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Exercise Is Medicine: Physical Activity and Exercise in People Living with Long-Term Conditions

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Dr. Zoe Saynor

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School of Sport, Health and Exercise Science, Faculty of Science and Health, University of Portsmouth, Portsmouth PO1 2ER, UK
Interests: the benefits and risks of exercise training in individuals with long-term conditions; exercise testing for people with long-term conditions; physical activity and exercise for healthy ageing; factors limiting exercise function in people living with long-term conditions

Special Issue Information

Dear Colleagues,

Physical inactivity has become one of the greatest public health problems of our time and people living with long-term conditions are at an even greater risk. Despite a growing body of evidence suggesting numerous health benefits of regular physical activity and exercise in the prevention or management of chronic disease and lowering of mortality rates, there is limited specific information regarding the physical (in)activity and exercise training behaviours, as well as safe and effective, disease-specific recommendations for many long-term conditions—particularly within paediatrics. For many conditions, physical activity and exercise training may be as effective as pharmacological therapy, provide wider reaching benefits to both physical and psychosocial health, and have the potential to reduce the significant and growing costs to healthcare.

We are therefore seeking your contributions to be featured in an upcoming Special Issue: ‘Exercise Is Medicine: Physical Activity and Exercise in People Living with Long-Term Conditions’. This Special Issue is open to any subject area related to physical activity (interventions or evaluation) or exercise (training or testing) for children, adolescents and adults living with long-term conditions. We are particularly interested in large, randomised controlled trials measuring the effectiveness and/or cost-effectiveness of physical activity or exercise training strategies, however any work which aims to drive policy change and impact clinical practice is welcome, including earlier-stage work and contemporary reviews. We particularly welcome contributions featuring under-represented or under-researched populations. All submitted manuscripts will go through a rigorous peer review process.

Dr. Zoe Saynor
Guest Editor

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

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Keywords

clinical exercise physiology
rehabilitation
exercise is medicine
preventative medicine
public health
exercise for health
physical activity
exercise testing
sedentary behaviour

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15 pages, 1450 KiB

Open AccessArticle

A Compositional Analysis of Physical Activity, Sedentary Time, and Sleep and Associated Health Outcomes in Children and Adults with Cystic Fibrosis

by Mayara S. Bianchim, Melitta A. McNarry, Anne Holland, Narelle S. Cox, Julianna Dreger, Alan R. Barker, Craig A. Williams, Sarah Denford and Kelly A. Mackintosh

Int. J. Environ. Res. Public Health 2022, 19(9), 5155; https://doi.org/10.3390/ijerph19095155 - 23 Apr 2022

Cited by 5 | Viewed by 2488

Abstract

This study sought to investigate the association of light physical activity (LPA), moderate-to-vigorous physical activity (MVPA), sedentary time (SED), and sleep with lung function in children and adults with CF. In total, 86 children (41 females; 13.6 ± 2.8 years; FEV₁%_predicted: 86 ± 1%) and 43 adults (21 females; 24.6 ± 4.7 years; FEV₁%_predicted: 63 ± 21%) with CF participated in this study. Wrist-worn accelerometery was used to assess PA, SED and sleep. Compositional linear regression models were conducted following normalisation via isometric log-ratio transformations. Sequential binary partitioning was applied to investigate the impact of reallocating 10 to 30 min between each behaviour on FEV₁%_predicted. A decline in FEV₁%_predicted was predicted with the reallocation of 30 min from MVPA to SED or LPA or sleep to any other behaviour in children (−3.04–−0.005%) and adults (−3.58–−0.005%). Conversely, improvements in FEV₁%_predicted were predicted when 30 min was reallocated to MVPA from LPA or SED in children (0.12–1.59%) and adults (0.77–2.10%), or when 30 min was reallocated to sleep from any other behaviour in both children (0.23–2.56%) and adults (1.08–3.58%). This study supports the importance of MVPA and sleep for maintaining and promoting lung function in people with CF. Full article

(This article belongs to the Special Issue Exercise Is Medicine: Physical Activity and Exercise in People Living with Long-Term Conditions)

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14 pages, 350 KiB

Open AccessArticle

The Impact of Falls: A Qualitative Study of the Experiences of People Receiving Haemodialysis

by Hannah M. L. Young, Nicki Ruddock, Mary Harrison, Samantha Goodliffe, Courtney J. Lightfoot, Juliet Mayes, Andrew C. Nixon, Sharlene A. Greenwood, Simon Conroy, Sally J. Singh, James O. Burton, Alice C. Smith and Helen Eborall

Int. J. Environ. Res. Public Health 2022, 19(7), 3873; https://doi.org/10.3390/ijerph19073873 - 24 Mar 2022

Cited by 3 | Viewed by 2858

Abstract

The prevalence of falls is high in people receiving haemodialysis (HD). This study aimed to explore the experiences of people receiving HD who had fallen in the last six months. A qualitative study, informed by constructivist grounded theory, used semi-structured interviews in combination with falls diaries. Twenty-five adults (mean age of 69 ± 10 years, 13 female, 13 White British) receiving HD with a history of at least one fall in the last six months (median 3, IQR 2–4) participated. Data were organised within three themes: (a) participants’ perceptions of the cause of their fall(s): poor balance, weakness, and dizziness, exacerbated by environmental causes, (b) the consequences of the fall: injuries were disproportionate to the severity of the fall leading to loss of confidence, function and disruptions to HD, (c) reporting and coping with falls: most did not receive any specific care regarding falls. Those who attended falls services reported access barriers. In response, personal coping strategies included avoidance, vigilance, and resignation. These findings indicate that a greater focus on proactively identifying falls, comprehensive assessment, and timely access to appropriate falls prevention programmes is required to improve care and outcomes. Full article

(This article belongs to the Special Issue Exercise Is Medicine: Physical Activity and Exercise in People Living with Long-Term Conditions)

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Exercise Is Medicine: Physical Activity and Exercise in People Living with Long-Term Conditions

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