
A UBCO study explores how primary care physicians and allied health professionals can help people make dietary and lifestyle changes to improve their health to prevent chronic illnesses.
A UBCO study explores how primary care physicians and allied health professionals can help people make dietary and lifestyle changes to improve their health to prevent chronic illnesses.
Posted in Centre for Chronic Disease Prevention and Management, SMP News
UBC Okanagan researchers are teaming up with Interior Health clinicians to ensure children and young people with Type 1 diabetes in the region are getting the best patient care possible.
Posted in Centre for Chronic Disease Prevention and Management, SMP News
The COVID-19 Disability Survey captured perspectives from Canadians with different types of disabilities and their family members.
Posted in Centre for Chronic Disease Prevention and Management, SMP News
UBCO researchers are using wearable technology to help track the involuntary movements of Parkinson’s patients.
Posted in Centre for Chronic Disease Prevention and Management, SMP News
The COVID-19 Disability Survey captured perspectives from Canadians with different types of disabilities and their family members.
A new study led by UBC researchers and the Ontario-based Abilities Centre is sounding the alarm over the damaging effects of COVID-19 for Canadians with disabilities.
Dr. Kathleen Martin Ginis, director of the Centre for Chronic Disease Prevention and Management, points to public health restrictions and lack of community resources as key contributors to heightened challenges facing those living with disabilities.
“Limited social support, reduced access to recreational space and financial uncertainties have exacerbated the current situation,” says Martin Ginis, a professor at UBC Okanagan. “As the pandemic continues to draw on, we need to prevent more individuals from slipping further through the cracks.”
The COVID-19 Disability Survey targeted Canadians who identify as having a disability — such as a physical, cognitive or sensory disability — or having a child or family member living with a disability in their household. The survey collected responses from across Canada and with representation from most provinces and territories.
Of those surveyed, 82 per cent reported that the pandemic is negatively impacting their mental health. Individuals reported unmet needs for emotional counselling, recreation and leisure programs, income support, specialized health care, accessible housing and transportation.
A majority of people reported decreased physical activity, less healthy lifestyles and significant social isolation. For children with disabilities, more than half of parents reported their child experiencing decreased physical activities as a result of public health restrictions.
“Another key finding was that only 72 per cent of Canadians with disabilities planned to get a COVID-19 vaccine,” says Stuart McReynolds, president and chief executive officer with the Abilities Centre. “We need to help boost vaccine confidence for all individuals, so we can collectively put this public health crisis behind us.”
The COVID-19 Disability Survey data has already contributed to positive policy changes such as the Ontario Government’s amendment for people with disabilities to have access to physical therapy programs and by providing guidance around how to ensure that vaccination sites are fully accessible.
“This survey provides a snapshot of the negative impact of the pandemic and COVID-19 restrictions on the well-being of Canadians with disabilities,” adds Martin Ginis. “We strongly urge governments and community agencies to work quickly to address service gaps and mitigate further negative mental and physical health impacts.”
The full report can be viewed at: abilitiescentre.org/Abilities/media/Documents/Covid-survey-report
UBC’s Okanagan campus is an innovative hub for research and learning founded in 2005 in partnership with local Indigenous peoples, the Syilx Okanagan Nation, in whose territory the campus resides. As part of UBC—ranked among the world’s top 20 public universities—the Okanagan campus combines a globally recognized UBC education with a tight-knit and entrepreneurial community that welcomes students and faculty from around the world in British Columbia’s stunning Okanagan Valley.
To find out more, visit: ok.ubc.ca
Based at UBC Okanagan, the Centre for Chronic Disease Prevention and Management (CCDPM) serves as a leader for research, knowledge translation and exchange in the urgent research field of chronic disease prevention. The CCDPM is the UBC Faculty of Medicine’s first research centre located outside of the Lower Mainland. To learn more, visit: ccdpm.med.ubc.ca
Abilities Centre strives to make communities more accessible and inclusive to increase quality of life for every individual and enable them to participate fully in community and economic life. As a community hub, living lab and inclusion incubator, Abilities Centre engages individuals and communities in inclusive and accessible programs, leads research and advocacy on inclusion issues, and develops innovative frameworks for programs that are replicable, scalable and customizable to the needs of local communities in Durham Region and across Ontario and Canada. Learn more at: abilitiescentre.org
Posted in Centre for Chronic Disease Prevention and Management, SMP News
A UBC professor says the WHO exercise guidelines for people with disabilities miss the mark because they are not based on people who exercise mainly with their arms.
A UBC researcher is calling out the World Health Organization’s newly introduced activity and sedentary guidelines for people living with disabilities.
Kathleen Martin Ginis is director of the Centre for Chronic Disease Prevention and Management and a professor with UBC’s Department of Medicine and UBC Okanagan’s School of Health and Exercise Sciences. She holds the Reichwald Family Chair in Preventive Medicine, is a researcher with the International Collaboration on Repair Discoveries and works to help people living with spinal cord injury maintain a physically active lifestyle.
Martin Ginis discusses the WHO’s recently-announced global guidelines and how they missed the mark.
People with disabilities are at just as much risk for inactivity-related chronic diseases (heart disease, Type 2 diabetes) as the general population, if not more so. We also know that physical activity is important for mental health. However, people with disabilities do far less activity than the general population because of the countless barriers to activity that they face in their daily lives.
I’ve got several concerns with these guidelines. My biggest is that the guidelines are based on scientific evidence derived from studies of people without disabilities. Admittedly, there are still relatively few good studies that have measured the role of physical activity in preventing chronic diseases and improving the health of people with diseases. But in the absence of those types of studies, the WHO decided to simply extrapolate the research evidence for the general population and apply it to people with disabilities.
The upshot is that the guidelines for people with disabilities are now exactly the same as for the general population—150 to 300 minutes each week of moderate to vigorous aerobic activity and strength-training twice per week. One problem with this is that people with certain types of physical impairments do not have the same physiological response to exercise as the general population. We don’t know if they will get the same benefits from the recommended guidelines as the general population.
Also, none of the guideline evidence is based on people who do their exercise with their arms (e.g., to push a wheelchair or use an arm-cycle). No studies have looked at the long-term effects of 150 to 300 minutes a week of arm exercise so we don’t know the benefits or the risks. Even for people with disabilities who would be expected to have the same physiological response to exercise as the general population (e.g., people with visual or cognitive impairments), we cannot simply assume that that amount of physical activity will mitigate the many other risks to well-being that people with disabilities constantly face, such as poverty, lack of access to health care and social isolation.
There are so many! People with disabilities are often turned away from fitness centres and recreation facilities not just because those spaces are physically inaccessible, but because the people who work there have misconceptions or a complete lack of knowledge about how to support a person with a disability in a physical activity setting.
A lack of transportation is also a huge barrier—one of the most common. People with disabilities are mostly excluded from public health campaigns and advertisements promoting physical activity. There’s the old adage ‘’if you can see it, you can be it.” Unfortunately, people with disabilities don’t see themselves represented in physical activity settings as often as they should.
Yes. That’s my concern. The studies that we do have on physical activity for people with disabilities suggest that they can achieve significant health and fitness benefits by doing much less than 150 minutes a week. For instance, people living with spinal cord injury can improve their cardiometabolic health by doing 90 minutes of moderate- to vigorous-intensity exercise each week.
Given the plethora of barriers to physical activity experienced by people with disabilities, and evidence of significant benefits from lower doses of physical activity, it does not make sense for the WHO to promote the general population’s guideline as being an appropriate guideline for people with disabilities. I understand the WHO had good intentions to be inclusive with this guideline, but my concern is that the guideline will actually put people off, and further exclude people with disabilities from physical activity.
UBC’s Okanagan campus is an innovative hub for research and learning founded in 2005 in partnership with local Indigenous peoples, the Syilx Okanagan Nation, in whose territory the campus resides. As part of UBC—ranked among the world’s top 20 public universities—the Okanagan campus combines a globally recognized UBC education with a tight-knit and entrepreneurial community that welcomes students and faculty from around the world in British Columbia’s stunning Okanagan Valley.
To find out more, visit: ok.ubc.ca
Posted in Centre for Chronic Disease Prevention and Management, Faculty of Health and Social Development, Media Releases, School of Health and Exercise Sciences, Southern Medical Program
The Stronger Together project connects patients with expert resources, online counselling, daily health trackers and opportunities to build social connections with Canadians experiencing similar health circumstances.
Posted in Centre for Chronic Disease Prevention and Management, Health, Media Releases, Southern Medical Program
With gyms, recreation centres and sports programs closed due to COVID-19, people living with disabilities are looking for creative ways to stay active at home.
Posted in Centre for Chronic Disease Prevention and Management, Faculty of Health and Social Development, Learning, Media Releases, Research, Southern Medical Program
Vernon’s Josh Dueck is one of many people who have given the physical activity guidelines a test drive. Photo by: OI Canada
A team of researchers has developed an online platform of tried and true resources to help people living with spinal cord injury (SCI) lead a more active life.
Professor Kathleen Martin Ginis is the director of the Centre for Chronic Disease Prevention and Management based at UBC Okanagan. She says a major barrier to physical activity for people with a spinal cord injury is a lack of knowledge or resources about the amount and type of activity needed to achieve health and fitness benefits.
“It’s really hard for people to be active, let alone people living with a spinal cord injury,” she says.
To complicate matters, an international consortium of experts created two international guidelines for people with SCI. One provides recommendations for using exercise to increase cardiorespiratory fitness and muscle strength while the other is a recommendation for using exercise to improve cardiometabolic health.
Both guidelines stipulate the minimum amount of aerobic exercise and strengthening exercises needed weekly.
“These are scientific guidelines, that are great for scientists,” says Martin Ginis, who led the international consortium of experts. “But for Canadians with an SCI, we didn’t provide a really clear path and clear information on how to implement those guidelines into a daily routine.”
Martin Ginis’s team, including staff from Spinal Cord Injury BC and researchers with the International Collaboration on Repair Discoveries, spent the past two years reviewing, analyzing and testing the guidelines. More than a hundred people from the SCI community provided feedback.
“We sat down with experts, scientists, clinicians, people living with spinal cord injury, and key organizations and asked how we can take this scientific information and put it into something that people with spinal cord injury can use,” she explains.
The end result is a concise combination of the two scientific exercise guidelines into one clear and understandable online physical activity guideline.
“After two years of research, we’ve provided an online tool that people with a spinal cord injury can use with confidence to become more physically active.”
Along with suggested amounts of cardio required each week, the research also provides strength training ideas and tips. Users will find links to community resources, suggestions on how to get started with a physical activity program and advice from people living with an SCI.
One such end-user is Vernon’s Josh Dueck, retired Paralympic athlete and current executive director for Freestyle BC. Injured in a skiing accident in 2004, Dueck has continued with an active lifestyle winning numerous accolades in the sport of para-alpine ski racing. He has worked with UBCO’s research team providing insight to the activity guidelines, which he says are easy to follow and should help promote an active lifestyle for the SCI community.
“There is a beauty in simplicity and the simple approach is often the most attainable,” Dueck adds. “The SCI physical activity guidelines take the mystery out of what is needed to keep your body and mind thriving. It brings great joy to know the base parameters to maintain a healthy life are accessible and achievable.”
Users will find beginner and advanced levels along with additional tips and suggestions to avoid chronic ailments like Type 2 diabetes and heart disease.
This research, partially funded by the Praxis Spinal Cord Institute and the Social Sciences and Humanities Research Council of Canada, is published in Nature’s Spinal Cord journal.
UBC’s Okanagan campus is an innovative hub for research and learning founded in 2005 in partnership with local Indigenous peoples, the Syilx Okanagan Nation, in whose territory the campus resides. As part of UBC—ranked among the world’s top 20 public universities—the Okanagan campus combines a globally recognized UBC education with a tight-knit and entrepreneurial community that welcomes students and faculty from around the world in British Columbia’s stunning Okanagan Valley.
To find out more, visit: ok.ubc.ca
Posted in Centre for Chronic Disease Prevention and Management, Faculty of Medicine, Media Releases, Research, Spotlight