Rodríguez Larrad, Ana
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Rodríguez Larrad
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Ana
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Ciencias de la Salud
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Publication Open Access Impact of COVID-19 confinement on physical activity and sedentary behaviour in Spanish university students: role of gender(MDPI, 2021) Rodríguez Larrad, Ana; Mañas, Asier; Labayen Goñi, Idoia; González Gross, Marcela; Espin, Ander; Aznar, Susana; Serrano Sánchez, José Antonio; Vera García, Francisco J.; González Lamuño, Domingo; Ara, Ignacio; Carrasco Páez, Luis; Castro Piñero, José; Gómez Cabrera, Mari Carmen; Márquez, Sara; Tur, Josep A.; Gusi, Narcís; Benito, Pedro J.; Moliner-Urdiales, Diego; Ruiz, Jonatan R.; Ortega, Francisco B.; Jiménez Pavón, David; Casajús, José Antonio; Irazusta, Jon; Osasun Zientziak; Institute on Innovation and Sustainable Development in Food Chain - ISFOOD; Ciencias de la SaludDuring the COVID-19 pandemic, entire populations were instructed to live in home-confinement to prevent the expansion of the disease. Spain was one of the countries with the strictest conditions, as outdoor physical activity was banned for nearly two months. This study aimed to analyse the changes in physical activity and sedentary behaviours in Spanish university students before and during the confinement by COVID-19 with special focus on gender. We also analysed enjoyment, the tools used and motivation and impediments for doing physical activity. An online questionnaire, which included the International Physical Activity Questionnaire Short Form and certain 'ad hoc' questions, was designed. Students were recruited by distributing an invitation through the administrative channels of 16 universities and a total of 13,754 valid surveys were collected. Overall, university students reduced moderate (-29.5%) and vigorous (-18.3%) physical activity during the confinement and increased sedentary time (+52.7%). However, they spent more time on high intensity interval training (HIIT) (+18.2%) and mind-body activities (e.g., yoga) (+80.0%). Adaptation to the confinement, in terms of physical activity, was handled better by women than by men. These results will help design strategies for each gender to promote physical activity and reduce sedentary behaviour during confinement periods.Publication Open Access Determinants of participation in a post-hospitalization physical exercise program for older adults(BioMed Central, 2020) Urquiza, Miriam; Echeverría, Iñaki; Besga, Ariadna; Amasene, María; Labayen Goñi, Idoia; Rodríguez Larrad, Ana; Barroso, Julia; Aldamiz, Mikel; Irazusta, Jon; Ciencias de la Salud; Osasun ZientziakBackground: Older patients often experience a decline in physical function and cognitive status after hospitalization. Although interventions involving physical exercise are effective in improving functional performance, participation in physical exercise interventions among older individuals is low. We aimed to identify factors that contribute to exercise refusal among post-hospitalized older patients. Methods: A cross-sectional study of recruitment data from a randomized controlled trial was conducted involving 495 hospitalized people ≥70 years old. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We determined physical function with the Short Physical Performance Battery (SPPB), nutritional status with the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U, or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model. Results: Among the analyzed patients, 88.8% declined participation in the physical exercise program. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.07–1.19), poor nutritional status (OR: 0.81; 95% CI: 0.69–0.95), and reduced home accessibility (OR: 0.27; 95% CI: 0.08–0.94) were predictors of participation refusal. Moreover, patients who declined participation had worse performance on the SPPB (P < 0.05) and its tests of balance, leg strength, and walking speed (P < 0.05). No differences were found between groups in other variables. Conclusions: This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with increased age, poor nutritional status, and reduced home accessibility. Our findings support the need for intervention design that accounts for these factors to increase older patient participation in beneficial exercise programs. Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12619000093189, (date: January 22, 2019, retrospectively registered).