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This study examines the effect of exercise therapy on a stationary bike on cognitive function, specifically inhibition and set-switching, in adolescents with Down syndrome. 44 participants were randomly divided between the voluntary cycling therapy group (VCT) (i.e., self-selected cadence), assisted cycling therapy group (ACT) (i.e., 30% faster than self-selected cadence

This study examines the effect of exercise therapy on a stationary bike on cognitive function, specifically inhibition and set-switching, in adolescents with Down syndrome. 44 participants were randomly divided between the voluntary cycling therapy group (VCT) (i.e., self-selected cadence), assisted cycling therapy group (ACT) (i.e., 30% faster than self-selected cadence accomplished by a motor), and a control group (NC) in which the participants did not undergo any exercise therapy. Both cycling groups rode a stationary bicycle, for 30 minutes, three times a week, for eight-weeks. At the beginning (i.e., pretest) and end (i.e., posttest) of the eight-week session the participants completed tasks to evaluate their cognitive function. They completed three trials of the card sort test (i.e., set-switching) and three trials of the knock-tap test (i.e, inhibition) before and after eight-weeks of cycling therapy. The scores of these tests were analyzed using one-way ANOVA between groups and paired samples t-tests. The results showed that after eight-weeks of cycling therapy the participants in the VCT group performed worse in the knock-tap test, but improved in two trials of the card sort test. The results also showed that the participants in the ACT group performed worse after eight-weeks of exercise therapy in one trial of the card sort test. No significant changes were seen for the control group. Due to the fact that on average the participants in the VCT group cycled with a higher heart rate, our results suggest exercise that significantly elevates heart rate can improve cognitive function, specifically set-switching, in adolescents with Down syndrome.
ContributorsBenson, Alicia Meigh (Author) / Ringenbach, Shannon (Thesis director) / Amazeen, Eric (Committee member) / Maraj, Brian (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor)
Created2015-05
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Description
About 75% of men and 66.58% of women are considered overweight or obese (BMI ≥25). $117 billion dollars is spent each year in medical costs due to physical inactivity. Aerobic exercise has been well defined in its’ benefits to cardiovascular health; however, the effects of resistance training are still not

About 75% of men and 66.58% of women are considered overweight or obese (BMI ≥25). $117 billion dollars is spent each year in medical costs due to physical inactivity. Aerobic exercise has been well defined in its’ benefits to cardiovascular health; however, the effects of resistance training are still not well defined. The purpose of this preliminary analysis was to evaluate the vascular health effects (central and peripheral blood pressure and VO2 max) of two different types of resistance training programs: high load, low repetitions resistance training and low load, high repetitions resistance training. Fourteen participants aged 18-55 years (6 males, 8 females) were involved in this preliminary analysis. Data were collected before and after the 12-week long exercise program (36 training sessions) via pulse wave analysis and VO2peak testing. Multivariate regression analysis of training program effects, while adjusting for body mass index and time, did not result in significant training effects on central and peripheral diastolic blood pressure, nor VO2peak. A statistical trend was observed between the different training programs for systolic blood pressure, suggesting that subjects partaking in the high load, low repetitions program exhibited higher systolic blood pressures than the low load, high repetitions group. With a larger sample size, the difference in systolic blood pressure may increase between training program groups and indicate that greater loads with minimal repetitions may increase lead to clinically significant elevations in blood pressure. Further work is needed to uncover the relationship between different types of resistance training and blood pressure, especially if these lifting regimens are continued for longer lengths of time.
ContributorsHill, Cody Alan (Co-author) / Hill, Cody (Co-author) / Whisner, Corrie (Thesis director) / Angadi, Siddhartha (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
Background and Purpose— There is limited conclusive data on both pharmacological and holistic treatment options to improve cognition in adults after stroke. In particular, there is lacking evidence for cognitive rehabilitation in the subacute and chronic phases when cognitive impairment may be more perceptible. In this meta-analytic review, our primary

Background and Purpose— There is limited conclusive data on both pharmacological and holistic treatment options to improve cognition in adults after stroke. In particular, there is lacking evidence for cognitive rehabilitation in the subacute and chronic phases when cognitive impairment may be more perceptible. In this meta-analytic review, our primary objective was to determine the cognitive effects of aerobic exercise on post-stroke adults in the post-acute phases. Secondary objectives were to investigate the differential effects of aerobic exercise on sub-domains of cognitive function.
Methods— Data were extracted and filtered from electronic databases PubMed (MEDLINE), CINAHL, Embase, PsycINFO, and Scopus. Intervention effects were represented by Hedges’ g and combined into pooled effect sizes using random effects models. Heterogeneity was evaluated using the Chi-squared (Q) and I-squared statistics.
Results— Five studies met inclusion criteria, representing data from 182 participants. The primary analysis produced a positive overall effect of aerobic exercise on cognitive performance (Hedges’ g [95% confidence interval]= 0.42 [0.007–0.77]). Effects were significantly different from zero for aerobic interventions combined with other physical activity interventions (Hedges’ g [CI] =0.59 [0.26 to 0.92]), but not for aerobic interventions alone (P= 0.40). In specific subdomains, positive moderate effects were found for global cognitive function (Hedges’ g [CI] =0.79 [0.31 to 1.26]) but not for attention and processing speed (P=0.08), executive function (P= 0.84), and working memory (P=0.92).
Conclusions— We determined that aerobic exercise combined with other modes of training produced a significant positive effect on cognition in adults after stroke in the subacute and chronic phases. Our analysis supports the use of combined training as a treatment option to enhance long-term cognitive function in adults after stroke. Further research is needed to determine the efficacy of aerobic training alone.
ContributorsMitchell, Michaela (Author) / Holzapfel, Simon (Thesis director) / Bosch, Pamela (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
Description

The purpose of this study was to examine the validity of a modified Assisted Cycling Therapy bicycle for improving depression in children with Down Syndrome (DS). Seven participants completed 2x/week for 8 weeks, 30 minutes at a time of ACT, in which participants’ voluntary pedaling rates were augmented via the

The purpose of this study was to examine the validity of a modified Assisted Cycling Therapy bicycle for improving depression in children with Down Syndrome (DS). Seven participants completed 2x/week for 8 weeks, 30 minutes at a time of ACT, in which participants’ voluntary pedaling rates were augmented via the bicycle motor, ensuring that they were pedaling at a rate greater than their self-paced rate. Depression was measured using a modified version of the Children’s Depressive Inventory, called the CDI-2. Our study demonstrated that the scores from the CDI-2 decreased, demonstrating less depressive symptomatology after the conclusion of the 8 week intervention. Our results were interpreted via our model of the mechanisms involved in influencing the success of ACT. Future research would include a greater sample size, a more relevant measure of depressive scores, and a consistent data collection environment. However our initial pilot study showed promising results for improving mental health in children with DS.

ContributorsErramuzpe, Sarah (Author) / Ringenbach, Shannon (Thesis director) / Yudell, Michael (Committee member) / Barrett, The Honors College (Contributor) / School of International Letters and Cultures (Contributor) / College of Health Solutions (Contributor)
Created2023-05
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Description
Estimates indicate that in the United States 1 in 8 women will develop breast cancer in their lifetime. Improved cancer screenings, early detection, and targeted treatments have increased breast cancer survival rates. However, breast cancer patients treated with chemotherapy are at an increased risk for cardiovascular disease, functional impairments, and

Estimates indicate that in the United States 1 in 8 women will develop breast cancer in their lifetime. Improved cancer screenings, early detection, and targeted treatments have increased breast cancer survival rates. However, breast cancer patients treated with chemotherapy are at an increased risk for cardiovascular disease, functional impairments, and loss of cardiorespiratory fitness. These negative outcomes have implications for early morbidity and mortality. The purpose of this thesis was to test the hypothesis that high-intensity exercise preconditioning (exercise commenced prior to initiating chemotherapy and continued throughout treatment cycles) preserves health-related outcomes in breast cancer patients treated with anthracycline-containing chemotherapy. Here, we present a subset of preliminary data from an ongoing trial (NCT02842658) that is focused on VO2peak and skeletal muscle outcomes from the first 10 participants that have enrolled in the trial. Breast cancer patients (N=10; 50 ± 11 y; 168 ± 4 cm; 92 ± 37 kg; 32.3 ± 12.3 kg/m2) scheduled to receive anthracycline-containing chemotherapy were randomly assigned to one of two interventions: 1) exercise preconditioning, (3 days per week of supervised exercise throughout treatment) or 2) standard of care (attention-control). Pre-testing occurred 1-2 week prior to chemotherapy. The interventions were initiated 1 week prior to chemotherapy and continued throughout anthracycline treatment. Post-testing occurred 3-7 days following the last anthracycline treatment. VO2peak (L/min) was reduced by 16% in the control group (P < 0.05), whereas VO2peak was preserved in the exercise preconditioning group. Trends for greater preservation and/or improvement in the exercise preconditioning group were also observed for lean body mass and peak heart rate. Hand grip strength was not changed in either group (P > 0.05). Both groups demonstrated an increase in ultrasound-derived echogenicity measures of the vastus lateralis (P < 0.05), indicating changes in the composition of the skeletal muscle during treatment. These preliminary data highlight that exercise preconditioning may serve as a strategy to preserve cardiorespiratory fitness and perhaps lean mass during anthracycline treatment of breast cancer. There remains a need for larger, definitive clinical trials to identify strategies to prevent the array of chemotherapy-induced toxicities that are observed in breast cancer patients treated with anthracyclines.
ContributorsCasey, Kathleen (Author) / Angadi, Siddhartha (Thesis director) / Gaesser, Glenn (Committee member) / Dickinson, Jared (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
Research on the correlation between exercise and mental health outcomes has been a growing field for the past few decades. It is of specific interest to look at how physical activity affects psychological outcomes and it’s efficacy for treating mental health disorders. The current treatment options for depression and

Research on the correlation between exercise and mental health outcomes has been a growing field for the past few decades. It is of specific interest to look at how physical activity affects psychological outcomes and it’s efficacy for treating mental health disorders. The current treatment options for depression and anxiety are not suitable for everyone and therefore there is a need for a more accessible and cost-effective form of treatment, like exercise. Furthermore, exercise as a treatment is also linked with many more health benefits. Indeed a wealth of studies have explored the relationships between exercise and depression as well as exercise and anxiety, showing exercise to be a positive predictor of mental health. The following paper will serve to: define depressive and anxiety disorders, explore the research on the effects of physical activity prescriptions on the outcomes of such disorders, create evidence-based applied recommendations for different disorders, and explore the mechanisms by which exercise mitigates symptoms to ultimately accredit the prescription of exercise as a form of treatment for mental health disorders.
ContributorsAddington, Rachel Anne (Author) / Hoffner, Kristin (Thesis director) / Broman, Tannah (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
Swing dancing is a form of partnered dancing that has a focus on social interactions. The purpose of this study is to determine how social factors and intrinsic motivation effect how college age students perceive how much energy exertion swing dancing requires compared to traditional exercise. 20 ASU students were

Swing dancing is a form of partnered dancing that has a focus on social interactions. The purpose of this study is to determine how social factors and intrinsic motivation effect how college age students perceive how much energy exertion swing dancing requires compared to traditional exercise. 20 ASU students were split into 10 female-male couples. The participants first completed a 30-minute session of social dancing and then a week later completed a 30-minute session of cycling on a stationary bike. Physiological data was collected using a Polar heart rate (HR) monitor wristwatch and chest strap. The HR of participants was taken after a period of rest and every five minutes during swing dancing and cycling. The rate of perceived exertion (RPE) was measured based on a Borg scale (6-20). RPE was taken after a period of rest and every five minutes during swing dancing and cycling. After both physiological sessions a psychological survey was distributed measuring the social factors of dancing, the intrinsic motivation of dancing, and the intrinsic motivation of traditional exercise. There was no significant difference between average HR during rest (p=0.34) or during the two types of exercises (p=0.26). There also was no significant difference in RPE during rest (p=0.33) or during the two types of exercises (p=0.46). At the same intensity participants perceived swing dancing to require as much energy exertion as cycling. Participants were significantly more intrinsically motivated to swing dance compared to traditional exercise. Participants reported high levels of social factors while swing dancing and these social factors had a moderately positive effect on intrinsic motivation for swing dancing. People are more intrinsically motivated to engage in swing dancing over traditional exercise and this may be due to the high social factors found in partnered dancing. Swing dancing is a form of exercise that can be used to reach the recommended level of physical activity.
ContributorsJones, Roxann Rose (Author) / Nolan, Nicole (Thesis director) / Hoffner, Kristin (Committee member) / College of Health Solutions (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
Description
Cardiovascular Disease (CVD) is the leading cause of death in the world today! More specifically, ischemic heart disease, also known as coronary artery disease, tops the world’s most deadly disease and is responsible for nearly 9 million deaths every year (World Health Organization, n.d.). This paper describes a Parental Approach

Cardiovascular Disease (CVD) is the leading cause of death in the world today! More specifically, ischemic heart disease, also known as coronary artery disease, tops the world’s most deadly disease and is responsible for nearly 9 million deaths every year (World Health Organization, n.d.). This paper describes a Parental Approach to Cardiovascular Health Promotion and Prevention in children. The risk factors for CVD have been well established in adults and emerging evidence underline the importance of experiences and exposures on the consequent development of CVD. The aim of this project is to highlight the importance of early intervention in childhood by promoting cardiovascular health education and prevention in children. CVD is cause by a culmination of genetic and lifestyle factors and the many risk factors associated with cardiovascular disease is divided into two categories: those which are changeable or modifiable and those that are unchangeable or non-modifiable. The earlier that parents address the modifiable risk factors, the better the child’s outcome of preventing heart disease in adulthood. Therefore, alternative means of a healthy dietary approach such as the 5-2-1-0 program in addition to exercising is extremely crucial. This paper will discuss the different preventative strategies and ways to mitigate symptoms of CVD. Therefore, I have developed a 4-step outline for cardiovascular health education and prevention strategies which parents can use when raising their children.
ContributorsCherian, Feba (Author) / Day, Kimberly (Thesis director) / Wang, Wei (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
Exercise has many physical and mental health benefits, but there are several common barriers to physical activity that the general population faces. Furthermore, it has been shown that transgender individuals do not participate in physical activity as much as nontransgender individuals do. This suggests that the transgender population may face

Exercise has many physical and mental health benefits, but there are several common barriers to physical activity that the general population faces. Furthermore, it has been shown that transgender individuals do not participate in physical activity as much as nontransgender individuals do. This suggests that the transgender population may face additional or unique barriers to physical activity. The purpose of this study was to further examine and identify these barriers for adult transgender individuals regardless of whether they decided to, were in the process of, or completed medical transition. Five categories of physical activity barriers were analyzed within a survey: time, motivation, accessibility, emotions, and social factors. This online physical activity questionnaire was distributed to transgender adults 18 years or older over a course of two months. Twelve responses were received but only nine of those met the inclusion criteria and were used in the study (n=9). Three questions were asked for each barrier category and were formatted as a Likert scale. Each question and barrier category was given a score based on if the responses indicated that particular instance as a barrier to physical activity or not. The results of the survey responses showed that social factors was the highest reported barrier to physical activity for transgender adults. Emotions was the second highest reported barrier, while accessibility was the lowest reported barrier. The responses from this study indicate that transgender adults do experience different or additional barriers to physical activity when compared to the general population.
ContributorsTonn, Lauren Elizabeth (Co-author) / Hilliard, Hope (Co-author) / Milowski, Meredith (Thesis director) / Hoffner, Kristin (Committee member) / College of Health Solutions (Contributor) / Graduate College (Contributor) / Barrett, The Honors College (Contributor)
Created2020-12
DescriptionMoving Mommas is a free health resource that provides expecting mothers with evidence-based information about healthy ways to exercise during pregnancy and the benefits of exercise for mom and baby. See more at: movingmommas.squarespace.com
ContributorsBamba, Ghania (Author) / Edgerly, Jamie (Co-author) / Cataldo, Donna (Thesis director) / Brady, Valerie (Committee member) / Barnum, Leslie (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2022-05