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Adherence to Physical Exercise in Patients with Chronic Diseases

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Behavior, Chronic Disease and Health Promotion".

Deadline for manuscript submissions: closed (23 December 2021) | Viewed by 27643

Special Issue Editors

Centre for Sport Studies, Faculty of Juridical and Social Sciences, Physical Education Area, Rey Juan Carlos University, Madrid, Spain
Interests: adherence to physical activity; motivation; multidimensional intervention; patients; chronic diseases; adults; old people; adolescents; children; barriers to physical exercise; physical education; dance
Centre for Sport Studies. Faculty of Juridical and Social Sciences, Physical Education Area. Rey Juan Carlos University, Madrid
Interests: Learning and motor control; neurorehabilitation; Parkinson's disease; Transcranial Magnetic Stimulaiton; tDCS; neurophysiology
Centre for Sport Studies. Faculty of Juridical and Social Sciences, Physical Education Area. Rey Juan Carlos University, Madrid
Interests: adherence to physical exercise; multidimensional intervention; barriers to physical exercise; physical education; sports pedagogy
Centre for Sport Studies, Faculty of Juridical and Social Sciences, Physical Education Area, Rey Juan Carlos University, Madrid 28943, Spain
Interests: physical exercise; chronic diseases; pain; health; exergames; quality of life; older adults
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Special Issue Information

Dear Colleagues,

In recent years, numerous experimental studies have shown that physical exercise programs developed specifically for patients with chronic pathologies have been very effective in increasing the functions and quality of life for those who suffer from them. However, ensuring adherence to physical exercise practice beyond the completion of these experiments remains a challenge.

The most relevant publications in the scientific community on adherence to physical exercise shed light on the importance of the characteristics of the physical exercise program and the analysis of personal factors as the two main elements in order to guarantee the continuity of practice. However, despite this evidence, there is still no consensus in the literature regarding the guidelines to be followed by the programs or the most incipient personal variables to try to get patients to not only start a physical exercise program but also adhere to it.

In response to this deficit, the Network of Adherence to Physical Exercise in
Patients with Chronic Diseases has been established, with the aim of disseminating relevant knowledge in three ways, namely teaching, research, and transfer. This network is financed by the Higher Sports Council of the Ministry of Culture and Sports in Spain, and is led by the Center for Sports Studies of the Rey Juan Carlos University of Madrid, with the support of the Spanish Foundation for Research Aid in Parkinson’s and other Neurodegenerative Diseases as well as Go Fit Lab Health Innovation.

This Special Issue is presented as part of this network and serves as a research space for solving problems that affect all sectors—educational, economic, health, political, etc.—and creating responses from the scientific field that can be applied in society.

Guest Editors

Prof. Dr. Diana Amado Alonso
Prof. Dr. Miguel Fernández Del Olmo
Prof. Dr. Fernando Del Villar Álvarez
Prof. Dr. Daniel Collado Mateo
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

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.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • adherence
  • physical exercise
  • patients
  • chronic diseases
  • program features
  • personal factors

Published Papers (4 papers)

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Research

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13 pages, 784 KiB  
Article
Pain-Related Worrying and Goal Preferences Determine Walking Persistence in Women with Fibromyalgia
by María Ángeles Pastor-Mira, Sofía López-Roig, Eva Toribio, Fermín Martínez-Zaragoza, Ainara Nardi-Rodríguez and Cecilia Peñacoba
Int. J. Environ. Res. Public Health 2022, 19(3), 1513; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph19031513 - 28 Jan 2022
Cited by 2 | Viewed by 2015
Abstract
Physical activity and exercise are relevant behaviors for fibromyalgia health outcomes; however, patients have difficulties undertaking and maintaining an active lifestyle. With a cross-sectional design, this study explored the role of pain-related worrying and goal preferences in the walking persistence of women with [...] Read more.
Physical activity and exercise are relevant behaviors for fibromyalgia health outcomes; however, patients have difficulties undertaking and maintaining an active lifestyle. With a cross-sectional design, this study explored the role of pain-related worrying and goal preferences in the walking persistence of women with fibromyalgia. The sample included 111 women who attended a tertiary health setting. We adapted the Six-Minute Walk Test where participants decided either to stop or continue walking in five voluntary 6 min bouts. Women who were categorized higher in pain-related worrying reported higher preference for pain avoidance goals (t = −2.44, p = 0.02) and performed worse in the walking task (LongRank = 4.21; p = 0.04). Pain avoidance goal preference increased the likelihood of stopping after the first (OR = 1.443), second (OR = 1.493), and third (OR = 1.540) 6 min walking bout, and the risk of ending the walking activity during the 30 min task (HR = 1.02, [1.0–1.03]). Influence of pain-related worrying on total walking distance was mediated by goal preferences (ab = −3.25). In interventions targeting adherence in physical activity and exercise, special attention is needed for women who are particularly worried about pain to help decrease their preference for short-term pain avoidance goals relative to long-term goals such as being active through walking. Full article
(This article belongs to the Special Issue Adherence to Physical Exercise in Patients with Chronic Diseases)
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9 pages, 2668 KiB  
Article
Do Cognitive Abilities Influence Physical and Mental Fatigue in Patients with Chronic Pain after Walking According to a Clinical Guideline for Physical Exercise?
by Patricia Catala, Lorena Gutierrez, Carmen Écija, Ángel Serrano del Moral and Cecilia Peñacoba
Int. J. Environ. Res. Public Health 2021, 18(24), 13148; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph182413148 - 13 Dec 2021
Cited by 4 | Viewed by 2020
Abstract
The objective of this study is to explore the mediator role of cognitive fusion and chronic pain acceptance on the effects that the walking pattern, following an established clinical guideline for physical exercise, can have on fatigue (physical and mental) in patients with [...] Read more.
The objective of this study is to explore the mediator role of cognitive fusion and chronic pain acceptance on the effects that the walking pattern, following an established clinical guideline for physical exercise, can have on fatigue (physical and mental) in patients with chronic pain. The sample consisted of a total of 231 women with fibromyalgia with a mean age of 56.91 years (Standard Deviation SD = 9.58 years, range 30−78 years). The results show a significant indirect effect of the walking pattern on both physical and mental fatigue through cognitive fusion and chronic pain acceptance. Specifically, walking predicted less cognitive fusion, which predicted greater chronic pain acceptance, which, in turn, predicted less mental and physical fatigue (Beta-B- = −0.04, Standard Error SE = 0.02, 95% Confidence Interval 95% CI = [−0.09, −0.02]; B = −0.09, SE = 0.05, 95% CI = [−0.22, −0,15], respectively). It can be concluded that the walking pattern is linked to both physical and mental fatigue through cognitive defusion and chronic pain acceptance. These cognitive abilities would allow fibromyalgia patients to perceive an improvement in both physical and mental fatigue by carrying out the walking pattern. Emphasizing the training of cognitive defusion and pain acceptance would improve the adherence of these patients to walking. Full article
(This article belongs to the Special Issue Adherence to Physical Exercise in Patients with Chronic Diseases)
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8 pages, 569 KiB  
Article
The Effect of Periodization on Training Program Adherence
by Vicente Javier Clemente-Suárez, Domingo Jesús Ramos-Campo, José Francisco Tornero-Aguilera, Jose A. Parraca and Nuno Batalha
Int. J. Environ. Res. Public Health 2021, 18(24), 12973; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph182412973 - 09 Dec 2021
Cited by 4 | Viewed by 3689
Abstract
The present research aimed to study the effect of three different training periodization (traditional, reverse, and free training) on the aerobic performance, motivation, and adherence of physically active athletes. We analysed the adherence to three different periodization training programs: traditional, reverse, and free [...] Read more.
The present research aimed to study the effect of three different training periodization (traditional, reverse, and free training) on the aerobic performance, motivation, and adherence of physically active athletes. We analysed the adherence to three different periodization training programs: traditional, reverse, and free training periodization on the adherence of amateur triathletes. For this aim, the individual adherence, motivation, and aerobic performance time and heart rate (in a 1000 m running test) were evaluated before and after the completion of the three different 8-week periodization programs. The level of adherence to the reverse periodization was significantly higher than in traditional and free training. The number of dropouts in reverse and traditional periodization was similar but lower than in the free training. Finally, neither of the periodization programs improved aerobic performance and reverse training periodization decreased heart rate of participants in a 1000 m running test. Full article
(This article belongs to the Special Issue Adherence to Physical Exercise in Patients with Chronic Diseases)
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Review

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24 pages, 660 KiB  
Review
Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review
by Daniel Collado-Mateo, Ana Myriam Lavín-Pérez, Cecilia Peñacoba, Juan Del Coso, Marta Leyton-Román, Antonio Luque-Casado, Pablo Gasque, Miguel Ángel Fernández-del-Olmo and Diana Amado-Alonso
Int. J. Environ. Res. Public Health 2021, 18(4), 2023; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18042023 - 19 Feb 2021
Cited by 164 | Viewed by 19180
Abstract
Physical inactivity is a major concern and poor adherence to exercise programs is often reported. The aim of this paper was to systematically review published reviews on the study of adherence to physical exercise in chronic patients and older adults and to identify [...] Read more.
Physical inactivity is a major concern and poor adherence to exercise programs is often reported. The aim of this paper was to systematically review published reviews on the study of adherence to physical exercise in chronic patients and older adults and to identify those adherence-related key factors more frequently suggested by reviews for that population. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Results were classified considering the target population and participants’ characteristics to identify the most repeated factors obtained for each condition. Fifty-five articles were finally included. Fourteen key factors were identified as relevant to increase adherence to physical exercise by at least ten reviews: (a) characteristics of the exercise program, (b) involvement of professionals from different disciplines, (c) supervision, (d) technology, (e) initial exploration of participant’s characteristics, barriers, and facilitators, (f) participants education, adequate expectations and knowledge about risks and benefits, (g) enjoyment and absence of unpleasant experiences, (h) integration in daily living, (i) social support and relatedness, (j) communication and feedback, (k) available progress information and monitoring, (l) self-efficacy and competence, (m) participant’s active role and (n) goal setting. Therefore, adherence to physical exercise is affected by several variables that can be controlled and modified by researchers and professionals. Full article
(This article belongs to the Special Issue Adherence to Physical Exercise in Patients with Chronic Diseases)
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