A behaviour change intervention aimed at increasing physical activity improves clinical control in adults with asthma: a randomised controlled trial.

A behaviour change intervention aimed at increasing physical activity improves clinical control in adults with asthma: a randomised controlled trial. Chest. 2020 Sep 12;: Authors: Freitas PD, Passos NF, Carvalho-Pinto RM, Martins MA, Cavalheri V, Hill K, Stelmach R, Carvalho CR Abstract BACKGROUND: Higher levels of physical activity have been associated with better asthma clinical control. RESEARCH QUESTION: Does a behaviour change intervention aimed at increasing physical activity change asthma clinical control, physical activity, sedentary time, health-related quality of life (HRQoL) and anxiety and depression symptoms? STUDY DESIGN: and methods: Single-blind randomised controlled trial in which participants were allocated to an intervention group (IG) or a control group (CG). Both groups received usual care and disease-specific education. Participants in the IG also underwent an 8-week behaviour change intervention aimed at increasing physical activity. Before and after the intervention period, measures were made of: asthma clinical control (Asthma Control Questionnaire [ACQ]), physical activity, sedentary time and sleep quality (Actigraph), HRQoL (Asthma Quality of Life Questionnaire) and anxiety and depression symptoms (Hospital Anxiety and Depression scale). Data on asthma exacerbations were recorded 12 months before and throughout the intervention period. RESULTS: Fifty-one participants were included (CG=26; IG=25). On completion of...
Source: Chest - Category: Respiratory Medicine Authors: Tags: Chest Source Type: research

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Conclusions: In severe asthma, patients with psychological impairment have poorer ASQOL and greater work impairment than those without psychological impairment. There is an urgent need to mitigate this problem. PMID: 32777181 [PubMed - as supplied by publisher]
Source: Journal of Asthma - Category: Respiratory Medicine Tags: J Asthma Source Type: research
ter It seems that the medical personnel in contact with patients infected with SARS-CoV-2 are at an especially high risk of adverse psychological effects. Therefore, the aim of this study was to assess the mental health factors among healthcare workers by quantifying the severity of anxiety, depression, and sleep disorders during the current SARS-CoV-2 pandemic, while taking into account coexisting diseases. The study involved 441 healthcare professionals including 206 healthcare workers at emergency wards, infectious wards, and intensive care units. The control group consisted of 235 healthcare workers working in ward...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
AbstractIntroductionPoor sleep quality in patients with chronic obstructive pulmonary disease (COPD) has been associated with poor health outcomes. However, there is a lack of research on factors associated with sleep disturbance in patients with COPD.ObjectivesWe investigated patterns of sleep disturbance and factors associated with sleep impairment in patients with COPD.MethodsThis was a prospective, multicenter cross ‐sectional study enrolling a sample of 245 COPD subjects. All patients completed the patient‐reported measure, the COPD and Asthma Sleep Impact Scale (CASIS) to assess sleep impairment. The St. George&r...
Source: The Clinical Respiratory Journal - Category: Respiratory Medicine Authors: Tags: ORIGINAL ARTICLE Source Type: research
This article is protected by copyright. All rights reserved. PMID: 32652603 [PubMed - as supplied by publisher]
Source: The Journal of Physiology - Category: Physiology Authors: Tags: J Physiol Source Type: research
Does religion help or harm people with severe mental illness? In today’s Not Crazy podcast, Gabe and Lisa welcome Rachel Star Wither, host of the Inside Schizophrenia podcast, to discuss religion’s role (or lack thereof) in treating those struggling with schizophrenia or bipolar disorder. Rachel relates her personal experiences of mixing religion with her illness and shares how she currently manages to believe in God while keeping her faith “separate” from her symptoms. Tune in for a deep discussion on religion and severe mental illness, including Rachel’s 3-day exorcism experience at age 17....
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Disorders General Interview Not Crazy Podcast Schizophrenia Spirituality Source Type: blogs
Abstract Background/Aims: Emotional distress is thought to cause or maintain chronic urticaria (CU). We aimed to investigate the presence of anxiety, depression, and stress in Korean adult CU patients and to explore their potential impact on treatment. Methods: We enrolled 79 CU patients and a disease control group comprising 39 persistent asthma patients. The Hospital Anxiety and Depression Scale (HADS) was used to evaluate depression and anxiety. Stress and quality of life (QoL) were assessed by Stress Response Inventory and CU-QoL questionnaires. The sociodemographic and clinical data such as urticaria act...
Source: The Korean Journal of Internal Medicine - Category: Internal Medicine Authors: Tags: Korean J Intern Med Source Type: research
Olivia posted this incredible story of wheat-free release in the comments on this blog some time back. Her story so powerfully encapsulates how far off course health can go by consuming this thing called “wheat,” that I thought it was worth sharing with everybody again. During her wheat-consuming days, Olivia was clearly suffering body-wide inflammation and other effects that were being ineffectively “treated” by her doctor, effects largely due to the indigestible or only partially-digestible proteins from the seeds of grasses AKA wheat. As often happens, she managed to reverse the entire collection...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: Open gluten-free grain-free grains wheat belly Source Type: blogs
Authors: Coëtmeur D, Parrat É, Nocent-Ejnaini C, Mangiapan G, Prud'homme A, Oster JP, Vecchi CA, Maurer C, Raherison C, Debieuvre D, Portel L Abstract INTRODUCTION: Data on physical activity in severe asthma are scarce. From May 2016 to June 2017, 1502 adult patients with severe asthma visiting a pulmonologist practicing in one of the 104 non-academic hospitals participating in the study were included in this prospective, cross-sectional, multicenter study, provided they gave consent. Physical activity was classified according to 4 levels: 1 (no activity), 2 (occasional), 3 (regular), or 4 (frequent). C...
Source: Revue des Maladies Respiratoires - Category: Respiratory Medicine Tags: Rev Mal Respir Source Type: research
Abstract All large population-based administrative studies currently indicate a significant comorbidity of adult attention deficit hyperactivity disorder (ADHD) with addictive, anxiety and in particular affective disorders. In these investigations the risk for one of these comorbid disorders increased with increasing age of the ADHD patients. The most recent genome-wide association and correlation studies also revealed indications for joint genetic risk factors of ADHD with, in particular unipolar depression, bipolar disorder, autism spectrum disorders, Tourette's syndrome and to a lesser extent schizophrenia...
Source: Der Nervenarzt - Category: Neurology Authors: Tags: Nervenarzt Source Type: research
It is a stressful time. Many have begun feeling the emotional and psychological effects of being quarantined. People are being told to stay indoors, to limit leaving their home except for necessities and to skip socializing altogether, if possible. Supermarket shelves are empty; toilet paper and hand sanitizer are sold out. Many communities are placing restrictions on where people can go. Buzzwords like “social distancing” and “martial law” are in the news in recent weeks. Hospitals are overcrowded and staff are overworked. Many playgrounds, amusement parks, hotels and beaches have been closed until...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General Mental Health and Wellness PTSD coronavirus COVID-19 quarantine traumatic experience Source Type: blogs
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