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Oliveira GTA, Costa EC, Santos TM, Bezerra RA, Lemos TMAM, Mortatti AL, Elsangedy HM. Effect of High-Intensity Interval, Moderate-Intensity Continuous, and Self-Selected Intensity Training on Health and Affective Responses. Res Q Exerc Sport 2024; 95:31-46. [PMID: 36638528 DOI: 10.1080/02701367.2022.2141674] [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] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Accepted: 10/23/2022] [Indexed: 06/17/2023]
Abstract
Purpose: To compare the effects of 12-week high-intensity interval (HIIT), moderate-intensity continuous (MICT), and self-selected intensity training (SSIT) on health outcomes and affective responses. Methods: Seventy-three overweight/obese inactive adults (62% woman; age, 31.4 ± 7.2 years; height, 1.66 ± 0.09 cm; Body mass index, 28.9 ± 2.7 kg.m-2) who were randomized into HIIT (n = 23), MICT (n = 24) and SSIT (n = 26) groups. The training was conducted three times per week in an outdoor environment, with 4 weeks under direct supervision and 8 weeks with semi-supervision. Cardiorespiratory fitness, body composition, and metabolic profile were evaluated at baseline and at the end of the 4th and 12th weeks. Core affect was measured during all training sessions. Results: Peak oxygen uptake improved in all groups after 4 and 12 weeks compared with baseline. Only the SSIT had reductions in body fat throughout the intervention. No improvements were observed in the metabolic profile across all groups. SSIT was perceived as more pleasurable than HIIT; however, there were no differences in affective responses between SSIT and MICT. Affective responses in-task (e.g. negative and positive peak, rate of change and affect at the end of the exercise session) predicted the HIIT and SSIT exercises attendance rate. Conclusion: Regardless of the exercise training protocol, overweight/obese inactive adults improved health outcomes, which suggests the prescribing HIIT, MICT, and SSIT in outdoor environments. SSIT should be considered in order to optimize the pleasure during training sessions. Affective response more positive in-task of the HIIT and SSIT is associated with greater attendance rate in these exercise protocols.
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Pereira JR, da Fonseca AG, de Sena Fernandes LL, Furtado AA, da Silva VC, da Veiga Júnior VF, Sant'Ana AEG, Oliveira CN, Guerra GCB, de Freitas Fernandes-Pedrosa M, Gavioli EC, Oliveira-Costa JF, Soares MBP, de Lima ÁAN, de Melo Silva D, Moura Lemos TMA. Toxicological and pharmacological effects of pentacyclic triterpenes rich fraction obtained from the leaves of Mansoa hirsuta. Biomed Pharmacother 2021; 145:112478. [PMID: 34872801 DOI: 10.1016/j.biopha.2021.112478] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 11/17/2021] [Accepted: 11/29/2021] [Indexed: 11/27/2022] Open
Abstract
Mansoa hirsuta is a medicinal plant native to the Brazilian semi-arid region. This approach aimed to investigate the in vitro and in vivo toxicity and anti-inflammatory and analgesic actions of the M. hirsuta fraction (MHF). In vitro cell viability was assessed in 3T3 cells. In vivo, the acute toxicity test, a single dose of the MHF was administered. For the subchronic toxicity test, three doses of were administered for 30 days. Locomotion and motor coordination were assessed using open field and rota-rod. The anti-inflammatory activity was evaluated in carrageenan-induced paw edema and zymosan-induced air-pouch models. Myeloperoxidase (MPO) and total proteins were also measured. The antinociceptive activity MHF was determined using acid acetic-induced abdominal writhing and formalin models. In the cytotoxicity assay, MHF showed no significative impairment of cell viability and in the acute toxicity study, did not cause mortality or signs of toxicity. Repeated exposure to MHF did not cause relevant toxicological changes. The evaluation in the open field test showed that the MHF did not alter the locomotor activity and there was no change in motor coordination and balance of animals. MHF significantly reduced edema, MPO production, the migration of leukocytes and protein leakage. In addition, MHF reduced abdominal writhing and significantly inhibited the first and second stage of the formalin test. The results of this study indicated that MHF has an anti-inflammatory and analgesic potential without causing acute or subchronic toxic effects and it can be a promising natural source to be explored.
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Affiliation(s)
- Joquebede Rodrigues Pereira
- Department of Clinical and Toxicological Analysis, Faculty of Pharmacy, Federal University of Rio Grande do Norte, Natal, RN 59012-570, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil.
| | - Aldilane Gonçalves da Fonseca
- Department of Clinical and Toxicological Analysis, Faculty of Pharmacy, Federal University of Rio Grande do Norte, Natal, RN 59012-570, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil.
| | - Luzia Leiros de Sena Fernandes
- Department of Clinical and Toxicological Analysis, Faculty of Pharmacy, Federal University of Rio Grande do Norte, Natal, RN 59012-570, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil.
| | - Allanny Alves Furtado
- Department of Pharmacy, Laboratório Escola de Farmácia Industrial, Federal University of Rio Grande do Norte, Natal, RN 59012-570, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil.
| | - Valéria Costa da Silva
- Department of Biophysics and Pharmacology, Centro de Biociências, Federal University of Rio Grande do Norte, Natal, RN 59078-570, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil.
| | - Valdir Florêncio da Veiga Júnior
- Chemical Engineering Department, Military Institute of Engineering, Rio de Janeiro, RJ 22290-270, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil.
| | - Antônio Euzébio Goulart Sant'Ana
- Institute of Chemistry and Biotechnology, Federal University of Alagoas, Campus A.C. Simões, Maceió, AL 57072-970, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil.
| | - Cláudia Nunes Oliveira
- Department of Pathology, Federal University of Rio Grande do Norte, Natal, RN 59012570, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil.
| | - Gerlane Coelho Bernardo Guerra
- Department of Biophysics and Pharmacology, Centro de Biociências, Federal University of Rio Grande do Norte, Natal, RN 59078-570, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil.
| | - Matheus de Freitas Fernandes-Pedrosa
- Department of Pharmacy, Laboratório Escola de Farmácia Industrial, Federal University of Rio Grande do Norte, Natal, RN 59012-570, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil.
| | - Elaine Cristina Gavioli
- Department of Biophysics and Pharmacology, Centro de Biociências, Federal University of Rio Grande do Norte, Natal, RN 59078-570, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil
| | - José Fernando Oliveira-Costa
- State Health Secretary, Pharmaceutical Assistance Directory, Salvador, Bahia 41233-015, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil.
| | - Milena Botelho Pereira Soares
- State Health Secretary, Pharmaceutical Assistance Directory, Salvador, Bahia 41233-015, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil.
| | - Ádley Antonini Neves de Lima
- Department of Pharmacy, Laboratório Escola de Farmácia Industrial, Federal University of Rio Grande do Norte, Natal, RN 59012-570, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil.
| | - Daniel de Melo Silva
- Gonçalo Moniz Center, Oswaldo Cruz Foundation (FIOCRUZ), Salvador, Bahia 40296-710, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil.
| | - Telma Maria Araújo Moura Lemos
- Department of Clinical and Toxicological Analysis, Faculty of Pharmacy, Federal University of Rio Grande do Norte, Natal, RN 59012-570, Brazil; Department of Chemistry and Exact, State University of Southwest of Bahia, Jequié, BA 45208-091, Brazil.
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Pereira NML, Lemos TMAM, Martins RR, Costa RFD, Raffin FN. Manejo e Prevenção de Reações Adversas da Quimioterapia Antineoplásica com Platinas em Pacientes com Cânceres Esofágico e Gástrico: Revisão Sistemática da Literatura. Rev Bras Cancerol 2021. [DOI: 10.32635/2176-9745.rbc.2021v67n4.1347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
Introdução: O câncer gástrico é a quinta doença maligna mais comum em todo o mundo. Trata-se do tumor maligno mais incidente na Ásia, especialmente na China. O carcinoma esofágico é um dos tipos mais agressivos de tumor maligno. Os tratamentos multimodais, incluindo quimioterapia neoadjuvante e quimiorradioterapia, são utilizados e podem causar fadiga, vômito, diarreia, alterações cutâneas, caquexia e neuropatia periférica, que podem ser efeitos colaterais importantes para muitos pacientes que realizam seus tratamentos. Objetivo: Realizar uma revisão sistemática sobre o manejo e a prevenção de reações adversas da quimioterapia antineoplásica com platinas em pacientes com câncer esofágico e tumor gástrico. Método: Para seleção dos artigos, foi realizada a busca em três bases de dados: MEDLINE/PubMed, Cochrane e Embase, com a estratégia PICO, variando os descritores MeSH/DeCS e operadores booleanos. Resultados: Foram encontrados 455 títulos, dos quais, após utilizar a diretriz PRISMA, restaram 15 artigos para a revisão sistemática, que abordavam o manejo e a prevenção de náusea e vômitos, neuropatia periférica, caquexia, suplementação de magnésio, tratamento de depressão e toxicidade geral. Conclusão: Verificou-se que náuseas, vômitos, neuropatia e hipomagnesemia tiveram maior número de estudos relacionados ao manejo e à prevenção desses sintomas, nos quais identificaram-se algumas sugestões de condutas com maior evidência para essas reações. As demais reações encontradas ainda carecem de mais estudos, principalmente nos casos de cânceres gástrico e esofágico.
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Da Fonseca AG, Fernandes Ribeiro Dantas LLDS, Rodrigues JP, Alencar Filho MPDC, De Melo Rêgo MJB, Da Rocha Pitta MG, De Moraes Gomes PAT, De Melo Silva VG, Lima Leite AC, Furtado AA, Fernandes Pedrosa MDF, Gavioli EC, Moura Lemos TMA. PA-Int5: An isatin-thiosemicarbazone derivative that exhibits anti-nociceptive and anti-inflammatory effects in Swiss mice. Biomed Rep 2021; 15:61. [PMID: 34094537 PMCID: PMC8165752 DOI: 10.3892/br.2021.1437] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Accepted: 04/23/2021] [Indexed: 12/25/2022] Open
Abstract
Pain and inflammation are symptoms of various diseases, and they can be modulated by different pathways, thus highlighting the importance of investigating the therapeutic effects of novel compounds. Previous studies have shown that isatin-thiosemicarbazone exhibits antitumor, antifungal antibacterial and other biological properties. Based on the wide range of biological effects of these compounds, the aim of the present study was to investigate the central nervous system (CNS) performance, and the anti-nociceptive and anti-inflammatory activity of (Z)-2-(5-nitro-2-oxoindolin-3-ilidene)-N-hydroazinecarbothioamide (PA-Int5) in treated mice. Three doses of PA-Int5 were tested orally (1.0, 2.5 and 5.0 mg/kg) in the nociceptive and inflammatory animal models. Additionally, the potential sedative effects of PA-Int5 (5 mg/kg, oral gavage) were investigated using an open field and rotarod tests, to exclude any possible unspecific effects of the nociceptive assays. Anti-nociceptive activity was assessed using the acetic acid-induced abdominal contortion and formalin tests, whereas anti-inflammatory activity was assessed using a carrageenan-induced paw edema and zymosan-induced air-pouch models. PA-Int5 (5 mg/kg) induced anti-nociceptive activity in the abdominal contortion model. In the formalin test, PA-Int5 (at 2.5 and 5 mg/kg) reduced nociception in the second phase. At the higher dose tested, PA-Int5 did not affect spontaneous locomotion or motor coordination. The data revealed that at all doses tested, the compound significantly reduced paw edema following carrageenan administration. In the zymosan-induced air-pouch model, PA-Int5 potently inhibited leukocyte migration and protein levels at the site of inflammation. When combined, the results revealed, for the first time, that PA-Int5 exhibited anti-nociceptive and anti-inflammatory activities, and highlights its potential, as well that of other derivatives, as novel candidates for pain relief.
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Affiliation(s)
- Aldilane Gonçalves Da Fonseca
- Research Laboratory of Clinical Biochemistry, Department of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte 59012-570, Brazil
| | - Luzia Leiros De Sena Fernandes Ribeiro Dantas
- Research Laboratory of Clinical Biochemistry, Department of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte 59012-570, Brazil
| | - Joquebede Pereira Rodrigues
- Research Laboratory of Clinical Biochemistry, Department of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte 59012-570, Brazil
| | - Marco Polo Da Costa Alencar Filho
- Research Laboratory of Clinical Biochemistry, Department of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte 59012-570, Brazil
| | | | | | | | | | - Ana Cristina Lima Leite
- Department of Pharmaceutical Sciences, Federal University of Pernambuco, Recife, Pernambuco 50740-521, Brazil
| | | | | | - Elaine Cristina Gavioli
- Department of Biophysics and Pharmacology, Federal University of Rio Grande do Norte, Natal, Campus Universitário UFRN, Natal, Rio Grande do Norte 59064-741, Brazil
| | - Telma Maria Araújo Moura Lemos
- Research Laboratory of Clinical Biochemistry, Department of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte 59012-570, Brazil
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Dantas LLSFR, Fonseca AG, Pereira JR, Furtado AA, Gomes PATM, Fernandes-Pedrosa MF, Leite ACL, Rêgo MJBM, Pitta MGR, Lemos TMAM. Anti-inflammatory and antinociceptive effects of the isatin derivative (Z)-2-(5-chloro-2-oxoindolin-3-ylidene)-N-phenyl-hydrazinecarbothioamide in mice. ACTA ACUST UNITED AC 2020; 53:e10204. [PMID: 32901685 PMCID: PMC7485313 DOI: 10.1590/1414-431x202010204] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Accepted: 06/22/2020] [Indexed: 11/22/2022]
Abstract
Several isatin derivatives have shown important biological activities, which have attracted interest from researchers. For this reason, the present study aimed to evaluate the anti-inflammatory and antinociceptive effects of the isatin derivative (Z)-2-(5-chloro-2-oxoindolin-3-ylidene)-N-phenyl-hydrazinecarbothioamide (COPHCT) in mice. Three doses of this compound were tested: 1.0, 2.5, and 5.0 mg/kg. The anti-inflammatory activity was assessed using the carrageenan-induced paw edema model and the zymosan-induced air pouch model. The evaluation of the antinociceptive effect was performed through the formalin test and the acetic acid-induced abdominal writhing test. The paw edema assay demonstrated that all doses of the compound showed a significant reduction of the edema in the second hour evaluated, but a better response was observed in the fourth hour. The zymosan-induced air pouch model indicated that the compound, in all doses, significantly reduced leukocyte migration and total protein concentration levels. In the formalin test, the doses 1.0, 2.5, and 5.0 mg/kg of COPHCT showed activity only in the second phase, with reduction in paw pain time of 73.61, 79.46, and 73.85%, respectively. The number of abdominal writhings decreased with the increasing dose, but only 5.0 mg/kg COPHCT exhibited a significant response, with a reduction of 24.88%. These results demonstrated the ability of this compound to interfere in the anti-inflammatory activity of edema, vascular permeability, and cell migration. In addition, its possible antinociceptive effect may be related to the dose used.
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Affiliation(s)
- L L S F R Dantas
- Programa de Pós-Graduação em Desenvolvimento e Inovação Tecnológica em Medicamentos, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil
| | - A G Fonseca
- Programa de Pós-Graduação em Desenvolvimento e Inovação Tecnológica em Medicamentos, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil
| | - J R Pereira
- Programa de Pós-Graduação em Desenvolvimento e Inovação Tecnológica em Medicamentos, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil
| | - A A Furtado
- Programa de Pós-Graduação em Bioquímica, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil
| | - P A T M Gomes
- Programa de Pós-Graduação em Ciências Farmacêuticas, Universidade Federal de Pernambuco, Recife, PE, Brasil
| | - M F Fernandes-Pedrosa
- Programa de Pós-Graduação em Desenvolvimento e Inovação Tecnológica em Medicamentos, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil.,Programa de Pós-Graduação em Bioquímica, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil.,Departamento de Farmácia, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil
| | - A C L Leite
- Programa de Pós-Graduação em Ciências Farmacêuticas, Universidade Federal de Pernambuco, Recife, PE, Brasil.,Departamento de Ciências Farmacêuticas, Universidade Federal de Pernambuco, Recife, PE, Brasil
| | - M J B M Rêgo
- Núcleo de Pesquisa em Inovação Terapêutica Suely Galdino, Universidade Federal de Pernambuco, Recife, PE, Brasil
| | - M G R Pitta
- Núcleo de Pesquisa em Inovação Terapêutica Suely Galdino, Universidade Federal de Pernambuco, Recife, PE, Brasil
| | - T M A M Lemos
- Programa de Pós-Graduação em Desenvolvimento e Inovação Tecnológica em Medicamentos, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil.,Departamento de Análises Clínicas e Toxicológicas, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil
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Câmara M, Browne RAV, Souto GC, Schwade D, Lucena Cabral LP, Macêdo GAD, Farias-Junior LF, Gouveia FL, Lemos TMAM, Lima KC, Duhamel TA, Oliveira-Dantas FF, Costa EC. Independent and combined associations of cardiorespiratory fitness and muscle strength with metabolic syndrome in older adults: A cross-sectional study. Exp Gerontol 2020; 135:110923. [PMID: 32171778 DOI: 10.1016/j.exger.2020.110923] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [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: 01/18/2020] [Revised: 03/07/2020] [Accepted: 03/10/2020] [Indexed: 01/10/2023]
Abstract
BACKGROUND Studies have shown that low cardiorespiratory fitness (CRF) and low muscle strength are independently associated with metabolic syndrome (MetS) in older adults. This study investigated the isolated and combined associations of low CRF and muscle strength with MetS in older adults. METHODS This cross-sectional study included 184 older adults (71% women; aged 65.6 ± 4.3 years) without a prior history of cardiovascular disease. CRF and muscle strength were assessed by the six-minute walking test and 30-s chair stand test, respectively. Results below the 25th percentile of the cohort were used to define low CRF and low muscle strength. MetS was defined according to NCEP-ATP III criteria. Poisson's regression with robust variance was used to determine the prevalence ratio (PR) for MetS. Reference group was composed by older adults with both CRF and muscle strength above 25th percentile. RESULTS Prevalence of low CRF, low muscle strength, and combined low CRF and muscle strength was 22.8%, 17.9%, and 10.9%, respectively. The prevalence of MetS was 56.5% in the full cohort. Isolated low CRF (PR 1.05, 95% CI 0.73 to 1.52; p = 0.793) and muscle strength (PR 1.09, 95% CI 0.74 to 1.61; p = 0.651) were not associated with MetS in the adjusted analysis. Combined low CRF and muscle strength was associated with MetS (PR 1.45, 95% CI 1.09 to 1.93; p = 0.011). CONCLUSIONS Older adults with combined, but not isolated, low CRF and muscle strength showed an increased risk for MetS.
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Affiliation(s)
- Marcyo Câmara
- Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil
| | | | - Gabriel Costa Souto
- Department of Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil
| | - Daniel Schwade
- Department of Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil
| | | | | | | | - Fabíola Leite Gouveia
- Department of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Natal, RN, Brazil
| | | | - Kenio Costa Lima
- Department of Dentistry, Federal University of Rio Grande do Norte, Natal, RN, Brazil
| | - Todd A Duhamel
- Health, Leisure & Human Performance Research Institute, Faculty of Kinesiology & Recreation Management, University of Manitoba, Winnipeg, Canada; Institute of Cardiovascular Sciences and Cardiac Sciences Program, St-Boniface Hospital Albrechtsen Research Centre, Winnipeg, Canada
| | | | - Eduardo Caldas Costa
- Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil; Graduate Program in Health Science, Federal University of Rio Grande do Norte, Natal, RN, Brazil; Department of Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
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de Freitas Brito A, de Arruda Navarro Silva C, De Belmont Sabino HC, de Lima FF, Fortunato IH, dos Santos RS, Lemos TMAM. LIRAGLUTIDE AND PHYSICAL ACTIVITY EFFECTS IN ADIPOCITE TISSUE OF MICE OBESE. Med Sci Sports Exerc 2020. [DOI: 10.1249/01.mss.0000687200.03223.49] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Costa EC, DE Sá JCF, Stepto NK, Costa IBB, Farias-Junior LF, Moreira SDANT, Soares EMM, Lemos TMAM, Browne RAV, Azevedo GD. Aerobic Training Improves Quality of Life in Women with Polycystic Ovary Syndrome. Med Sci Sports Exerc 2019; 50:1357-1366. [PMID: 29443823 DOI: 10.1249/mss.0000000000001579] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
PURPOSE To investigate the effects of a supervised aerobic exercise training intervention on health-related quality of life (HRQL), cardiorespiratory fitness, cardiometabolic profile, and affective response in overweight/obese women with polycystic ovary syndrome (PCOS). METHODS Twenty-seven overweight/obese inactive women with PCOS (body mass index, ≥ 25 kg·m; age 18 to 34 yr) were allocated into an exercise group (n = 14) and a control group (n = 13). Progressive aerobic exercise training was performed three times per week (~150 min·wk) over 16 wk. Cardiorespiratory fitness, HRQL, and cardiometabolic profile were evaluated before and after the intervention. Affective response (i.e., feeling of pleasure/displeasure) was evaluated during the exercise sessions. RESULTS The exercise group improved 21% ± 12% of cardiorespiratory fitness (P < 0.001) and HRQL in the following domains: physical functioning, general health, and mental health (P < 0.05). Moreover, the exercise group decreased body mass index, waist circumference, systolic and diastolic blood pressure, and total cholesterol level (P < 0.05). The affective response varied from "good" to "fairly good" (i.e., positive affective response) in an exercise intensity-dependent manner during the exercise training sessions. CONCLUSIONS Progressive aerobic exercise training improved HRQL, cardiorespiratory fitness, and cardiometabolic profile of overweight/obese women with PCOS. Moreover, the participants reported the exercise training sessions as pleasant over the intervention. These results reinforce the importance of supervised exercise training as a therapeutic approach for overweight/obese women with PCOS.
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Affiliation(s)
- Eduardo Caldas Costa
- Department of Physical Education, Federal University of Rio Grande do Norte, Natal, BRAZIL.,Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, BRAZIL
| | | | - Nigel Keith Stepto
- Institute of Sport Exercise and Active Living, Victoria University, Melbourne Victoria, AUSTRALIA.,Monash Centre for Health Research and Implementation, School of Public Health and Preventative Medicine, Monash University, Clayton Victoria, AUSTRALIA
| | | | | | | | | | | | | | - George Dantas Azevedo
- Departament of Morphology, Biosciences Center, Federal University of Rio Grande do Norte, Natal, BRAZIL
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9
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Sales MC, de Oliveira LP, de Araújo Cabral NL, de Sousa SES, das Graças Almeida M, Lemos TMAM, de Oliveira Lyra C, de Lima KC, Sena-Evangelista KCM, de Fatima Campos Pedrosa L. Plasma zinc in institutionalized elderly individuals: Relation with immune and cardiometabolic biomarkers. J Trace Elem Med Biol 2018; 50:615-621. [PMID: 29716762 DOI: 10.1016/j.jtemb.2018.04.026] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [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: 11/12/2017] [Revised: 04/17/2018] [Accepted: 04/20/2018] [Indexed: 02/03/2023]
Abstract
Changes in zinc metabolism caused by aging and the institutionalization process may contribute to zinc deficiency in elderly individuals. Hypozincemia results in changes in glycemic, lipid, and inflammatory profiles. The aim of this study was to evaluate plasma zinc concentrations and their relationships with sociodemographic, dietary, inflammatory, and cardiometabolic biomarkers in institutionalized elderly individuals. A cross-sectional study was carried out including 255 elderly adults living in nursing homes. The associations between plasma zinc and dietary zinc intake, sociodemographic indicators, and glycemic, lipid, and inflammatory biomarkers were evaluated. Independent variables were analyzed according to quartiles of plasma zinc concentrations (Q1: <71.1 μg/dL; Q2: 71.1-83.3 μg/dL; Q3: <83.3-93.7 μg/dL; Q4: >93.7 μg/dL). The relationship between plasma zinc concentrations and predictor variables was also tested. In Q1, higher concentrations of the following variables were observed, compared with those in other quartiles: total cholesterol and low-density lipoprotein cholesterol (LDL-c; Q1 > Q2, Q3, Q4; all p <0.001); triglycerides (Q1 > Q3, Q4; all p < 0.001); interleukin (IL)-6 (Q1 > Q3, Q4; p = 0.024 and p = 0.010, respectively); tumor necrosis factor (TNF)-α (Q1 > Q3, p = 0.003). A significant reduction in plasma zinc concentrations was observed with increasing age-adjusted institutionalization time (Δ = - 0.10; 95% confidence interval [CI]: -0.18 to -0.01). The concentrations of total cholesterol (Δ = - 0.19; 95% CI: -0.23 to -0.15), LDL-c (Δ = - 0.19; 95% CI: -0.23 to -0.15), triglycerides (Δ = - 0.11; 95% CI: -0.16 to -0.06), IL-6 (Δ = - 1.41; 95% CI: -2.64 to -0.18), and TNF-α (Δ = - 1.04; 95% CI: -1.71 to -0.36) were also significantly increased. In conclusion, decreased plasma zinc concentrations were associated with longer institutionalization time and worse lipid and inflammatory profiles in elderly institutionalized individuals.
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Affiliation(s)
- Márcia Cristina Sales
- Clinical Biochemistry Laboratory and Multidisciplinary Laboratory, Department of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Rua General Gustavo Cordeiro de Farias, s/n - Petrópolis, CEP: 59010180, Natal, RN, Brazil.
| | - Larissa Praça de Oliveira
- Potiguar University (Laureate International Universities), Av. Senador Salgado Filho, 1610 - Lagoa Nova, CEP: 59056000, Natal, RN, Brazil.
| | - Natalia Louise de Araújo Cabral
- Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, 1787 - Lagoa Nova, CEP: 59056000, Natal, RN, Brazil.
| | - Sara Estéfani Soares de Sousa
- Postgraduate Program in Nutrition, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, 3000 - Lagoa Nova, CEP: 59078970, Natal, Brazil.
| | - Maria das Graças Almeida
- Clinical Biochemistry Laboratory and Multidisciplinary Laboratory, Department of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Rua General Gustavo Cordeiro de Farias, s/n - Petrópolis, CEP: 59010180, Natal, RN, Brazil.
| | - Telma Maria Araújo Moura Lemos
- Clinical Biochemistry Laboratory and Multidisciplinary Laboratory, Department of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Rua General Gustavo Cordeiro de Farias, s/n - Petrópolis, CEP: 59010180, Natal, RN, Brazil.
| | - Clélia de Oliveira Lyra
- Department of Nutrition, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, 3000 - Lagoa Nova, CEP: 59078970, Natal, Brazil.
| | - Kenio Costa de Lima
- Department of Dentistry, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, 1787 - Lagoa Nova, CEP: 59056000, Natal, RN, Brazil.
| | | | - Lucia de Fatima Campos Pedrosa
- Department of Nutrition, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, 3000 - Lagoa Nova, CEP: 59078970, Natal, Brazil.
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Ferreira EB, da Silva Júnior WF, de Oliveira Pinheiro JG, da Fonseca AG, Moura Lemos TMA, de Oliveira Rocha HA, de Azevedo EP, Mendonça Junior FJB, Neves de Lima ÁA. Characterization and Antiproliferative Activity of a Novel 2-Aminothiophene Derivative-β-Cyclodextrin Binary System. Molecules 2018; 23:E3130. [PMID: 30501061 PMCID: PMC6320897 DOI: 10.3390/molecules23123130] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2018] [Revised: 11/08/2018] [Accepted: 11/10/2018] [Indexed: 12/11/2022] Open
Abstract
The novel 2-aminothiophene derivative 2-amino-4,5,6,7-tetrahydrobenzo[b]thiophene-3-carbonitrile (6CN) has shown potential anti-proliferative activity in human cancer cell lines. However, the poor aqueous solubility of 6CN impairs its clinical use. This work aimed to develop binary 6CN-β-cyclodextrin (βCD) systems with the purpose of increasing 6CN solubility in water and therefore, to improve its pharmacological activity. The 6CN-βCD binary systems were prepared by physical mixing, kneading and rotary evaporation methods and further characterized by FTIR, XRD, DSC, TG and SEM. In addition, molecular modeling and phase solubility studies were performed. Finally, MTT assays were performed to investigate the cytostatic and anti-proliferative effects of 6CN-βCD binary systems. The characterization results show evident changes in the physicochemical properties of 6CN after the formation of the binary systems with βCD. In addition, 6CN was associated with βCD in aqueous solution and the solid state, which was confirmed by molecular modeling and the aforementioned characterization techniques. Phase solubility studies indicated that βCD forms stable 1:1 complexes with 6CN. The MTT assay demonstrated the cytostatic and anti-proliferative activities of 6CN-βCD binary systems and therefore, these might be considered as promising candidates for new anticancer drugs.
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Affiliation(s)
- Elayne Barros Ferreira
- Department of Pharmacy, Federal University of Rio Grande do Norte, Av. General Cordeiro de Farias, s/n, Petrópolis, Natal, Rio Grande do Norte 59012-570, Brazil.
| | - Walter Ferreira da Silva Júnior
- Department of Pharmacy, Federal University of Rio Grande do Norte, Av. General Cordeiro de Farias, s/n, Petrópolis, Natal, Rio Grande do Norte 59012-570, Brazil.
| | - Jonas Gabriel de Oliveira Pinheiro
- Department of Pharmacy, Federal University of Rio Grande do Norte, Av. General Cordeiro de Farias, s/n, Petrópolis, Natal, Rio Grande do Norte 59012-570, Brazil.
| | - Aldilane Gonçalves da Fonseca
- Department of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Av. General Cordeiro de Faria, s/n, Petrópolis, Natal, Rio Grande do Norte 59012-570, Brazil.
| | - Telma Maria Araújo Moura Lemos
- Department of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Av. General Cordeiro de Faria, s/n, Petrópolis, Natal, Rio Grande do Norte 59012-570, Brazil.
| | - Hugo Alexandre de Oliveira Rocha
- Department of Biochemistry, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, 3000, Lagoa Nova, Natal, Rio Grande do Norte 59078-970, Brazil.
| | - Eduardo Pereira de Azevedo
- Graduate Program of Biotechnology, Laureate International Universities-Universidade Potiguar (UnP), Av. Sen. Salgado Filho, 1610, Lagoa Nova, Natal, Rio Grande do Norte 59056-000, Brazil.
| | | | - Ádley Antonini Neves de Lima
- Department of Pharmacy, Federal University of Rio Grande do Norte, Av. General Cordeiro de Farias, s/n, Petrópolis, Natal, Rio Grande do Norte 59012-570, Brazil.
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Barbosa NG, Gonzaga AKG, de Sena Fernandes LL, da Fonseca AG, Queiroz SIML, Lemos TMAM, da Silveira ÉJD, de Medeiros AMC. Evaluation of laser therapy and alpha-lipoic acid for the treatment of burning mouth syndrome: a randomized clinical trial. Lasers Med Sci 2018; 33:1255-1262. [PMID: 29502160 DOI: 10.1007/s10103-018-2472-2] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [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: 09/15/2017] [Accepted: 02/20/2018] [Indexed: 12/16/2022]
Abstract
The aim of this study was to evaluate the efficacy of low-level laser therapy (LLLT) and alpha-lipoic acid (ALA) in the treatment of burning mouth syndrome (BMS) and secondary oral burning (SOB) by unstimulated sialometry, symptom assessment, and measurement of salivary TNF-α levels. Forty-four patients were randomized into four treatment groups: BMS/laser (n = 10), BMS/ALA (n = 5), SOB/laser (n = 15), and SOB/ALA (n = 14). The control group consisted of eight healthy female subjects. Unstimulated salivary flow was measured before and after treatment, and the collected saliva was stored at - 20 °C for the analysis of TNF-α. Symptoms were evaluated before and after treatment using a pain visual analog scale. Most patients were women (81.8%) during menopause (72.2%). LLLT and ALA were efficient in increasing salivary flow only in BMS but provided symptom relief in both conditions. TNF-α levels did not differ between patients with BMS and SOB or between those patients and the control group. No differences were observed in posttreatment TNF-α levels in either condition. The results of this study suggest that LLLT and ALA are efficient therapies in reducing burning mouth symptoms, with LLLT being more efficient than ALA.
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Affiliation(s)
- Natália Guimarães Barbosa
- Postgraduate Program in Oral Pathology, Federal University of Rio Grande do Norte, Natal, RN, Brazil
| | - Amanda Katarinny Goes Gonzaga
- Postgraduate Program in Oral Pathology, Federal University of Rio Grande do Norte, Natal, RN, Brazil. .,Departamento de Odontologia, Universidade Federal do Rio Grande do Norte, Av. Senador Salgado Filho, 1787, Lagoa Nova, Natal, RN, CEP 59056-000, Brazil.
| | - Luzia Leiros de Sena Fernandes
- Postgraduate Program in Technological Development and Innovation in Medicines, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Aldilane Gonçalves da Fonseca
- Postgraduate Program in Technological Development and Innovation in Medicines, Federal University of Rio Grande do Norte, Natal, Brazil
| | | | - Telma Maria Araújo Moura Lemos
- Postgraduate Program in Technological Development and Innovation in Medicines, Federal University of Rio Grande do Norte, Natal, Brazil
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Mendes MIBDS, Amorim AKDMA, Lemos TMAM, Silva GSND, Torres LS. Técnicas de cuidado de profissionais da estratégia de saúde da família em Natal/RN. Motriv 2016. [DOI: 10.5007/2175-8042.2016v28n49p15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
http://dx.doi.org/10.5007/2175-8042.2016v28n49p15O objetivo da pesquisa foi identificar técnicas que os profissionais de saúde têm desenvolvido para cuidarem de si mesmos, no sentido de colaborar com a construção de reflexões que propiciem uma atenção ao próprio corpo e que possam contribuir com os cuidados com os outros. 24 profissionais de saúde de uma Unidade de Saúde de Natal / RN responderam a questionários, com perguntas fechadas e abertas. Com os resultados obtidos identificamos que os profissionais de saúde entrevistados estão atentos a diversos prazeres do dia a dia, além dos prazeres sexuais. De mais a mais, a maioria consegue saborear seus alimentos, mesmo na correria cotidiana. Apesar disso, as técnicas de cuidado de si utilizadas por eles são preferencialmente fundamentadas em parâmetros biomédicos, destacando-se os exames laboratoriais, a caminhada e a ginástica.
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de Araújo AA, Ribeiro SB, Dos Santos ACS, Lemos TMAM, Medeiros CAX, Guerra GCB, de Araújo Júnior RF, Serrano-Blanco A, Rubio-Valera M. Quality of Life and Hormonal, Biochemical, and Anthropometric Profile Between Olanzapine and Risperidone Users. Psychiatr Q 2016. [PMID: 26220635 DOI: 10.1007/s11126-015-9385-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [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] [Indexed: 01/20/2023]
Abstract
This cross-sectional study compared quality of life and side effects in 108 users of olanzapine or risperidone suffering schizophrenia and being attended at psychiatric ambulatory services in Rio Grande do Norte, Brazil. Economic, socio-demographic, anthropometric, biochemical, and hormonal variables were compared. The EuroQoL Five-Dimension Scale (EQ-5D) was used to evaluate quality of life, and side effects were assessed using the Udvalg for Kliniske Undersøgelser (UKU) Side Effect Rating Scale and the Simpson-Angus Scale. Data were analysed using the χ(2) test and Student's t test, with a significance level of 5 %.The household incomes of approximately 80 % of patients were <2.0 minimum wages ($678). Anthropometric variables (waist circumference, hip circumference, weight, waist-to-hip ratio) and systolic and diastolic blood pressure were noted among male olanzapine users (all p < 0.05). EQ-5D scores showed that olanzapine use significantly impacted self-help ability (p < 0.001). Risperidone users had a mean quality-adjusted life year value of 1. Mean total Simpson-Angus Scale scores was 0.38 for olanzapine users and 0.11 for risperidone users (p < 0.02). Significant differences in UKU were observed for the following items: asthenia/lassitude/fatigue (higher among olanzapine users, p = 0.02), dystonia (higher among olanzapine users, p = 0.01), tremors (higher among olanzapine users, p = 0.03), gynecomastia (higher among risperidone users, p < 0.02), and ejaculatory dysfunction (higher among risperidone users, p < 0.02). Olanzapine users had impaired quality of life, which can be explained in part by adverse motor, biochemical, and hormonal effects characteristic of metabolic syndrome.
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Affiliation(s)
- Aurigena Antunes de Araújo
- Postgraduate Programs in Public Health and Pharmaceutical Science, Department of Biophysics and Pharmacology, Federal University of Rio Grande Norte (UFRN), Natal, RN, Brazil.
| | | | | | - Telma Maria Araújo Moura Lemos
- Postgraduate Programs in Health Science and Pharmaceutical Science, Department of Clinical Analyses and Toxicological, Federal University of Rio Grande Norte (UFRN), Natal, RN, Brazil
| | - Caroline Addison Xavier Medeiros
- Postgraduate Program in Health and Society, Department of Biophysics and Pharmacology, State University of Rio Grande Norte (UERN), Natal, RN, Brazil
- Postgraduate Programs in Biological Science, Federal University of Rio Grande Norte (UFRN), Natal, RN, Brazil
| | | | | | - Antoni Serrano-Blanco
- Acute Inpatient Unit of Psychiatry, Parc Sanitari Sant Joan de Deu, Barcelona, Spain
| | - Maria Rubio-Valera
- Research and Innovation Unit, Parc Sanitari Sant Joan de Deu, Barcelona, Spain
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Soares NP, Santos ACSD, Costa EC, Azevedo GD, Damasceno DC, Fayh APT, Lemos TMAM. Diet-Induced Weight Loss Reduces DNA Damage and Cardiometabolic Risk Factors in Overweight/Obese Women with Polycystic Ovary Syndrome. Ann Nutr Metab 2016; 68:220-7. [DOI: 10.1159/000444130] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2015] [Accepted: 01/18/2016] [Indexed: 11/19/2022]
Abstract
Aims: We aimed to investigate the impact of following a diet to induce weight loss (500 kcal deficit per day) over DNA damage and cardiometabolic risk factors in women with overweight/obesity diagnosed with polycystic ovary syndrome (PCOS). Methods: A study was conducted in Natal, RN, Brazil selecting overweight/obese (body mass index ≥25 and <39 kg/m2) women (18-35 years). The levels of DNA damage were assessed by a single cell gel electrophoresis. Repeated 24 h dietary recall questionnaires, anthropometry, biochemical profile and sex hormones were collected at baseline and after 12 weeks of intervention. Results: Women exhibiting a decrease in the markers of DNA damage: tail intensity (24.35 ± 5.86 - pre diet vs. 17.15 ± 5.04 - post-diet; p < 0.001) and tail moment (20.47 ± 7.85 - pre diet vs. 14.13 ± 6.29 - post-diet; p < 0.002). Reduction of calorie intake, weight loss, decreased sexual hormone and cardiometabolic markers such as insulin, homeostasis model assessment of insulin resistance and low-density lipoprotein cholesterol were verified In the multivariate regression analysis, quantitative insulin sensitivity check index and progesterone were responsible for the variation markers in DNA damage before the diet, losing its influence upon diet. Conclusion: DNA damage and the impact of cardiometabolic risk factors decreased after the intervention in women with PCOS, indicating the relevance of a nutritional approach in this group of patients.
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Minnicelli C, Maciel JFR, Hassan R, Lemos TMAM. Clinical and epidemiological features of multiple myeloma patients from a low socio-economic region of Brazil. Rev Bras Hematol Hemoter 2015; 37:354-5. [PMID: 26408372 PMCID: PMC4685045 DOI: 10.1016/j.bjhh.2015.05.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2015] [Revised: 05/01/2015] [Accepted: 05/08/2015] [Indexed: 11/19/2022] Open
Affiliation(s)
| | | | - Rocio Hassan
- Instituto Nacional do Câncer (INCA), Rio de Janeiro, RJ, Brazil
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Souza Dos Santos AC, Soares NP, Costa EC, de Sá JCF, Azevedo GD, Lemos TMAM. The impact of body mass on inflammatory markers and insulin resistance in polycystic ovary syndrome. Gynecol Endocrinol 2015; 31:225-8. [PMID: 25373529 DOI: 10.3109/09513590.2014.976546] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [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] [Indexed: 01/22/2023] Open
Abstract
OBJECTIVE To evaluate inflammatory markers and insulin resistance (IR) in women with and without polycystic ovary syndrome (PCOS), with different body mass index (BMI). METHODS Tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6) and C-reactive protein (CRP) were assessed in serum samples from 40 women in reproductive age. Patients were divided into four groups: I (non-eutrophic with PCOS, n = 12), II (non-eutrophic without PCOS, n = 10), III (eutrophic with PCOS, n = 8) and IV (eutrophic without PCOS, n = 10) being non-eutrophic, the overweight and obese women with BMI > 25 kg/m2 and eutrophic women with BMI < 24.9 kg/m2. Homeostatic model assessment (HOMA-IR) was calculated for evaluation of IR. RESULTS PCOS patients showed increased levels of CRP (p < 0.01) and HOMA-IR (p < 0.01). When divided by BMI, both non-eutrophicad eutrophic PCOS showed increased CRP levels (p < 0.01) and HOMA-IR (p < 0.01). There were no differences in TNF-α and IL-6 levels between groups. CONCLUSION In the PCOS group, the levels of CRP and IR were elevated, compared to their counterparts, regardless of body mass.
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Costa EC, de Sá JCF, Costa IBB, Meireles RDSRV, Lemos TMAM, Elsangedy HM, Krinski K, Azevedo GD. Affect-regulated exercise: an alternative approach for lifestyle modification in overweight/obese women with polycystic ovary syndrome. Gynecol Endocrinol 2015; 31:971-5. [PMID: 26416702 DOI: 10.3109/09513590.2015.1092132] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [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] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE Affect-regulated exercise ("ARE") is an alternative approach to guide exercise intensity based on feeling of pleasure. The aim of this study was to analyze if overweight/obese women with polycystic ovary syndrome (PCOS) meet the American College of Sports Medicine (ACSM) recommendation regarding to exercise intensity to improve health status during a single bout of "ARE". METHODS A sample of 14 overweight/obese women with PCOS (18-34 years) performed a single bout of "ARE" (40 min of aerobic exercise on outdoor track). The Feeling Scale (FS) was used to guide "ARE" intensity/pace maintaining an affective valence between "good" and "very good" during all time. Heart rate (HR), speed, % of HR at first and second ventilatory threshold (VT1 and VT2) and time spent at moderate (64-76% of HR(max)) and vigorous (77-95% of HR(max)) intensity during "ARE" were measured with a global positioning system (GPS) device. RESULTS Volunteers exercised at 73% (68-78%) of HR(max), 5.8 (5.2-6.2) km/h, 93.4% of HR at VT1 (89.3-98.2) and 80.5% of HR at VT2 (75.3-84.6) and spent >80% of time at moderate intensity. CONCLUSIONS Overweight/obese women with PCOS met the ACSM recommendation regarding exercise intensity to improve health status when exercised between "good" and "very good" of FS. Thus, "ARE" may be an interesting approach to be used in clinical practice regarding to exercise prescription and/or physical activity advice.
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Affiliation(s)
| | | | | | | | | | | | - Kleverton Krinski
- d Federal University of Vale do São Francisco , Juazeiro , BA , Brazil , and
| | - George Dantas Azevedo
- b Postgraduate Program in Health Sciences
- e Department of Morphology, Biosciences Center , Federal University of Rio Grande do Norte , Natal , RN , Brazil
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Freitas RPDA, Lemos TMAM, Spyrides MHC, Sousa MBCD. Influence of cortisol and DHEA-S on pain and other symptoms in post menopausal women with fibromyalgia. J Back Musculoskelet Rehabil 2013; 25:245-52. [PMID: 23220807 DOI: 10.3233/bmr-2012-0331] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
OBJECTIVE This study aims to assess cortisol and dehydroepiandrosterone sulfate (DHEA-S) levels in post-menopausal women with FMS and correlate it with pain threshold and tolerance, depression and quality of life. METHODS We conducted a cross sectional observational study of 17 women with FMS (FMS group), and 19 healthy volunteers (CT group). Algometry, the Beck Depression Index (BDI) and Fibromyalgia Impact Questionnaire (FIQ) were used. Blood samples were collected in the morning (8:00-9:30 am) to determine cortisol and DHEA-S plasmatic levels by chemiluminescence. RESULTS Significant differences between groups were recorded for pain threshold and tolerance (p< 0.0001), BDI (p< 0.0001) and all FIQ parameters (p< 0.0001). No significant differences in cortisol levels were found between the two groups (p=0.325). In the FMS group, a tangential effect was observed for DHEA-S (p=0.094) and positive correlations were found between DHEA-S, pain threshold (p=0.017) and pain tolerance (p=0.044). No correlation was observed between cortisol and DHEA-S levels and the variables of depression and quality of life for either group. CONCLUSIONS There seems to be an influence of the decreased levels of DHEA-S and increased pain sensitivity in post-menopausal women with FMS.
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de Medeiros Alcoforado GH, Bezerra CM, Araújo Moura Lemos TM, de Oliveira DM, Kimura EM, Ferreira Costa F, de Fátima Sonati M, de Medeiros TMD. Prevalence of α-thalassemia 3.7 kb deletion in the adult population of Rio Grande do Norte, Brazil. Genet Mol Biol 2012; 35:594-8. [PMID: 23055797 PMCID: PMC3459408 DOI: 10.1590/s1415-47572012005000049] [Citation(s) in RCA: 9] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2011] [Accepted: 04/03/2012] [Indexed: 12/03/2022] Open
Abstract
α-Thalassemia, arising from a defect in α-globin chain synthesis, is often caused by deletions involving one or both of the α-genes on the same allele. With the aim of investigating the prevalence of α-thalassemia 3.7 kb deletion in the adult population of Rio Grande do Norte, 713 unrelated individuals, between 18 and 59 years-of-age, were analyzed. Red blood cell indices were electronically determined, and A2 and F hemoglobins evaluated by HPLC. PCR was applied to the molecular investigation of α-thalassemia 3.7 kb deletion. Eighty (11.2%) of the 713 individuals investigated presented α-thalassemia, of which 79 (11.1%) were heterozygous (-α3.7/αα) deletions and 1 (0.1%) homozygous (-α3.7/-α3.7). Ethnically, heterozygous deletions were higher (24.8%) in Afro-Brazilians. Comparison of hematological parameters between individuals with normal genotype and those with heterozygous α+-thalassemia showed a statistically significant difference in the number of erythrocytes (p < 0.001), MCV (p < 0.001), MCH (p < 0.001) and Hb A2 (p = 0.007). This study is one of the first dedicated to investigating α-thalassemia 3.7 kb deletion in the population of the State Rio Grande do Norte state. Results obtained demonstrate the importance of investigating this condition in order to elucidate the causes of microcytosis and hypochromia.
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Costa EC, Sá JCFD, Soares EMM, Lemos TMAM, Maranhão TMDO, Azevedo GD. Anthropometric indices of central obesity how discriminators of metabolic syndrome in Brazilian women with polycystic ovary syndrome. Gynecol Endocrinol 2012; 28:12-5. [PMID: 21958393 DOI: 10.3109/09513590.2011.583956] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND Central obesity is highly prevalent in women with polycystic ovary syndrome (PCOS) and is strongly associated with metabolic syndrome (MetS). OBJECTIVES To define cut-off points of waist circumference (WC), waist-to-height ratio (WHtR), waist-to-hip ratio (WHR), and conicity index (C-Index) to discriminate metabolic syndrome (MetS) in Brazilian women with PCOS. METHODS In a cross-sectional study, anthropometric, biochemical and clinical parameters were measured in 113 Brazilian PCOS women (27.2 ± 4.5 years). Receiver operating characteristic (ROC) analysis was used to find out the cut-off points of anthropometric indices to predict MetS according with National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP-III) criteria. RESULTS Considering the ROC curve analysis the WC and WHtR had a similar performance in predicting MetS and these parameters were better than WHR and C-Index. The optimal cut-off values of the anthropometric indices for discriminate MetS were: WC = 95 cm; WHtR = 0.59; WHR = 0.88; and C-Index = 1.25. By using these cut-off points the sensitivity and specificity rates of WC and WHtR were higher than those observed for WHR and C-Index. CONCLUSION Our results indicated that WC and WHtR are more accurate than WHR and C-Index to predict MetS in Brazilian PCOS women.
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Affiliation(s)
- Eduardo Caldas Costa
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, Brazil.
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Costa EC, Sá JCFD, Soares EMM, Lemos TMAM, Maranhão TMDO, Azevedo GD. [Evaluation of cardiovascular risk by the LAP index in non-obese patients with polycystic ovary syndrome]. ACTA ACUST UNITED AC 2011; 54:630-5. [PMID: 21085768 DOI: 10.1590/s0004-27302010000700007] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2010] [Accepted: 08/14/2010] [Indexed: 01/12/2023]
Abstract
OBJECTIVE To analyze the cardiovascular risk of non-obese women with polycystic ovary syndrome (PCOS) by the LAP index (lipid accumulation product). SUBJECTS AND METHODS 283 patients (18-34 years) assigned at the University Hospital of the Federal University of Rio Grande do Norte, Natal-RN, were divided into four groups: 1) lean PCOS (n = 35); 2) healthy lean (n = 162); 3) overweight PCOS (n = 28); 4) healthy overweight (n = 58). RESULTS Patients with PCOS showed higher values of the LAP index than healthy controls: lean (22.26 vs. 15.87 cm.mmol/L; p = 0.007); overweight (40.83 vs. 26.32 cm.mmol/L; p = 0.001). The percentage of women above the 75th percentile of the LAP index was also higher in the subgroups with PCOS: lean (17.1 vs. 6.8%; p = 0.04); overweight (37.5 vs. 13.8%; p = 0.01). CONCLUSIONS In our sample, patients with PCOS showed higher cardiovascular risk assessed by the LAP index in relation to healthy women, even in the absence of obesity.
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Abstract
OBJECTIVE To compare the modulation of heart rate in a group of volunteers with polycystic ovary syndrome (PCOS) to that of a group of healthy ovulatory women on the basis of R-R interval variability and analyze the relationships between heart rate variability (HRV) and other cardiovascular risk factors. METHODS In a cross-sectional study, HRV and anthropometric, biochemical and hormonal parameters were measured in 23 women with PCOS and 23 age-matched controls. Mean outcomes measures: HRV indexes in the time (SDNN and rMSSD) and frequency domain (low frequency-LF and high frequency-HF). Differences between groups and correlation analysis were performed. RESULTS Intergroup analysis showed significant differences (p < 0.05) between groups, with lower SDNN, rMSSD, LF and HF indexes in PCOS women when compared to the control group. There was significant negative correlation between BMI and SDNN, LF and HF, indicating a decrease in the autonomic modulation of heart rate with increasing weight. A negative correlation was also found between the high-sensitivity C-reactive protein level and the rMSSD index. CONCLUSION Our results show that PCOS is associated with alterations in the autonomic modulation of heart rate, possibly due to the influence of weight gain.
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Albuquerque MT, Micussi BC, Soares EMM, Lemos TMAM, Brito TNDS, Silva JBD, Maranhão TMDO. [Correlation between complaints of stress urinary incontinence and the one-hour pad test in postmenopausal women]. Rev Bras Ginecol Obstet 2011; 33:70-74. [PMID: 21779648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2010] [Accepted: 12/15/2010] [Indexed: 05/31/2023] Open
Abstract
OBJECTIVE to correlate complaints of stress urinary incontinence and the results of a one-hour pad test in pre- and postmenopausal women. METHODS cross-sectional study conducted on 60 postmenopausal volunteers divided into two groups: one consisting of 34 women with involuntary loss of urine due to stress incontinence and the other consisting of 26 women without involuntary loss of urine. A control group of 15 premenopausal women with normal menstrual cycles and no urinary complaints was also used. All women underwent clinical and laboratory analysis as well as the one-hour pad test. Patients were considered to be incontinent when sanitary pad weight post-test was more than 1 g. Data were submitted to descriptive statistics, parametric ANOVA, post-hoc Tukey test and Pearson's correlation. RESULTS all postmenopausal women presented with stress urinary incontinence during the pad test, both those with urinary loss (4 g) and with no previous loss (3.5 g). A strong correlation was observed between urinary loss and time since menopause (r=0.8; p<0.01) and body mass index (r=0.7; p=0.01). Premenopausal women were continent during the pad test (0.4 g). CONCLUSIONS the results of the one-hour pad test showed that all postmenopausal women exhibited stress urinary incontinence, including those without urine loss on effort. Urine loss was correlated with time since menopause and body mass index.
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Affiliation(s)
- Maria Thereza Albuquerque
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil.
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Soares EMM, Azevedo GD, Gadelha RGN, Lemos TMAM, Maranhão TMO. Prevalence of the metabolic syndrome and its components in Brazilian women with polycystic ovary syndrome. Fertil Steril 2007; 89:649-55. [PMID: 17543961 DOI: 10.1016/j.fertnstert.2007.03.081] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2007] [Revised: 03/28/2007] [Accepted: 03/28/2007] [Indexed: 01/04/2023]
Abstract
OBJECTIVE To determine the prevalence of the metabolic syndrome (MetS) and its components in Brazilian women with polycystic ovary syndrome (PCOS). DESIGN Cross-sectional study. SETTING University Hospital, Federal University of Rio Grande do Norte, Natal-RN, Brazil. PATIENT(S) 102 women with PCOS by the Rotterdam consensus criteria. INTERVENTION(S) None. MAIN OUTCOME MEASURE(S) Clinical and biochemical parameters for MetS as defined by the National Cholesterol Education Program Adult Treatment Panel (NCEP ATP III). RESULT(S) The prevalence for individual components of MetS were high-density lipoprotein cholesterol level <50 mg/dL in 69.6%, waist circumference >or=88 cm in 57.9%, triglyceride level >or=150 mg/dL in 31.7%, blood pressure >or=130/85 mm Hg in 18.6%, and fasting glucose concentrations >or=110 mg/dL in 2.9%. Three or more of these individual criteria were present in 29 (28.4%) of the patients. The prevalence of MetS increased with body mass index: 3.2%, 19.2% and 52.3% for normal, overweight, and obese women, respectively. CONCLUSION(S) These findings indicate that Brazilian women with PCOS have a high prevalence of MetS and its individual components, particularly a decreased high-density lipoprotein cholesterol level. Thus, these women are at increased risk of diabetes mellitus and cardiovascular disease.
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Affiliation(s)
- Elvira Maria Mafaldo Soares
- Departamento de Tocoginecologia, Maternidade Escola Januário Cicco, Universidade Federal do Rio Grande do Norte, Natal-RN, Brazil
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