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Agostinete RR, Werneck AO, Narciso PH, Ubago-Guisado E, Coelho-E-Silva MJ, Bielemann RM, Gobbo LA, Lynch BT, Fernandes RA, Vlachopoulos D. Resistance training presents beneficial effects on bone development of adolescents engaged in swimming but not in impact sports: ABCD Growth Study. BMC Pediatr 2024; 24:247. [PMID: 38594697 PMCID: PMC11003018 DOI: 10.1186/s12887-024-04634-0] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Accepted: 02/09/2024] [Indexed: 04/11/2024] Open
Abstract
BACKGROUND Sports practice during adolescence is important to enhance bone development, although it may provide different effects depending on the mechanical impact present in the sport. Besides, resistance training (RT) may also induce bone changes directly (via muscle contractions) and indirectly (via myokines). However, there have been no studies analyzing the longitudinal influence of engaging in sport with and without added mechanical load. Thus, this study aims to analyze the combined effects of sports participation and resistance training on areal bone mineral density (aBMD) accrual in adolescent athletes participating in swimming and impact sports for 12-months. METHODS This was a 12-month longitudinal study. The sample comprised 91 adolescents (21 females) aged 10 to 18 years, engaged in impact sports (basketball, tennis, track & field, baseball and gymnastics, n = 66) and non-impact sport (swimming, n = 25). The sample was divided according to resistance training participation: impact sports only (n = 45), impact sports + resistance training (n = 21), swimming-only (n = 17) and swimming + resistance training (n = 8). aBMD and soft tissues were measured using dual-energy X-ray absorptiometry. Generalized linear models analysis was used for the resistance training (RT) x type of sport interaction in predicting aBMD changes overtime, adjusting for maturation, sex and baseline aBMD. RESULTS After 12-months, all groups showed a significant increase in aBMD, except for the swimming groups (regardless of resistant training), which showed a significant loss in spine aBMD (-0.045 [-0.085 to -0.004] g/cm2 in swimming-only and - 0.047 [-0.073 to -0.021] g/cm2 in swimming + RT). In comparisons between groups, only swimming + RT group, compared with swimming-only group presented higher upper limbs aBMD (0.096 g/cm2 [0.074 to 0.118] in swimming + RT vs. 0.046 [0.032 to 0.060] g/cm2 in swimming only; p < 0.05) and whole body less head (WBLH) aBMD (0.039 [0.024 to 0.054] g/cm2 in swimming + RT vs. 0.017 [0.007 to 0.027] g/cm2 swimming-only; p < 0.05). CONCLUSION Despite the significant gain in aBMD in all groups and body sites after 12-months, except for the spine site of swimmers, the results indicate that participation in RT seems to improve aBMD accrual in swimmers at the upper limbs and WBLH.
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Affiliation(s)
- Ricardo R Agostinete
- Laboratory of Investigation in Exercise (LIVE), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, Brazil
| | - André O Werneck
- Center for Epidemiological Research in Nutrition and Health, Department of Nutrition, School of Public Health, University of São Paulo (USP), São Paulo, Brazil
| | - Pedro H Narciso
- Laboratory of Investigation in Exercise (LIVE), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Esther Ubago-Guisado
- Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain
| | | | - Renata M Bielemann
- Post-Graduate Program in Nutrition and Foods, Federal University of Pelotas, Pelotas, Brazil
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Luis Alberto Gobbo
- Skeletal Muscle Assessment Laboratory (LABSIM), Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Bruna Turi Lynch
- Department of Physical Education and Exercise Science, Lander University, Greenwood, SC, USA
| | - Romulo Araújo Fernandes
- Laboratory of Investigation in Exercise (LIVE), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Dimitris Vlachopoulos
- Children's Health and Exercise Research Centre, Public Health and Sport Sciences, University of Exeter, Exeter, UK.
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Orbolato R, Fernandes RA, Turi-Lynch BC, Araujo MYC, Ferro IDS, Gobbo LA, Zanuto EAC, Codogno JS. Impact of cycling and walking on adiposity and healthcare costs among adults: longitudinal study. CAD SAUDE PUBLICA 2024; 40:e00102623. [PMID: 38422248 PMCID: PMC10896485 DOI: 10.1590/0102-311xen102623] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 10/23/2023] [Accepted: 12/01/2023] [Indexed: 03/02/2024] Open
Abstract
Leisure-time physical activity seems relevant to prevent the development of chronic diseases and obesity. However, not much is known about the economic burden of these healthy behaviors, mainly in longitudinal designs. This study aimed to analyze the impact of walking and cycling on leisure-time on adiposity and healthcare costs among adults. This longitudinal study was conducted at a medium-size Brazilian city and included 198 participants with no missing data attended in the Brazilian Unified National Health System. Cycling and walking were assessed by a questionnaire with a face-to-face interview at four time-points (baseline, 6-month, 12-month, and 18-month). Healthcare costs were assessed using medical records. Adiposity markers included waist circumference and body fatness. Over the follow-up period, participants who were more engaged in cycling presented lower body fatness (p-value = 0.028) and healthcare costs (p-value = 0.038). However, in the multivariate model, the impact of cycling on costs was not significant (p-value = 0.507) due to the impact of number of chronic diseases (p-value = 0.001). Cycling on leisure-time is inversely related to adiposity in adults, whereas its role on preventing chronic diseases seems the main pathway linking it to cost mitigation.
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Affiliation(s)
- Rafael Orbolato
- Universidade Estadual Paulista Júlio de Mesquita Filho, Presidente Prudente, Brasil
| | | | - Bruna Camilo Turi-Lynch
- Universidade Estadual Paulista Júlio de Mesquita Filho, Presidente Prudente, Brasil
- Lander University, Greenwood, U. S. A
| | | | | | - Luis Alberto Gobbo
- Universidade Estadual Paulista Júlio de Mesquita Filho, Presidente Prudente, Brasil
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Monteiro MRP, Cardoso AP, de Resende-Neto AG, Vasconcelos ABS, Camargo EA, Gobbo LA, Maté-Muñoz JL, Heredia-Elvar JR, Behm DG, Da Silva-Grigoletto ME. Is functional training an efficient approach to improve body composition in older people? A systematic review. Front Physiol 2023; 14:1156088. [PMID: 37405136 PMCID: PMC10315661 DOI: 10.3389/fphys.2023.1156088] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 05/16/2023] [Indexed: 07/06/2023] Open
Abstract
Introduction: Increases in fat mass and reductions in lean mass are associated with the frailty and mortality of older people. In this context, Functional Training (FT) is an option to increase lean mass and reduce fat mass in older people. Thus, this systematic review aims to investigate the effects of FT on body fat and lean mass in older people. Methods: We included randomized controlled clinical trials, with at least one intervention group that employed FT, with the age of participants ≥60 years; and participants physically independent and healthy. We performed the systematic investigation in Pubmed MEDLINE, Scopus, Web of Science, Cochrane Library, and Google Scholar. We extracted the information and used the PEDro Scale to assess the methodological quality of each study. Results: Our research found 3,056 references with five appropriate studies. Of the five studies, three presented reductions in fat mass, all of them with interventions between three and 6 months, different training dose parameters, and 100% of the sample was composed of women. On the other hand, two studies with interventions between 10 and 12 weeks presented conflicting results. Conclusion: Despite the limited literature about lean mass, it appears that long-term FT interventions may reduce fat mass in older women. Clinical Trial Registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=399257, identifier CRD42023399257.
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Affiliation(s)
- Marcos Raphael Pereira Monteiro
- Department of Physiology, Federal University of Sergipe, São Cristóvão, Brazil
- Department of Physiotherapy, Federal University of Sergipe, Lagarto, Brazil
| | - Alan Pantoja Cardoso
- Department of Physical Education, Federal University of Sergipe, São Cristóvão, Brazil
| | | | | | | | - Luis Alberto Gobbo
- Department of Physical Education, São Paulo State University, Presidente Prudente, Brazil
| | - José Luis Maté-Muñoz
- Department of Radiology, Rehabilitation and Physiotherapy, Complutense University of Madrid, Madrid, Spain
| | - Juan Ramón Heredia-Elvar
- Department of Physical Activity and Sports Science, Alfonso X El Sabio University, Madrid, Spain
| | - David George Behm
- School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John’s, NL, Canada
| | - Marzo Edir Da Silva-Grigoletto
- Department of Physiology, Federal University of Sergipe, São Cristóvão, Brazil
- Department of Physical Education, Federal University of Sergipe, São Cristóvão, Brazil
- Department of Medicine, Federal University of Sergipe, São Cristóvão, Brazil
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Grigoletto I, Cavalheri V, Gobbo LA, Pozo K, Maia Filho ER, Ribeiro DG, Ielo N, De Lima FF, Ramos EMC. Effects of Semisupervised Exercise Training on Health Outcomes in People With Lung or Head and Neck Cancer: Protocol for a Randomized Controlled Trial. JMIR Res Protoc 2023; 12:e43547. [PMID: 37223986 DOI: 10.2196/43547] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 03/21/2023] [Accepted: 03/21/2023] [Indexed: 05/25/2023] Open
Abstract
BACKGROUND Lung or head and neck cancers are known for their high prevalence and mortality rates. Chemotherapy and radiotherapy are usually recommended as cancer treatment for these malignancies; however, they can negatively impact both the physical and mental status of patients. Hence, it is reasonable to consider resistance and aerobic exercise training to prevent these negative health outcomes. Further, several factors prevent patients from attending outpatient exercise training programs, and, therefore, a semisupervised home-based exercise training program may be seen as a well-accepted alternative. OBJECTIVE The aim of this study will be to investigate the effects of a semisupervised home-based exercise training program on physical performance, body composition, and self-reported outcomes; changes in the initial cancer treatment dose prescribed; number of hospitalizations at 3, 6, and 9 months; and 12-month survival in people with primary lung or head and neck cancer. METHODS Participants will be randomly allocated to the training group (TG) or control group (CG). The TG will undergo semisupervised home-based resistance and aerobic exercise training throughout their cancer treatment. The resistance training will be performed using elastic bands (TheraBand) twice a week. The aerobic training (ie, brisk walk) will be performed for at least 20 minutes per day outdoors. The equipment and tools used during the training sessions will be provided. This intervention will start the week before treatment commencement, will be performed throughout the duration of the treatment, and will continue for 2 weeks after treatment completion. The CG will undergo usual care (ie, cancer treatment with no formal exercise prescription). Assessments will take place 2 weeks before the beginning of the usual cancer treatment and 2 weeks after treatment completion. The measures of physical function (peripheral muscle strength, functional exercise capacity, and physical activity), body composition, and self-reported outcomes (symptoms of anxiety and depression, health-related quality of life, and symptoms related to the disease and treatment) will be collected. We will report on any change in the initial cancer treatment dose prescribed; number of hospitalizations at 3, 6, and 9 months; and 12-month survival. RESULTS In February 2021, the clinical trial registration was approved. Recruitment and data collection for the trial are ongoing (as of April 2023, 20 participants had already been randomized), and findings of this study are likely to be published late in 2024. CONCLUSIONS This exercise training as a complementary treatment for patients with cancer is likely to promote positive effects on the health outcomes assessed, over and above any change in the CG, and prevent the reduction of initial cancer treatment dose prescribed. If these positive effects are shown, they will likely impact long-term outcomes such as hospitalizations and 12-month survival. TRIAL REGISTRATION Brazilian Clinical Trials Registry (ReBEC) RBR-5cyvzh9; https://ensaiosclinicos.gov.br/rg/RBR-5cyvzh9. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) PRR1-10.2196/43547.
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Affiliation(s)
- Isis Grigoletto
- Department of Physiotherapy, Faculty of Science and Technology, São Paulo State University, Presidente Prudente, São Paulo, Brazil
- Cancer Hospital of Presidente Prudente, Presidente Prudente, São Paulo, Brazil
| | - Vinicius Cavalheri
- Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
- Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
- Allied Health, South Metropolitan Health Service, Perth, Western Australia, Australia
| | - Luis Alberto Gobbo
- Department of Physical Education, Faculty of Science and Technology, São Paulo State University, Presidente Prudente, São Paulo, Brazil
| | - Karina Pozo
- Department of Physiotherapy, Faculty of Science and Technology, São Paulo State University, Presidente Prudente, São Paulo, Brazil
- Cancer Hospital of Presidente Prudente, Presidente Prudente, São Paulo, Brazil
| | | | | | - Nara Ielo
- Cancer Hospital of Presidente Prudente, Presidente Prudente, São Paulo, Brazil
- São Leopoldo Mandic Institute and Research Center, Campinas, São Paulo, Brazil
| | - Fabiano Francisco De Lima
- Department of Physiotherapy, Speech and Occupational Therapy, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Ercy Mara Cipulo Ramos
- Department of Physiotherapy, Faculty of Science and Technology, São Paulo State University, Presidente Prudente, São Paulo, Brazil
- Cancer Hospital of Presidente Prudente, Presidente Prudente, São Paulo, Brazil
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Pito PG, Gonçalves EM, de Oliveira VHF, Deminice R, Gobbo LA, Guariglia DA. Effects of lipodystrophy and physical exercise on bioimpedance parameters in people living with HIV: A cross-sectional study. Nutrition 2023; 112:112059. [PMID: 37263160 DOI: 10.1016/j.nut.2023.112059] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Revised: 04/16/2023] [Accepted: 04/23/2023] [Indexed: 06/03/2023]
Abstract
OBJECTIVE The aim of this study was to evaluate the effects of lipodystrophy and physical exercise on the parameters of bioimpedance spectroscopy (BIS) and bioimpedance vector analysis (BIVA) of people living with HIV (PLWHIV). METHODS Seventy patients were divided into two groups: PLWHIV with lipodystrophy (PLWHIV-L) and PLWHIV without lipodystrophy (PLWHIV-NL). The phase angle (PhA) and the BIVA were determined from the values of resistance and reactance collected by the BIS. The percentage of fat mass and lean soft tissue (LST) were determined by dual-energy x-ray absorptiometry. For comparisons between the PLWHIV-L and PLWHIV-NL groups, the t test for independent samples or the Mann-Whitney test was used. From the BIVA, the average of the impedance vectors of the two groups was calculated with the 95% confidence ellipse, and the individual vectors of the patients divided by sex were also compared with the tolerance ellipses of 50%, 75%, and 95% of the healthy reference population. The relationships between the variables of interest were determined by the Pearson or Spearman correlation coefficient and the coefficient of determination. Analysis of covariance was used for comparisons between groups, adjusted for possible confounding variables. RESULTS PLWIV-L showed better hydration conditions (P <0.01), higher LST (P <0.01), and lower percent of fat mass (P <0.01). No differences in PhA were observed between PLWHIV who practiced or did not practice physical exercise. There was a significant difference between the impedance vectors of the groups with and without lipodystrophy (T = 42.4 and P <0.01). Additionally, most of the patients who were positioned beyond the ellipse limits of 50% of tolerance fell into the areas of edema and cachexia. The extracellular to intracellular water ratio explained 81% of the PhA variations. When PhA was adjusted for height2, fat mass/height2 and LST, it was significantly different between groups of the female sex (PhA: P <0.01). CONCLUSION Lipodystrophy and the practice of physical exercise do not present direct involvement in the PhA values, with sex, body composition, and hydration variables being the main influences on this variable. BIVA was able to show differences in the body composition of the groups even when the PhA values were similar.
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Bertoli J, Bezerra EDS, Winters-Stone KM, Alberto Gobbo L, Freitas IF. Mat Pilates improves lower and upper body strength and flexibility in breast cancer survivors undergoing hormone therapy: a randomized controlled trial (HAPiMat study). Disabil Rehabil 2023; 45:494-503. [PMID: 35107399 DOI: 10.1080/09638288.2022.2032410] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
PURPOSE To evaluate the effects of 24 weeks of Mat Pilates in breast cancer survivors (BCS) undergoing hormone therapy on lower and upper body muscle strength parameters and flexibility. MATERIALS AND METHODS Forty-three BCS (≥40 years) with confirmed breast cancer stage 0-III undergoing hormone therapy were included. Participants were randomized into Mat Pilates (three times/week, 60 min session) or control group (relaxation activities every two weeks). The difficulty and number of exercise repetitions were increased over the weeks. Assessments were performed at three times points (baseline, 12 weeks, and 24 weeks). The generalized estimating equations (GEE) model was used to compare each outcome measure during the analysis of intention to treat (ITT) and "Per protocol analysis" (PPA). RESULTS The Pilates group presented significantly increased (p < 0.05) isometric flexor-extensor PT, and concentric and eccentric flexor PT and mechanical work (MW) after the intervention. Most of the upper body strength parameters, time to achieve maximal force (TFmax), maximal force (Fmax), and rapid force index (RFI) and right-left upper and lower body flexibility (p < 0.05) also improved. CONCLUSIONS From our findings, we conclude that 24 and 12-weeks of Mat Pilates induced strength and flexibility gains for lower and upper body, respectively.Implications for rehabilitationMat Pilates can be adapted to the fitness level of breast cancer survivors, with a great variety of exercises that can be performed using a mat only or a few pieces of equipment.Patients can practice at home to gain different health benefits (i.e., increasing strength, flexibility, and functional capacity level), which could positively impact on quality of life.Mat Pilates performed three times per week with systematized increments in exercise level, load, and volume throughout the intervention was effective to improve hip extensor-flexor muscles peak torque and mechanical work at different muscle contractions, as well as upper and lower body flexibility.Mat Pilates was also able to improve right-left shoulder abductor and trunk extensor muscles strength parameters after 12 weeks of intervention, as well as both surgery and non-surgery sides of the upper body.
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Affiliation(s)
- Josefina Bertoli
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, Brazil
| | | | - Kerri M Winters-Stone
- School of Nursing, Knight Cancer Institute, Oregon Health & Science University, Portland, OR, USA
| | - Luis Alberto Gobbo
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, Brazil
| | - Ismael Forte Freitas
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, Brazil
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Bertoli J, de Souza Bezerra E, dos Santos SFDS, Gobbo LA, Júnior IFF. The influence of mat Pilates training adherence on strength and flexibility parameters in breast cancer survivors undergoing hormone therapy. J Exerc Rehabil 2022; 18:272-283. [PMID: 36110260 PMCID: PMC9449091 DOI: 10.12965/jer.2244298.149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2022] [Accepted: 07/15/2022] [Indexed: 12/24/2022] Open
Abstract
The aim of this study was to evaluate the influence of adherence to mat Pilates training on lower and upper body strength and flexibility in breast cancer survivors. Breast cancer survivors ( ≥ 40 years) with cancer stages 0–III undergoing hormone therapy participated in this study. For this secondary investigation only the intervention group was analyzed, divided into low and high training adherence. Participants performed a 60-min session of mat Pilates, 3 times/wk, for 24 weeks. Concentric, eccentric, and isometric hip flexor-extensor muscle peak torque, and isometric maximal strength parameters of the shoulder abductors, trunk extensors, and handgrip were assessed. Physical activity level was analyzed as a control variable. The results showed that high training adherence improved (<i>P</i>< 0.05) left shoulder abductor strength parameters and lower and upper body flexibility compared to baseline. The low training adherence group improved (<i>P</i>< 0.05) trunk extensors, right and left shoulder abductor strength parameters, handgrip strength, and extensor-flexor peak torque compared to baseline. There were no differences (<i>P</i>> 0.05) between high and low adherence for physical activity level before and after the intervention. Therefore, it appears that higher training adherence most influences some strength parameters and flexibility, while fewer sessions enable the achievement of significant results for shoulder abductor and hip extensor-flexor muscle strength parameters.
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Affiliation(s)
- Josefina Bertoli
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista, Presidente Prudente-SP,
Brazil
- Corresponding author: Josefina Bertoli, Universidade Estadual Paulista, Faculdade de Ciência e Tecnologia, Rua Roberto Símonsen, 305 – Centro Educacional, Presidente Prudente - SP, 19060-900, Brazil,
| | | | | | - Luis Alberto Gobbo
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista, Presidente Prudente-SP,
Brazil
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Scarabottolo CC, Tebar WR, Gobbo LA, Ohara D, Ferreira AD, da Silva Canhin D, Christofaro DGD. Analysis of different domains of physical activity with health-related quality of life in adults: 2-year cohort. Health Qual Life Outcomes 2022; 20:71. [PMID: 35488344 PMCID: PMC9052447 DOI: 10.1186/s12955-022-01981-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [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: 11/28/2021] [Accepted: 04/22/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND It is estimated that, worldwide, 9% of deaths occur as a result of insufficient physical activity (PA) practice. Practicing PA can prevent and/or reduce the deleterious effects of different types of diseases and can improve general health aspects related to health-related quality of life (HRQoL). PURPOSE To analyze the relationship of different PA domains with different HRQoL domains over a two-year period. METHODS This is an observational study with a two-year longitudinal design. The sample, composed of adults, was selected from a randomization of the streets of the different regions (north, south, east, west and center) covering individuals from all areas of the city. To assess the practice of PA, the Baecke questionnaire was used. The instrument Medical Outcomes Study SF-36-Item Short Form Health Survey was used to assess the HRQoL domains. Linear regression models were used to analyzed the association of different PA domains with changes in HRQoL. Multivariate statistical models were adjusted for gender, age, socioeconomic status, marital status, the respective PA score at baseline, smoking, body mass index, and morbidity. RESULTS 331 adults were evaluated. There was a decrease in the practice of PA in the occupational domain and an increase in the leisure/locomotion domain. Regarding HRQoL, there was an increase in the scores of body pain and mental health, and a decrease in scores of general health, vitality, social aspects and emotional aspects. The PA practice in the occupational domain was inversely related to functional capacity (β = - 7.2 [CI 95% - 13.0; - 1.4]). The practice of PA through sports in leisure time was positively associated with vitality (β = 5.5 [CI 95% 0.2; 10.7]) and mental health (β = 15.2 [CI 95% 6.8; 23.7]). PA practice during leisure and locomotion was inversely associated with functional capacity (β = - 5.68 [CI 95% - 10.7; - 0.6]) and positively associated with vitality β = 4.8 [CI 95% 0.8; 8.7]) and mental health (β = 8.4 [CI 95% 2.0; 14.9]). The total PA practice was inversely associated with functional capacity (β = - 3.8 [CI 95% - 6.5; - 1.2]) and positively associated with pain in the body (β = 4.9 [CI 95% 0.3; 9.4]), vitality (β = 2.9 [CI 95% 0.7; 5.0]) and mental health (β = 5.7 [CI 95% 2.2; 9.2]). CONCLUSIONS It is suggested that practicing PA continuously within a period of two years can positively affect some physical aspects and some mental aspects related to HRQoL, but not all of them. A strategy for public policy actions is to explore these variables by domain and thus detect the real needs and improvements that can be made for the population.
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Affiliation(s)
- Catarina Covolo Scarabottolo
- School of Technology and Sciences, Graduate Program in Movement Sciences, Physical Education Department, São Paulo State University (Unesp), Rua Roberto Simonsen, 305, Presidente Prudente, São Paulo, CEP: 19060-900, Brazil.
| | - William Rodrigues Tebar
- Center of Clinical and Epidemiological Research, University Hospital, University of Sao Paulo, São Paulo, Brazil
| | - Luis Alberto Gobbo
- School of Technology and Sciences, Graduate Program in Movement Sciences, Physical Education Department, São Paulo State University (Unesp), Rua Roberto Simonsen, 305, Presidente Prudente, São Paulo, CEP: 19060-900, Brazil
| | - David Ohara
- Department of Health Sciences, Santa Cruz State University, Ilhéus, Brazil
| | - Aline Duarte Ferreira
- Physiotherapy Department, University of Western São Paulo (UNOESTE), Presidente Prudente, Brazil
| | - Daniel da Silva Canhin
- School of Technology and Sciences, Graduate Program in Movement Sciences, Physical Education Department, São Paulo State University (Unesp), Rua Roberto Simonsen, 305, Presidente Prudente, São Paulo, CEP: 19060-900, Brazil
| | - Diego Giulliano Destro Christofaro
- School of Technology and Sciences, Graduate Program in Movement Sciences, Physical Education Department, São Paulo State University (Unesp), Rua Roberto Simonsen, 305, Presidente Prudente, São Paulo, CEP: 19060-900, Brazil.,School of Technology and Sciences, Graduate Program in Physiotherapy, Physiotherapy Department, São Paulo State University (Unesp), Presidente Prudente, Brazil
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Gobbo LA, Langer RD, Marini E, Buffa R, Borges JH, Pascoa MA, Cirolini VX, Guerra-Júnior G, Gonçalves EM. Effect of Physical Training on Body Composition in Brazilian Military. Int J Environ Res Public Health 2022; 19:ijerph19031732. [PMID: 35162755 PMCID: PMC8834877 DOI: 10.3390/ijerph19031732] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 01/24/2022] [Accepted: 01/29/2022] [Indexed: 01/10/2023]
Abstract
The military are selected on the basis of physical standards and are regularly involved in strong physical activities, also related to particular sports training. The aims of the study were to analyze the effect of a 7-month military training program on body composition variables and the suitability of specific ‘bioelectrical impedance vector analysis’ (spBIVA), compared to DXA, to detect the changes in body composition. A sample of 270 male Brazilian cadets (19.1 ± 1.1 years), composed of a group practicing military physical training routine only (MT = 155) and a group involved in a specific sport training (SMT = 115), were measured by body composition assessments (evaluated by means of DXA and spBIVA) at the beginning and the end of the military routine year. The effect of training on body composition was similar in SMT and MT groups, with an increase in LST. DXA and spBIVA were correlated, with specific resistance (Rsp) and reactance (Xcsp) positively related to fat mass (FM), FM%, LST, and lean soft tissue index (LSTI), and phase angle positively related to LST and LSTI. Body composition variations due to physical training were recognized by spBIVA: the increase in muscle mass was indicated by the phase angle and Xcsp increase, and the stability of FM% was consistent with the unchanged values of Rsp. Military training produced an increase in muscle mass, but no change in FM%, independently of the sample characteristics at baseline and the practice of additional sports. SpBIVA is a suitable technique for the assessment of body composition in military people.
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Affiliation(s)
- Luis Alberto Gobbo
- Skeletal Muscle Assessment Laboratory (LABSIM), School of Technology and Science, São Paulo State University (UNESP), Presidente Prudente 19060-900, SP, Brazil;
| | - Raquel David Langer
- Growth and Development Laboratory, Center for Investigation in Pediatrics (CIPED), School of Medical Sciences, University of Campinas (UNICAMP), Campinas 13083-887, SP, Brazil; (R.D.L.); (J.H.B.); (M.A.P.); (V.X.C.); (G.G.-J.); (E.M.G.)
| | - Elisabetta Marini
- Department of Life and Environmental Sciences, University of Cagliari, 09042 Monserrato, Italy;
- Correspondence: ; Tel.: +39-070-675-6607
| | - Roberto Buffa
- Department of Life and Environmental Sciences, University of Cagliari, 09042 Monserrato, Italy;
| | - Juliano Henrique Borges
- Growth and Development Laboratory, Center for Investigation in Pediatrics (CIPED), School of Medical Sciences, University of Campinas (UNICAMP), Campinas 13083-887, SP, Brazil; (R.D.L.); (J.H.B.); (M.A.P.); (V.X.C.); (G.G.-J.); (E.M.G.)
| | - Mauro A. Pascoa
- Growth and Development Laboratory, Center for Investigation in Pediatrics (CIPED), School of Medical Sciences, University of Campinas (UNICAMP), Campinas 13083-887, SP, Brazil; (R.D.L.); (J.H.B.); (M.A.P.); (V.X.C.); (G.G.-J.); (E.M.G.)
| | - Vagner X. Cirolini
- Growth and Development Laboratory, Center for Investigation in Pediatrics (CIPED), School of Medical Sciences, University of Campinas (UNICAMP), Campinas 13083-887, SP, Brazil; (R.D.L.); (J.H.B.); (M.A.P.); (V.X.C.); (G.G.-J.); (E.M.G.)
| | - Gil Guerra-Júnior
- Growth and Development Laboratory, Center for Investigation in Pediatrics (CIPED), School of Medical Sciences, University of Campinas (UNICAMP), Campinas 13083-887, SP, Brazil; (R.D.L.); (J.H.B.); (M.A.P.); (V.X.C.); (G.G.-J.); (E.M.G.)
| | - Ezequiel Moreira Gonçalves
- Growth and Development Laboratory, Center for Investigation in Pediatrics (CIPED), School of Medical Sciences, University of Campinas (UNICAMP), Campinas 13083-887, SP, Brazil; (R.D.L.); (J.H.B.); (M.A.P.); (V.X.C.); (G.G.-J.); (E.M.G.)
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Campa F, Gobbo LA, Stagi S, Cyrino LT, Toselli S, Marini E, Coratella G. Bioelectrical impedance analysis versus reference methods in the assessment of body composition in athletes. Eur J Appl Physiol 2022; 122:561-589. [DOI: 10.1007/s00421-021-04879-y] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 12/16/2021] [Indexed: 12/21/2022]
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Lira FS, Pereira T, Guerra Minuzzi L, Figueiredo C, Olean-Oliveira T, Figueira Freire APC, Coelho-e-Silva MJ, Caseiro A, Thomatieli-Santos RV, Dos Santos VR, Gobbo LA, Seelaender M, Krüger K, Pinho RA, Rosa-Neto JC, de Alencar Silva BS. Modulatory Effects of Physical Activity Levels on Immune Responses and General Clinical Functions in Adult Patients with Mild to Moderate SARS-CoV-2 Infections-A Protocol for an Observational Prospective Follow-Up Investigation: Fit-COVID-19 Study. Int J Environ Res Public Health 2021; 18:ijerph182413249. [PMID: 34948858 PMCID: PMC8706935 DOI: 10.3390/ijerph182413249] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/03/2021] [Revised: 11/14/2021] [Accepted: 11/16/2021] [Indexed: 01/02/2023]
Abstract
Background: This proposal aims to explain some of the gaps in scientific knowledge on the natural history of coronavirus disease (COVID-19), with a specific focus on immune, inflammatory, and metabolic markers, in parallel with temporal assessment of clinical and mental health in patients with COVID-19. The study will explore the temporal modulatory effects of physical activity and body composition on individual trajectories. This approach will provide a better understanding of the survival mechanisms provided by the immunomodulatory role of physical fitness. Methods: We will conduct a prospective observational cohort study including adult patients previously infected with the SARS-CoV-2 virus who have expressed a mild to moderate COVID-19 infection. Procedures will be conducted for all participants at baseline, six weeks after vaccination, and again at 12 months. At each visit, a venous blood sample will be collected for immune phenotypic characterization and biochemistry assays (inflammatory and metabolic parameters). Also, body composition, physical activity level, cardiovascular and pulmonary function, peripheral and respiratory muscle strength, functional exercise capacity, and mental health will be evaluated. Using the baseline information, participants will be grouped based on physical activity levels (sedentary versus active), body composition (normal weight versus overweight or obese), and SARS-CoV-2 status (positive versus negative). A sub-study will provide mechanistic evidence using an in-vitro assay based on well-trained individuals and age-matched sedentary controls who are negative for SARS-CoV-2 infection. Whole blood will be stimulated using recombinant human coronavirus to determine the cytokine profile. Peripheral blood mononuclear cells (PBMCs) from healthy well-trained participants will be collected and treated with homologous serum (from the main study; samples collected before and after the vaccine) and recombinant coronavirus (inactive virus). The metabolism of PBMCs will be analyzed using Respirometry (Seahorse). Data will be analyzed using multilevel repeated-measures ANOVA. Conclusions: The data generated will help us answer three main questions: (1) Does the innate immune system of physically active individuals respond better to viral infections compared with that of sedentary people? (2) which functional and metabolic mechanisms explain the differences in responses in participants with different physical fitness levels? and (3) do these mechanisms have long-term positive modulatory effects on mental and cardiovascular health? Trial registration number: Brazilian Registry of Clinical Trials: RBR-5dqvkv3. Registered on 21 September 2021.
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Affiliation(s)
- Fábio Santos Lira
- Exercise and Immunometabolism Research Group, Postgraduation Program in Movement Sciences, Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente 19060-900, SP, Brazil; (L.G.M.); (C.F.); (T.O.-O.); (B.S.d.A.S.)
- Correspondence:
| | - Telmo Pereira
- Department of Clinical Physiology, Polytechnic Institute of Coimbra, Coimbra Health School, Rua 5 de Outubro-SM Bispo, Apartado 7006, 3046-854 Coimbra, Portugal; (T.P.); (A.C.)
- Laboratory for Applied Health Research (LabinSaúde), Rua 5 de Outubro-SM Bispo, Apartado 7006, 3046-854 Coimbra, Portugal
| | - Luciele Guerra Minuzzi
- Exercise and Immunometabolism Research Group, Postgraduation Program in Movement Sciences, Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente 19060-900, SP, Brazil; (L.G.M.); (C.F.); (T.O.-O.); (B.S.d.A.S.)
| | - Caique Figueiredo
- Exercise and Immunometabolism Research Group, Postgraduation Program in Movement Sciences, Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente 19060-900, SP, Brazil; (L.G.M.); (C.F.); (T.O.-O.); (B.S.d.A.S.)
| | - Tiago Olean-Oliveira
- Exercise and Immunometabolism Research Group, Postgraduation Program in Movement Sciences, Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente 19060-900, SP, Brazil; (L.G.M.); (C.F.); (T.O.-O.); (B.S.d.A.S.)
| | | | - Manuel João Coelho-e-Silva
- Centro de Investigação do Desporto e da Atividade Física, Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, CIDAF, 3030-779 Coimbra, Portugal;
| | - Armando Caseiro
- Department of Clinical Physiology, Polytechnic Institute of Coimbra, Coimbra Health School, Rua 5 de Outubro-SM Bispo, Apartado 7006, 3046-854 Coimbra, Portugal; (T.P.); (A.C.)
- Laboratory for Applied Health Research (LabinSaúde), Rua 5 de Outubro-SM Bispo, Apartado 7006, 3046-854 Coimbra, Portugal
| | | | - Vanessa Ribeiro Dos Santos
- Skeletal Muscle Assessment Laboratory Postgraduation Program in Movement Sciences, Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente 19060-900, SP, Brazil; (V.R.D.S.); (L.A.G.)
| | - Luis Alberto Gobbo
- Skeletal Muscle Assessment Laboratory Postgraduation Program in Movement Sciences, Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente 19060-900, SP, Brazil; (V.R.D.S.); (L.A.G.)
| | - Marília Seelaender
- Cancer Metabolism Research Group, LIM26-HC, FMUSP, University of São Paulo, São Paulo 11000-000, SP, Brazil;
| | - Karsten Krüger
- Department of Exercise Physiology and Sports Therapy, Institute of Sports Science, Justus-Liebig-University Giessen, 35390 Giessen, Germany;
| | - Ricardo Aurino Pinho
- Graduate Program in Health Sciences, School of Medicine, Pontificia Universidade Catolica Do Parana, Curitiba 80000-000, PR, Brazil;
| | - José Cesar Rosa-Neto
- Immunometabolism Research Group, Department of Cell and Developmental Biology, Institute of Biomedical Sciences, Universidade de São Paulo (USP), São Paulo 01000-000, SP, Brazil;
| | - Bruna Spolador de Alencar Silva
- Exercise and Immunometabolism Research Group, Postgraduation Program in Movement Sciences, Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente 19060-900, SP, Brazil; (L.G.M.); (C.F.); (T.O.-O.); (B.S.d.A.S.)
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Toselli S, Campa F, Matias CN, de Alencar Silva BS, Dos Santos VR, Maietta Latessa P, Gobbo LA. Predictive equation for assessing appendicular lean soft tissue mass using bioelectric impedance analysis in older adults: Effect of body fat distribution. Exp Gerontol 2021; 150:111393. [PMID: 33965554 DOI: 10.1016/j.exger.2021.111393] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 05/03/2021] [Accepted: 05/04/2021] [Indexed: 12/25/2022]
Abstract
BACKGROUND Low muscle mass is associated with sarcopenia and increased mortality. Muscle mass, especially that of the limbs, is commonly estimated by dual-energy X-ray absorptiometry (DXA) or bioimpedance analysis (BIA). However, BIA-based predictive equations for estimating lean appendicular soft tissue mass (ALST) do not take into account body fat distribution, an important factor influencing DXA and BIA measurements. OBJECTIVES To develop and cross-validate a BIA-based equation for estimating ALST with DXA as criterion, and to compare our new formula to three previously published models. METHODS One-hundred eighty-four older adults (140 women and 44 men) (age 71.5 ± 7.3 years, body mass index 27.9 ± 5.3 kg/m2) were recruited. Participants were randomly split into validation (n = 118) and cross-validation groups (n = 66). Bioelectrical resistance was obtained with a phase-sensitive 50 kHz BIA device. RESULTS A BIA-based model was developed for appendicular lean soft tissue mass [ALST (kg) = 5.982 + (0.188 × S2 / resistance) + (0.014 × waist circumference) + (0.046 × Wt) + (3.881 × sex) - (0.053 × age), where sex is 0 if female or 1 if male, Wt is weight (kg), and S is stature (cm) (R2 = 0.86, SEE = 1.35 kg)]. Cross validation revealed r2 of 0.91 and no mean bias. Two of three previously published models showed a trend to significantly overestimate ALST in our sample (p < 0.01). CONCLUSIONS The new equation can be considered valid, with no observed bias and trend, thus affording practical means to quantify ALST mass in older adults.
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Affiliation(s)
- S Toselli
- Department of Biomedical and Neuromotor Science, University of Bologna, Italy
| | - F Campa
- Department for Life Quality Studies, University of Bologna, 47921 Rimini, Italy.
| | - C N Matias
- CIDEFES -Universidade Lusófona, 1749-024 Lisboa, Portugal; Bioperformance & Nutrition Research Unit, Ingrediente Métrico S.A., 2740-262 Lisbon, Portugal
| | | | | | - P Maietta Latessa
- Department for Life Quality Studies, University of Bologna, 47921 Rimini, Italy
| | - L A Gobbo
- Department of Physical Education, São Paulo State University, Presidente Prudente, Brazil
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Canhin DDS, Tebar WR, Scarabottolo CC, Silva GCR, Pinto RZ, Gobbo LA, Oliveira CBS, Christofaro DGD. Physical activity across life stages and sleep quality in adulthood - an epidemiological study. Sleep Med 2021; 83:34-39. [PMID: 33990064 DOI: 10.1016/j.sleep.2021.04.035] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Revised: 03/28/2021] [Accepted: 04/20/2021] [Indexed: 02/06/2023]
Abstract
OBJECTIVE To analyze the association between the continuous physical activity (PA) at different life stages with sleep quality in adults. METHODS This is an observational study with a cross-sectional design. A sample of 843 adults (61.7% female) with a mean age of 56.6 (±18.3) years was randomly selected. The PA at different life stages was assessed retrospectively in childhood and adolescence, and the current PA was assessed by Baecke Physical Activity Questionnaire. Sleep quality was assessed using the Mini-Sleep Questionnaire. Variables of sex, age group, ethnicity, socioeconomic status, and current physical activity were covariates. The association between continuous PA at different life stages with sleep quality was analyzed by binary logistic regression models. RESULTS Overweight adults who practiced PA in adolescence were 46% less likely to have poor sleep quality when compared to those who did not practice physical activity in this life stage (Odds ratio = 0.54, p = 0.031). Adults who continued to practice PA at youth and adulthood were 49% less likely to have poor sleep quality when compared to those without continuous PA (Odds ratio = 0.51, p = 0.009). CONCLUSIONS Poor sleep quality was negatively associated with continuous PA between youth and adulthood in overall sample and negatively associated with PA in adolescence among overweight adults.
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Affiliation(s)
- Daniel da Silva Canhin
- Department of Physical Education, Post Graduation Program in Movement Sciences, School of Technology and Sciences, Sao Paulo State University (UNESP), Presidente Prudente, Brazil; Exercise Investigation Laboratory (LIVE), Department of Physical Education, School of Technology and Sciences, São Paulo, State University (UNESP), Presidente Prudente, Brazil
| | - William R Tebar
- Department of Physical Education, Post Graduation Program in Movement Sciences, School of Technology and Sciences, Sao Paulo State University (UNESP), Presidente Prudente, Brazil; Exercise Investigation Laboratory (LIVE), Department of Physical Education, School of Technology and Sciences, São Paulo, State University (UNESP), Presidente Prudente, Brazil
| | - Catarina C Scarabottolo
- Department of Physical Education, Post Graduation Program in Movement Sciences, School of Technology and Sciences, Sao Paulo State University (UNESP), Presidente Prudente, Brazil; Exercise Investigation Laboratory (LIVE), Department of Physical Education, School of Technology and Sciences, São Paulo, State University (UNESP), Presidente Prudente, Brazil
| | - Gabriela C R Silva
- Exercise Investigation Laboratory (LIVE), Department of Physical Education, School of Technology and Sciences, São Paulo, State University (UNESP), Presidente Prudente, Brazil
| | - Rafael Z Pinto
- Department of Physical Therapy. Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Luis Alberto Gobbo
- Department of Physical Education, Post Graduation Program in Movement Sciences, School of Technology and Sciences, Sao Paulo State University (UNESP), Presidente Prudente, Brazil; Skeletal Muscle Assessment Laboratory (LABSIM), Department of Physical Education, School of Technology and Sciences, São Paulo, State University (UNESP), Presidente Prudente, Brazil
| | - Crystian B S Oliveira
- Exercise Investigation Laboratory (LIVE), Department of Physical Education, School of Technology and Sciences, São Paulo, State University (UNESP), Presidente Prudente, Brazil
| | - Diego G D Christofaro
- Department of Physical Education, Post Graduation Program in Movement Sciences, School of Technology and Sciences, Sao Paulo State University (UNESP), Presidente Prudente, Brazil; Exercise Investigation Laboratory (LIVE), Department of Physical Education, School of Technology and Sciences, São Paulo, State University (UNESP), Presidente Prudente, Brazil.
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Saraiva BTC, Agostinete RR, Freitas Júnior IF, de Sousa DER, Gobbo LA, Tebar WR, Christofaro DGD. Association between handgrip strength and bone mineral density of Brazilian children and adolescents stratified by sex: a cross-sectional study. BMC Pediatr 2021; 21:207. [PMID: 33910521 PMCID: PMC8080340 DOI: 10.1186/s12887-021-02669-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 04/15/2021] [Indexed: 11/30/2022] Open
Abstract
Background To examine the association of handgrip strength (HGS) and bone mineral density (BMD) of Brazilian children and adolescents. Methods The sample included 243 children and adolescents aged from 4 to 15 years (9.3 ± 2.2 years), 171 males and 72 females. The following measurements were performed: weight, height, trunk length, and years to the peak height velocity (PHV). The percentage lean soft tissue (PLST), percentage fat mass (PFM), and BMD were obtained using Dual Energy X-ray Absorptiometry (DXA) and HGS using a dynamometer. Results In girls, HGS was positively associated with higher BMD, even after the adjustments, by arms [β = 0.006; p < 0.001], legs [β = 0.014; p < 0.001], pelvis [β = 0.019; p < 0.001], trunk [β = 0.013; p < 0.001], spine [β = 0.013; p = 0.008], and total body [β = 0.009; p < 0.001]. The same occurred in the boys, even after the adjustments a positive relationship was observed, whereas higher HGS was related to greater BMD in arms [β = 0.006; p < 0.001], legs [β = 0.017; p < 0.001], pelvis [β = 0.014; p < 0.001], trunk [β = 0.009; p < 0.001], spine [β = 0.008; p < 0.001], and total body [β = 0.007; p < 0.001]. Conclusion HGS was positively associated to BMD in boys and girls, regardless of age, PHV, PLST, and PFM.
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Affiliation(s)
- Bruna Thamyres Ciccotti Saraiva
- Department of Physical Education, São Paulo State University (UNESP), School of Sciences and Technology, Presidente Prudente, SP, CEP 19060-900, Brazil
| | - Ricardo Ribeiro Agostinete
- Department of Physical Education, São Paulo State University (UNESP), School of Sciences and Technology, Presidente Prudente, SP, CEP 19060-900, Brazil.
| | - Ismael Forte Freitas Júnior
- Department of Physical Education, São Paulo State University (UNESP), School of Sciences and Technology, Presidente Prudente, SP, CEP 19060-900, Brazil
| | - Daniel Eduardo Rodrigues de Sousa
- Department of Physical Education, São Paulo State University (UNESP), School of Sciences and Technology, Presidente Prudente, SP, CEP 19060-900, Brazil
| | - Luis Alberto Gobbo
- Department of Physical Education, São Paulo State University (UNESP), School of Sciences and Technology, Presidente Prudente, SP, CEP 19060-900, Brazil
| | - William Rodrigues Tebar
- Department of Physical Education, São Paulo State University (UNESP), School of Sciences and Technology, Presidente Prudente, SP, CEP 19060-900, Brazil
| | - Diego Giulliano Destro Christofaro
- Department of Physical Education, São Paulo State University (UNESP), School of Sciences and Technology, Presidente Prudente, SP, CEP 19060-900, Brazil
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Abstract
BACKGROUND Bioelectrical impedance vector analysis (BIVA) is able to identify differences in hydration status and body composition components, such as body cell mass (BCM) by means of plotting individuals in ellipses, when comparing groups with different characteristics. OBJECTIVE Compare the confidence and tolerance ellipses of BIVA in individual and team sports athletes with a non-athlete reference population. DESIGN AND PARTICIPANTS One hundred sixty-seven college athletes (team sports: 117 athletes, individual sports: 50 athletes) aged between 18 and 35 years. Bioelectrical impedance was used to measure resistance (R) and reactance (Xc) values that were used in the BIVA analysis to identify hydration status and BCM, respectively. Hotelling's t-test was used to identify differences between groups in the confidence ellipses and the comparison was made with a non-athlete Italian reference population. RESULTS There were no differences between male team sports and individual athletes (p = 0.151) and for female athletes (p = 0.624). Most athletes were located in the 50% tolerance ellipses, indicating adequate hydration. Compared to the Italian a non-athlete population, athletes of both sexes presented left impedance vector deviation in the minor axis (Xc) of the tolerance ellipses, indicating higher BCM. CONCLUSION There were no differences in BIVA between team and individual sports athletes, but most athletes presented an adequate hydration state and, compared to a non-athlete population, the athletes of the present study presented higher BCM.
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Affiliation(s)
- Priscila Custódio Martins
- Departamento de Educação Física, Universidade Federal de Santa Catarina, Centro de Desportos, Campus Universitário - Trindade - Caixa Postal 476, Florianópolis, Santa Catarina, CEP 88040-900, Brazil.
| | | | - Diego Augusto Santos Silva
- Departamento de Educação Física, Universidade Federal de Santa Catarina, Centro de Desportos, Campus Universitário - Trindade - Caixa Postal 476, Florianópolis, Santa Catarina, CEP 88040-900, Brazil
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Marini E, Buffa R, Gobbo LA, Salinas-Escudero G, Stagi S, García-Peña C, Sánchez-García S, Carrillo-Vega MF. Interpopulation Similarity of Sex and Age-Related Body Composition Variations Among Older Adults. Int J Environ Res Public Health 2020; 17:ijerph17176047. [PMID: 32825260 PMCID: PMC7503589 DOI: 10.3390/ijerph17176047] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 08/12/2020] [Accepted: 08/16/2020] [Indexed: 02/03/2023]
Abstract
The aim of the study was to analyze sex and age-related body composition variations among older adults from the Brazilian, Italian, and Mexican population. A cross-sectional analysis was conducted in 1103 community-dwelling older adults (634 women and 469 men), aged 60 to 89 years, living in Brazil (n = 176), Italy (n = 554), and Mexico (n = 373). Anthropometric measurements were taken, BMI was calculated, and impedance measurements were obtained (resistance, R, reactance, Xc). Specific bioelectrical impedance vector analysis (specific BIVA) was applied, with the specific vector defined by impedance, or vector length (Z = (Rsp2 + Xcsp)0.5), and phase angle (PA = arctan Xc/R 180/π). Population, sex, and age differences in anthropometric and bioelectrical variables were evaluated by means of a two way ANOVA. The mean bioelectrical vectors were graphed by confidence ellipses and statistically compared by the Hotelling's T2 test. The three population groups showed differences in body mass and composition (p < 0.001): the Brazilian sample was characterized by greater body dimensions, longer vectors (higher relative content of fat mass), and lower phase angles (lower skeletal muscle mass). Men were taller and heavier than women (p < 0.001) but had a similar BMI (p = 0.102). They also had higher phase angle (higher skeletal muscle mass) (p < 0.001) and lower vector length (lower %FM) (p < 0.001). In the three population groups, the oldest individuals showed lower anthropometric and phase angle values with respect to the youngest ones (p < 0.001), whereas the vector length did not change significantly with age (p = 0.665). Despite the differences between sexes and among populations, the trend of age-related variations was similar in the Brazilian, Italian, and Mexican older adults.
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Affiliation(s)
- Elisabetta Marini
- Department of Life and Environmental Science, Neuroscience and Anthropological Section, University of Cagliari, Cittadella Universitaria, Monserrato, 09042 Cagliari, Italy; (E.M.); (R.B.); (S.S.)
| | - Roberto Buffa
- Department of Life and Environmental Science, Neuroscience and Anthropological Section, University of Cagliari, Cittadella Universitaria, Monserrato, 09042 Cagliari, Italy; (E.M.); (R.B.); (S.S.)
| | - Luis Alberto Gobbo
- Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, São Paulo 19060-900, Brazil;
| | - Guillermo Salinas-Escudero
- Center for Economic and Social Studies in Health, Hospital Infantil de México Federico Gómez, Mexico City 06720, Mexico;
| | - Silvia Stagi
- Department of Life and Environmental Science, Neuroscience and Anthropological Section, University of Cagliari, Cittadella Universitaria, Monserrato, 09042 Cagliari, Italy; (E.M.); (R.B.); (S.S.)
| | - Carmen García-Peña
- Research Department, Instituto Nacional de Geriatría, Mexico City 10200, Mexico;
| | - Sergio Sánchez-García
- Epidemiology and Health Services Research Unit, Aging Area, IMSS, Mexico City 06720, Mexico;
| | - María Fernanda Carrillo-Vega
- Geriatric Epidemiology Unit, Research Department, National Institute of Geriatrics, Instituto Nacional de Geriatría, Mexico City 10200, Mexico
- Correspondence:
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Bertoli J, de Souza Bezerra E, Dias Reis A, Amice da Costa Barros Ê, Gobbo LA, Forte Freitas Júnior I. Long-Term Side Effects of Breast Cancer on Force Production Parameters. J Strength Cond Res 2020; 36:1450-1458. [DOI: 10.1519/jsc.0000000000003631] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Cunha PM, Nunes JP, Tomeleri CM, Nascimento MA, Schoenfeld BJ, Antunes M, Gobbo LA, Teixeira D, Cyrino ES. Resistance Training Performed With Single and Multiple Sets Induces Similar Improvements in Muscular Strength, Muscle Mass, Muscle Quality, and IGF-1 in Older Women: A Randomized Controlled Trial. J Strength Cond Res 2020; 34:1008-1016. [DOI: 10.1519/jsc.0000000000002847] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Luiz-de-Marco R, Gobbo LA, Castoldi RC, Maillane-Vanegas S, da Silva Ventura Faustino-da-Silva Y, Exupério IN, Agostinete RR, Fernandes RA. Impact of changes in fat mass and lean soft tissue on bone mineral density accrual in adolescents engaged in different sports: ABCD Growth Study. Arch Osteoporos 2020; 15:22. [PMID: 32090287 DOI: 10.1007/s11657-020-0707-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2019] [Accepted: 01/27/2020] [Indexed: 02/03/2023]
Abstract
UNLABELLED Body composition can have a significant impact on bone mineral density (BMD) in pediatric patients and may cause bone disease. This study demonstrated that lean soft tissue (LST) seems to have a greater impact on BMD gain in the lower limbs of adolescents. PURPOSE To analyze the impact of changes in lean soft tissue (LST) and fat mass on areal bone mineral density (BMD) accrual in the lower limbs among adolescents engaged in sports with different weight-bearing levels. METHODS Longitudinal (12 months: measurements at two time points). Adolescents of both sexes (n = 191; 62 girls [32.5%] and 129 boys [67.5%]) were divided into three groups: control group (n = 65), swimming group (n = 25), and weight-bearing sports group (n = 100). Absolute changes in LST (kg) and fat mass (kg) were the independent variables, while BMD accrual (left and right legs) was the dependent variable. Linear regression was used to assess the relationship between dependent and independent variables in a multivariate model adjusted by sex, body weight, somatic maturation, serum osteocalcin, and baseline values of BMD of the lower limbs. RESULTS For the left leg, LST was positively related to areal BMD accrual in the control (β = 0.021 [95%CI: 0.001 to 0.042]) and weight-bearing sport groups (β = 0.051 [95%CI: 0.037 to 0.065]), but not among swimmers (β = 0.029 [95%CI: - 0.004 to 0.062]). For the right leg, LST was positively related to areal BMD accrual in the swimming group (β = 0.065 [95%CI: 0.031 to 0.100]) and weight-bearing sport groups (β = 0.048 [95%CI: 0.034 to 0.062]), but not in the control group (β = 0.014 [95%CI: - 0.002 to 0.030]). Fat mass was not significantly related to areal BMD in either leg. CONCLUSIONS Changes in LST were the most relevant determinant of BMD accrual in the lower limbs, mainly among adolescents engaged in sports.
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Affiliation(s)
- Rafael Luiz-de-Marco
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil.
| | - Luis Alberto Gobbo
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Robson Chacon Castoldi
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Santiago Maillane-Vanegas
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Yuri da Silva Ventura Faustino-da-Silva
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Isabela Neto Exupério
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Ricardo Ribeiro Agostinete
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Romulo A Fernandes
- Department of Physical Education, São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BR, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
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Freire APCF, Marçal Camillo CA, de Alencar Silva BS, Uzeloto JS, Francisco de Lima F, Alberto Gobbo L, Ramos D, Cipulo Ramos EM. Resistance training using different elastic components offers similar gains on muscle strength to weight machine equipment in Individuals with COPD: A randomized controlled trial. Physiother Theory Pract 2020; 38:14-27. [PMID: 31975638 DOI: 10.1080/09593985.2020.1716422] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Purpose: To compare the effects of three modalities of resistance training, two using elastic components and one using conventional weight machine on peripheral muscle strength in Individuals with chronic obstructive pulmonary disease (COPD). Effects on exercise capacity, impact of disease on health status, body composition and daily level of physical activity were investigated as secondary endpoints.Methods: Forty-eight participants were randomly allocated (Trials Registry #RBR-6V9SJJ) into Elastic band group (Theraband®) (EBG), Elastic tubes training using Lemgruber® (ETG), and Conventional training with weight machine equipment (CG). Participants were evaluated before and after 12 weeks of training regarding peripheral muscle strength by dynamometry; impact of disease on health status via COPD Assessment Test, CAT; exercise capacity by 6-min walk test, 6MWT; body composition by bioelectrical impedance; and daily level of physical activities via accelerometry.Results: Inter-group comparison of training effects did not elucidate significant differences between the modalities in muscle strength (p ≥ .2). Likewise, all training modalities showed similar effects on CAT, body composition and daily physical activity variables with no statistical significance observed (p ≥ .15).Conclusions: Modalities of resistance training using elastic components presented similar effects on muscle strength, health status, exercise capacity, body composition and daily level of physical activity in individuals with COPD. The effects of elastic resistance were similar to conventional resistance training.
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Affiliation(s)
| | | | | | - Juliana Souza Uzeloto
- Department of Physiotherapy, São Paulo State University, Presidente Prudente, São Paulo, Brazil
| | | | - Luis Alberto Gobbo
- Department of Physiotherapy, São Paulo State University, Presidente Prudente, São Paulo, Brazil
| | - Dionei Ramos
- Department of Physiotherapy, São Paulo State University, Presidente Prudente, São Paulo, Brazil
| | - Ercy Mara Cipulo Ramos
- Department of Physiotherapy, São Paulo State University, Presidente Prudente, São Paulo, Brazil
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Scarabottolo CC, Cyrino ES, Nakamura PM, Tebar WR, Canhin DDS, Gobbo LA, Christofaro DGD. Relationship of different domains of physical activity practice with health-related quality of life among community-dwelling older people: a cross-sectional study. BMJ Open 2019; 9:e027751. [PMID: 31253620 PMCID: PMC6609057 DOI: 10.1136/bmjopen-2018-027751] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2018] [Revised: 03/20/2019] [Accepted: 05/02/2019] [Indexed: 12/18/2022] Open
Abstract
OBJECTIVE To analyse the association between different domains of physical activity (PA) and health-related domains of health-related quality of life (HRQoL) in older adults, independent of confounding variables. DESIGN Cross-sectional study. PARTICIPANTS In total, 400 individuals 60 years or above were randomly selected to participate in the study. PRIMARY AND SECONDARY OUTCOME MEASURES PA was assessed by a questionnaire in three different domains (work/occupational, sports/gym and leisure time) and total PA. The 36-Item Short Form Health Survey was used to evaluate HRQoL. The variables socioeconomic condition, marital status and presence of health professional-diagnosed comorbidities were self-reported. RESULTS The mean age of the sample was 71.5 (±8.4) years, of whom 58% (n=232) were female. Male older adults showed higher scores of PA in sports, leisure time and in total PA than female adults. Older adults who were more physically active in the work/occupational domain were associated with better scores in functional capacity (OR=1.73, 95% CI 1.02 to 2.93) and general health perception (OR=1.61, 95% CI 1.02 to 2.56). Those who presented a higher score in the sports/gym domain had better scores in functional capacity, even after adjustment for comorbidities (OR=1.72, 95% CI 1.01 to 2.96). Individuals with higher activity in leisure time were more likely to have better scores in functional capacity (OR=1.75, 95% CI 1.03 to 2.98), body pain (OR=1.74, 95% CI 1.09 to 2.78) and mental health (OR=1.67, 95% CI 1.03 to 2.69). Older adults who were more active in total PA were 77% more likely to have better scores in functional capacity (OR=1.77, 95% CI 1.04 to 3.02). CONCLUSION Physically active older adults in the different domains of PA presented better HRQoL parameters, reinforcing the importance of studies analysing PA in different contexts and in countries with low and medium socioeconomic conditions.
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Affiliation(s)
- Catarina Covolo Scarabottolo
- Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho, Faculdade de Ciencias e Tecnologia, Campus de Presidente Prudente, Presidente Prudente, São Paulo, Brazil
| | - Edilson Serpeloni Cyrino
- Physical Education Department, Universidade Estadual de Londrina (UEL), Londrina, Paraná, Brazil
| | - Priscila Missaki Nakamura
- Universidade Estadual Paulista Julio de Mesquita Filho, Instituto de Biociencias, Campus de Rio Claro, Rio Claro, São Paulo, Brazil
| | - William Rodrigues Tebar
- Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho, Faculdade de Ciencias e Tecnologia, Campus de Presidente Prudente, Presidente Prudente, São Paulo, Brazil
| | - Daniel da Silva Canhin
- Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho, Faculdade de Ciencias e Tecnologia, Campus de Presidente Prudente, Presidente Prudente, São Paulo, Brazil
| | - Luis Alberto Gobbo
- Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho, Faculdade de Ciencias e Tecnologia, Campus de Presidente Prudente, Presidente Prudente, São Paulo, Brazil
| | - Diego Giulliano Destro Christofaro
- Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho, Faculdade de Ciencias e Tecnologia, Campus de Presidente Prudente, Presidente Prudente, São Paulo, Brazil
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Silva BSA, Ramos D, Bertolini GN, Freire APCF, Leite MR, Camillo CA, Gobbo LA, Ramos EMC. Resistance exercise training improves mucociliary clearance in subjects with COPD: A randomized clinical trial. Pulmonology 2019; 25:340-347. [PMID: 30846389 DOI: 10.1016/j.pulmoe.2019.01.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2018] [Revised: 12/20/2018] [Accepted: 01/07/2019] [Indexed: 01/28/2023] Open
Abstract
INTRODUCTION Elastic tubing was recently investigated as an alternative to the conventional resistance training (RT) in chronic obstructive pulmonary disease (COPD). The effects of RT on the mucociliary system have not yet been reported in the literature. OBJECTIVE The aim of this study was to evaluate the effects of two RT programs on mucociliary clearance in subjects with COPD. METHODS Twentyeight subjects with COPD were randomly allocated by strata, according to individual strength of lower limbs, to defined groups: conventional resistance training (GCT) or resistance training using elastic tubing (GET). Nineteen subjects (GET: n=9; GCT: n=10) completed the study and were included in the analysis. The measurement of vital signs (blood pressure, heart rate and respiratory rate), lung function (spirometry) and the primary outcome mucociliary clearance analysis (saccharin transit time test (STT)) were performed before and after the 12 weeks of RT. RESULTS In relation to the mucociliary transportability analysis, no differences were observed between the baseline evaluations of the training groups (p=0.05). There was a significant reduction in the STT values in both training groups, GET (10.64±5.06 to 6.01±4.91) and GCT (12.07±5.10 to 7.36±2.54) with p=0.03. However, no differences between groups were observed on the magnitude of SST changes after interventions (GET: -43.51%; GCT: -38.94%; p=0.97). CONCLUSION The present study demonstrated that both RT with elastic tubing and conventional training with weights promoted similar gains in the mucociliary transportability of subjects with COPD.
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Affiliation(s)
- B S A Silva
- Skeletal Muscle Assessment Laboratory, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - D Ramos
- Department of Physical Therapy, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil
| | - G N Bertolini
- Skeletal Muscle Assessment Laboratory, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - A P C F Freire
- Department of Physical Therapy, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil
| | - M R Leite
- Department of Physical Therapy, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil
| | - C A Camillo
- Doctoral Program in Rehabilitation Sciences, State University of Londrina (UEL), Brazil
| | - L A Gobbo
- Skeletal Muscle Assessment Laboratory, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - E M C Ramos
- Department of Physical Therapy, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil.
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Roediger MDA, Marucci MDFN, Gobbo LA, Dourado DAQS, Santos JLF, Duarte YADO, Lebrão ML. Reported diabetes mellitus: incidence and determinants in cohort of community dwelling elderly people in São Paulo City, Brazil: SABE study, health, wellness and aging. Cien Saude Colet 2019; 23:3913-3922. [PMID: 30427461 DOI: 10.1590/1413-812320182311.13062016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2015] [Accepted: 11/24/2016] [Indexed: 11/22/2022] Open
Abstract
To verify the association between the incidence of DM and predictors, in a cohort of elderly people. Elderly people (≥ 60 y) were analyzed, of both genders, participants of the SABE Survey, carried out in the city of São Paulo, Brazil, in 2000 (n = 2,143) and 2006 (n = 1,115). The study variables were: DM; demographic (gender, age group, education level, companionship in the residence), nutritional status (risk for obesity, body obesity, and high abdominal fat), clinical (number of reported diseases), and lifestyle (alcohol consumption, smoking, intake of meat and fruit and vegetables). Multiple logistic regression (p < 0.05) was used to verify the association between variables of this study, with the statistical software Stata/SE 10.1. In 2006, 914 subjects, survivors of 2000, were analyzed and 72 were identified as new cases of DM (7.7/1.000 person-years). It was found that body obesity (OR = 1.67, CI = 1.00 to 2.81) and high abdominal fat (OR = 2.32, CI = 1.47 to 3.67) were predictors of the incidence of DM in the elderly (p < 0.000). It was concluded that body obesity and abdominal fat are the variables which contribute to the development of DM in the elderly.
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Affiliation(s)
- Manuela de Almeida Roediger
- Departamento de Nutrição, Faculdade de Saúde Pública (FSP), Universidade de São Paulo (USP). Av. Dr. Arnaldo 715, Cerqueira César. 01246-904 São Paulo SP Brasil.
| | - Maria de Fátima Nunes Marucci
- Departamento de Nutrição, Faculdade de Saúde Pública (FSP), Universidade de São Paulo (USP). Av. Dr. Arnaldo 715, Cerqueira César. 01246-904 São Paulo SP Brasil.
| | - Luis Alberto Gobbo
- Departamento de Educação Física, Universidade Estadual Paulista. Presidente Prudente SP Brasil
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de Alencar Silva BS, Lira FS, Rossi FE, de Freitas MC, Freire APCF, Dos Santos VR, Gobbo LA. Elastic resistance training improved glycemic homeostasis, strength, and functionality in sarcopenic older adults: a pilot study. J Exerc Rehabil 2018; 14:1085-1091. [PMID: 30656174 PMCID: PMC6323338 DOI: 10.12965/jer.1836412.206] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [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: 08/16/2018] [Accepted: 11/08/2018] [Indexed: 12/20/2022] Open
Abstract
The purpose of this study was to verify the effects of 12 weeks of elastic resistance training on the glucose homeostasis, strength and functionally in sarcopenic older adults. Seven sarcopenic subjects (age, 70.71± 8.0 years; body mass index, 22.75±3.1 kg/m2) participated of training protocol with 12 weeks of elastic resistance training. The oral glucose tolerance test, handgrip strength, sit-to-stand test, 4-m walk test, and coordination test were measured at baseline and after training. According to the results, baseline values of area under the curve of glucose and homeostatic model assessment-insulin resistance were significantly lower than after 12 weeks, respectively (808.2±185.0 mmol/L vs. 706.6±114.8 mmol/L, P=0.049; 1.44±0.48 vs. 0.73±0.32, P=0.040). There were a significant improve of HGS (24.3±5.7 kg vs. 27.3±7.3 kg, P=0.01), 4-m walking test (3.64±0.4 sec vs. 3.23±0.3 sec, P=0.04), and STS (10.2±2.3 sec vs. 9.0±1.9 sec, P=0.04) compared with baseline. In conclusion, these findings suggest that elastic resistance training improved glucose homeostasis, strength, and functionality in sarcopenic older adults.
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Affiliation(s)
- Bruna Spolador de Alencar Silva
- Skeletal Muscle Assessment Laboratory, Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Fábio Santos Lira
- Exercise and Immunometabolism Research Group, Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Fabrício Eduardo Rossi
- Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Federal University of Piaui (UFPI), Teresina, Brazil
| | - Marcelo Conrado de Freitas
- Skeletal Muscle Assessment Laboratory, Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Ana Paula Coelho Figueira Freire
- Department of Physical Therapy, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Vanessa Ribeiro Dos Santos
- Skeletal Muscle Assessment Laboratory, Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Luis Alberto Gobbo
- Skeletal Muscle Assessment Laboratory, Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil
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Santos VRD, Gomes IC, Bueno DR, Christofaro DGD, Freitas IF, Gobbo LA. Obesity, sarcopenia, sarcopenic obesity and reduced mobility in Brazilian older people aged 80 years and over. ACTA ACUST UNITED AC 2017; 15:435-440. [PMID: 29267428 PMCID: PMC5875156 DOI: 10.1590/s1679-45082017ao4058] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Accepted: 08/31/2017] [Indexed: 11/21/2022]
Abstract
Objective To analyze which abnormalities in body composition (obesity, sarcopenia or sarcopenic obesity) are related to reduced mobility in older people aged 80 years and older. Methods The sample included 116 subjects aged 80 years and older. The body composition was measured using dual-energy X-ray absorptiometry (DXA) and mobility was assessed by motor tests. The χ2 test was used to analyze the proportion of older people with sarcopenia, obesity and sarcopenic obesity based on sex as well as to indicate an association between obesity, sarcopenia, sarcopenic obesity and mobility. Binary logistic regression, adjusted for the variables (sex and osteoarticular diseases), was used to express the magnitude of these associations. One-way analysis of variance was used to compare the mobility of four groups (Normal, Obesity, Sarcopenia and Sarcopenic Obesity). Results The Sarcopenia Group had lower performance in the lower limbs strength test and in sum of two tests compared with Obesity and Normal Groups. Older people with sarcopenia had higher chance of reduced mobility (OR: 3.44; 95%CI: 1.12-10.52). Conclusion Older people aged 80 years and older with sarcopenia have more chance for reduction in mobility.
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Affiliation(s)
- Vanessa Ribeiro Dos Santos
- Programa de Pós-Graduação em Ciências da Motricidade, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, SP, Brazil
| | | | | | - Diego Giulliano Destro Christofaro
- Programa de Pós-Graduação em Ciências da Motricidade, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, SP, Brazil
| | - Ismael Forte Freitas
- Programa de Pós-Graduação em Ciências da Motricidade, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, SP, Brazil
| | - Luis Alberto Gobbo
- Programa de Pós-Graduação em Ciências da Motricidade, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, SP, Brazil
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Silva BSA, Lira FS, Ramos D, Uzeloto JS, Rossi FE, Freire APCF, Silva RN, Trevisan IB, Gobbo LA, Ramos EMC. Severity of COPD and its relationship with IL-10. Cytokine 2017; 106:95-100. [PMID: 29108795 DOI: 10.1016/j.cyto.2017.10.018] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2017] [Revised: 10/19/2017] [Accepted: 10/20/2017] [Indexed: 12/16/2022]
Abstract
BACKGROUND The present study was designed to compare inflammatory and metabolic responses according to severity of airflow among patients with COPD and to verify the relationship between pulmonary function, body composition, metabolic and inflammatory profile. METHODS Fifty-one patients with mild to very severe COPD were recruited and divided according lung function in Mild-moderate (GOLD 1-2) n= 21; Severe (GOLD 3) n=25 and Very severe (GOLD 4) n=5. Patients were submitted to assessments of lung function (spirometry), functional exercise capacity (6-min walk test), body composition (Octopolar bioelectrical impedance), metabolic profile (glucose, triglycerides, total cholesterol, HDL-cholesterol and albumin (colorimetric assay)) and inflammatory profile (cytokines: IL-6, IL-10, TNF-α and IL-15 (ELISA)). RESULTS We found that patients in GOLD 3 group had lower levels of IL-10, triglycerides, visceral fat area, and higher IL-6 and IL-6/IL-10 ratio when compared to GOLD 1-2 patients. Additionally, GOLD 1-2 group presented negative correlation between TNF-α and HDL cholesterol (p= .01) and positive correlation between IL-15 and FEV1/FVC (p=.01), while GOLD 3 group showed positive correlation between IL-6 and IL-10 (p< .01), IL-6 and total cholesterol (p<.01) and negative correlation between IL-10 and HDL-cholesterol (p=.01). CONCLUSION Our findings suggest that patients with severe COPD can exhibit compromised "inflammatory status", characterized by higher IL6, IL-6/IL-10 ratio and lower IL-10 concentration. Furthermore, IL-10 seems to be an interesting cytokine to be investigated in this kind of patients.
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Affiliation(s)
- Bruna S A Silva
- Skeletal Muscle Assessment Laboratory (LABSIM), São Paulo State University (UNESP), School of Technology and Sciences, Department of Physcial Education, Presidente Prudente, SP, Brazil; Post Graduation Program in Motricity Sciences, São Paulo State University (UNESP), School of Technology and Sciences, Presidente Prudente, SP, Brazil.
| | - Fábio S Lira
- Exercise and Immunometabolism Research Group, Department of Physical Education, São Paulo State University (UNESP), School of Technology and Sciences, Presidente Prudente, SP, Brazil
| | - Dionei Ramos
- Department of Physical Therapy, São Paulo State University (UNESP), School of Technology and Sciences, Presidente Prudente, SP, Brazil; Post Graduation Program in Physical Therapy, São Paulo State University (UNESP), School of Technology and Sciences, Presidente Prudente, SP, Brazil
| | - Juliana S Uzeloto
- Post Graduation Program in Physical Therapy, São Paulo State University (UNESP), School of Technology and Sciences, Presidente Prudente, SP, Brazil
| | - Fabrício Eduardo Rossi
- Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Federal University of Piauí (UFPI), Teresina, PI, Brazil
| | - Ana Paula C F Freire
- Post Graduation Program in Physical Therapy, São Paulo State University (UNESP), School of Technology and Sciences, Presidente Prudente, SP, Brazil
| | - Rebeca N Silva
- Post Graduation Program in Physical Therapy, São Paulo State University (UNESP), School of Technology and Sciences, Presidente Prudente, SP, Brazil
| | - Iara B Trevisan
- Post Graduation Program in Physical Therapy, São Paulo State University (UNESP), School of Technology and Sciences, Presidente Prudente, SP, Brazil
| | - Luis Alberto Gobbo
- Skeletal Muscle Assessment Laboratory (LABSIM), São Paulo State University (UNESP), School of Technology and Sciences, Department of Physcial Education, Presidente Prudente, SP, Brazil; Post Graduation Program in Motricity Sciences, São Paulo State University (UNESP), School of Technology and Sciences, Presidente Prudente, SP, Brazil; Post Graduation Program in Physical Therapy, São Paulo State University (UNESP), School of Technology and Sciences, Presidente Prudente, SP, Brazil
| | - Ercy M C Ramos
- Department of Physical Therapy, São Paulo State University (UNESP), School of Technology and Sciences, Presidente Prudente, SP, Brazil; Post Graduation Program in Physical Therapy, São Paulo State University (UNESP), School of Technology and Sciences, Presidente Prudente, SP, Brazil
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de Andrade RCC, Ferreira AD, Ramos D, Ramos EMC, Scarabottolo CC, Saraiva BTC, Gobbo LA, Christofaro DGD. Smoking among adolescents is associated with their own characteristics and with parental smoking: cross-sectional study. SAO PAULO MED J 2017; 135:561-567. [PMID: 29166435 PMCID: PMC10016012 DOI: 10.1590/1516-3180.2017.0154220717] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2017] [Accepted: 07/22/2017] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND This study aimed to analyze the association between smoking during adolescence and the characteristics of smoking and alcohol consumption among their parents. DESIGN AND SETTING Cross-sectional study in Londrina (PR), Brazil. METHODS The subjects comprised 1,231 adolescents aged 14-17 years. The adolescents and their parents answered a self-report questionnaire that asked for sociodemographic information and data on smoking and alcohol consumption. Multiple logistic regression models were used to analyze associations between smoking among adolescents and their characteristics (age, sex, period of the day for attending school, alcohol consumption and socioeconomic level) and their parents' characteristics (smoking, alcohol consumption, age and education level), adjusted according to the adolescents' characteristics (sex, age and socioeconomic level). RESULTS The prevalence of smoking among adolescents was 3.4% (95% confidence interval, CI: 2.4-4.4). Adolescents whose mothers or fathers were smokers were 2.0 and 2.5 times more likely to be smokers, respectively. The prevalence of smoking among adolescents with a smoking mother was 7.1% (95% CI: 2.6-10.7) and a smoking father, 5.4% (95% CI: 1.6-8.5). There were significant associations between smoking adolescents and age [5.2% (95% CI: 3.3-6.6)], studying at night [9.6% (95% CI: 4.0-15.5)] and alcohol consumption [69.0% (95% CI: 55.0-83.0)]. It was observed that the number of alcoholic beverage doses consumed was higher among smoking adolescents (P = 0.001). CONCLUSION Adolescent smoking was associated with smoking by their parents, regardless of the gender of the parents or adolescents. Age, alcohol consumption and studying at night are characteristics of adolescents that can contribute towards smoking.
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Affiliation(s)
- Rafaela Campos Cuissi de Andrade
- MSc. Physiotherapist, Department of Physiotherapy, School of Technology and Sciences, Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Presidente Prudente (SP), Brazil.
| | - Aline Duarte Ferreira
- MSc. Professor, Department of Physical Education, Universidade do Oeste Paulista (UNOESTE), Presidente Prudente (SP), Brazil.
| | - Dionei Ramos
- Professor, Department of Physiotherapy, Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), School of Technology and Sciences, Presidente Prudente (SP), Brazil.
| | - Ercy Mara Cipulo Ramos
- Professor, Department of Physiotherapy, Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), School of Technology and Sciences, Presidente Prudente (SP), Brazil.
| | - Catarina Covolo Scarabottolo
- Master’s Student, Department of Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Instituto de Biociências Campus de Rio Claro, Rio Claro (SP), Brazil.
| | - Bruna Thamyres Ciccotti Saraiva
- Master’s Student, Department of Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Instituto de Biociências Campus de Rio Claro, Rio Claro (SP), Brazil.
| | - Luis Alberto Gobbo
- Professor, Department of Physical Education, School of Technology and Sciences, Universidade Estadual Paulista Paulista Julio de Mesquita Filho (UNESP), Presidente Prudente (SP), Brazil.
| | - Diego Giulliano Destro Christofaro
- Professor, Department of Physical Education, School of Technology and Sciences, Universidade Estadual Paulista Paulista Julio de Mesquita Filho (UNESP), Presidente Prudente (SP), Brazil.
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Scarabottolo CC, Garcia Júnior JR, Gobbo LA, Alves MJ, Ferreira AD, Zanuto EAC, Oliveira WGAD, Christofaro DGD. Influence of physical exercise on the functional capacity in institutionalized elderly. REV BRAS MED ESPORTE 2017. [DOI: 10.1590/1517-869220172303150175] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Introduction: With the rapid increase in life expectancy, systematic physical exercise programs can have a good influence on the functional capacity of the elderly, especially in relation to institutionalization. Objective: To analyze the association between a systematic physical exercise program and functional capacity in institu-tionalized elderly. Methods: The sample included 30 elderly subjects (16 women and 14 men) aged 60 years or older (mean age = 74.43), divided into a control group (n=16) and a training group (n=14), residents in a long-stay institution. A training protocol of 12 weeks, two weekly sessions, was applied, and functional capa-city was assessed before and after the intervention, through chair lift tests (lower limb strength), upper limb strength, timed up and go and handgrip dynamometry. The analysis pre and post-training of intervention and control groups was performed using paired Student t test and the ANOVA test for repeated measures. The level of significance was set at 5%. Results: The main statistical significance were found for the following functional tests: upper limb strength (training 15.6±4.1 x control 10.7±6.6 rep, p<0.05) and chair lift test (training 11.0±4.0 x control 8.0±3.1 rep, p<0.05). Conclusion: The protocol used proved to be effective in improving some of the functional capabilities of the institutionalized elderly.
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Bueno DR, de Fátima Nunes Marucci M, Gobbo LA, de Almeida-Roediger M, de Oliveira Duarte YA, Lebrão ML. Expenditures of medicine use in hypertensive/diabetic elderly and physical activity and engagement in walking: cross secctional analysis of SABE Survey. BMC Geriatr 2017; 17:70. [PMID: 28320328 PMCID: PMC5359806 DOI: 10.1186/s12877-017-0437-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [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: 08/18/2015] [Accepted: 01/31/2017] [Indexed: 12/22/2022] Open
Abstract
Background The literature shows the inverse association between physical activity level (PAL) and chronic diseases that have a significant burden over health care costs. However, in upper-middle income countries and in elderly population this information are scarce. Objective To describe the annual drug expenditures for the hypertensive and diabetic elderly population in Brazil and to analyze the association with PAL and engagement in walking. Methods This cross sectional study is part of SABE Survey and comprised 806 hypertensive and/or diabetic elderly (≥60 years old). The annual expenditures of medicine use was estimated for all medications for hypertension and/or diabetes they were taking. The PAL was considered insufficient when moderate physical activity was <150 min/week or vigorous physical activity was < 75 min/week. Engagement in walking was considered by at least 1 day a week. All expenditures were presented through the descriptive values (in American Dollars US$) according PAL and engagement in walking. The association analysis between annual expenditures, PAL and engagement in walking were performed by multiple logistic regression models adjusted for gender, age and body mass index. Results The average annual cost was higher in diabetic and insufficient physically activity elderly. The 1-year estimated.cost was US$ 73386,09 and 295% higher in insufficiently physically active. Older people who reported not walking had a higher risk to higher annual expenditures of medicine use (OR = 1.57, 95% CI 1.03–2.40). Conclusions The annual expenditures of medicine use for controlling hypertension and diabetes of Brazilian elderly were higher and inversely associated with physical activity level and engagement in walking.
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Affiliation(s)
- Denise Rodrigues Bueno
- Department of Nutrition, Faculty of Public Health, University of Sao Paulo, Avenida Doutor Arnaldo, 715, Cerqueira César, São Paulo, SP, CEP: 01246-904, Brazil.
| | | | - Luis Alberto Gobbo
- Department of Physical Education, Univ. Estadual Paulista, Presidente Prudente, SP, Brazil
| | - Manuela de Almeida-Roediger
- Department of Nutrition, Faculty of Public Health, University of Sao Paulo, Avenida Doutor Arnaldo, 715, Cerqueira César, São Paulo, SP, CEP: 01246-904, Brazil
| | | | - Maria Lucia Lebrão
- Department of Epidemiology of Faculty of Public Health, University of São Paulo, São Paulo, Brazil
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Ribeiro AS, Avelar A, Dos Santos L, Silva AM, Gobbo LA, Schoenfeld BJ, Sardinha LB, Cyrino ES. Hypertrophy-type Resistance Training Improves Phase Angle in Young Adult Men and Women. Int J Sports Med 2016; 38:35-40. [PMID: 27793064 DOI: 10.1055/s-0042-102788] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The main purpose of the present study was to investigate the effect of a hypertrophy-type resistance training protocol on phase angle, an indicator of cellular integrity, in young adult men and women. 28 men (22.2±4.3 years, 67.8±9.0 kg and 174.2±6.8 cm) and 31 women (23.2±4.1 years, 58.7±12.1 kg and 162.7±6.4 cm) underwent a progressive RT for 16 weeks (2 phases, 8 weeks each), 3 times per week, consisting of 10 to 12 whole body exercises with 3 sets of 8-12 repetitions maximum. Phase angle, resistance, reactance and total body water (intra and extracellular water compartments) were assessed by bioimpedance spectroscopy (Xitron 4200 Bioimpedance Spectrum Analyzer). Total body water, intracellular water and phase angle increased significantly (P<0.05) in men (7.8, 8.3, and 4.3%, respectively) and women (7.6, 11.7, and 5.8% respectively), with no significant difference between sexes (P>0.05). Bioimpedance resistance decreased (P<0.05) similarly in both sex (men=-4.8%, women=-3.8%). The results suggest that regardless of sex, progressive RT induces an increase in phase angle and a rise in cellular hydration.
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Affiliation(s)
- A S Ribeiro
- Metabolism, Nutrition, and Exercise Laboratory, Physical Education and Sport Center, Londrina State University, Londrina, Brazil
| | - A Avelar
- Department of Physical Education, Center of Health Sciences, Maringá State University, Maringá, Brazil
| | - L Dos Santos
- Metabolism, Nutrition, and Exercise Laboratory, Physical Education and Sport Center, Londrina State University, Londrina, Brazil
| | - A M Silva
- Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz-Quebrada, Portugal
| | - L A Gobbo
- Department of Physical Education, São Paulo State University, Presidente Prudente, São Paulo, Brazil
| | - B J Schoenfeld
- Exercise Science Department, CUNY Lehman College, Bronx, New York, USAl
| | - L B Sardinha
- Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz-Quebrada, Portugal
| | - E S Cyrino
- Metabolism, Nutrition, and Exercise Laboratory, Physical Education and Sport Center, Londrina State University, Londrina, Brazil
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Teixeira GR, Gobbo LA, Santos NJD, Araújo RGD, Santos CCD, Malheiro OCDM, Castoldi RC, Camargo-Filho JCS, Papoti M. The effect of β-hydroxy-β-methylbutyrate (HMB) on the morphology of skeletal muscle after concurrent training. Motriz: rev educ fis 2016. [DOI: 10.1590/s1980-6574201600030010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Silva BSDA, Gobbo LA, Freire APCF, Trevisan IB, Silva IG, Ramos EMC. Efeitos de um treinamento resistido com tubos elásticos sobre a força muscular, qualidade de vida e dispneia de pacientes com doença pulmonar obstrutiva crônica. ACTA ACUST UNITED AC 2016. [DOI: 10.4025/jphyseduc.v27i1.2722] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
O objetivo deste estudo foi analisar os efeitos do treinamento resistido com tubos elásticos e aparelhos de musculação sobre qualidade de vida e dispneia em pacientes com doença pulmonar obstrutiva crônica (DPOC). Os participantes foram alocados em dois grupos: treinamento com tubos elásticos (GTE, n=9) e convencional (GRC, n=10). Força isométrica foi mensurada em cinco exercícios, e qualidade de vida (CRQ) e nível de dispneia (MRC) foram avaliados por questionários. As variáveis força isométrica e MRC variaram significantemente nos dois grupos, enquanto o domínio dispneia de CRQ apresentou diferença entre os momentos (p<0,05) apenas para GRC. Flexão de ombro e de cotovelo apresentaram correlação negativa e significante com a variável MRC (p<0,05) para GRC. As duas intervenções foram benéficas para o aumento da força e da redução da pontuação em MRC, com aumento da força de membros superiores correlacionado à redução da sensação de dispneia nos pacientes com DPOC.
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Paludo AC, Batista MB, Gobbo LA, Ronque ERV, Petroski EL, Serassuelo Junior H. Desenvolvimento de equações para estimativa do VO2PICO pelo teste de 9 minutos. REV BRAS MED ESPORTE 2014. [DOI: 10.1590/1517-86922014200301564] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJETIVO: Desenvolver e validar modelos matemáticos para predição do VO2pico em crianças e adolescentes, por meio da utilização do teste de campo de corrida/caminhada de 9 minutos.MÉTODOS: Foram avaliados 211 escolares, de sete a 12 anos de idade, de ambos os sexos, regularmente matriculados em duas escolas do Município de Londrina - PR, sendo 141 escolares separados para amostra de desenvolvimento e 70 para validação das equações desenvolvidas. As medidas avaliadas foram: massa corporal, estatura, espessuras de dobras cutâneas (tricipital e subescapular), além da maturação biológica. Os testes de corrida/caminha de 9 minutos foram realizados em pista de atletismo e a análise direta do VO2pico (mL/kg/min ) realizada em laboratório, com analisador de gás portátil, através um teste incremental em esteira rolante. O desenvolvimento das equações foi realizado através da análise de regressão linear pelo método stepwise e a validação foi realizada pelos testes matemáticos específicos levando em consideração uma significância de 5% para todas as análises.RESULTADOS: A equação geral para a amostra total foi VO2pico= 24,506+16,672 (maturação, 0=pré e 1=púbere e pós) - 0,346 (Σ DC) + 5,187 (sexo, 0=F e 1=M) + 0,009 (distância) com um r=0,742 e EPE=9,149 mL/kg/min e sua validação apresentou r=0,570, CCI= 0,68, limites de concordância de -1,4 mL/kg/min, EPE=8,39 mL/kg/min e CV= 21,94%.CONCLUSÃO: Conclui-se que a equação generalizada desenvolvida fornece uma estimativa válida do VO2pico em crianças e adolescentes de sete a 12 anos de idade.
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Affiliation(s)
- Ana Carolina Paludo
- Universidade de São Paulo, Brasil; Universidade Estadual de Londrina, Brasil
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Farah BQ, Souza Barbosa JPDA, Cucato GG, Chehuen MDR, Gobbo LA, Wolosker N, Forjaz CLDM, Ritti-Dias RM. Predictors of walking capacity in peripheral arterial disease patients. Clinics (Sao Paulo) 2013; 68:537-41. [PMID: 23778336 PMCID: PMC3634952 DOI: 10.6061/clinics/2013(04)16] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2012] [Accepted: 12/28/2012] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE To estimate walking capacity in intermittent claudication patients through a prediction model based on clinical characteristics and the walking impairment questionnaire. METHODS The sample included 133 intermittent claudication patients of both genders aged between 30 and 80 years. Data regarding clinical characteristics, the walking impairment questionnaire and treadmill walking test performance were obtained. Multiple regression modeling was conducted to predict claudication onset distance and total walking distance using clinical characteristics (age, height, mass, body mass index, ankle brachial index lower, gender, history of smoking and co-morbid conditions) and walking impairment questionnaire responses. Comparisons of claudication onset distance and total walking distance measured during treadmill tests and estimated by a regression equation were performed using paired t-tests. RESULTS Co-morbid conditions (diabetes and coronary artery disease) and questions related to difficulty in walking short distances (walking indoors - such as around your house and walking 5 blocks) and at low speed (walking 1 block at average speed - usual pace) resulted in the development of new prediction models high significant for claudication onset distance and total walking distance (p<0.001). In addition, non-significant differences from the results obtained by the treadmill test and estimated by the current model (p>0.05) were observed. CONCLUSION The current study demonstrated that walking capacity can be adequately estimated based on co-morbid conditions and responses to the walking impairment questionnaire.
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Gomes IC, Gobbo LA, Silva AM, Freitas Junior IF, Duarte YAO, Marucci MFN, Dos Santos VR, Lebrão ML. Appendicular Lean Soft Tissue: Development and Cross-Validation of Predictive Models for Older Men and Women. J Frailty Aging 2013; 2:62-7. [PMID: 27070660 DOI: 10.14283/jfa.2013.10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND Sarcopenia may explain, in a large proportion, physical disability, falls and fractures, especially in aged elderly. However, a diagnosis in an operationally systematic, simple and low cost way is extremely important, particularly for home-based, epidemiological studies. OBJECTIVE The purpose of this study was to develop and validate predictive equations of appendicular lean soft tissue (ALST) in elderly older than 80 years. DESIGN AND SETTINGS A validation study was performed in 106 elderly (men and women) aged 80 years and older. MEASUREMENTS Body weight, height, circumference (arm, midcalf, hip and waist) and triceps skinfold were measured in the elderly. ALST were measured using as the reference method dual-energy X-ray absorptiometry (DXA). RESULTS Two models were predicted. The first model (ALST, in kg = 0.074*height + 0.277*weight - 0.144*triceps skinfold - 0.103*waist circumference + 1.831*gender -0.966), which considered all possible variables in stepwise multiple regression, presented better statistical performance (r2 = 0.82; SEE = 1.67 kg), compared to the second model (ALST, in kg = 0.138*height + 0.103*weight + 3.061*gender - 12.489), a more practical equation, due to a lesser quantity of predictive variables (r2 = 0.75; SEE = 1.94 kg). Both models were validated, however, it was verified trend (p<0.05) for overestimation of predicted ALST. CONCLUSION In summary, two models for predicting ALST in men and women with age ≥ 80 years were developed and cross-validated. Model 1, with a greater number of predictive variables, presented a better accuracy than did the model with only three variables (height, weight, and gender). Validation studies are needed to test the usefulness of both models in other populations.
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Affiliation(s)
- I C Gomes
- Luis Alberto Gobbo, School of Public Health, Address Rua Coronel Penteado, 207, Santa Cruz das Palmeiras, SP, Brazil. Phone number +55 193 6721585, e-mail
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Ritti-Dias RM, Gobbo LA, Cucato GG, Wolosker N, Jacob Filho W, Santarém JM, Carvalho CRF, Forjaz CLDM, Marucci MDFN. Translation and validation of the walking impairment questionnaire in Brazilian subjects with intermittent claudication. Arq Bras Cardiol 2009; 92:136-49. [PMID: 19360247 DOI: 10.1590/s0066-782x2009000200011] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2008] [Accepted: 08/13/2008] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND The Walking Impairment Questionnaire (WIQ) has been used to evaluate walking impairment in subjects with intermittent claudication (IC). However, this questionnaire has yet to be translated to Brazilian Portuguese, which limits its use in Brazilian subjects. OBJECTIVE To translate and analyze the validity and reliability of WIQ in Brazilian subjects with IC. METHODS Forty-two patients with IC, determined by the ankle-brachial index < 0.90, participated in the study. After translation and re-translation, carried out by two independent translators, the construct validity of the WIQ was analyzed by correlating the WIQ scores with the Medical Outcome Study Questionnaire Short Form 36 (SF-36) scores and the physical fitness performance (treadmill and strength tests). The reliability was analyzed with a 7-day interval between two questionnaire applications. RESULTS Significant correlations between the WIQ domains and the SF-36 (functional capacity, physical aspects, bodily pain and emotional aspects) and physical fitness performance (treadmill and strength tests) were observed. Moreover, the intraclass coefficient correlation ranged from 0.72 to 0.81, and there were no differences in WIQ scores between the two questionnaire applications. CONCLUSION The Brazilian Portuguese version of the WIQ is valid and reliable to be used in Brazilian subjects with IC.
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Avelar A, Santos KMD, Cyrino ES, Carvalho FO, Dias RMR, Altimari LR, Gobbo LA. Perfil antropométrico e de desempenho motor de atletas paranaenses de futsal de elite. Rev Bras Cineantropom Desempenho Hum 2008. [DOI: 10.5007/1980-0037.2008v10n1p76] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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