Community-based exercise program, self-reported health-related symptoms, and quality of life in persons with traumatic brain injury 45 + years old.

Traumatic brain injury cognition exercise quality of life sleep

Journal

NeuroRehabilitation
ISSN: 1878-6448
Titre abrégé: NeuroRehabilitation
Pays: Netherlands
ID NLM: 9113791

Informations de publication

Date de publication:
02 Mar 2024
Historique:
medline: 8 3 2024
pubmed: 8 3 2024
entrez: 8 3 2024
Statut: aheadofprint

Résumé

Individuals with moderate to severe traumatic brain injury (msTBI) have reported a lack of motivation, lack of time, and fatigue as perceived barriers to exercise. To evaluate the effects of an exercise program on self-reported health-related symptoms and quality of life in persons 45-years and older with msTBI. Post-hoc analysis of a prospective community-based 12-week exercise program of 20 adults, age 45-80 years, with msTBI. Ten were in aerobic exercise training (AET) program and 10 in a stretching and toning (SAT) program. The AET group was instructed to exercise based on their estimated maximal heart rate (HR) for 150 minutes weekly. The SAT group was to stretch for the same target time without significantly increasing HR or level of exertion. Outcome measures were Traumatic Brain Injury Quality of Life (TBI-QOL) for global, cognitive, emotional, and social health, Patient Health Questionnaire-9 (PHQ-9) for depressive symptoms, and Pittsburgh Sleep Quality Index (PSQI) for sleep quality. AET was associated with improved self-reported cognitive health and sleep compared to SAT. Moderate to large, positive effect sizes were also observed in the AET group in the QOL categories of global, emotional, and social health, and depressive symptoms. This study offers preliminary evidence that AET may improve health-related QOL, especially for cognition and sleep, in middle-aged and older adults with msTBI.

Sections du résumé

BACKGROUND UNASSIGNED
Individuals with moderate to severe traumatic brain injury (msTBI) have reported a lack of motivation, lack of time, and fatigue as perceived barriers to exercise.
OBJECTIVE UNASSIGNED
To evaluate the effects of an exercise program on self-reported health-related symptoms and quality of life in persons 45-years and older with msTBI.
METHODS UNASSIGNED
Post-hoc analysis of a prospective community-based 12-week exercise program of 20 adults, age 45-80 years, with msTBI. Ten were in aerobic exercise training (AET) program and 10 in a stretching and toning (SAT) program. The AET group was instructed to exercise based on their estimated maximal heart rate (HR) for 150 minutes weekly. The SAT group was to stretch for the same target time without significantly increasing HR or level of exertion. Outcome measures were Traumatic Brain Injury Quality of Life (TBI-QOL) for global, cognitive, emotional, and social health, Patient Health Questionnaire-9 (PHQ-9) for depressive symptoms, and Pittsburgh Sleep Quality Index (PSQI) for sleep quality.
RESULTS UNASSIGNED
AET was associated with improved self-reported cognitive health and sleep compared to SAT. Moderate to large, positive effect sizes were also observed in the AET group in the QOL categories of global, emotional, and social health, and depressive symptoms.
CONCLUSIONS UNASSIGNED
This study offers preliminary evidence that AET may improve health-related QOL, especially for cognition and sleep, in middle-aged and older adults with msTBI.

Identifiants

DOI: 10.3233/NRE-230223 PMID: 38457158
pubmed: 38457158
pii: NRE230223
doi: 10.3233/NRE-230223
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Auteurs

Gary O Vargas (GO)

Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Stephanie Neaves (S)

Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Perot Foundation Neuroscience Translational Research Center, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Tri Pham (T)

University of Texas Southwestern Medical School, Dallas, TX, USA.

Mu Huang (M)

Department of Applied Clinical Research, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Office of Science, Medicine, and Health, American Heart Association, Dallas, TX, USA.

Ahmad Fawzi Turki (AF)

Department of Bioengineering, University of Arlington, Arlington, TX, USA.
Electrical and Computer Engineering Department (ECE), King Abdulaziz University, Jeddah, Saudi Arabia.
Center of Excellence in Intelligent Engineering Systems (CEIES), King Abdulaziz University, Jeddah, Saudi Arabia.

Chaowei Wang (C)

Department of Computer Science, University of Arlington, Arlington, TX, USA.

Kathleen R Bell (KR)

Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Shannon B Juengst (SB)

Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Brain Injury Research Center, TIRR Memorial Hermann, Houston, TX, USA.

Rong Zhang (R)

Cerebrovascular Laboratory, Institute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital Dallas, Dallas, TX, USA.
Department of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Ming Li (M)

Department of Computer Science, University of Arlington, Arlington, TX, USA.

Simon Driver (S)

Traumatic Brain Injury Research, Baylor Scott and White Research Institute, Dallas, Texas, USA.

Khosrow Behbehani (K)

Department of Bioengineering, University of Arlington, Arlington, TX, USA.

Linda S Hynan (LS)

Peter O'Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Kan Ding (K)

Center of Excellence in Intelligent Engineering Systems (CEIES), King Abdulaziz University, Jeddah, Saudi Arabia.

Classifications MeSH