Differences between FEV6, FVC and VC at the diagnosis of obstructive ventilatory defect

INTRODUCTION

The diagnosis of airway obstruction can be made through FEV1/FVC ratio <0.7 or FEV1/VC ratio < lower limit of normality (LLN). Several authors advocate that FEV1/FEV6 ratio is an alternative to diagnosing obstructive ventilatory defect, while others have determined that the best cut-off for this ratio (best combined sensitivity and specificity) is 0.73.

OBJECTIVE

To evaluate the non-inferiority of FEV1/FEV6 ratio < 0.73 when compared to FEV1/FVC ratio < 0.7 and FEV1/VC < LLN in diagnosing airway obstruction.

METHODS

A retrospective analysis of the medical records from patients who underwent spirometry or plethysmography in a university central hospital from June 1st to December 31st, 2018 was carried out. Only medical records which included FEV1/FVC < 0.7 or FEV1/VC < LLN were selected, and these results were compared to FEV1/FEV6 ratio.

RESULTS

A total of 526 patients with obstructive ventilatory defect were identified by one of the two ratios described. Of these, 95.1%, 87.4% and 88.6% were obstructive by FEV1/FVC, FEV1/VC, and FEV1/FEV6 ratio, respectively. The positive predictive value (PPV) of FEV1/FEV6 in relation to FEV1/FVC ratio was 99.6% (p < 0.001) with a diagnostic efficacy of 92.8%, whereas the PPV of FEV1/FEV6 in relation to FEV1/VC was 91.0% (p < 0.001) and diagnostic efficacy was 85.2%. Most false negatives, comparing FEV6 with the other two tests, were found in patients with FEV1 > 70% (mild obstruction) and in individuals aged >50 years.

CONCLUSIONS

FEV1/FEV6 < 0.73 may be a good alternative ratio, as it is non-inferior to FEV1/VC and FEV1/FVC in diagnosing obstructive ventilatory defect.

GABA Supplementation, Increased Heart-Rate Variability, Emotional Response, Sleep Efficiency and Reduced Depression in Sedentary Overweight Women Undergoing Physical Exercise: Placebo-Controlled, Randomized Clinical Trial

Gamma-aminobutyric acid (GABA) serves as a pivotal neurotransmitter implicated in the pathogenesis of stress, anxiety, sleep-related disorders, and heart rate (HR) reactions. Heart-rate variability (HRV), modulated by the sympathetic and parasympathetic branches of the autonomic nervous system (ANS), offers insights into cardiac autonomic control and cardiovascular well-being. The present study aimed to explore the impact of GABA supplementation on emotional metrics, sleep quality, and HRV in sedentary women with overweight or obesity partaking in physical exercise. A randomized, double-blind, placebo-controlled clinical trial was undertaken involving 30 sedentary women with overweight or obesity. Volunteers were assigned randomly to two groups: the intervention group receiving GABA (200 mg) once daily for a total of 90 supplementation doses, and the placebo group. Both groups engaged in physical exercise, while the supplementation regimen spanned 90 days. Assessments were conducted at three intervals: baseline (T0), midway through the study (T45), and study culmination (T90). Following 90 days of GABA supplementation, the intervention group demonstrated enhancements in habitual sleep efficiency, as indicated by reductions in Pittsburgh Sleep Quality Index (PSQI) scores. Moreover, an improved emotional response was observed, characterized by diminished negative affect. GABA supplementation yielded ameliorations in depression scores as per the Depression, Anxiety, and Stress Scale (DASS-21). Notably, an augmented HRV was noted, attributed to heightened parasympathetic autonomic nervous system predominance. GABA supplementation elicited noteworthy enhancements in heart rate variability, emotional response, depression mitigation, and sleep efficiency following a 90-day supplementation.

Effects of oral HPΒCD-angiotensin-(1-7) supplementation on recreational mountain bike athletes: a crossover study

BACKGROUND

Supplementation with Angiotensin-(1-7) [(Ang-1-7)] has received considerable attention due to its possible ergogenic effects on physical performance. The effects of a single dose of Ang-(1-7) on the performance of mountain bike (MTB) athletes during progressive load tests performed until the onset of voluntary fatigue have previously been demonstrated. This study tested the effects of Ang-(1-7) in two different exercise protocols with different metabolic demands: aerobic (time trial) and anaerobic (repeated sprint).

METHODS

Twenty one male recreational athletes were given capsules containing an oral formulation of HPβCD-Ang-(1-7) (0.8 mg) and HPβCD-placebo (only HPβCD) over a 7-day interval; a double-blind randomized crossover design was used. Physical performance was examined using two protocols: a 20-km cycling time trial or 4 × 30-s repeated all-out sprints on a leg cycle ergometer. Data were collected before and after physical tests to assess fatigue parameters, and included lactate levels, and muscle activation during the sprint protocol as evaluated by electromyography (EMG); cardiovascular parameters: diastolic and systolic blood pressure and heart rate; and performance parameters, time to complete (time trial), maximum power and mean power (repeated sprint).

RESULTS

Supplementation with an oral formulation of HPβCD-Ang-(1-7) reduced basal plasma lactate levels and promoted the maintenance of plasma glucose levels after repeated sprints. Supplementation with HPβCD-Ang-(1-7) also increased baseline plasma nitrite levels and reduced resting diastolic blood pressure in a time trial protocol. HPβCD-Ang-(1-7) had no effect on the time trial or repeat sprint performance, or on the EMG recordings of the vastus lateralis and vastus medialis.

CONCLUSIONS

Supplementation with HPβCD-Ang-(1-7) did not improve physical performance in time trial or in repeated sprints; however, it promoted the maintenance of plasma glucose and lactate levels after the sprint protocol and at rest, respectively. In addition, HPβCD-Ang-(1-7) also increased resting plasma nitrite levels and reduced diastolic blood pressure in the time trial protocol.

TRIAL REGISTRATION

RBR-2nbmpbc, registered January 6th, 2023. The study was prospectively registered.

12 weeks of resistance training with progressive intensity improves the diagnostic parameters of sarcopenia in individuals of advanced age

OBJECTIVE

The objective of this study was to evaluate the effects of 12 weeks of resistance training (RT) with progressive intensity on factors associated with sarcopenia in older individuals.

METHODS

A cross-sectional study was conducted with 74 participants (64.27 ± 7.06-y-old) who were divided into a control group (n = 37) and an intervention group (n = 37). The intervention group underwent 12 weeks of RT three times a week, with an initial training of 60% and final training of 85% of one-repetition maximum (1RM). Both groups were evaluated before and after the 12-week training period to assess improvements in strength and physical performance.

RESULTS

The intervention group showed an increase in physical performance, as evidenced by a reduction in the time to perform the Timed Up and Go (TUG) test (p < 0.01) and the Five Times Sit to Stand Test (p < 0.01). Furthermore, the RT proved to be efficient for increasing hand grip and overall muscular strength, as confirmed through the 1RM test. However, the muscle mass index (MMI) and walking speed did not show any significant alterations in both groups.

CONCLUSIONS

In conclusion, 12 weeks of RT with progressive intensity has a positive effect on the diagnostic parameters of sarcopenia, leading to improvements in physical performance and muscular strength while maintaining the MMI.

Six months of resistance training improves heart rate variability in the elderly

Heart rate variability is a non-invasive method of assessing global health through the analysis of the autonomous centralnervous system, including both the sympathetic and parasympathetic systems. The aim of this study was to evaluate the effect of resistance training on heart rate variability at rest in elderly individuals undergoing six months of resistance training with progressive loads. Training reduced the body fat percentage of the volunteers (pre: 39.39 ± 7.21 vs post: 34.97 ± 6.40%; p = 0.0069). There was also a significant reduction in the low-frequency index (pre: 69621.50 ± 9817.28 vs post: 54210.50 ± 14903.94; p = 0.0322) and a significant increase in the high-frequency index (pre: 30308.00 ± 9857.86 vs post: 45627.10 ± 14838.80; p = 0.0326). We concluded that sixmonths of resistance training with progressive loads were beneficial for heart rate variability and reduced the body fat percentage in the elderly.

Efeitos de diferentes protocolos de treinamento de força sobre parâmetros influenciadores da Sarcopenia em idosos: uma revisão sistemática

Introdução: A sarcopenia é considerada uma patologia caracterizada pela redução da massa muscular esquelética e da sua funcionalidade, sendo que vários dos parâmetros que influenciam sobre a sarcopenia sofrem interferência do treinamento de força. Objetivo: Revisar os efeitos dos diferentes protocolos de treinamento de força (frequência, duração e intensidade) sobre parâmetros influenciadores da sarcopenia. Métodos: Trata-se de uma revisão sistemática de estudos originais, quantitativos, observacionais, publicados entre 2010 a 2020, em inglês, espanhol e português, e indexados nas bases de dados SciELO, PubMed e periódico CAPES. Os descritores utilizados foram: “força muscular” (“muscle strenght”, “fuerza muscular”), “sarcopenia” (“sarcopenia”), “envelhecimento” (“aging”, “envejecimiento”), “idosos” (“olders, “ancianos”), “treinamento de força/resistência” (“strength training”, “entrenamiento de fuerza”). Foram recuperados 215 artigos, entre eles 11 atenderam aos critérios de inclusão, sendo incluídos na revisão. Resultados: Dentre os 11 estudos analisados, observa-se que o treinamento de força aplicado em diferentes protocolos foi eficiente em aperfeiçoar parâmetros como massa e força musculares, equilíbrio corporal e desempenho em testes diagnósticos de sarcopenia. Conclusão: Esta revisão evidencia os benefícios da prática de exercício de força em diferentes protocolos sobre parâmetros que influenciam na instalação do quadro de sarcopenia em idosos. O exercício de força se apresenta como meio aplicável, prático e não farmacológico da prevenção de sarcopenia.

Effects of Aquatic Exercise in Post-exercise Hypotension: A Systematic Review and Meta-Analysis

Background

Post-exercise hypotension (PEH) can be an important non-pharmacological strategy in the treatment of arterial hypertension. Both aerobic and resistance exercises produce PEH, but it is not clear if the exercise environment can lead to a higher PEH.

Objective

This meta-analysis investigated whether a session of aquatic exercise (AE) induces PEH in comparison with control conditions such as land exercise (LE) or rest in hypertensive subjects.

Methods

The present systematic review and meta-analysis was conducted using the following electronic databases: PubMed, Google Scholar, and EMBASE. Ambulatory blood pressure measurements made in randomized clinical trials were pooled to compare PEH induced by AE with LE and rest conditions in hypertensive subjects.

Results

Data from four trials were included, which comprised 127 participants (94 women and 33 men). A 24-h analysis did not detect significant differences between AE and LE or rest for either systolic blood pressure (SBP) or diastolic blood pressure (DBP). Monitoring during the night showed that AE induced significant PEH in comparison with LE for SBP [−8.6 (−15.0 to −1.5) mmHg (p = 0.01)]. For DBP, the AE had pronounced PEH during the night in comparison with LE [−3.7 (−4.7 to −2.8) mmHg, p = 0.000] and rest [−1.7 (−1.9 to −0.8) mmHg, p = 0.000]. There were no differences in daytime values.

Conclusion

AE showed a higher PEH effect than LE sessions and rest conditions. PEH was observed in both SBP and DBP during the night. The number of studies was low, but all studies included in this meta-analysis used 24-h monitoring. The understanding of clinical relevance of AE, inducing a higher PEH, depends on a standardization of exercise protocols plus a rigorous monitoring of blood pressure.

Systematic Review Registration

PROSPERO registration: CRD42021271928.

Baseline Diet Quality Is Related to Changes in the Body Composition and Inflammatory Markers: An Intervention Study Based on Resistance Training and Nutritional Advice

Habitual food intake and physical activity can affect chronic low-grade inflammation, which is common in the elderly, because of changes in the immune system and body composition. Thus, the present study proposes an evaluation of the influence of past eating habits on the effects of an intervention of resistance training plus dietary advice on the inflammatory profile of the elderly. We conducted an intervention study with 40 elderly people. The Revised Diet Quality Index (HEI-R) and the dietary total antioxidant capacity (dTAC) were calculated before the intervention based on a food frequency questionnaire validated to the elderly population. Participants were categorized according to the median of HEI-R and dTAC to assess the influence of the habitual diet quality on anthropometry and inflammatory markers (CRP, IL-8, CCL-2, and leptin) before and after the intervention. The 19-week intervention provided a long-term progressive resistance training associated with dietary advice focused on foods rich in compounds with anti-inflammatory and antioxidant properties. There was a greater reduction in weight, body mass index (BMI), and body fat (%) in the group with the lowest HEI-R and a greater reduction in the body fat (%) in the group with the lowest dTAC, indicating that the group that had a worse diet quality before the intervention responded better to it. The index HEI-R correlated negatively with Δweight and ΔBMI. dTAC correlated positively with Δmonocyte 1 chemotactic protein (CCL-2) and ΔC-reactive protein (CRP). In this scenario, elderly persons with bad habits can benefit from interventions to lifestyle change, while the better diet quality including dietary antioxidant sources can be useful to control weight and inflammatory biomarkers in this population.

Oral administration of angiotensin-(1-7) decreases muscle damage and prevents the fibrosis in rats after eccentric exercise

NEW FINDINGS

What is the central question of this study? Eccentric contraction exercises cause damage to muscle fibres and induce inflammatory responses. The exacerbation of this process can induce deposition of fibrous connective tissue, leading to decreased muscle function. The aim of this study was to examine the role of angiotensin-(1-7) in this context. What is the main finding and its importance? Our results show that oral treatment with angiotensin-(1-7) decreases muscle damage induced by eccentric exercise, reducing inflammation and fibrosis in the gastrocnemius and soleus muscles. This study shows a potential effect of angiotensin-(1-7) for the prevention of muscle injuries induced by physical exercise.

ABSTRACT

Eccentric contraction exercises cause damage to the muscle fibres and induce an inflammatory reaction. The protective effect of angiotensin-(1-7) [Ang-(1-7)] in skeletal muscle has led us to examine the role of this peptide in modifying processes associated with inflammation and fibrogenesis induced by eccentric exercise. In this study, we sought to investigate the effects of oral administration of Ang-(1-7) formulated in hydroxypropyl β-cyclodextrin (HPβ-CD) in prevention and treatment of muscle damage after downhill running. Male Wistar rats were divided into three groups: control (untreated and not exercised; n = 10); treated/exercised HPβ-CD Ang-(1-7) (n = 40); and treated/exercised HPβ-CD (n = 40). Exercised groups were subjected to a single eccentric contraction exercise session on a treadmill inclined to -13° at a constant speed of 20 m/min, for 60 min. Oral administration of HPβ-CD Ang-(1-7) and HPβ-CD was performed 3 h before the exercise protocol and daily as a single dose, until the end of the experiment. Samples were collected 4, 12, 24, 48 and 72 h after the exercise session. The animals treated with the Ang-(1-7) showed lower levels of creatine kinase, lower levels of tumor necrosis factor-α in soleus muscle and increased levels of interleukin-10 cytokines. The inflammatory cells and deposition of fibrous connective tissue in soleus and gastrocnemius muscles were lower in the group treated with Ang-(1-7). The results of this study show that treatment with an oral formulation of Ang-(1-7) enhances the process of repair of muscle injury induced by eccentric exercise.

Angiotensin-(1-7) oral formulation improves physical performance in mountain bike athletes: a double-blinded crossover study

Background

The ECA2/Ang-(1–7)/Mas axis is shown to be involved in effects mediated by physical exercise, as it can induce the release of nitric oxide (ON) and bradykinin (BK), which are potent vasodilators. The vasodilating action the NO/BK can contribute to increased metabolic efficiency in muscle tissue and central nervous system. The formulation HPβ-CD-Ang-(1–7) through its mechanisms of action can be a promising supplement to aid in the maintenance and improvement of performance and may also favor recovery during competitions. The premise of this study was to investigate the effects of acute oral supplementation HPβ-CD-Ang-(1–7) on the performance of mountain bike (MTB) practitioners.

Methods

Fourteen recreational athletes, involved in training programs for at least one year, participated in this crossover design study. Subjects underwent two days of testing with a seven-day interval. HPβ-CD-Ang-(1–7) (1.75 mg) and HPβCD-Placebo were provided in capsules three hours prior to tests. To determine the safety of the HPβ-CD-Ang-(1–7) formulation associated with physical effort, cardiovascular parameters heart rate (HR) and blood pressure (BP) were analyzed. Physical performance was measured using maximal oxygen uptake (VO₂), total exercise time (TET), mechanical work (MW), mechanical efficiency (ME), and rating of perceived exertion (RPE). Respiratory exchange coefficient (REC), lactate and non-esterified fatty acids (NEFAs) were measured. Maximal incremental tests were performed on a progressively loaded leg cycle ergometer.

Results

There were no significant differences in terms of HR or BP at rest and maximum effort between the HPβ-CD-Ang-(1–7) and placebo groups. The VO₂max showed significant differences (p = 0.04). It was higher in the Ang-(1–7)condition (66.15 mlO₂.kg^− 1.min^− 1) compared to the placebo (60.72 mlO₂.kg^− 1.min^− 1). This was also observed for TET (Ang-(1–7) 39.10 min vs. placebo 38.14 min; p = 0.04), MW (Ang-(1–7) 156.7 vs. placebo 148.2; p = 0.04), and at the lowest RPE (Ang-(1–7) vs. placebo; p = 0.009). No significant differences were observed for REC, NEFAs, or Lactate.

Conclusions

These results suggest that HPβ-CD-Ang-(1–7) improves the physical performance of MTB recreational athletes and could be a promising supplement.

Trial registration

RBR-2 × 56pw8, registered January 15th, 2021. The study was prospectively registered.

Sucrose-Sweetened Drinks Reduce the Physical Performance and Increase the Cardiovascular Risk in Physically Active Males

INTRODUCTION

The intake of sugar-sweetened beverages (SSBs) has increased rapidly, but the effects of this habit on health and physical performance are unknown. This study assessed the effect of excessive SSB intake on biochemical, physical performance, and biochemical and cardiovascular parameters of physically active males.

METHODS

Seventeen volunteers consumed a placebo drink (Pd; carbohydrate free) and an excessive SSB drink (eSSBd = Pd plus 300 g sucrose). In a blind randomized crossover study, the subjects were assigned to Pd or eSSBd groups for 15 days. After an interval of 7 days, subjects were reassigned to the other condition.

RESULTS

After eSSBd intake, there was an increase in weight (69.34 ± 13.71 vs. 70.62 ± 14.06), body mass index (24.49 ± 4.01 vs. 24.97 ± 4.13), waist circumference (75.33 ± 11.22 vs. 76.79 ± 11.51), VLDL (19.54 ± 9.50 vs. 25.52 ± 11.18), triglycerides (78.94 ± 23.79 vs. 114.77 ± 43.65), and peak systolic blood pressure (178.57 ± 26.56 vs. 200.71 ± 24.64). The cardiorespiratory response to exercise (VO2max) (48.15 ± 10.42 vs. 40.98 ± 11.20), peak heart rate (186.64 ± 8.00 vs. 179.64 ± 6.28), total exercise time (15.02 ± 1.57 vs. 14.00 ± 2.18), and mechanical work (15.83 ± 4.53 vs. 13.68 ± 5.67) decreased after eSSBd intake (all values expressed in initial mean ± DP vs. final). The rates of perceived exertion were higher (1.300 vs.1.661 slope and -0.7186 vs. -1.118 y-intercept) after eSSBd intake.

CONCLUSION

The present study shows that 15 days of eSSBd intake may negatively modulate biochemical parameters associated with cardiovascular risk. In addition, this overintake can impair the physical performance and cardiovascular responses to physical exercise.

Effects of cumulative school soccer matches separated by 24-h or 48-h intervals on physical recovery status of U-19 players

Abstract This study aimed to evaluate the effects of cumulative school soccer matches separated by 24-h or 48-h intervals on the recovery status of U-19 players. Thirty-four school athletes (17.6 ± 1.1 years) who played in an U-19 school soccer competition (composed of one group with four teams and another group with three teams, followed by semifinals and final) were examined before three matches, which lasted 70 min. Seventeen athletes had a 24-h rest interval between each match (GGG group), while 18 athletes had a 48-h rest interval between the second and third matches (GG48hG group). Total Quality Recovery, countermovement jump, 10-m sprint, and maximum lumbar isometric strength were measured. The internal load of each match was calculated by the product of the session Rating of Perceived Exertion and match time. There was a 22% reduction in Total Quality Recovery (p< 0.001) and 12% in 10-m sprint performance (p< 0.001) before the third match in the GGG group, while the GG48hG group showed no changes for the same variables (p> 0.05). The countermovement jump decreased before the second match in both groups (GGG= 12% and GG48hG= 10%; p< 0.001), with no difference between groups (p> 0.05). In addition, both groups showed no changes in the isometric strength or the internal load match over the games (p> 0.05). Despite not providing complete muscle recovery, a 48-h interval between the second and third matches seems to have minimized the reduction of muscle performance due to consecutive matches.

Resistance Training Associated with Dietetic Advice Reduces Inflammatory Biomarkers in the Elderly

Aging is a biological process during which chronic low-grade inflammation is present due to changes in the immune system of the elderly. The main objective of this study is to evaluate the effects of resistance training associated with dietary advice on chronic inflammation in the elderly. We conducted a prospective intervention study in which we evaluated anthropometric parameters and inflammatory biomarkers (CRP, IL-8, CCL-2, and leptin) in 40 elderly people before and after long-term progressive resistance training (19 weeks) associated with dietary advice. The participants trained twice a week on nonconsecutive days, and the training lasted one hour with an intensity of 60-85% of 1-MR. Dietary advice was explained in person and individually focusing on foods rich in compounds with anti-inflammatory and antioxidant properties. Participants were instructed at the beginning of the training program, and dietary advice was reinforced verbally weekly. There was an improvement in body composition evidenced by a reduction in waist circumference and body fat percentage and by the increase in arm circumference, calf circumference, and corrected arm muscle area. In addition, there was a reduction in the inflammatory biomarkers CCL-2 (p = 0.01) and leptin (p < 0.01). Resistance training associated with dietary guidance can contribute to a healthy aging due to observed improvements in body composition and in the inflammatory profile of the elderly.

Are neighborhood characteristics associated with sedentary behavior in adolescents? A systematic review

Sedentary behavior (SB) has emerged as a potential risk factor for chronic diseases. SB includes activities requiring low energy expenditure (≤1.5 metabolic equivalents) performed in a sitting or reclining posture. Our study aimed to gather evidence on the association between SB outcomes in adolescents (10-19 years) and neighborhood characteristics. This systematic review (PROSPERO registration number: CRD42018076877) examined studies indexed in PubMed Central®, LILACS, ScienceDirect, and SPORTDiscus databases. Sixteen articles were included. Insecurity during daytime hours, crime incidence, physical and social disorders, a higher neighborhood socioeconomic level, and time spent with peers were associated with higher levels of SB. Traffic, availability of a favorable environment for physical activity, and higher residential density were associated with lower levels of SB. Despite great variability in the SB cutoff points and methodology used for evaluating SB and neighborhood characteristics among studies, the evidence suggests that adolescent SB might be influenced by neighborhood characteristics.

Lifetime overproduction of circulating angiotensin-(1-7) in rats attenuates the increase in skeletal muscle damage biomarkers after exhaustive exercise

Angiotensin-(1-7) (Ang-[1-7]) can modulate glucose metabolism and protect against muscular damage. The aim of this study was to investigate the influence of lifetime increase of circulating levels of Ang-(1-7) at exhaustive swimming exercise (ESE). Sprague-Dawley (SD) and transgenic rats TGR(A1-7)3292 (TR) which overproduce Ang-(1-7) (2.5-fold increase) were submitted to ESE. The data showed no differences in time to exhaustion (SD: 4.90 ± 1.37 h vs. TR: 5.15 ± 1.15 h), creatine kinase, and transforming growth factor beta (TGF-β). Lactate dehydrogenase (SD: 219.9 ± 12.04 U/L vs. TR: 143.9 ± 35.21 U/L) and α-actinin (SD: 336.7 ± 104.5 U/L vs. TR: 224.6 ± 82.45 U/L) values were significantly lower in TR. There was a significant decrease in the range of blood glucose levels (SD: -41.4 ± 28.32 mg/dl vs. TR: -13.08 ± 39.63 mg/dl) in SD rats. Muscle (SD: 0.06 ± 0.02 mg/g vs. TR: 0.13 ± 0.01 mg/g) and hepatic glycogen (SD: 0.66 ± 0.36 mg/g vs. TG: 2.24 ± 1.85 mg/g) in TR were higher. The TR presented attenuation of the increase in skeletal muscle damage biomarkers and of the changes in glucose metabolism after ESE.

Efeito de uma competição escolar de futebol com jogos em dias consecutivos no estado de recuperação de jogadores sub-19

O presente estudo objetivou analisar o efeito de uma competição escolar de futebol com jogos em dias consecutivos no estado de recuperação física de jogadores sub-19. Foram avaliados, de forma aleatória, 31 atletas escolares (17,1±1,1 anos) participantes de uma competição escolar de futebol de campo sub-19, composta de duas chaves com quatro equipes cada, seguido de semifinais e final. Os jogos tiveram 70 min de duração (dois tempos de 35 min com 15 min de intervalo), e foram realizados em dias consecutivos com intervalo de 24h entre cada jogo. Foi medida a dor muscular de início tardio (DOMS) e Qualidade Total de Recuperação (QTR) antes de cada jogo da primeira fase (n= 31) e da semifinal (n=18). A carga interna dos jogos foi medida a pelo método da percepção subjetiva do esforço da sessão (PSE-sessão). A QTR foi maior antes do primeiro jogo em comparação com os demais jogos (p< 0.001). A DOMS aumentou após o primeiro jogo e não retornou aos valores basais antes do quarto jogo (p< 0.001). A PSE-sessão e a carga interna do quarto jogo foram maiores que as dos demais jogos (p< 0,001). Em adição, não houve correlação entre a carga interna do jogo e a QTR (p> 0,05). A monotonia encontrada no período avaliado foi de 3,1±2.0 UA. Os resultados indicam que o período de 24h parece ser insuficiente para a completa recuperação de atletas escolares de futebol sub-19, sugerindo a organização de competições escolares de futebol sub-19 com maior intervalo entre os jogos e busca por métodos que acelerem a recuperação.

Identificação de estratégias utilizadas por professores de Educação Física para coibir o Bullying

O objetivo do trabalho foi investigar a percepção dos professores de Educação Física sobre a ocorrência de bullying nas escolas que atuam e elencar as ações utilizadas para prevenir o problema. Trata-se de um estudo qualitativo que utilizou como instrumento uma entrevista semiestruturada. Com base nos resultados é possível afirmar que as escolas não assumem o compromisso de planejar e aplicar estratégias que possam prevenir o fenômeno do bullying. Os dados também indicam que a formação inicial pode ter sido deficiente na preparação de professores para compreender e combater esse tipo de violência. Espera-se que este estudo possa levar à reflexão não somente os professores envolvidos, mas também as instituições de ensino superior assim como as escolas para que o bullying seja corretamente estudado e combatido.  

Efeitos cognitivos do teste de esforço progressivo em eletricistas com equipamentos de proteção individual

Resumo Objetivo: verificar o efeito do esforço físico sobre as funções cognitivas de trabalhadores eletricistas utilizando equipamento de proteção individual (EPI). Métodos: participaram 28 eletricistas que trabalhavam na construção, manutenção e operação de redes de distribuição de energia. Todos do sexo masculino, sadios e aptos para a prática de exercícios físicos. As funções cognitivas foram representadas pelo teste de reação simples (TRS) e pelo nível de vigilância mental (NVM). O TRS e o NVM foram mensurados pré e pós-teste máximo progressivo, em esteira rolante, a 27 °C de temperatura seca e umidade relativa do ar de 64%. O teste consistiu em aumentos progressivos na velocidade e na inclinação da esteira até a fadiga, com utilização de EPI. Resultados: a média (desvio padrão) do TRS não foi significativamente diferente antes, 227,8 (35,1) ms, e após o exercício, 220,6 (24,6) ms. O NVM foi significativamente maior após o exercício em todas as situações: frequência crescente - 36,5 (5,1) Hz vs 39,5 (2,7) Hz, frequência decrescente - 36,0 (5,2) vs 39,0 (3,88) Hz, e frequência geral - 36,2 (4,9) vs 39,2 (3,1) Hz. Conclusão: o exercício progressivo máximo realizado com EPI não modificou o tempo de reação simples e aumentou o nível de vigilância mental de eletricistas.

Swimming exercise demonstrates advantages over running exercise in reducing proteinuria and glomerulosclerosis in spontaneously hypertensive rats

Experimental studies in animal models have described the benefits of physical exercise (PE) to kidney diseases associated with hypertension. Land- and water-based exercises induce different responses in renal function. Our aim was to evaluate the renal alterations induced by different environments of PE in spontaneously hypertensive rats (SHRs). The SHRs were divided into sedentary (S), swimming exercise (SE), and running exercise (RE) groups, and were trained for 8 weeks under similar intensities (60 min/day). Arterial pressure (AP) and heart rate (HR) were recorded. The renal function was evaluated through urinary volume at each week of training; sodium and potassium excretions, plasma and urinary osmolarities, glomerular filtration rate (GFR), levels of proteinuria, and renal damage were determined. SE and RE rats presented reduced mean AP, systolic blood pressure, and HR in comparison with S group. SE and RE rats showed higher urine osmolarity compared with S. SE rats showed higher free water clearance (P < 0.01), lower urinary density (P < 0.0001), and increased weekly urine volume (P < 0.05) in comparison with RE and S groups. GFR was increased in both SE and RE rats. The proteinuria of SE (7.0 ± 0.8 mg/24 h) rats was decreased at the 8th week of the PE in comparison with RE (9.6 ± 0.8 mg/24 h) and S (9.8 ± 0.5 mg/24 h) groups. The glomerulosclerosis was reduced in SE rats (P < 0.02). SE produced different response in renal function in comparison with RE, in which only swimming-trained rats had better profile for proteinuria and glomerulosclerosis.

Magnetic resonance diffusion tensor imaging for the pedunculopontine nucleus: proof of concept and histological correlation

The pedunculopontine nucleus (PPN) has been proposed as target for deep brain stimulation (DBS) in patients with postural instability and gait disorders due to its involvement in muscle tonus adjustments and control of locomotion. However, it is a deep-seated brainstem nucleus without clear imaging or electrophysiological markers. Some studies suggested that diffusion tensor imaging (DTI) may help guiding electrode placement in the PPN by showing the surrounding fiber bundles, but none have provided a direct histological correlation. We investigated DTI fractional anisotropy (FA) maps from in vivo and in situ post-mortem magnetic resonance images (MRI) compared to histological evaluations for improving PPN targeting in humans. A post-mortem brain was scanned in a clinical 3T MR system in situ. Thereafter, the brain was processed with a special method ideally suited for cytoarchitectonic analyses. Also, nine volunteers had in vivo brain scanning using the same MRI protocol. Images from volunteers were compared to those obtained in the post-mortem study. FA values of the volunteers were obtained from PPN, inferior colliculus, cerebellar crossing fibers and medial lemniscus using histological data and atlas information. FA values in the PPN were significantly lower than in the surrounding white matter region and higher than in areas with predominantly gray matter. In Nissl-stained histologic sections, the PPN extended for more than 10 mm in the rostro-caudal axis being closely attached to the lateral parabrachial nucleus. Our DTI analyses and the spatial correlation with histological findings proposed a location for PPN that matched the position assigned to this nucleus in the literature. Coregistration of neuroimaging and cytoarchitectonic features can add value to help establishing functional architectonics of the PPN and facilitate neurosurgical targeting of this extended nucleus.

Angiotensin-converting enzyme (ACE-I/D) polymorphism frequency in Brazilian soccer players

This study aimed to analyze the angiotensin-converting enzyme (ACE-I/D) allelic and genotypic frequencies in Brazilian soccer players of different ages. The study group comprised 353 players from first-division clubs in the under (U)-14, U-15, U-17, U-20, and professional categories. The allelic and genotypic frequencies did not differ significantly in any of the categories between the group of players and the control group. This was the first study of ACE-I/D polymorphism in Brazilian soccer players.

Effects of human head hair on performance and thermoregulatory responses during 10-km outdoor running in healthy men

DOI: http://dx.doi.org/10.5007/1980-0037.2016v18n2p155 The aim of the present study was to evaluate the effects of human head hair on performance and thermoregulatory responses during 10-km outdoor running in healthy men. Twelve healthy males (29.5 ± 3.7 years, 174.9 ± 4.3 cm, 72.7 ± 3.2 kg and VO2max 44.6 ± 3.4 ml.kg-1.min-1) participated in two self-paced outdoor 10-km running trials separated by 7 days: 1) HAIR, subjects ran with their natural head hair; 2) NOHAIR, subjects ran after their hair had been totally shaved. Average running velocity was calculated from each 2-km running time. Rectal temperature, heart rate and physiological strain index were measured before and after the 10-km runs and at the end of each 2 km. The rate of heat storage was measured every 2 km. The environmental stress (WBGT) was measured every 10 min. The running velocity (10.9 ± 1 and 10.9 ± 1.1 km.h-1), heart rate (183 ± 10 and 180 ± 12 bpm), rectal temperature (38.82 ± 0.29 and 38.81 ± 0.49oC), physiological strain index (9 ± 1 and 9 ± 1), or heat storage rate (71.9 ± 64.1 and 80.7 ± 56.7 W.m-1) did not differ between the HAIR and NOHAIR conditions, respectively (p>0.05). There was no difference in WBGT between the HAIR and NOHAIR conditions (24.0 ± 1.4 and 23.2 ± 1.5ºC, respectively; p=0.10). The results suggest that shaved head hair does not alter running velocity or thermoregulatory responses during 10-km running under the sun.

Exercise intensity during official soccer matches

DOI: http://dx.doi.org/10.5007/1980-0037.2016v18n6p621 The aims of the study were: 1) to analyze the exercise intensity in several phases (six phases of 15 min) of soccer matches; 2) to compare the match time spent above anaerobic threshold (AT) between different age groups (U-17 and U-20); and 3) to compare the match time spent above AT between players’ positions (backs, midfielders, forwards and wingabcks). Forty-four male soccer players were analyzed. To express players’ effort, the heart rate (HR) was continuously monitored in 29 official matches. Further, HR corresponding to the intensity at the onset of blood lactate accumulation (OBLA) was obtained in a field test. The highest exercise intensity during match was observed in the 15-30 min period of the first half (p< 0.05). Match time spent above AT was not different between players from U-17 and U-20. In the comparison among players’ positions, wingbacks showed lower time above AT (p< 0.05) than players of other positions. The intensity of effort is higher in the 15 to 30 minutes of play (intermediate phase), probably because the players are more rested in the beginning and wearing out is progressive throughout the game. It is also noteworthy that the intensity of exercise (HR and time above AT) of wingbacks was lower, probably because they usually are required to run a larger number of sprints and need more time below the AT to recover. 

Analysis and comparison of intensity in specific soccer training sessions

This study compared the exercise intensity of four specific soccer training sessions (friendly and training match, tactical and technical workouts). Ten professional soccer players (24.2 ± 3.7 years, 177.9 ± 7.3 cm, 63.2 ± 4.6 mLO2•kg-1•min-l) were recruited. A treadmill progressive interval test was performed to determine the players' VO2max, maximal heart rate (HRmax), HR-VO2 curve, and the heart rate corresponding to blood lactate concentrations of 2 and 4 mmol/L. The heart rate during the training sessions was used to estimate the exercise intensity and to classify them into intensity zones (low-intensity: <2 mmol/L; moderate-intensity: between 2 and 4 mmol/L; high-intensity: >4 mmol/L). Exercise intensities were different among training sessions (friendly match: 86.0 ± 5.1% HRmax; training match: 81.2 ± 4.1% HRmax; tactical workout: 70.4 ± 5.3% HRmax; technical workout: 62.1 ± 3.6% HRmax). The friendly match presented the highest percentage of time performed in the high-intensity zone.

Suplementação com creatina altera a potência no teste de Wingate mas eleva a concentração de creatinina

O objetivo deste estudo foi verificar o efeito da suplementação de creatina sobre o desempenho nos testes de Wingate de 10 e 30 segundos além da sua influência na concentração de lactato, ureia, creatinina e massa corporal de indivíduos fisicamente ativos. Para realização da pesquisa foram selecionados nove voluntários, sendo divididos dentro de dois grupos utilizando o procedimento duplo-cego: grupo creatina (n = 4) e grupo placebo (n = 5). A suplementação foi realizada via oral durante 10 dias, sendo que o grupo creatina ingeriu 20g de creatina (4x ao dia) nos primeiros cinco dias, seguida de uma ingesta de 5g/dia até o 10º dia. O grupo placebo recebeu a mesma dosagem, porém de maltodextrina como placebo. O protocolo de teste realizado antes e após o período de suplementação constou de um teste de Wingate adaptado de 10 segundos, seguido de um intervalo de 20 minutos para aplicação de um teste de Wingate de 30 segundos. Foram coletadas amostras de sangue antes e após o período de suplementação para análise de creatinina e ureia, lactato em repouso, 90 segundos após o teste de 10 segundos e 180 segundos após o teste de 30 segundos. A suplementação de creatina promoveu um aumento significativo (p < 0,05) na potência máxima durante o teste de 30 segundos, na potência média no teste de 10 segundos, além da concentração de creatinina. Os resultados sugerem que a suplementação de creatina pode melhorar o desempenho dos indivíduos durante exercício de alta intensidade e curta duração realizado no cicloergômetro, mas produz aumento da concentração de creatinina em repouso.

The ACTN3 genotype in soccer players in response to acute eccentric training

Genetic factors can interfere with sporting performance. The identification of genetic predisposition of soccer players brings important information to trainers and coaches for individual training loads adjustment. Different responses to eccentric training could be observed by the genotype referred to as α-actinin-3 (ACTN3) in biomarkers of muscle damage, hormones and inflammatory responses. The aim of this study was to compare acute inflammatory responses, muscle damage and hormonal variations according to the eccentric training in soccer professional athletes with different genetic profiles of ACTN3 (XX, RX and RR). 37 soccer professional athletes (9 XX, 13 RX, 15 RR) were randomly divided into five stations associated to eccentric muscle contraction and plyometrics. Blood samples were taken from athletes pre-eccentric training, immediately after (post), 2- and 4-h post-eccentric training to determine hormone responses (cortisol and testosterone), muscle damage (CK and α-actin), and inflammatory responses (IL-6). After eccentric training, athletes XX presented higher levels for CK (4-h post), α-actin (post and 2-h post) and cortisol (post) compared to RR and RX athletes. However, RR and RX athletes presented higher levels of testosterone (post) and IL-6 (2 h post and 4 h post) compared to athletes XX. The main conclusion of this study is that professional soccer athletes homozygous to ACTN3XX gene are more susceptible to eccentric damage and present a higher catabolic state, demonstrated by metabolic, hormonal and immune responses post an eccentric training, in comparison to ACTN3RR and ACTN3RX groups.

Competition, estimated, and test maximum heart rate

AIM

The aim of the present study was to compare the highest heart rate (HR) of soccer players recorded during competition matches with the maximum HR (HR(max)) estimated from age and the highest HR recorded in effort tests within a single category (intracategory) and between categories (intercategories).

METHODS

The sample was made up of 19 under-17 athletes, 12 under-20 athletes and 14 professional athletes of a Brazilian first division soccer team. Players' HR was monitored during official competition matches and maximum effort test with a set of HR monitors. The highest HR recorded during competitive matches (MHR1) was considered as the highest HR value attained by each player during matches. HR(max) estimated from age (MHR2) was estimated by using the equation HR(max)= (220-age). The highest HR recorded in effort tests (MHR3) was determined as being the highest HR value recorded during a maximum effort test (1 000-m run). The Wilcoxon test was used in intracategory statistical analysis. The Kruskal Wallis test was used in intercategory statistical analysis. The significance level adopted was P<0.05.

RESULTS

In all categories, MHR3 was lower than MHR1. Concerning intercategory analysis, the three categories did not exhibit a difference in MHR1

RESULTS

Relative to MHR3, the under-17 and under-20 categories were not different from each other. These two categories exhibited larger MHR3 values than the professional one did.

CONCLUSION

HR(max) measured during field tests can be underestimated in relation to that measured during competition activities, maybe because the tests represent an artificial situation for athletes, who do not feel as motivated as during competitions.