RESUMEN
BACKGROUND: Nowadays physical activity (PA)/exercise is an important component of cystic fibrosis (CF) therapy. The aim of the study was to assess the barriers to PA and the barrier management and to explore the effect of supervision on the barriers and barrier management during an exercise program. METHODS: In total, 88 people with CF (pwCF) of the ages 6 to 50 years old (mean 24.2 ± 7.9 yrs) participated in the partially supervised 12-month exercise program and filled in a structured and validated questionnaire about barriers to sports and barrier management at baseline. Additionally, 23 pwCF filled in the questionnaire after 6 months and 12 months. The items were clustered into physical and psychosocial barriers and into preventive counter strategies and situational counter strategies and analyzed at baseline and over time. RESULTS: Physical barriers were more relevant than psychosocial barriers and no trend could be seen in the situational and preventive counter strategies. When divided in subgroups, the less active pwCF (<7500 steps/day), more active pwCF (>7500 steps/day), physical barriers, and psychosocial barriers showed no significant differences. However physical barriers showed a tendency to have a higher value in the less active group compared to the more active group (p > 0.05). Stratified by age or FEV1%pred between the subgroups, no differences could be seen regarding barriers and counter strategies. CONCLUSIONS: Physical barriers seemed to have a higher priority when it comes to not participating in PA/exercise. Supervision over 6 months during an exercise program did not show a beneficial effect on barriers and barrier management. Besides the motivational aspect of sport counselling, the volitional aspect seemed to be more important to incorporate more PA into daily life. Individual barriers and their concrete counter strategies should be discussed with the patient with CF. Sport counselling is needed permanently and should be part of the CF routine care.
Asunto(s)
Fibrosis Quística , Deportes , Humanos , Niño , Adolescente , Adulto Joven , Adulto , Persona de Mediana Edad , Fibrosis Quística/terapia , Fibrosis Quística/psicología , Ejercicio Físico , Encuestas y Cuestionarios , MotivaciónRESUMEN
OBJECTIVES: Infanticide by males is common in mammals. According to the sexual selection hypothesis, the risk is inversely related to infant age because the older the infant, the less infanticide can shorten lactational amenorrhea; risk is also predicted to increase when an infanticidal male's chance of siring the replacement infant is high. Infanticide occurs in chimpanzees (Pan troglodytes), a species in which male dominance rank predicts paternity skew. Infanticidal male chimpanzees (if low-ranking) are unlikely to kill their own offspring, whereas those who are currently rising in rank, particularly when this rise is dramatic, have an increased likelihood of fathering potential future infants relative to any existing ones. Given that mothers should behave in ways that reduce infanticide risk, we predicted that female chimpanzees, and specifically those with younger, more vulnerable infants, would attempt to adjust the exposure of their infants to potentially infanticidal males. Specifically, mothers of young infants should reduce their association with adult males in general, and to a greater extent, with both low-ranking males and those rising in rank from a position where paternity of current infants was unlikely, to a rank where the probability of siring the next infant is significantly higher. We also investigated the alternative possibility that rather than avoiding all adult males, mothers would increase association with males of stable high rank on the basis that such males could offer protection against infanticide. MATERIALS AND METHODS: We examined data on female association patterns collected from the Budongo Forest, Uganda, during a period encompassing both relative stability in the male hierarchy and a period of instability with a mid-ranking male rising rapidly in rank. RESULTS: Using linear mixed models, we found that mothers reduced their association with the rank-rising male, contingent on infant age, during the period of instability. We also found evidence that females preferentially associated with a potential protector male during the high-risk period. DISCUSSION: Our results support the sexually selected hypothesis for infanticide and demonstrate that female chimpanzees are sensitive to the relative risks posed by adult males.