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Boppre G, Diniz-Sousa F, Veras L, Bezerra A, Devezas V, Preto J, Santos-Sousa H, Oliveira J, Fonseca H. Impact of a Multicomponent Exercise Training Program on Muscle Strength After Bariatric Surgery: A Randomized Controlled Trial. Obes Surg 2024; 34:1704-1716. [PMID: 38532144 PMCID: PMC11031478 DOI: 10.1007/s11695-024-07173-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Revised: 03/11/2024] [Accepted: 03/13/2024] [Indexed: 03/28/2024]
Abstract
PURPOSE This study examined the benefits of an 11-months multicomponent exercise program (MEP) on muscular strength (MS) after bariatric surgery. METHODS Of the 84 randomized patients, 41 participants from the exercise group (EG) and 20 participants from the control group (CG) were included in the analysis. The EG received supervised MEP for 11 months, starting 1-month post-bariatric surgery (BS) in addition to standard medical care, while the CG received medical care recommendations only. Knee and trunk MS was assessed by isokinetic dynamometry pre-surgery, 1-, 6-, and 12-month post-surgery, while body composition was assessed by dual-energy X-ray absorptiometry. RESULTS The MEP did not significantly impact absolute MS in the dominant knee and trunk regions at 6- and 12-month post-BS. However, relative MS showed significant improvements. At 6-month post-BS, knee flexion at 60°/s relative to body weight (BW) increased significantly (p = 0.047), as did knee extension at 180°/s relative to BW (p = 0.009), and knee extension at 60°/s relative to total lean mass (p=0.040). At 12-month post-BS, knee flexion at 60°/s relative to BW also significantly improved (p=0.038). CONCLUSION While absolute MS was not significantly improved with MEP, this study found significant enhancements in relative MS, particularly in dominant knee flexion post-MEP participation. Further research should explore different exercise intensities and frequencies to optimize postoperative MS recovery post-BS. CLINICAL TRIAL REGISTRATION ClinicalTrials.gov (NCT02843048).
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Affiliation(s)
- Giorjines Boppre
- Research Centre in Physical Activity, Health, and Leisure (CIAFEL), Faculty of Sport, University of Porto, Rua Dr. Plácido Costa, 91, 4200-450, Porto, Portugal.
- Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal.
| | - Florêncio Diniz-Sousa
- Research Centre in Physical Activity, Health, and Leisure (CIAFEL), Faculty of Sport, University of Porto, Rua Dr. Plácido Costa, 91, 4200-450, Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal
| | - Lucas Veras
- Research Centre in Physical Activity, Health, and Leisure (CIAFEL), Faculty of Sport, University of Porto, Rua Dr. Plácido Costa, 91, 4200-450, Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal
| | - Andrea Bezerra
- Research Centre in Physical Activity, Health, and Leisure (CIAFEL), Faculty of Sport, University of Porto, Rua Dr. Plácido Costa, 91, 4200-450, Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal
| | - Vitor Devezas
- General Surgery Department, São João Medical Center, Porto, Portugal
| | - John Preto
- General Surgery Department, São João Medical Center, Porto, Portugal
| | - Hugo Santos-Sousa
- General Surgery Department, São João Medical Center, Porto, Portugal
| | - José Oliveira
- Research Centre in Physical Activity, Health, and Leisure (CIAFEL), Faculty of Sport, University of Porto, Rua Dr. Plácido Costa, 91, 4200-450, Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal
| | - Hélder Fonseca
- Research Centre in Physical Activity, Health, and Leisure (CIAFEL), Faculty of Sport, University of Porto, Rua Dr. Plácido Costa, 91, 4200-450, Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal
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Freitas L, Bezerra A, Resende-Coelho A, Gomez-Lazaro M, Maciel L, Amorim T, Fernandes RJ, Fonseca H. Impact of Long-Term Swimming Exercise on Rat Femur Bone Quality. Biomedicines 2023; 12:35. [PMID: 38255142 PMCID: PMC10813774 DOI: 10.3390/biomedicines12010035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 12/18/2023] [Accepted: 12/20/2023] [Indexed: 01/24/2024] Open
Abstract
Considering the conflicting evidence regarding the potential long-term detrimental effect of swimming during growth on femur quality and fracture risk, our aim was to investigate the effect of eight months of swimming on femur quality. Twenty male eight-week-old Wistar rats were assigned into a swimming (SW; n = 10; 2 h/day, 5 days/week) or active control group (CG; n = 10, housed with running wheel) for eight months. Plasma osteocalcin and C-terminal telopeptide of type I collagen concentrations (ELISA) were assessed at baseline, four, and eight months of protocol. Femur structure (micro-computed tomography), biomechanical properties (three-point bending), and cellular density (histology) were determined after the protocol. SW displayed a lower uncoupling index, suggesting higher bone resorption, lower empty lacunae density, cortical and trabecular femur mass, femur length and cortical thickness, and higher cortical porosity than CG (p < 0.05). Although both biomarkers' concentrations decreased in both groups throughout the experiment (p < 0.001), there were no significant differences between groups (p > 0.05). No differences were also found regarding biomechanical properties, bone marrow adiposity, and osteocyte and osteoclast densities (p > 0.05). Long-term swimming was associated with unbalanced bone turnover and compromised femur growth, lower femur mass, and deteriorated cortical bone microarchitecture. However, femur trabecular microarchitecture and biomechanical properties were not affected by swimming.
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Affiliation(s)
- Laura Freitas
- Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, 4200-450 Porto, Portugal; (A.B.); (A.R.-C.); (L.M.); (H.F.)
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4050-600 Porto, Portugal
| | - Andrea Bezerra
- Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, 4200-450 Porto, Portugal; (A.B.); (A.R.-C.); (L.M.); (H.F.)
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4050-600 Porto, Portugal
| | - Ana Resende-Coelho
- Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, 4200-450 Porto, Portugal; (A.B.); (A.R.-C.); (L.M.); (H.F.)
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4050-600 Porto, Portugal
| | - Maria Gomez-Lazaro
- i3S—Institute for Research and Innovation in Health, University of Porto, 4200-135 Porto, Portugal;
| | - Leonardo Maciel
- Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, 4200-450 Porto, Portugal; (A.B.); (A.R.-C.); (L.M.); (H.F.)
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4050-600 Porto, Portugal
- Postgraduate Nursing Program, Federal University of Sergipe, São Cristovão 49100-000, Brazil
- Department of Physiotherapy, Federal University of Sergipe, Lagarto 49400-000, Brazil
| | - Tânia Amorim
- Fame Laboratory, Department of Physical Education and Sport Science, University of Thessaly, 421-00 Trikala, Greece;
| | - Ricardo J. Fernandes
- Centre of Research, Education, Innovation and Intervention in Sport (CIFI2D), Faculty of Sport, University of Porto, 4200-450 Porto, Portugal;
- Porto Biomechanics Laboratory (LABIOMEP), Faculty of Sport, University of Porto, 4050-313 Porto, Portugal
| | - Hélder Fonseca
- Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, 4200-450 Porto, Portugal; (A.B.); (A.R.-C.); (L.M.); (H.F.)
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4050-600 Porto, Portugal
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Freitas L, Bezerra A, Amorim T, Fernandes RJ, Duarte J, Fonseca H. Is competitive swimming training a risk factor for osteoporosis? A systematic review of the literature and quality of evidence. Ger J Exerc Sport Res 2022. [DOI: 10.1007/s12662-022-00849-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Reyes-Amigo T, Bezerra A, Gomez-Mazorra M, Boppre G, Martins C, Carrasco-Beltran H, Cordero-Roldan E, Mota J. Effects of high-intensity interval training on executive functions in children and adolescents: A Systematic Review and Meta-analysis. Physical Activity Review 2022. [DOI: 10.16926/par.2022.10.23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Background: In recent years, research has focused on the effect of high-intensity interval training (HIIT) on cognitive function has strongly increased. However, little is known about the effects of HIIT on executive function (EFs) in children and adolescents. Objective: This systematic review and meta-analysis aimed to evaluate the effects of HIIT on EFs in children and adolescents. Methods: A literature search was performed using four electronic databases: PubMed, Web of Science, Scopus, and EBSCOhost. We included studies published since 2010 that examined HIIT interventions on EFs (Inhibitory Control (IC), Working Memory (WM) and Cognitive Flexibility (CF)) with participants aged between 6 and 18 years. Results: Seven of the 295 studies were included in this review. Analysis of HIIT effects, as well as sensitivity analysis, indicated that participation in HIIT exercise sessions led to a significant improvement in WM (MD = 0.29, 95% CI 0.08; 0.05; z = 2.73, p = 0.01; I 2 = 92%; p < 0.01). However, the analysis of the effects of HIIT on IC indicated that participation in HIIT exercise sessions was not significant (MD = -1.3, 95% CI 20.02; 17.41; p=0.26; z = -0.14, p =0.89; I 2 = 22%; p= 0.26). Conclusion: Our study provides evidence that participation in an HIIT program can improve the working memory of children and adolescents.
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Ribeiro L, Bezerra A, Gervais C, Bernard S, Machado R, Motz G. The influence of pyrolysis temperature on the oxidation resistance of carbon-rich SiCN ceramics derived from reaction of silazanes with acrylonitrile. Ann Ital Chir 2021. [DOI: 10.1016/j.jeurceramsoc.2021.01.042] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Fonseca H, Bezerra A, Coelho A, Duarte JA. Association between Visceral and Bone Marrow Adipose Tissue and Bone Quality in Sedentary and Physically Active Ovariectomized Wistar Rats. Life (Basel) 2021; 11:life11060478. [PMID: 34070279 PMCID: PMC8225130 DOI: 10.3390/life11060478] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 05/20/2021] [Accepted: 05/21/2021] [Indexed: 01/13/2023] Open
Abstract
Background: Obesity is considered protective for bone mass, but this view has been progressively challenged. Menopause is characterized by low bone mass and increased adiposity. Our aim was to determine how visceral and bone marrow adiposity change following ovariectomy (OVX), how they correlate with bone quality and if they are influenced by physical activity. Methods: Five-month-old Wistar rats were OVX or sham-operated and maintained in sedentary or physically active conditions for 9 months. Visceral and bone marrow adiposity as well as bone turnover, femur bone quality and biomechanical properties were assessed. Results: OVX resulted in higher weight, visceral and bone marrow adiposity. Visceral adiposity correlated inversely with femur Ct.Th (r = −0.63, p < 0.001), BV/TV (r = −0.67, p < 0.001), Tb.N (r = −0.69, p < 0.001) and positively with Tb.Sp (r = 0.58, p < 0.001). Bone marrow adiposity also correlated with bone resorption (r = 0.47, p < 0.01), bone formation rate (r = −0.63, p < 0.01), BV/TV (r = −0.85, p < 0.001), Ct.Th (r = −0.51, p < 0.0.01), and with higher empty osteocyte lacunae (r = 0.39, p < 0.05), higher percentage of osteocytes with oxidative stress (r = 0.64, p < 0.0.01) and lower femur maximal stress (r = −0.58, p < 0.001). Physical activity correlated inversely with both visceral (r = −0.74, p < 0.01) and bone marrow adiposity (r = −0.92, p < 0.001). Conclusions: OVX increases visceral and bone marrow adiposity which are associated with inferior bone quality and biomechanical properties. Physical activity could contribute to reduce adipose tissue and thereby improve bone quality.
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Affiliation(s)
- Hélder Fonseca
- Faculty of Sport, University of Porto (FADE/UP), 4200-450 Porto, Portugal; (A.B.); (A.C.); (J.A.D.)
- Research Center of Physical Activity, Health and Leisure (CIAFEL), 4200-450 Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4050-600 Porto, Portugal
- Correspondence: ; Tel.: +351-220-425-239
| | - Andrea Bezerra
- Faculty of Sport, University of Porto (FADE/UP), 4200-450 Porto, Portugal; (A.B.); (A.C.); (J.A.D.)
- Research Center of Physical Activity, Health and Leisure (CIAFEL), 4200-450 Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4050-600 Porto, Portugal
| | - Ana Coelho
- Faculty of Sport, University of Porto (FADE/UP), 4200-450 Porto, Portugal; (A.B.); (A.C.); (J.A.D.)
- Research Center of Physical Activity, Health and Leisure (CIAFEL), 4200-450 Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4050-600 Porto, Portugal
| | - José Alberto Duarte
- Faculty of Sport, University of Porto (FADE/UP), 4200-450 Porto, Portugal; (A.B.); (A.C.); (J.A.D.)
- Research Center of Physical Activity, Health and Leisure (CIAFEL), 4200-450 Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4050-600 Porto, Portugal
- Polytechnic and University Higher Education Cooperative (CESPU), 4485-116 Gandra Campus, 4050-600 Porto, Portugal
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Bezerra A, Andersen M, Pires G, Banzoli C, Polesel D, Tufik S, Hachul H. Progestagen-based contraceptives and subjective sleep reports in premenopausal women. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Nunes A, Marques-Aguiar S, Saldanha N, Silva RSE, Bezerra A. New records on the geographic distribution of bat species in the Brazilian Amazonia. MAMMALIA 2005. [DOI: 10.1515/mamm.2005.012] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Victor EG, Moraes CR, Bezerra A, Santos DG, Torres RA, Wanderley JE, Lima R, Escobar M, Rodrigues JV, Noé LT, Santos FA. [Ruptured mycotic aneurysm of the left ventricle. Report of a case]. Arq Bras Cardiol 1982; 38:45-8. [PMID: 6897350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
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Moraes CR, Escobar M, Lima R, Cavalcanti I, Bezerra A, Raposo L, Gomes JM. [Tricuspid valve excision without prosthetic implantation in the treatment of infectious endocarditis]. Arq Bras Cardiol 1980; 34:217-9. [PMID: 7436780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
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