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Documents  Exercice | enregistrements trouvés : 64

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Background: Cancer-related fatigue (CRF) is one of the most reported and functionally limiting symptoms
experienced by individuals living with and beyond cancer. Exercise is effective at reducing CRF, although
currently it is not possible to predict the magnitude and time course of improvement for an individual participating in an exercise program. Objective: To develop a reference chart of CRF improvement for individuals
participating in a 3-month cancer-specific exercise program. Methods: In this retrospective cohort study, CRF
was assessed every 2 weeks (using the FACIT-Fatigue scale, range: 0-52, with lower scores indicating greater
fatigue) in 173 individuals participating in a 3-month supervised exercise program (741 observations). No cancer types were excluded and individuals were either undergoing chemotherapy and/or radiation, or within
6 months of completing treatment. The reference chart was developed using Generalized Additive Models
for Location Scale and Shape. Results: Each participant had an average of 4 CRF observations. Lower centiles
demonstrated greater improvement than higher centiles (11 points over the duration of the program for the
10th and 4 points for the 90th percentiles). Limitations: The population is biased to individuals self-selecting
or being referred to a clinical exercise program. Conclusions: This reference chart provides a novel method
of monitoring CRF improvement during a cancer-specific exercise program. Setting appropriate expectations
and informing exercise prescription adaptation are discussed in the context of representative data from 3
participants. Future research can investigate improvements in clinical outcomes and the remote monitoring
of CRF through the implementation of the reference chart. (Rehab Oncol 2022;000:1–7) Key words: cancer
exercise, oncology rehabilitation, symptom monitoring
Background: Cancer-related fatigue (CRF) is one of the most reported and functionally limiting symptoms
experienced by individuals living with and beyond cancer. Exercise is effective at reducing CRF, although
currently it is not possible to predict the magnitude and time course of improvement for an individual participating in an exercise program. Objective: To develop a reference chart of CRF improvement for individuals
participating in a ...

Fatigue ; Exercice ; Cancer

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- 530 p.
Cote : WB541 A187 2022

New print edition of this Lippincott® Connect title includes lifetime access to the digital version of the book, plus related materials such as videos and multiple-choice Q&A and self-assessments. An essential preparation book for the ACSM Certified Exercise Physiologist examination, ACSM's Resources for the Exercise Physiologist , 3rd Edition , is an essential volume for certification candidates and practicing Exercise Physiologists looking to boost their exam confidence and achieve success in practice. This updated edition is fully aligned with the eleventh edition of ACSM's Guidelines for Exercise Testing and Prescription and reflects the most current standards and practices in exercise physiology. Published by the American College of Sports Medicine, this practical resource is organized around the scope of ACSM-EP practice domains. A clear introduction to understanding exercise, physical activity, and pre-exercise screening opens the book, followed by thorough coverage of assessment and programming for healthy populations, assessment and programming for special populations, counseling and behavioral strategies for encouraging exercises, and legal, management and professional issues relevant to practice.
New print edition of this Lippincott® Connect title includes lifetime access to the digital version of the book, plus related materials such as videos and multiple-choice Q&A and self-assessments. An essential preparation book for the ACSM Certified Exercise Physiologist examination, ACSM's Resources for the Exercise Physiologist , 3rd Edition , is an essential volume for certification candidates and practicing Exercise Physiologists looking to ...

Médecine physique ; Thérapeutique par l'exercice ; Exercice ; Physiothérapie ; Réadaptation ; Exercice - Aspect physiologique

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Objectif : Plusieurs survivants du cancer souffrant de troubles cognitifs liés à la maladie se tournent vers des approches non pharmacologiques pour soulager leurs symptômes. La présente revue systématique avait pour objectif d’évaluer l’effet des « exercices corps-esprit » sur les fonctions cognitives des survivants du cancer.

Devis de l’étude : Les bases de données PubMed, Embase, Scopus et Web of Science ont été interrogées afin de trouver des études pertinentes sur le sujet. L’échelle du Joanna Briggs Institute et l’échelle de Jadad ont servi à évaluer la qualité des études sélectionnées.

Résultats : Onze études comptant 1 032 participants et publiées entre 2006 et 2019 ont été choisies pour la revue à partir de certains critères d’inclusion. Nos résultats indiquent que les activités comme le yoga, le tai-chi et le qi gong peuvent améliorer de manière objective et subjective la fonction cognitive des survivants du cancer.

Conclusion : Les survivants du cancer qui présentent des symptômes cognitifs peuvent bénéficier d’exercices agissant sur le corps et l’esprit. Il faudra cependant mener des essais contrôlés randomisés ayant la puissance statistique nécessaire pour établir les effets à court et à long terme de ce type d’exercices sur les facultés cognitives.
Objectif : Plusieurs survivants du cancer souffrant de troubles cognitifs liés à la maladie se tournent vers des approches non pharmacologiques pour soulager leurs symptômes. La présente revue systématique avait pour objectif d’évaluer l’effet des « exercices corps-esprit » sur les fonctions cognitives des survivants du cancer.

Devis de l’étude : Les bases de données PubMed, Embase, Scopus et Web of Science ont été interrogées afin de trouver ...

Cognition ; Exercice ; Cancer ; Cancer - Soins infirmiers

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Physical and Cognitive Training to Enhance Intensive Care Unit Survivors' Cognition | Novembre / Décembre 2021 H

Article (Ergothérapie)

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Abstract
Purpose
The aim of this study was to examine current literature regarding effects of physical or cognitive training and simultaneous (dual-task) physical and cognitive training on cognition in adults surviving an intensive care unit (ICU) stay.

Design
Systematic mapping.

Methods
A literature search was conducted to examine effects of physical and/or cognitive training on cognitive processes.

Results
Few studies have targeted adults surviving ICU. Independently, physical and cognitive interventions improved cognition in healthy older adults with and without cognitive impairment. Simultaneous interventions may improve executive function. Small sample size and heterogeneity of interventions limited the ability to make inferences.

Conclusion
Literature supports positive effects of single- and dual-task training on recovering cognition in adults. This training could benefit ICU survivors who need to regain cognitive function and prevent future decline.

Relevance to Practice
With the growing number of ICU survivors experiencing cognitive deficits, it is essential to develop and test interventions that restore cognitive function in this understudied population.
Abstract
Purpose
The aim of this study was to examine current literature regarding effects of physical or cognitive training and simultaneous (dual-task) physical and cognitive training on cognition in adults surviving an intensive care unit (ICU) stay.

Design
Systematic mapping.

Methods
A literature search was conducted to examine effects of physical and/or cognitive training on cognitive processes.

Results
Few studies have targeted ...

Troubles de la cognition ; Soins intensifs ; SOINS INFIRMIERS ; Exercice

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Objective
Fibromyalgia (FM) is characterized by chronic widespread pain and both physical and emotional alterations, which in turn may affect the individual’s quality of life. Thus, interventions aimed at treating such symptoms, without increasing fatigue, are needed. The aim of this study was to explore the effect of high-frequency transcranial magnetic stimulation (HF-TMS) and physical exercise (PE) on pain, impact of FM, physical conditioning, and emotional status in women with FM.

Methods
Forty-nine women with FM were randomly allocated to: (1) a PE group (PEG, n = 16), who underwent an 8-week (two 60-minute sessions/wk) low-intensity PE program; (2) a TMS group (TMSG, n = 17) receiving a 2-week (five 20-minute sessions/wk) HF-TMS intervention; and (3) a control group (CG, n = 16). Pain (ie, perceived pain and average pressure pain threshold), perceived impact of FM (ie, overall impact, symptoms, and perceived physical function), physical conditioning (ie, endurance and functional capacity, fatigue, gait velocity, and power), and emotional status (ie, anxiety, depression, stress, and satisfaction) were assessed at baseline (T0) and after the intervention (T1, at 2 weeks for TMSG and at 8 weeks for PEG and CG).

Results
The TMSG showed significant improvement in all studied variables after the intervention except for satisfaction, whereas the PEG showed improved average pressure pain threshold, perceived overall impact of FM and total score, endurance and functional capacity, velocity and power, anxiety, depression, and stress. In contrast, the CG showed no improvements in any variable.

Conclusion
Both PE and HF-TMS are effective in improving pain, impact of FM, physical conditioning, and emotional status in people with FM; HF-TMS achieved larger improvements in emotional status than PE.

Impact
TMS and PE have similar benefits for physical status, whereas TMS has greater benefits than PE for emotional status in women with FM.
Objective
Fibromyalgia (FM) is characterized by chronic widespread pain and both physical and emotional alterations, which in turn may affect the individual’s quality of life. Thus, interventions aimed at treating such symptoms, without increasing fatigue, are needed. The aim of this study was to explore the effect of high-frequency transcranial magnetic stimulation (HF-TMS) and physical exercise (PE) on pain, impact of FM, physical con...

Physiothérapie ; Fibromyalgie ; Thérapeutique par l'exercice ; Exercice ; Femmes

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Objective
The Consolidated Standards of Reporting Trials (CONSORT) recommends reporting adverse events (AEs) and dropouts (DOs) with their definitions. The purpose of this study was to identify how AEs and DOs were reported in randomized controlled trials of therapeutic exercise for knee osteoarthritis (OA).

Methods
Data sources were the Cochrane Library, Embase, PubMed, and CINAHL. Databases were searched to identify randomized controlled trials of therapeutic exercise for knee OA published from January 1, 1980, through July 23, 2020. Researchers independently extracted participant and intervention characteristics and determined whether a clear statement of and reasons for AEs and DOs existed. The primary outcome was exercise-related harm. Physiotherapy Evidence Database (PEDro) scoring described study quality and risk of bias. Descriptive and inferential statistics characterized results. Meta-analysis was not performed due to data heterogeneity.

Results
One hundred and thirteen studies (152 arms) from 25 countries were included, with 5909 participants exercising. PEDro scores ranged from 4 to 9. Exercise intensity was not specified in 57.9% of exercise arms. Fifty studies (44.2%) included an AE statement and 24 (21.2%) reported AEs, yielding 297 patients. One hundred and three studies (91.2%) had a DO statement. Sixteen studies (15.5%) provided reasons for DOs that could be classified as AEs among 39 patients, yielding a 13.1% increase in AEs. Thus, 336 patients (6.0%) experienced exercise-related harm among studies with a clear statement of AEs and DOs. A significant difference existed in misclassification of DOs pre- and post-CONSORT-2010 (12.2% vs 3.1%; χ21=21.2⁠).

Conclusions
In some studies, the reason for DOs could be considered AEs, leading to potential underreporting of harm. Improvements in reporting of harm were found pre- and post-CONSORT-2010. Greater clarity regarding AE and DO definitions and therapeutic exercise intensity are needed to determine safe dosing and mode of therapeutic exercise for knee OA.

Impact
More adherence to the CONSORT statement is needed regarding reporting of and defining of AEs, DOs, and therapeutic exercise intensity; however, despite this, therapeutic exercise seems to be associated with minimal risk of harm.
Objective
The Consolidated Standards of Reporting Trials (CONSORT) recommends reporting adverse events (AEs) and dropouts (DOs) with their definitions. The purpose of this study was to identify how AEs and DOs were reported in randomized controlled trials of therapeutic exercise for knee osteoarthritis (OA).

Methods
Data sources were the Cochrane Library, Embase, PubMed, and CINAHL. Databases were searched to identify randomized controlled ...

Physiothérapie ; Thérapeutique par l'exercice ; Exercice ; Genou

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Objective
This study aimed to clarify whether an exercise involving weight shifting to the nonparetic side while standing on an inclined surface improves standing balance in the early phase after stroke.

Methods
This assessor-blinded, randomized controlled trial included people undergoing inpatient rehabilitation at a university hospital. Participants (N = 52) with hemiparesis caused by a stroke were randomly assigned to an experimental group (n = 26) or control group (n = 26). Participants performed a weight-shifting exercise to the nonparetic side using a goal-directed reaching strategy while standing on an inclined surface that was elevated 5 degrees to the nonparetic side in the experimental group or a flat surface in the control group. The reaching exercise was conducted 30 times per day for 5 days. Primary outcome was the Berg Balance Scale. Secondary outcomes were the posturographic examination (static standing and lateral weight shifting to the nonparetic and paretic sides), Trunk Control Test, Trunk Impairment Scale, Functional Ambulation Category, and Functional Independent Measure motor item scores.

Results
Through intention-to-treat analysis, no significant intervention effects were observed between groups on the Berg Balance Scale. A significant intervention effect was observed, however, with the experimental group on the lateral weight shifting to the nonparetic side in the mean percentage bodyweight values and center-of-pressure moving distance and to the paretic side in center-of-pressure moving distance and Functional Ambulation Category. There were no significant interaction effects concerning other outcomes.

Conclusion
These results suggest that standing reaching exercises to the nonparetic side while standing on an inclined surface could improve lateral weight-shifting capacity and gait ability in participants in the early poststroke phase.

Impact
This intervention should be incorporated into standard treatment programs focusing on the paretic side during early stroke rehabilitation.
Objective
This study aimed to clarify whether an exercise involving weight shifting to the nonparetic side while standing on an inclined surface improves standing balance in the early phase after stroke.

Methods
This assessor-blinded, randomized controlled trial included people undergoing inpatient rehabilitation at a university hospital. Participants (N = 52) with hemiparesis caused by a stroke were randomly assigned to an experimental group ...

Physiothérapie ; Exercice

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Objective
To (1) review the effect of pelvic floor (PF) symptoms (urinary incontinence [UI], pelvic organ prolapse, and anal incontinence) on exercise participation in women, and (2) explore PF symptoms as a barrier to exercising.

Design
Mixed-methods systematic review with meta-analysis.

Literature Search
Eight databases were systematically searched up to September 2020.

Study Selection Criteria
We included full-text, peer-reviewed observational, experimental, or qualitative studies in adult, community-dwelling women with PF symptoms. Outcomes included the participant-reported effect on exercise or the perception of PF symptoms as an exercise barrier. Study quality was assessed using a modified version of the Mixed Methods Appraisal Tool.

Data Synthesis
Meta-analysis was performed where possible. Deductive and inductive content analysis was used to synthesize qualitative data. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework and the GRADE-Confidence in the Evidence from Reviews of Qualitative research (CERQual) guided interpretation of the certainty of evidence.

Results
Thirty-three studies were included. In 47% (95% confidence interval [CI]: 37%, 56%; I2 = 98.6%) of women with past, current, or fear of PF symptoms, UI symptoms adversely affected exercise participation (21 studies, n = 14 836 women). Thirty-nine percent (95% CI: 22%, 57%; I2 = 93.0%; 6 studies, n = 426) reported a moderate or great effect on exercise. Pelvic organ prolapse affected exercise for 28% of women (95% CI: 24%, 33%; I2 = 0.0%; 2 studies, n = 406). There were no quantitative studies of anal incontinence.

Conclusion
For 1 in 2 women, UI symptoms negatively affect exercise participation. Half of women with UI reported either stopping or modifying exercise due to their symptoms. Limited data on pelvic organ prolapse also demonstrated adverse exercise effect.
Objective
To (1) review the effect of pelvic floor (PF) symptoms (urinary incontinence [UI], pelvic organ prolapse, and anal incontinence) on exercise participation in women, and (2) explore PF symptoms as a barrier to exercising.

Design
Mixed-methods systematic review with meta-analysis.

Literature Search
Eight databases were systematically searched up to September 2020.

Study Selection Criteria
We included full-text, peer-reviewed ...

Physiothérapie ; Exercice ; Incontinence urinaire ; Femmes

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Unplanned readmission may result in consequences for both the individual and society. The transition of patients from hospital to postdischarge settings often represents a discontinuity of care and is considered crucial in the prevention of avoidable readmissions. In older patients, physical decline and malnutrition are considered risk factors for readmission. The purpose of the study was to determine the effects of nutritional and physical exercise interventions alone or in combination after hospital admission on the risk of hospital readmission among older people. A systematic review and meta-analysis of randomized controlled studies was conducted. The search involved seven databases (Medline, AMED, the Cochrane Library, CINAHL, Embase (Ovid), Food Science Source and Web of Science) and was conducted in November 2018. An update of this search was performed in March 2020. Studies involving older adults (65 years and above) investigating the effect of nutritional and/or physical exercise interventions on hospital readmission were included. A total of 11 randomized controlled studies (five nutritional, five physical exercise and one combined intervention) were included and assessed for quality using the updated Cochrane Risk of Bias Tool. Nutritional interventions resulted in a significant reduction in readmissions (RR 0.84; 95% CI 0.70–1.00, p = 0.049), while physical exercise interventions did not reduce readmissions (RR 1.05; 95% CI 0.84–1.31, p-value = 0.662). This meta-analysis suggests that nutrition support aiming to optimize energy intake according to patients’ needs may reduce the risk of being readmitted to the hospital for people aged 65 years or older.
Unplanned readmission may result in consequences for both the individual and society. The transition of patients from hospital to postdischarge settings often represents a discontinuity of care and is considered crucial in the prevention of avoidable readmissions. In older patients, physical decline and malnutrition are considered risk factors for readmission. The purpose of the study was to determine the effects of nutritional and physical ...

Nutrition ; Exercices pour personnes âgées ; Exercice ; Physiothérapie

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Risk of Muscle Damage With Blood Flow-Restricted Exercise Should Not Be Overlooked. | Mai 2021 H

Article | Veille Médecine du sport (Médecine du sport)

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Ever since the first training studies on BFRRE appeared in the years around 2000, there have been concerns about the safety of this mode of exercise, especially with regard to the potential for muscle damage.1,3 These concerns were seemingly put to rest by Loenneke et al 4 in their 2014 review, in which they categorically concluded that "the available literature suggests that minimal to no muscle damage is occurring with this type of exercise. This conclusion is drawn from the following observations: (1) no prolonged decrements in muscle function; (2) no prolonged muscle swelling; (3) muscle soreness ratings similar to a submaximal low load control; and (4) no elevation in blood biomarkers of muscle damage."
Ever since the first training studies on BFRRE appeared in the years around 2000, there have been concerns about the safety of this mode of exercise, especially with regard to the potential for muscle damage.1,3 These concerns were seemingly put to rest by Loenneke et al 4 in their 2014 review, in which they categorically concluded that "the available literature suggests that minimal to no muscle damage is occurring with this type of exercise. ...

Médecine du sport ; Exercice

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Background
Cystic fibrosis (CF) is a genetically inherited, life-limiting condition, affecting ~90,000 people globally. Physical activity (PA) and exercise form an integral component of CF management, and have been highlighted by the CF community as an area of interest for future research. Previous reviews have solely focused on PA or structured exercise regimens independent of one another, and thus a comprehensive assessment of the physical health benefits of all PA, including exercise, interventions, is subsequently warranted. Therefore, the purpose of this review is to evaluate the effects of both PA and exercise upon outcomes of physical health and healthcare utilisation in people with CF.

Methods
A systematic review has been registered and reported in line with Preferred Reporting Items for Systematic Reviews and Meta-Analysis-P guidelines. This will include randomised control trials on the effects of PA and exercise, relative to usual treatment, upon people with CF. Primary outcomes will include variables associated with fitness, PA, lung health, inflammation, body composition, glycaemic control and patient-reported outcomes. Secondary outcomes will include adverse events and healthcare utilisation. Searches will be undertaken in Ovid MEDLINE, OVID EMBASE, PsychINFO, ERIC, SPORTDiscus, ASSIA, CCTR, CINHAL and Web of Science databases, and will be searched from date of inception onwards. Two reviewers will independently screen citations and abstracts, and full-texts, for inclusion and data extraction, respectively. Methodological quality will be assessed using the Cochrane Risk of Bias-2 tool. If feasible, random-effects meta-analyses will be conducted where appropriate. Additional analyses will explore potential sources of heterogeneity, such as age, sex, and disease severity.

Discussion
This systematic review will build on previous research, by comprehensively assessing the impact of both PA and exercise upon physical health and healthcare utilisation in people with CF. Results of this review will be utilised to inform discussions that will ultimately result in a consensus document on the impact of physical activity and exercise for people with CF.
Background
Cystic fibrosis (CF) is a genetically inherited, life-limiting condition, affecting ~90,000 people globally. Physical activity (PA) and exercise form an integral component of CF management, and have been highlighted by the CF community as an area of interest for future research. Previous reviews have solely focused on PA or structured exercise regimens independent of one another, and thus a comprehensive assessment of the physical ...

Physiothérapie ; Exercice

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- 186 p.
Cote : QT260.5.W2 D419m 2021

Présentation des nombreux effets bénéfiques de la marche nordique sur la santé, comme le renforcement du système immunitaire, la prévention de l'ostéoporose, la rééducation ou l'amélioration de la circulation sanguine. Avec des conseils sur les prescriptions et les précautions à prendre avant de pratiquer ce sport.

Marche (Exercice) ; Condition physique ; Médecine du sport ; Exercice ; Sports

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Effect of Body Weight-Supported Exercise on Symptoms of Knee Osteoarthritis: A Follow-up Investigation. | Novembre 2020 H

Article | Veille Médecine du sport (Médecine du sport)

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Objective: To examine the long-term effect of participation in a 12-week lower-body positive pressure (LBPP)-supported low-load treadmill exercise regime on knee joint pain, physical function, and thigh muscle strength in patients with knee osteoarthritis (OA).

Design: Prospective, observational, repeated measures.

Setting: Clinical orthopedic setting.

Patients: Nineteen overweight patients with knee OA.

Intervention: Participants exercised under low-load treadmill walking conditions 2x/week for 12 weeks using an amount of LBPP support that minimized knee pain while walking for a period of 30 minutes at a set speed of 3.1 mph at 0-degree incline.

Main Outcome Measures: Knee pain, function, thigh muscle strength, and body anthropometry were reassessed a minimum of 6 months after completion of the initial exercise regime and compared with results from baseline and postexercise evaluation.

Results: Data suggested that: (1) patients were able to maintain improvements in knee joint pain and symptoms; (2) patients continued to report enhanced joint function and improved quality of life; and (3) patients maintained thigh muscle strength gains. Finally, a majority of patients continued to experience significant reductions in acute knee pain during full weight-bearing treadmill walking.

Conclusions: Data suggest that improvements in knee pain, joint function, and thigh muscle strength associated with participation in a 12-week LBPP-supported low-load exercise regime were maintained well after cessation of the program. These findings have important implications for the development and refinement of exercise strategies and interventions used in the long-term management of joint symptoms associated with knee OA in overweight patients.
Objective: To examine the long-term effect of participation in a 12-week lower-body positive pressure (LBPP)-supported low-load treadmill exercise regime on knee joint pain, physical function, and thigh muscle strength in patients with knee osteoarthritis (OA).

Design: Prospective, observational, repeated measures.

Setting: Clinical orthopedic setting.

Patients: Nineteen overweight patients with knee OA.

Intervention: Participants exercised ...

Médecine du sport ; Arthrose ; Exercice ; Genou

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- 318 p.
Cote : QT255 F157f 2020

Qualité de la vie ; Exercice ; Éducation physique

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Promouvoir l’activité physique prénatale | Septembre 2019 H

Article | KP0_10 (GYN)

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La grossesse est une période remplie de changements physiques et émotionnels, au cours de laquelle la femme enceinte se questionne sur ses habitudes de vie afin de s’assurer de sa santé et de celle de son bébé. Elle a le désir de le protéger en se reposant et en évitant toute situation à risque de préjudice. L’infirmière œuvrant en périnatalité accompagne les femmes enceintes pour les aider à vivre une grossesse saine dans la sérénité, en accord avec leur désir. Cet article présente les nombreux bienfaits d’une pratique régulière d’activité physique pour les femmes enceintes et les recommandations à leur transmettre. Il vise aussi à outiller les infirmières afin de les soutenir dans un mode de vie actif.
La grossesse est une période remplie de changements physiques et émotionnels, au cours de laquelle la femme enceinte se questionne sur ses habitudes de vie afin de s’assurer de sa santé et de celle de son bébé. Elle a le désir de le protéger en se reposant et en évitant toute situation à risque de préjudice. L’infirmière œuvrant en périnatalité accompagne les femmes enceintes pour les aider à vivre une grossesse saine dans la sérénité, en accord ...

Exercice ; Grossesse

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Purpose of review: Although reducing the intraocular pressure (IOP) through medications, laser or surgery remains the primary means of glaucoma treatment, there is increasing evidence during the last decade that environmentally modifiable factors may help to prevent glaucoma or its progression through different mechanisms that may or may not involve lowering IOP. Additionally, patients are increasingly interested in maintaining a healthy lifestyle and taking an active role in the management of their disease. Therefore, the aim of this review is to summarize the current evidence regarding environmentally modifiable factors such as lifestyle, exercise, and nutrition in the pathogenesis of glaucoma.

Recent findings: In the last decade, large population-based studies have helped to identify possible environmentally modifiable protective and risk factors with regard to glaucomatous disease. Smoking cessation; moderate aerobic exercise; recommended weight; and a balanced diet including green leafy vegetables, omega fatty-acids, and moderate intake of hot tea and coffee have been reported to be possibly protective against developing glaucoma or its progression.

Summary: Modifiable environmental factors such as lifestyle, exercise, and nutrition may play a role in glaucoma pathogenesis. Large prospective studies with long-term follow-up should be encouraged to corroborate these findings, which may guide future treatments for our patients, some of which may not be limited to IOP reduction.
Purpose of review: Although reducing the intraocular pressure (IOP) through medications, laser or surgery remains the primary means of glaucoma treatment, there is increasing evidence during the last decade that environmentally modifiable factors may help to prevent glaucoma or its progression through different mechanisms that may or may not involve lowering IOP. Additionally, patients are increasingly interested in maintaining a healthy ...

Nutrition ; Glaucome ; Exercice

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Physical Activity and Exercise in Pregnancy. | Février 2019 H

Article (GYN)

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Background
People who have had a stroke and are living in the community have low levels of physical activity, which reduces their functional capacity and increases risks of developing secondary comorbid conditions. Exercise delivered in community centers can address these low levels of physical activity; however, implementing evidence-based programs to meet the needs of all community stakeholders is challenging.

Objectives
The objective of this study was to determine implementation factors to facilitate participation in relevant exercise and physical activity for people with chronic health conditions, like stroke.

Design
The design consisted of a qualitative observational study using an integrated knowledge translation approach.

Methods
Supported by an integrated knowledge translation approach, a series of focus groups—with stakeholder group representation that included people who had had a stroke and care partners, community organizations (ie, support groups, community center staff), health care providers, and exercise deliverers—was conducted. During the focus groups, participants provided perspectives on factors that could influence implementation effectiveness. Focus groups were recorded, transcribed, and thematically analyzed.

Results
Forty-eight stakeholders participated. Based on the themes, a new implementation model that describes the importance of relationships between community centers, clinicians, and people who have had a stroke is proposed. The development of partnerships facilitates the implementation and delivery of exercise programs for people with ongoing health needs. These partnerships address unmet needs articulated in the focus groups and could fill a gap in the continuity of care.

Conclusions
Data from this study support the need for the community sector to offer a continuing service in partnership with the health system and people with chronic health needs. It indicates the potential of clinicians to partner with people with chronic health conditions and empower them to improve participation in relevant health behaviors, like community-based exercise.
Background
People who have had a stroke and are living in the community have low levels of physical activity, which reduces their functional capacity and increases risks of developing secondary comorbid conditions. Exercise delivered in community centers can address these low levels of physical activity; however, implementing evidence-based programs to meet the needs of all community stakeholders is challenging.

Objectives
The objective of this ...

Physiothérapie ; Exercice

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Descripteurs

Exercice [64]

Condition physique [10]

Physiothérapie [9]

Alimentation [8]

Médecine du sport [8]

Thérapeutique par l'exercice [8]

Entraînement (Sports) [7]

Cuisine santé - Recettes [6]

Éducation physique [6]

Perte de poids [6]

Habitudes sanitaires [5]

Adultes - Santé et hygiène [4]

Qualité de la vie [4]

Régimes amaigrissants [4]

Cancer [3]

Éducation des patients [3]

Exercices pour personnes âgées [3]

Femmes [3]

Gérontologie [3]

Mécanique humaine [3]

Personnes âgées [3]

Promotion de la santé [3]

Sports [3]

Activité motrice [2]

Anatomie humaine [2]

Appareil cardiovasculaire - Maladies - Aspect nutritionnel [2]

Appareil cardiovasculaire - Maladies - Prévention [2]

Course à pied - Entraînement [2]

Ergothérapie [2]

Genou [2]

Grossesse [2]

Habitudes alimentaires [2]

Marche (Exercice) [2]

Nutrition [2]

Adolescents - Santé et hygiène [1]

Adultes [1]

Alcoolisme - Traitement [1]

Arthrose [1]

Articulations - Anatomie [1]

Cancer - Physiothérapie [1]

Cancer - Soins infirmiers [1]

Cancer - Thérapeutique par l'exercice [1]

Cancéreux [1]

Cervicalgie - Prévention [1]

Cervicalgie - Traitement [1]

Cocaïne [1]

Cognition [1]

Comportement compulsif - Traitement [1]

Condition physique des jeunes [1]

Cuisine [1]

Cuisine santé [1]

Cyclisme [1]

Déficience intellectuelle [1]

Dépendance (Psychologie) [1]

Dépendance chez l'adolescent [1]

Diabète [1]

Diabète - Prévention [1]

Diabétiques - Santé et hygiène [1]

Dorsalgie - Prévention [1]

Dorsalgie - Thérapeutique par l'exercice [1]

Dorsalgie - Traitement [1]

Drogues [1]

Éducations physique pour personnes handicapées [1]

Esprit et corps [1]

Exercice - Aspect physiologique [1]

Exercices amaigrissants [1]

Exercices sur chaise [1]

Fatigue [1]

Femmes - Alimentation [1]

Femmes - Santé et hygiène [1]

Fibromyalgie [1]

Glaucome [1]

Gymnastique douce [1]

Handicapés mentaux [1]

Incontinence urinaire [1]

Internet [1]

Jeux de hasard - Comportement compulsif [1]

Kinésiologie [1]

Médecine physique [1]

Méthodes Pilates [1]

Motivation (Psychologie) [1]

Muscles - Physiologie [1]

Neurophysiologie [1]

Ostéoporose [1]

Physiologie humaine [1]

Planification [1]

Poids corporel [1]

Posture [1]

Réadaptation [1]

Régimes amaigrissants - Menus [1]

Relaxation [1]

Santé publique [1]

Schizophrénie [1]

SOINS INFIRMIERS [1]

Soins intensifs [1]

Sportifs - Alimentation [1]

Tabac [1]

Tabagisme - Traitement [1]

Toxicomanie - Traitement [1]

Toxicomanie aux opiacés - Traitement [1]

Troubles de la cognition [1]

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