The current evidence suggests that people with chronic conditions are capable of sustaining aerobic physical activity for 3+ months, as a form of treatment. Moreover, home-based programs may be just as feasible as supervised, clinic-based physical activity programs.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Bullard T,Ji M,An R,Trinh L,Mackenzie M,Mullen SPdoi
10.1186/s12889-019-6877-zsubject
Has Abstractpub_date
2019-05-24 00:00:00pages
636issue
1issn
1471-2458pii
10.1186/s12889-019-6877-zjournal_volume
19pub_type
杂志文章,meta分析abstract:BACKGROUND:Developing effective prevention and intervention programs for the formative preschool years is seen as an essential step in combating the obesity epidemic across the lifespan. The overall goal of the current project is to measure the effectiveness of a healthy eating and childhood obesity prevention interven...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-10-220
更新日期:2010-04-28 00:00:00
abstract:BACKGROUND:The aim of the present study was to estimate the benchmark doses (BMD) for renal effects for health risk assessment of residents living in Cd-polluted and non-polluted areas in a Thai population. METHODS:The study participants consisted of inhabitants aged 40 years or older who lived in a non-polluted area ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-702
更新日期:2014-07-09 00:00:00
abstract:BACKGROUND:Public Health policies related to social distancing efforts during the COVID-19 pandemic helped slow the infection rate. However, individual-level factors associated with social distancing are largely unknown. We sought to examine social distancing during the COVID-19 pandemic in Michigan, an infection "hots...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-021-10287-w
更新日期:2021-01-29 00:00:00
abstract:BACKGROUND:There is a growing body of literature supporting positive associations between natural environments and better health. The type, quality and quantity of green and blue space ('green-space') in proximity to the home might be particularly important for less mobile populations, such as for some older people. Ho...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08762-x
更新日期:2020-05-06 00:00:00
abstract:BACKGROUND:Screening is the main preventive method for cervical cancer in developing countries, but each type of screening has advantages and disadvantages. To investigate the most suitable method for low-income areas in China, we conducted a health economic analysis comparing three methods: visual inspection with acet...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4054-9
更新日期:2017-01-25 00:00:00
abstract:BACKGROUND:This study assessed clustering of three health-compromising behaviours and explored the association of neighbourhood and individual social capital with simultaneous health-compromising behaviours and patterns of those behaviours in women in the first trimester of pregnancy (baseline) and during the second an...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2213-4
更新日期:2015-09-14 00:00:00
abstract:BACKGROUND:Sickness absence is a problem in many Western countries. Physicians have an essential role in sickness certification of patients, which is often recommended in health care but may have side effects. Despite the potentially harming impact of sickness absence, physicians have very limited training in insurance...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-61
更新日期:2010-02-09 00:00:00
abstract:BACKGROUND:When communicating risks to the general population, the format of the epidemiological results may affect individual reactions. In environmental epidemiology, no study has compared the use of different statistical formats in communicating results to the population. The aim of this paper is to investigate whet...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-019-7003-y
更新日期:2019-06-11 00:00:00
abstract:BACKGROUND:Recent evidence shows that men and women have inadequate fertility knowledge which may negatively affect their childbearing decisions in future. Given the fact that decision making for fertility needs accurate information, targeted educational interventions especially through media are needed to improve know...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-10029-4
更新日期:2020-12-17 00:00:00
abstract:BACKGROUND:The aim was to study whether number of visits to emergency department (ED) is associated with suicide, taking into consideration known risk factors. METHODS:This is a population-based case-control study nested in a cohort. Computerized database on attendees to ED (during 2002-2008) was record linked to nati...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1544-5
更新日期:2015-03-07 00:00:00
abstract:BACKGROUND:Despite the decline in childhood caries prevalence, seen particularly in 1980s, in recent years there have been reports that the declining trend has stopped or even reversed in some countries. The aim of the study was to analyse data from previous epidemiological studies on early childhood caries in the Czec...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-547
更新日期:2012-07-24 00:00:00
abstract:BACKGROUND:Parental knowledge of child development has been associated with more effective parenting strategies and better child outcomes. However, little is known about what adults who interact with children under the age of 14 years know about child development. METHODS:Between September 2007 and March 2008, compute...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-183
更新日期:2010-04-08 00:00:00
abstract:BACKGROUND:The available literature suggests that there are significant differences in maternal mortality according to maternal origin in high income countries. The objective of this study was to quantify the risk of maternal death by maternal origin and region of Spain where the birth occurred and to identify the most...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6091-4
更新日期:2018-10-11 00:00:00
abstract:BACKGROUND:Adverse psychosocial work environments may lead to impaired mental health, but it is still a matter of conjecture if demonstrated associations are causal or biased. We aimed at verifying whether poor psychosocial working climate is related to increase of redeemed subscription of antidepressant medication. M...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-262
更新日期:2009-07-27 00:00:00
abstract:BACKGROUND:Hidden hunger (micronutrient deficiencies) among adolescents are linked to impaired physical growth, poor cognitive function, low resistance to infection as well as degenerative and chronic diseases at later age. To prevent these deleterious impacts of hidden hunger, effective intervention strategy that impr...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09729-8
更新日期:2020-11-10 00:00:00
abstract:BACKGROUND:Tobacco smoking is one of the most serious modern civilization threats. According to WHO identifying patterns of tobacco use is essential for implementing effective preventive policies. The aim of the paper was to assess changes in smoking patterns among the PURE study population over 6 years. METHODS:The s...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6354-0
更新日期:2019-01-03 00:00:00
abstract:BACKGROUND:The main purpose of the study was to quantify the direct costs of oral cancer treatment to the healthcare system of Greece. Another aim was to identify factors that affect costs and potential cost reduction items. More specifically, we examined the relationship between stage of disease, modality of treatment...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-2-12
更新日期:2002-07-19 00:00:00
abstract:BACKGROUND:Urban slums in developing countries that are not recognized by the government often lack legal access to municipal water supplies. This results in the creation of insecure "informal" water distribution systems (i.e., community-run or private systems outside of the government's purview) that may increase wate...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-173
更新日期:2013-02-26 00:00:00
abstract:BACKGROUND:Vaccination is one of the cost effective strategies reducing childhood morbidity and mortality. Further improvement of immunization coverage would halt about 1.5 million additional deaths globally. Understanding the level of immunization among children is vital to design appropriate interventions. Therefore,...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7356-2
更新日期:2019-07-30 00:00:00
abstract:BACKGROUND:Aboriginal and Torres Strait Islander children experience some of the highest rates of otitis media in the world. Key risk factors for otitis media in Aboriginal children in Australia are largely social and environmental factors such as overcrowded housing, poverty and limited access to services. Despite thi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08570-3
更新日期:2020-04-15 00:00:00
abstract:BACKGROUND:Emotional abuse is central to other forms of abuse. The primary objective of this paper was to estimate the prevalence of emotional abuse among pupils in basic education schools and the risk factors associated with it in Aden governorate, Yemen. METHODS:Four districts were randomly selected from across the ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-647
更新日期:2012-08-13 00:00:00
abstract:BACKGROUND:Household decision-makers decide about service use based largely on the costs and perceived benefits of health interventions. Very often this leads to different decisions than those imagined by health planners, resulting in under-utilisation of public services like immunisation. In the case of Lasbela distri...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-5-72
更新日期:2005-06-28 00:00:00
abstract:BACKGROUND:Although Primary Health Care (PHC) Teams are used to deal with prevention and treatment of sanitary problems in adults with chronic diseases, they usually have a lack of experience in development of psychotherapeutic interventions. However, these interventions are the ones that achieve better results to redu...
journal_title:BMC public health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1471-2458-10-559
更新日期:2010-09-17 00:00:00
abstract:BACKGROUND:Financial reform aims to overcome the problems of financial barriers and utilization of health services. However, it is unclear whether financial reforms or health insurance can reduce delays and/or barriers or if there are still other important obstacles for preventing pregnant women accessing delivery care...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-510
更新日期:2011-06-28 00:00:00
abstract:BACKGROUND:Recent epidemiological studies have found that the prevalence of high blood pressure (BP) has significantly increased among children and adolescents. The aim of this study was to examine the associations between short sleep duration and prehypertension and hypertension in Lithuanian children and adolescents ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-255
更新日期:2014-03-15 00:00:00
abstract:BACKGROUND:Low physical activity is known to be a potential risk factor for cardiovascular disease. With high prevalence of cardiovascular diseases in the Portuguese urban population, little is known about how sedentary this population is and what factors are associated to sedentary lifestyles. This study's objective w...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-5-16
更新日期:2005-02-15 00:00:00
abstract:BACKGROUND:The double burden of malnutrition is the co-occurrence of undernutrition (e.g. underweight, stunting, and micronutrient deficiencies) and over-nutrition (e.g. obesity, type 2 diabetes, and cardiovascular disease) at the population, household, or individual level. The objectives of this study were to determin...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08679-5
更新日期:2020-05-13 00:00:00
abstract:BACKGROUND:Q fever is a neglected zoonosis caused by the bacterium Coxiella burnetii. The knowledge of the epidemiology of Q fever in Kenya is limited with no attention to control and prevention programs. The purpose of this review is to understand the situation of Q fever in human and animal populations in Kenya in th...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/s12889-016-2929-9
更新日期:2016-04-05 00:00:00
abstract:BACKGROUND:The prevalence of comorbidity is high, with 80% of the elderly population having three or more chronic conditions. Comorbidity is associated with a decline in many health outcomes and increases in mortality and use of health care resources. The aim of this study was to identify, review and summarise studies ...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-8-221
更新日期:2008-06-27 00:00:00
abstract:BACKGROUND:The nationwide "German Health Interview and Examination Survey for Children and Adolescents" (KiGGS), conducted in 2003-2006, showed an increase in the prevalence rates of overweight and obesity compared to the early 1990s, indicating the need for regularly monitoring. Recently, a follow-up-KiGGS Wave 1 (200...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2467-x
更新日期:2015-11-06 00:00:00