Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 6 de 6
Filtrar
Más filtros











Base de datos
Intervalo de año de publicación
1.
BMC Public Health ; 24(1): 419, 2024 Feb 09.
Artículo en Inglés | MEDLINE | ID: mdl-38336672

RESUMEN

BACKGROUND: Since multidimensional barriers challenge nursing homes, a socio-ecological approach is needed for physical activity promotion in this setting. So far, little is known about how such an approach can be transferred into the successful development and implementation of PA-promoting actions together with stakeholders on-site. We aimed to investigate the actions and dimensions of PA-promoting actions and their sustainable implementation. To contribute to closing this gap, we present a 10-step program for co-developing and co-evaluating PA-promoting actions in nursing homes through an integrated counselling approach. METHODS: We used a multiple case study approach that built upon manifold data sources, collected in 7 nursing homes over 3 years between 2021 and 2023. We collected fieldnotes and photologs from 14 future workshops (2 per home); 7 evaluation workshops (1 per home); 36 individual counsellings (2 sessions per resident), as well as 87 implementation protocols (action type and frequency), 11 evaluation questionnaires (changes among resources, cooperations, and collaborations); 7 goal attainment scales and 18 individual activity schedules. In addition, we retrieved and documented progress information at regular intervals by phone or email. RESULTS: With staff, residents, relatives, and volunteers, we co-developed 112 ideas for PA promotion; from which 54 ideas were implemented and integrated into everyday life, differentiated into "activities of daily living," "structured activities," and "activity-friendly environments."; 18 residents in 4 homes participated in individual counselling to develop individual activity schedules. Eighteen actions were rated as "(much) more successful than expected"; 10 "(much) worse than expected," and 23 "as successful as expected." Three actions were not evaluated. DISCUSSION: The participatory integrated counselling approach led to home-specific actions and promoted implementation into everyday life. The number and dimensions of actions implemented largely depended on the mission and vision of the respective home. The lack of staff could partially be compensated for by involving neighbourhoods, volunteers, and community organisations, such as local clubs. CONCLUSION: To effectively promote PA in nursing homes, a tailored approach considering structural conditions, locations, volunteer engagement, and organisational visions is essential. Long-lasting partnerships and low-threshold opportunities prove promising. Future research should delve into structural-level change processes and outcomes in this context.


Asunto(s)
Actividades Cotidianas , Casas de Salud , Humanos , Ejercicio Físico , Relaciones Interpersonales , Alemania
2.
Z Gerontol Geriatr ; 57(5): 395-401, 2024 Aug.
Artículo en Alemán | MEDLINE | ID: mdl-38276995

RESUMEN

BACKGROUND: Residents in nursing homes show a high prevalence of the musculoskeletal syndrome sarcopenia and tend not to achieve current physical activity recommendations. OBJECTIVE: The aim of this study is to identify differences in physical activity and sedentary behavior of sarcopenic residents compared with nonsarcopenic and presarcopenic residents. METHODS: Sarcopenia assessment was performed among 63 nursing home residents in Baden-Wuerttemberg (D) using the European Working Group on Sarcopenia in Older People 2 specifications. Structured activity sessions (per week), accelerometer-based physical activity (steps/day), and sedentary behavior (percentual/day) were examined. The group comparisons were determined with Kruskal-Wallis tests and Dunn-Bonferroni post hoc tests. RESULTS: Significant differences were found for number of steps (p = 0.005) and percentual sedentary behavior (p = 0.019). Moreover, steps per day presented significant results in group comparison for no sarcopenia (2824.4 [423-14275]) with probable sarcopenia (1703.9 [118-5663]) and confirmed/severe sarcopenia (1571.2 [240-2392]) (both p = 0.022; |r| = 0.34). Sedentary behavior demonstrated significant differences in groups with no sarcopenia (87.9% [69.1-94.3]) and with probable sarcopenia (91.7% [80.4-9835]) (p = 0.018; |r| = 0.35). CONCLUSION: Nonsarcopenic residents demonstrated a higher number of steps and lower sedentary behavior compared with presarcopenic and sarcopenic residents. Increasing steps, reducing sedentary behavior and promoting activities of daily living can contribute to the prevention and treatment of sarcopenia in the nursing home setting.


Asunto(s)
Ejercicio Físico , Casas de Salud , Sarcopenia , Conducta Sedentaria , Humanos , Sarcopenia/epidemiología , Sarcopenia/diagnóstico , Casas de Salud/estadística & datos numéricos , Alemania/epidemiología , Masculino , Femenino , Anciano , Anciano de 80 o más Años , Hogares para Ancianos/estadística & datos numéricos , Prevalencia , Evaluación Geriátrica , Factores de Riesgo
3.
Eur Rev Aging Phys Act ; 20(1): 23, 2023 Dec 06.
Artículo en Inglés | MEDLINE | ID: mdl-38057739

RESUMEN

BACKGROUND: The Covid-19 outbreak in spring of 2020 posed an array of challenges for nursing homes, including promoting resident physical activity (PA). Given the diversity of factors affecting resident PA, we explored how activity patterns outside weekly-scheduled structured activities changed during the pandemic and what factors promoted or inhibited PA during the pandemic. METHODS: We conducted systematic direct observations over 823.5 h in eight nursing homes in Southern Germany in 2020 and 2021. RESULTS: In 2020, 84.7% of person observation units were classified as sedentary (average activity level: 1.14 MET). In 2021, the percentage increased to 91.6% of observed person units (average activity level: 1.08 MET) (t = 6.947; p = .000). According to tree classification, influencing factors of PA included mealtime and daytime in 2020 and 2021, as well as presence of men residents only in 2020 and guided low threshold activities in 2021. CONCLUSIONS: Nursing homes constitute highly sedentary places-an issue exacerbated by access restrictions for external activity experts and significant others as well as behavioural restrictions for residents during the Covid-19 pandemic. Staff could not compensate due to existing time restraints and lack of training in PA promotion. Based on our findings, we recommend future studies to develop feasible and resource-low activities to be integrated into the daily routines of nursing homes.

4.
PLoS Biol ; 21(6): e3002177, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-37368881

RESUMEN

Lipoic acid is an essential biomolecule found in all domains of life and is involved in central carbon metabolism and dissimilatory sulfur oxidation. The machineries for lipoate assembly in mitochondria and chloroplasts of higher eukaryotes, as well as in the apicoplasts of some protozoa, are all of prokaryotic origin. Here, we provide experimental evidence for a novel lipoate assembly pathway in bacteria based on a sLpl(AB) lipoate:protein ligase, which attaches octanoate or lipoate to apo-proteins, and 2 radical SAM proteins, LipS1 and LipS2, which work together as lipoyl synthase and insert 2 sulfur atoms. Extensive homology searches combined with genomic context analyses allowed us to precisely distinguish between the new and established pathways and map them on the tree of life. This not only revealed a much wider distribution of lipoate biogenesis systems than expected, in particular, the novel sLpl(AB)-LipS1/S2 pathway, and indicated a highly modular nature of the enzymes involved, with unforeseen combinations, but also provided a new framework for the evolution of lipoate assembly. Our results show that dedicated machineries for both de novo lipoate biogenesis and scavenging from the environment were implemented early in evolution and that their distribution in the 2 prokaryotic domains was shaped by a complex network of horizontal gene transfers, acquisition of additional genes, fusions, and losses. Our large-scale phylogenetic analyses identify the bipartite archaeal LplAB ligase as the ancestor of the bacterial sLpl(AB) proteins, which were obtained by horizontal gene transfer. LipS1/S2 have a more complex evolutionary history with multiple of such events but probably also originated in the domain archaea.


Asunto(s)
Ácido Tióctico , Ácido Tióctico/genética , Ácido Tióctico/metabolismo , Péptido Sintasas/genética , Péptido Sintasas/metabolismo , Filogenia , Proteínas Bacterianas/metabolismo , Azufre
5.
Biol Aujourdhui ; 214(3-4): 97-103, 2020.
Artículo en Francés | MEDLINE | ID: mdl-33357367

RESUMEN

In the 1960s, the concept of ecological engineering was theorized by Howard Odum, who showed the possibility of controlling the evolutionary trajectories of ecosystems by influencing their natural dynamics. H. Odum gave the definition of ecological engineering as "human manipulation of the environment using small amounts of additional energy to control systems in which the main sources of energy still come from natural sources". Since then, this definition has evolved, and several are currently used. The discipline then diversified, currently counting no less than 15 different fields of application, notably landscape architecture, phytoremediation, urban planning, agro-engineering, etc. Bibliometry concerning ecological engineering clearly shows the importance of this discipline worldwide. We notice its continuous evolution since 1995 with an almost exponential increase of the number of publications each year, with more than 6,500 publications in total coming from all continents.


TITLE: Le Génie Écologique, une science par et pour le vivant. ABSTRACT: Dans les années 1960, le concept de génie écologique a été théorisé par Howard Odum, qui a montré la possibilité de contrôler les trajectoires évolutives des écosystèmes en influant sur leurs dynamiques naturelles. Depuis, les définitions de ce concept ont évolué et la discipline s'est diversifiée, comptant actuellement pas moins de 15 domaines d'applications différents. La bibliométrie concernant l'ingénierie écologique montre bien l'importance de cette discipline à travers le monde. On remarque son évolution continuelle depuis les années 1995 avec une augmentation quasi exponentielle du nombre de publications chaque année, avec plus de 6500 publications au total provenant de tous les continents.


Asunto(s)
Ecosistema , Ambiente , Humanos
6.
Front Physiol ; 9: 423, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29867519

RESUMEN

The present study was designed to assess the psycho-physiological responses of physically untrained individuals to mobile-based multi-stimulating, circuit-like, multiple-joint conditioning (CircuitHIIT) performed either once (1xCircuitHIIT) or twice (2xCircuitHIIT) daily for 4 weeks. In this single-center, two-arm randomized, controlled study, 24 men and women (age: 25 ± 5 years) first received no training instructions for 4 weeks and then performed 4 weeks of either 1xCircuitHIIT or 2xCircuitHIIT (5 men and 7 women in each group) daily. The 1xCircuitHIIT and 2xCircuitHIIT participants carried out 90.7 and 85.7% of all planned training sessions, respectively, with average heart rates during the 6-min sessions of 74.3 and 70.8% of maximal heart rate. Body, fat and fat-free mass, and metabolic rate at rest did not differ between the groups or between time-points of measurement. Heart rate while running at 6 km⋅h-1 declined after the intervention in both groups. Submaximal and peak oxygen uptake, the respiratory exchange ratio and heart rate recovery were not altered by either intervention. The maximal numbers of push-ups, leg-levers, burpees, 45°-one-legged squats and 30-s skipping, as well as perception of general health improved in both groups. Our 1xCircuitHIIT or 2xCircuitHIIT interventions improved certain parameters of functional strength and certain dimensions of quality of life in young untrained individuals. However, they were not sufficient to enhance cardio-respiratory fitness, in particular peak oxygen uptake.

SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA