1
ISMH Congress 2011 Abstracts Results: Subjects were 73 men and 61 women with an average age of 57.8 ± 9.53 years. The majority of patients had more than 2 cardiovascular risk factors. Hypertension was classified as mild in 51%, moderate in 39% and severe in 10% of the subjects. It was complicated by nephropathy in 15%, retinopa- thy in 23% and cerebrovascular events in 18%. As well as antihypertensive therapy, 63% of patients went on a low-salt diet, 46% had regular physical activity, and 47% stopped smoking. After 3 months of treatment and depending on the level of hypertension, 58% of the treated patients were well versus 42% who were not. Conclusion: Hypertension treatment is well established under various guidelines, however the lifestyle change is very important and the prescription of antihypertensive drugs is essential if more patients under- going treatment are to get well. doi:10.1016/j.jomh.2011.08.075 Abstract ID: #0100 Topic: Non-Urology/Lifestyle Issues (smoking, alcohol, drug abuse, men and their weight, sport injury, the violent man) KICKING THE HABIT; A BIOPSYCHOSOCIAL ACCOUNT OF ENGAGING MEN RECOVERING FROM DRUG MISUSE IN REGULAR RECREATIONAL FOOTBALL K. Dunn , B. Drust, D. Flower, D. Richardson John Moores University, Liverpool, United Kingdom Background: Latest findings reveal that 7.3% of men (aged 16–59 years) in the UK currently use illegal drugs (Hoare & Moon, 2010). Drug misuse can have severe adverse health and social consequences (WHO, 2004). Participation in regular physical activity can aid recovery from substance misuse (Terry-McElrath et al, 2011). This study explored the biological, psychological and social effects of engaging men recovering from drug misuse in regular physical activity through a Football in the Community programme at an English Premier League Football Club. Materials & Methods: 9 men (mean ± SD: age 34 ± 10 years, height 1.75 ± 0.16m, mass 78.0 ± 16.5kg) recovering from drug misuse engaged in a 12 week programme consisting of 4 hours of football training per week. Indices of health and fitness (body composition, blood pres- sure, resting heart rate and intermittent endurance) and psychological wellbeing were measured pre and post intervention. A practitioner-cum- researcher role was adopted to include immersion in the planning and delivery of the programme. Social issues were discussed with participants through informal client–researcher interactions and data were collated through field notes, observations and personal reflections. Results: Intermittent endurance performance increased 117% from 1220 ± 114m to 2650 ± 1004m. Total body mass, fat mass and % fat decreased from 78.0 ± 16.5kg; 16.3 ± 6.6kg; 21.5 ± 5.1% to 74.9 ± 15.2kg; 13.1 ± 6.6 kg and 17.8 ± 5.2%, respectively, while lean muscle mass also increased (48.5 ± 23.4 kg to 55.6 ± 10.7kg). No real changes were observed in bone mineral density, blood pressure or resting heart rate. Positive changes were recorded and observed in participants’ self-efficacy and attitude toward their health. Participants expressed that the programme provided structure to their otherwise chaotic lives. Positive developments in social capital were also evidenced within the programme as the partic- ipants appeared to develop aspects of social bonding. Conclusion: Participation in regular recreational football can consider- ably improve the overall health, fitness and psychological wellbeing of men recovering from drug misuse. Furthermore, this research highlights underlying benefits of regular physical activity for this population such as its importance in the development of structure and social capital. doi:10.1016/j.jomh.2011.08.076 Abstract ID: #0094 LIFESTYLE AND NUTRITION PECULIARITIES AS RISK FACTORS FOR PRECANCEROUS SKIN LESIONS AND PREMATURE SKIN AGE- ING IN LATVIAN CITIZENS J. Janovska 1,, J. Voicehovska 2 1 Latvian University, Riga, Latvia, 2 Riga Stradins University, LV1010, Latvia Background: There are many risk factors for developing skin malignancy and premature skin ageing, such as ultraviolet radiation (UV), smoking, and a lot of other harmful factors, which can damage the skin esthetically as well as functionally. Our aim was to analyze the main risk factors for the development of precancerous skin lesions, to identify factors which impact on premature skin ageing in young adult Latvian citizens, aged from 16–40 years, by investigating their life habits and attitudes towards tanning facilities and a healthy lifestyle. Materials & Methods: This prospective randomized study took place at a clinic of esthetic dermatology in Riga, Latvia. In total 35 patients in the 16–40 year age group were included. We interweaved and objectively inspected this group of patients. Inspection included such components as: state of skin; patient’s phototype by Fitzpatrick scale; intensity of skin pigmentation; existence of telangiectasia on facial skin and its intensity. Seborrheic keratosis and skin dryness level were also obtained. We ana- lyzed any interconnections between risk factors and skin precancerous lesions on the body, such as actinic keratosis. All data were analyzed using Excel and SPSS 16.0 for Windows. Results: The main risk factors in this group of young adults were: smoking, 25.7%; past history of sunburn, 54.3%; and use of indoor tanning facilities, 45.7%. We found that 22. 9% of patients did not use any kind of sunscreen. In terms of education level, 51.4% of participants had attended higher education, and 31% had a secondary level education. Therefore, level of education impacts on tanning facilities in men, as well as smoking, which is an inseparable part of the tanning habit for women. In conclusion, the main risk factors for premature skin ageing and developing skin can- cer are: age (P < 0.001), use of indoor tanning facilities (P = 0.002), chronic disease (P = 0,010). Conclusion: Most of the alterations found on photo-aged skin were pre- viously considered to be caused by UV wavelengths. Seborreic keratosis increases beyond solarium visiting, as well as lentigo type pigmentation; and the hands and back are impacted in particular. doi:10.1016/j.jomh.2011.08.077 Abstract ID: #0068 A COMMUNITY SURVEY OF YOUNG ADULTS USING RECRE- ATIONAL KETAMINE S.K. Mak 1,, K.H.S. Yip 1 , C.Y. Man 2 1 Chinese University of Hong Kong, Hong Kong, China, 2 North District Hospital, Hong Kong, China Background: A multidisciplinary outreach volunteer clinic was set up in community centers to assess the physical, psychological and urological status of teenagers with a history of ketamine abuse. Materials & Methods: 66 teenagers, aged 13–25 years, were recruited and assessed in 6 clinic sessions from July–September 2009. Urological assess- ment included self-completion questionnaires on pelvic-pain, urgency and frequency (PUF), uro-flowmetry, post-void bladder scan and kidney ultrasonography. Physical fitness and cognitive function were assessed by physiotherapists. Mood and anxiety disorders were assessed using the Beck Anxiety Inventory (BAI) and the Beck Depression Inventory (BDI), both self-completion questionnaires. The amount of ketamine usage was estimated from the weight of table salt using an electronic balance. The ketamine dose per week was calculated as the weight of table salt in grams multiplied by the frequency of ketamine usage per week. Results: 24% of the subjects were female. First drug abuse was as early as age 10 and 77% reported recreation as the main reason for drug abuse. The commonest drug being abused was ketamine (>97%) followed by nimetazepam (51%), cocaine (45.7%) and cannabis (39.4%). Ketamine abuse for more than 24 months was observed to have a higher PUF symptom score (6.16 vs 3.92; P = 0.043) and bother score (2.68 vs 1.42; jmh Vol. 8, No. 3, pp. 208–245, 2011 233

Kicking the habit; a biopsychosocial account of engaging men recovering from drug misuse in regular recreational football

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Page 1: Kicking the habit; a biopsychosocial account of engaging men recovering from drug misuse in regular recreational football

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esults: Subjects were 73 men and 61 women with an average age of7.8± 9.53 years. Themajority of patients hadmore than 2 cardiovascularisk factors.ypertension was classified as mild in 51%, moderate in 39% and severe in0% of the subjects. It was complicated by nephropathy in 15%, retinopa-hy in 23% and cerebrovascular events in 18%.s well as antihypertensive therapy, 63% of patients went on a low-saltiet, 46% had regular physical activity, and 47% stopped smoking. After 3onths of treatment and depending on the level of hypertension, 58% of

he treated patients were well versus 42% who were not.onclusion: Hypertension treatment is well established under variousuidelines, however the lifestyle change is very important and therescription of antihypertensive drugs is essential if more patients under-oing treatment are to get well.

oi:10.1016/j.jomh.2011.08.075

Abstract ID: #0100

opic: Non-Urology/Lifestyle Issues (smoking, alcohol, drug abuse, mennd their weight, sport injury, the violent man)

ICKING THE HABIT; A BIOPSYCHOSOCIAL ACCOUNT OFNGAGINGMEN RECOVERING FROMDRUGMISUSE IN REGULARECREATIONAL FOOTBALL

. Dunn ∗, B. Drust, D. Flower, D. Richardson

John Moores University, Liverpool, United Kingdom

ackground: Latest findings reveal that 7.3% of men (aged 16–59 years) inhe UK currently use illegal drugs (Hoare & Moon, 2010). Drug misusean have severe adverse health and social consequences (WHO, 2004).articipation in regular physical activity can aid recovery from substanceisuse (Terry-McElrath et al, 2011). This study explored the biological,sychological and social effects of engaging men recovering from drugisuse in regular physical activity through a Football in the Communityrogramme at an English Premier League Football Club.aterials & Methods: 9 men (mean± SD: age 34± 10 years, height.75± 0.16m, mass 78.0± 16.5kg) recovering from drug misuse engagedn a 12 week programme consisting of 4hours of football traininger week. Indices of health and fitness (body composition, blood pres-ure, resting heart rate and intermittent endurance) and psychologicalellbeing were measured pre and post intervention. A practitioner-cum-esearcher role was adopted to include immersion in the planning andelivery of the programme. Social issues were discussed with participantshrough informal client–researcher interactions and data were collatedhrough field notes, observations and personal reflections.esults: Intermittent endurance performance increased 117% from220± 114m to 2650± 1004m. Total body mass, fat mass and % fatecreased from 78.0± 16.5kg; 16.3± 6.6kg; 21.5± 5.1% to 74.9± 15.2kg;3.1± 6.6 kg and 17.8± 5.2%, respectively, while lean muscle mass alsoncreased (48.5± 23.4 kg to 55.6± 10.7kg). No real changes were observedn bone mineral density, blood pressure or resting heart rate. Positivehanges were recorded and observed in participants’ self-efficacy andttitude toward their health. Participants expressed that the programmerovided structure to their otherwise chaotic lives. Positive developmentsn social capital were also evidenced within the programme as the partic-pants appeared to develop aspects of social bonding.onclusion: Participation in regular recreational football can consider-bly improve the overall health, fitness and psychological wellbeing of

en recovering from drug misuse. Furthermore, this research highlightsnderlying benefits of regular physical activity for this population suchs its importance in the development of structure and social capital.

oi:10.1016/j.jomh.2011.08.076

ubBbekmRaabas

ISMH Congress 2011 Abstracts

Abstract ID: #0094IFESTYLE AND NUTRITION PECULIARITIES AS RISK FACTORSOR PRECANCEROUS SKIN LESIONS AND PREMATURE SKIN AGE-NG IN LATVIAN CITIZENS

. Janovska1,∗, J. Voicehovska2

Latvian University, Riga, Latvia, 2 Riga Stradins University, LV1010, Latvia

ackground: There are many risk factors for developing skin malignancynd premature skin ageing, such as ultraviolet radiation (UV), smoking,nd a lot of other harmful factors, which can damage the skin estheticallys well as functionally.ur aim was to analyze the main risk factors for the development ofrecancerous skin lesions, to identify factors which impact on prematurekin ageing in young adult Latvian citizens, aged from 16–40 years, bynvestigating their life habits and attitudes towards tanning facilities andhealthy lifestyle.aterials & Methods: This prospective randomized study took place at alinic of esthetic dermatology in Riga, Latvia. In total 35 patients in the6–40 year age group were included. We interweaved and objectivelynspected this group of patients. Inspection included such componentss: state of skin; patient’s phototype by Fitzpatrick scale; intensity of skinigmentation; existence of telangiectasia on facial skin and its intensity.eborrheic keratosis and skin dryness level were also obtained. We ana-yzed any interconnections between risk factors and skin precancerousesions on the body, such as actinic keratosis. All data were analyzed usingxcel and SPSS 16.0 for Windows.esults: The main risk factors in this group of young adults were: smoking,5.7%; past history of sunburn, 54.3%; and use of indoor tanning facilities,5.7%. We found that 22. 9% of patients did not use any kind of sunscreen.n terms of education level, 51.4% of participants had attended higherducation, and 31% had a secondary level education. Therefore, level ofducation impacts on tanning facilities inmen, as well as smoking, whichs an inseparable part of the tanning habit for women. In conclusion, theain risk factors for premature skin ageing and developing skin can-er are: age (P<0.001), use of indoor tanning facilities (P= 0.002), chronicisease (P= 0,010).onclusion: Most of the alterations found on photo-aged skin were pre-iously considered to be caused by UV wavelengths. Seborreic keratosisncreases beyond solarium visiting, as well as lentigo type pigmentation;nd the hands and back are impacted in particular.

oi:10.1016/j.jomh.2011.08.077

Abstract ID: #0068COMMUNITY SURVEY OF YOUNG ADULTS USING RECRE-

TIONAL KETAMINE

.K. Mak1,∗, K.H.S. Yip1, C.Y. Man2

Chinese University of Hong Kong, Hong Kong, China, 2 North District Hospital,ong Kong, China

ackground: A multidisciplinary outreach volunteer clinic was set up inommunity centers to assess the physical, psychological and urologicaltatus of teenagers with a history of ketamine abuse.aterials & Methods: 66 teenagers, aged 13–25 years, were recruited andssessed in 6 clinic sessions from July–September 2009. Urological assess-ent included self-completion questionnaires on pelvic-pain, urgencynd frequency (PUF), uro-flowmetry, post-void bladder scan and kidneyltrasonography. Physical fitness and cognitive function were assessedy physiotherapists. Mood and anxiety disorders were assessed using theeck Anxiety Inventory (BAI) and the Beck Depression Inventory (BDI),oth self-completion questionnaires. The amount of ketamine usage wasstimated from the weight of table salt using an electronic balance. Theetamine dose perweekwas calculated as theweight of table salt in gramsultiplied by the frequency of ketamine usage per week.esults: 24% of the subjects were female. First drug abuse was as early

s age 10 and 77% reported recreation as the main reason for drugbuse. The commonest drug being abused was ketamine (>97%) followedy nimetazepam (51%), cocaine (45.7%) and cannabis (39.4%). Ketaminebuse for more than 24 months was observed to have a higher PUFymptom score (6.16 vs 3.92; P= 0.043) and bother score (2.68 vs 1.42;

jmh Vol. 8, No. 3, pp. 208–245, 2011 233