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1.
Front Sports Act Living ; 6: 1444472, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39381256

RESUMEN

Introduction: This study aimed to investigate the effectiveness of a supervised physical training program with controlled cadence on functional fitness parameters, quality of life perception, and physical activity level in older adults. Methods: Sixty physically independent older adults were randomly divided into three groups: Supervised Training (ST, n = 20), Unsupervised Training (UT, n = 20), and a Control Group (C, n = 20). The ST and UT groups participated in a 12-week program, performing exercises three times a week for 30 min. The ST group had structured weekly sessions consisting of a 5-minute warm-up (walking at 60% of max heart rate), 20 sets of 30 s at a moderate pace controlled by a metronome with 30 s of passive recovery, and a 5-minute cool-down on non-consecutive days. The UT group trained spontaneously using senior gym equipment, including elliptical machines, rowing machines, air skiers, and leg press machines. The control group maintained their usual daily routines throughout the study. Parameters evaluated included body mass, body mass index (BMI), muscle thickness (biceps brachii, triceps brachii, and vastus lateralis), and functional capacity tests (walking 10 m [W10 m], rising from a sitting position [RSP], rising from the prone position [RVDP], sitting and rising from a chair and moving around the house [SRCW]). Quality of life was assessed across physical, psychological, environmental, and social domains, and physical activity levels were also measured. Results: No significant changes (p > 0.05) in body mass, BMI, or muscle thickness were observed between groups before and after the intervention. However, significant time effects in functional fitness tests were found only in the ST group for W10 m (p = 0.0469), RVDP (p < 0.0004), RSP (p < 0.0001), and SRCW (p < 0.0001). Quality of life improved significantly over time in the ST and UT groups across all domains (p < 0.0001). Both ST and UT groups also showed significant increases in weekly physical activity time (p > 0.0001). Conclusion: 12 weeks of training improved quality of life perception and physical activity levels in older adults.

2.
Nutrients ; 16(18)2024 Sep 20.
Artículo en Inglés | MEDLINE | ID: mdl-39339783

RESUMEN

BACKGROUND/OBJECTIVES: Capsinoids are potential antioxidant agents capable of reducing oxidative damage and the resulting complications triggered by obesity. Thus, this study aimed to investigate the effects of capsinoids on adiposity and biomarkers of cardiac oxidative stress in obese rats induced by a high-fat diet. METHODS: Male Wistar rats were exposed to a high-fat diet for 27 consecutive weeks. After the characterization of obesity (week 19), some of the obese animals began to receive capsinoids (10 mg/kg/day) by orogastric gavage. Adiposity and comorbidities were assessed. In the heart, remodeling, injury, and biomarkers of oxidative stress were determined. RESULTS: The treatment did not reduce obesity-induced adiposity but was efficient in reducing cholesterol levels. Capsinoid treatment did not cause a difference in heart and LV mass, despite having reduced troponin I concentrations. Furthermore, capsinoids did not reduce the increase in the advanced oxidation of protein products and carbonylated proteins caused by obesity in cardiac tissue. In addition, obese rats treated with capsinoids presented high levels of malondialdehyde and greater antioxidant enzyme activity compared to untreated obese rats. CONCLUSIONS: In conclusion, treatment with capsinoids increases antioxidative enzyme activity and prevents obesity-induced cardiac injury without positively modulating body fat accumulation and cardiac oxidative biomarkers.


Asunto(s)
Adiposidad , Antioxidantes , Biomarcadores , Dieta Alta en Grasa , Obesidad , Estrés Oxidativo , Ratas Wistar , Animales , Masculino , Obesidad/complicaciones , Obesidad/metabolismo , Estrés Oxidativo/efectos de los fármacos , Biomarcadores/sangre , Biomarcadores/metabolismo , Antioxidantes/farmacología , Dieta Alta en Grasa/efectos adversos , Ratas , Adiposidad/efectos de los fármacos , Miocardio/metabolismo , Tejido Adiposo/efectos de los fármacos , Tejido Adiposo/metabolismo , Extractos Vegetales/farmacología , Lesiones Cardíacas/prevención & control , Lesiones Cardíacas/metabolismo , Lesiones Cardíacas/etiología , Malondialdehído/metabolismo
3.
Clinics (Sao Paulo) ; 79: 100504, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39321635

RESUMEN

BACKGROUND: Acknowledging the relationship between postural control and muscle strength in lower limbs is important to find persons with high fall risk and to design fall prevention exercise programs. OBJECTIVE: To investigate the connection between knee muscle strength, semi-static postural balance, and functional mobility in irregularly active older women. METHODS: One hundred and ten older women aged 60 to 85 years underwent a semi-static postural balance test in a force and functional mobility measured by Timed Up & Go (TUG) with and without Cognitive Tasks (CT). Muscle strength of the knee was assessed by isokinetic dynamometry at 60°/s. RESULTS: A negative correlation between the functional mobility (TUG with and without CT) and the muscular strength of the knee was observed. Regarding semi-static balance, there was a low negative correlation with peak torque corrected for body weight of the extensors with the following variables with eyes open: Mean Velocity Dominant limb (D) (r = -0.19; p = 0.03); and anteroposterior range Non-Dominant limb (ND) (r = -0.19; p = 0.04); with eyes closed: mediolateral range ND limb (r = -0.21; p = 0.02) and Mean Velocity ND limb (r = -0.18; p = 0.05). CONCLUSIONS: This study found that better functional mobility was associated with greater muscle strength in the knee in elderly women. There were weak negative correlations between knee extensor strength and some measures of semi-static postural balance, suggesting that different motor control actions are required to maintain semi-static balance and mobility. In the case of semi-static balance, a lower level of muscle response is required than in functional mobility.


Asunto(s)
Accidentes por Caídas , Fuerza Muscular , Equilibrio Postural , Humanos , Equilibrio Postural/fisiología , Femenino , Fuerza Muscular/fisiología , Anciano , Estudios Transversales , Anciano de 80 o más Años , Persona de Mediana Edad , Accidentes por Caídas/prevención & control , Evaluación Geriátrica/métodos , Valores de Referencia , Rodilla/fisiología
4.
Exp Physiol ; 109(10): 1710-1727, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39207362

RESUMEN

High-intensity interval training (HIIT) has shown significant results in addressing adiposity and risk factors associated with obesity. However, there are no studies that investigate the effects of HIIT on contractility and intracellular Ca2+ handling. The purpose of this study was to explore the impact of HIIT on cardiomyocyte contractile function and intracellular Ca2+ handling in rats in which obesity was induced by a saturated high-fat diet (HFD). Male Wistar rats were initially randomized into a standard diet and a HFD group. The experimental protocol spanned 23 weeks, comprising the induction and maintenance of obesity (15 weeks) followed by HIIT treatment (8 weeks). Performance was assessed using the maximum oxygen consumption test ( V ̇ O 2 max ${{\dot{V}}_{{{{\mathrm{O}}}_{\mathrm{2}}}{\mathrm{max}}}}$ ). Evaluation encompassed cardiac, adipose and skeletal muscle histology, as well as contractility and intracellular Ca2+ handling. HIIT resulted in a reduction in visceral area, an increase in V ̇ O 2 max ${{\dot{V}}_{{{{\mathrm{O}}}_{\mathrm{2}}}{\mathrm{max}}}}$ , and an augmentation of gastrocnemius fibre diameter in obese subjects. Additionally, HIIT led to a decrease in collagen fraction, an increase in percentage shortening, and a reduction in systolic Ca2+/percentage shortening and systolic Ca2+/maximum shortening rates. HIIT induces physiological cardiac remodelling, enhancing the contractile function of cardiomyocytes and improving myofilament sensitivity to Ca2+ in the context of obesity. This approach not only enhances cardiorespiratory and physical performance but also reduces visceral area and prevents interstitial fibrosis.


Asunto(s)
Calcio , Entrenamiento de Intervalos de Alta Intensidad , Contracción Miocárdica , Miocitos Cardíacos , Miofibrillas , Obesidad , Condicionamiento Físico Animal , Ratas Wistar , Animales , Masculino , Obesidad/fisiopatología , Obesidad/metabolismo , Obesidad/terapia , Miocitos Cardíacos/metabolismo , Miocitos Cardíacos/fisiología , Calcio/metabolismo , Condicionamiento Físico Animal/fisiología , Ratas , Entrenamiento de Intervalos de Alta Intensidad/métodos , Contracción Miocárdica/fisiología , Miofibrillas/metabolismo , Dieta Alta en Grasa , Músculo Esquelético/metabolismo , Músculo Esquelético/fisiología , Consumo de Oxígeno/fisiología
5.
Geroscience ; 2024 Aug 31.
Artículo en Inglés | MEDLINE | ID: mdl-39215795

RESUMEN

This investigation aimed to determine the effects of 24 weeks of resistance training (RT) on cardiac function in older women. Seventy-three physically independent older women were selected for this investigation. Participants were randomized into a training group (TG, n = 38) and a control group (CG, n = 35). The RT program was conducted over 24 weeks and consisted of three sessions a week. Participants performed eight exercises for the whole body in three sets of 8-12 repetitions. Tissue Doppler echocardiography was performed, according to current guidelines, before and after 24 weeks of the intervention. One-repetition maximum (1-RM) tests were used to assess muscular strength. A group vs. time interaction (P < 0.05) was shown for left ventricular end-diastolic volume (TG = - 8.3% vs. CG = - 0.6%), left ventricular end-systolic volume (TG = - 10.6% vs. CG = + 1.1%), and left atrial volume index (TG = - 9.1% vs. CG = + 3.9%). A main time effect (P < 0.05) was found for left ventricular mass index (TG = + 4.9% vs. CG = - 0.6%), septal thickness (TG = + 3.3% vs. CG = - 1.7%), left ventricular ejection fraction (TG = + 3.7% vs. CG = - 0.5%), E'/E septal (TG = - 4.8% vs. CG = + 0.5%), deceleration time (TG = - 4.1% vs. CG = + 3.9%), E septal (TG = + 4.6% vs. CG = - 0.6%), and E lateral (TG = + 5.2% vs. CG = - 1.1%). These results suggest that 24 weeks of RT improves cardiac morphological and functional variables in older women.

6.
Acta Ortop Bras ; 32(3): e266917, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39086846

RESUMEN

Objective: After deep brain stimulation (DBS), patients with Parkinson's disease (PD) typically still present significant gait and postural stability problems, and thus additional interventions are needed. In this way, our purpose was evaluate the comparative effectiveness of treadmill training, with and without body weight support, on balance outcomes among patients with PD after DBS. Methods: Eleven patients with PD that were using bilateral subthalamic nucleus DBS were evaluated using Time Up and Go test (TUG); Berg Balance Scale (BBS) and Static Posturography. In phase 1, all subjects participated in 8-weeks of treadmill training in conjunction with conventional physiotherapy. After six weeks (wash-out), each patient then participated in a subsequent 8-weeks of treadmill training with partial body weight support. Results: After the phase 1, there were improvements on the cognitive TUG performance (Before: 15.7 ± 1,8 sec; After: 13.7 ± 3.1 sec; p < 0.01) and an increase of anteroposterior and medio-lateral body oscillation with eyes closed. After the phase 2, there were improvements in conventional (Before: 12.3 ± 2.0 sec; After: 10.7 ± 1.7 sec; p < 0.01) and cognitive (Before: 14.6 ± 3.5 sec; After: 12.5 ± 1.6 sec; p < 0.05) TUG performances. There were no significant changes in the Berg Balance Scale following either training protocol. Conclusion: Both trainings improved static and dynamic balance and had similar results; however, supported treadmill training seemed to be a potentially superior option, as patients tended to feel safer. Level of Evidence II, therapeutic studies - investigation of treatment outcomes.


Objetivo: Mesmo após a estimulação cerebral profunda (ECP), os pacientes com doença de Parkinson (DP) muitas vezes ainda apresentam problemas significativos de marcha e estabilidade postural, e, portanto, intervenções adicionais são necessárias. Avaliar a eficácia comparativa do treinamento em esteira, com e sem suporte de peso corporal, nos resultados de equilíbrio de pacientes com DP após ECP. Métodos: Onze pacientes com DP em uso de ECP bilateral do núcleo subtalâmico foram avaliados pelos testes Time Up and Go (TUG), escala de equilíbrio de Berg (EEB) e posturografia estática. Na fase 1, todos participaram de oito semanas de treinamento em esteira em conjunto com fisioterapia convencional. Após seis semanas (wash-out), cada paciente participou de oito semanas subsequentes de treinamento em esteira com suporte parcial de peso corporal. Resultados: Depois da fase 1, houve melhora no desempenho cognitivo do TUG (antes: 15,7 ± 1,8 s; depois: 13,7 ± 3,1 s; p < 0,01) e aumento da oscilação anteroposterior e médio-lateral do corpo com os olhos fechados. Após a fase 2, os resultados do TUG convencional (antes: 12,3 ± 2,0 seg; depois: 10,7 ± 1,7 seg; p < 0,01) e cognitivo (antes: 14,6 ± 3,5 s; depois: 12,5 ± 1,6 s; p < 0,05) demonstraram melhora. Os protocolos de treinamento não causaram mudanças significativas na EEB.. Conclusão: Ambos os treinos melhoraram o equilíbrio estático e dinâmico e tiveram resultados semelhantes; no entanto, o treinamento em esteira com suporte é uma opção potencialmente superior, uma vez que os pacientes tendiam a se sentir mais seguros. Nível de Evidência II, estudos terapêuticos - investigação de resultados de tratamento.

7.
Clinics (Sao Paulo) ; 79: 100411, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38901134

RESUMEN

INTRODUCTION: Despite strong evidences supporting the protective role of exercise against stress-induced repercussions, the literature remains inconclusive regarding metabolic aspects. Therefore, this study aimed to evaluate the effect of Physical Training (PT) by swimming on the metabolic parameters of rats subjected to restraint stress. METHODS: Wistar rats (n = 40) were divided into four groups: Control (C), Trained (T), Stressed (S), and Trained/Stressed (TS). The restraint stress protocol involved confining the animals in PVC pipes for 60 minutes/day for 12 weeks. Concurrently, the swimming PT protocol was performed without additional load in entailed sessions of 60 minutes conducted five days a week for the same duration. The following parameters were analyzed: fitness progression assessed by the physical capacity test, body mass, serum level of glucose, triglyceride, cholesterol and corticosterone, as well as glycemic tolerance test, evaluated after glucose administration (2 g/kg, i.p.). RESULTS: Trained groups (T and TS) exhibited enhanced physical capacity (169 ± 21 and 162 ± 22% increase, respectively) compared to untrained groups (C: 9 ± 5 and S: 11 ± 13% increase). Corticosterone levels were significantly higher in the S group (335 ± 9 nmoL/L) compared to C (141 ± 3 nmoL/L), T (174 ± 3 nmoL/L) and TS (231 ± 7 nmoL/L), which did not differ from each other. There were no significant changes in serum glucose, cholesterol, and triglyceride levels among the groups. However, the glycemic curve after glucose loading revealed increased glycemia in the S group (area under curve 913 ± 30 AU) but the TS group exhibited values (673 ± 12 AU) similar to the groups C (644 ± 10 AU) and T (649 ± 9 AU). CONCLUSION: Swimming-based training attenuated stress-induced corticosterone release and prevented glucose intolerance in rats, reinforcing the importance of exercise as a potential strategy to mitigate the pathophysiological effects of stress.


Asunto(s)
Glucemia , Corticosterona , Condicionamiento Físico Animal , Ratas Wistar , Restricción Física , Estrés Psicológico , Natación , Animales , Condicionamiento Físico Animal/fisiología , Masculino , Corticosterona/sangre , Glucemia/análisis , Natación/fisiología , Estrés Psicológico/metabolismo , Colesterol/sangre , Ratas , Triglicéridos/sangre , Factores de Tiempo , Prueba de Tolerancia a la Glucosa , Distribución Aleatoria , Metaboloma/fisiología
8.
J Physiol Sci ; 74(1): 10, 2024 Feb 16.
Artículo en Inglés | MEDLINE | ID: mdl-38365576

RESUMEN

BACKGROUND/OBJECTIVES: Myocardial infarction (MI) frequently leads to cardiac remodeling and failure with impaired life quality, playing an important role in cardiovascular deaths. Although physical exercise is a well-recognized effective non-pharmacological therapy for cardiovascular diseases, the effects of strength training (ST) on the structural and functional aspects of cardiac remodeling need to be further documented. In this study, we aimed to investigate the role of a linear block ST protocol in the rat model of MI. METHODS AND RESULTS: After 6 weeks of MI induction or sham surgery, male adult rats performed ST for the following 12 weeks. The ladder-based ST program was organized in three mesocycles of 4 weeks, with one load increment for each block according to the maximal carrying load test. After 12 weeks, the infarcted-trained rats exhibited an increase in performance, associated with reduced cardiac hypertrophy and pulmonary congestion compared with the untrained group. Despite not changing MI size, the ST program partially prevented cardiac dilatation and ventricular dysfunction assessed by echocardiography and hemodynamics, and interstitial fibrosis evaluated by histology. In addition, isolated cardiac muscles from infarcted-trained rats had improved contractility parameters in a steady state, and in response to calcium or stimuli pauses. CONCLUSIONS: The ST in infarcted rats increased the capacity to carry mass, associated with attenuation of cardiac remodeling and pulmonary congestion with improving cardiac function that could be attributed, at least in part, to the improvement of myocardial contractility.


Asunto(s)
Insuficiencia Cardíaca , Infarto del Miocardio , Entrenamiento de Fuerza , Humanos , Ratas , Masculino , Animales , Entrenamiento de Fuerza/métodos , Remodelación Ventricular , Ratas Wistar , Insuficiencia Cardíaca/tratamiento farmacológico , Miocardio/patología , Infarto del Miocardio/tratamiento farmacológico , Cardiomegalia , Colágeno
9.
Rev. bras. med. esporte ; Rev. bras. med. esporte;30: e2021_0037, 2024. tab, graf
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1441314

RESUMEN

ABSTRACT Introduction: The recovery interval (RI) between sets and exercises has received attention from strength training (ST) researchers, to understand the relationship of rest on performance maintenance, especially the total load in a training session. It is known that each individual responds in a specific way to the training stimulus. So, what would be the effect of the different recovery interval strategies on the strength performance? Objective: Compare the different recovery intervals in strength training volume, considering the number of repetitions in healthy adults. Methods: We conducted a systematic review and meta-analysis based on methodological criteria, comparing fixed and self-selected RI on training volume, identified by the number of repetitions performed in a weight training program. Three electronic databases (Pubmed, VHL Virtual Health Library, Ebsco Sportdiscus) were analyzed, combining the expressions "resistance training", "resistance exercise", "strength exercise", "recovery interval", "rest interval", "interval auto suggested", "auto range selected" with "AND" and "OR" combination. Results: Pooled data from five studies showed a large significant effect in favor of the experimental group (>2 minutes) (MD: 1.24; 95%-CI [0.78; 1.71]; z: 5.25, Q:1.08; p < 0.01), since in the studies, recovery interval allowed a greater training volume. Conclusion: Longer RI seems be better, for maintaining total training volume, although there is no consensus for different training objectives against the self-selected RI. Thus, we imagine that this strategy may be important in the organizing a bodybuilding exercise program. Level of Evidence I; Systematic Review and Meta Analysis.


RESUMEN Introducción: El intervalo de recuperación (IR) entre series y ejercicios ha recibido atención por parte de los investigadores del entrenamiento de fuerza (EF), contribuyendo a la comprensión de esta variable en relación con el mantenimiento del rendimiento, especialmente la carga durante el entrenamiento con pesas. Se sabe que cada individuo responde de manera específica al estímulo del entrenamiento, entonces, ¿cuál es el efecto de las diferentes estrategias de intervalos de recuperación sobre el rendimiento de fuerza? Objetivo: Comparar diferentes intervalos de recuperación en entrenamiento de fuerza en volumen de entrenamiento, identificados por el número de repeticiones en musculación en adultos sanos. Métodos: Realizamos una revisión sistemática y un metanálisis basado en criterios metodológicos, comparando IR fijo y autoseleccionado en función del volumen de entrenamiento, identificado por el número de repeticiones realizadas en un programa de entrenamiento con pesas. Se analizaron los registros de tres bases de datos electrónicas (Pubmed, Biblioteca Virtual en Salud de la BVS, Ebsco Sportdiscus), combinando las palabras "entrenamiento de resistencia", "ejercicio de resistencia", "ejercicio de fuerza", "intervalo de recuperación", "intervalo de descanso", "intervalo auto sugerido", "rango automático seleccionado" con la combinación "AND" y "OR". Resultados: Los datos agrupados de cinco estudios mostraron un gran efecto significativo a favor del grupo experimental (> 2 minutos) (DM: 1,24; IC del 95 % [0,78; 1,71]; z: 5,25, Q: 1,08; p < 0,01), ya que, en los estudios en cuestión, este intervalo de recuperación permitió un mayor volumen de entrenamiento. Conclusión: Los intervalos más largos parecen ser mejores, en el volumen total de entrenamiento, aunque no hay consenso para diferentes objetivos de entrenamiento frente al RI autoseleccionado. Por lo tanto, imaginamos que esta estrategia puede ser importante en la organización del programa de ejercicios de musculación. Nivel de Evidencia I; Revisión Sistemática y Meta Análisis.


RESUMO Introdução: O intervalo de recuperação (IR) entre séries e exercícios, tem recebido atenção dos pesquisadores de treinamento de força (TF), contribuindo no entendimento dessa variável em relação a manutenção do rendimento, em especial da carga durante o treinamento de musculação. Sabe-se que cada indivíduo responde de modo específico ao estimulo do treinamento, desta forma, qual o efeito das diferentes estratégias do intervalo recuperação no desempenho da força? Objetivo: Comparar diferentes intervalos de recuperação no treinamento de força no volume de treino, identificado pelo número de repetições na musculação em adultos saudáveis. Métodos: Realizamos, pelos critérios metodológicos, revisão sistemática e meta-análise, comparando o IR fixo e auto selecionado em função do volume de treino, identificado pelo número de repetições realizados em programa de musculação. Foram analisados os registros de três bases de dados eletrônicas (Pubmed, Biblioteca Virtual da Saúde BVS, Ebsco Sportdiscus), combinando as expressões "treinamento de resistência", "exercício resistido", "exercício de força", "intervalo de recuperação", "intervalo de descanso", "intervalo auto sugerido", "intervalo auto selecionado" com combinação "AND" e "OR". Resultados: Os dados reunidos de cinco estudos mostraram um grande efeito significante a favor do grupo experimental (>2 minutos) (MD: 1.24; 95%-IC [0.78; 1.71]; z: 5.25, Q:1.08; p < 0.01), uma vez que nos estudos em questão, esse intervalo de recuperação possibilitou maior volume de treino. Conclusão: Intervalos mais longos parecem ser melhores no volume total do treinamento, embora não haja consenso para diferentes objetivos do treinamento frente ao IR auto selecionado. Dessa forma, imaginamos que essa estratégia possa ser importante na organização do programa de exercício de musculação. Nível de Evidencia I; Revisão Sistemática e Meta Análise.

10.
Acta ortop. bras ; Acta ortop. bras;32(3): e266917, 2024. tab, graf
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1563678

RESUMEN

ABSTRACT Objective: After deep brain stimulation (DBS), patients with Parkinson's disease (PD) typically still present significant gait and postural stability problems, and thus additional interventions are needed. In this way, our purpose was evaluate the comparative effectiveness of treadmill training, with and without body weight support, on balance outcomes among patients with PD after DBS. Methods: Eleven patients with PD that were using bilateral subthalamic nucleus DBS were evaluated using Time Up and Go test (TUG); Berg Balance Scale (BBS) and Static Posturography. In phase 1, all subjects participated in 8-weeks of treadmill training in conjunction with conventional physiotherapy. After six weeks (wash-out), each patient then participated in a subsequent 8-weeks of treadmill training with partial body weight support. Results: After the phase 1, there were improvements on the cognitive TUG performance (Before: 15.7 ± 1,8 sec; After: 13.7 ± 3.1 sec; p < 0.01) and an increase of anteroposterior and medio-lateral body oscillation with eyes closed. After the phase 2, there were improvements in conventional (Before: 12.3 ± 2.0 sec; After: 10.7 ± 1.7 sec; p < 0.01) and cognitive (Before: 14.6 ± 3.5 sec; After: 12.5 ± 1.6 sec; p < 0.05) TUG performances. There were no significant changes in the Berg Balance Scale following either training protocol. Conclusion: Both trainings improved static and dynamic balance and had similar results; however, supported treadmill training seemed to be a potentially superior option, as patients tended to feel safer. Level of Evidence II, therapeutic studies - investigation of treatment outcomes.


RESUMO Objetivo: Mesmo após a estimulação cerebral profunda (ECP), os pacientes com doença de Parkinson (DP) muitas vezes ainda apresentam problemas significativos de marcha e estabilidade postural, e, portanto, intervenções adicionais são necessárias. Avaliar a eficácia comparativa do treinamento em esteira, com e sem suporte de peso corporal, nos resultados de equilíbrio de pacientes com DP após ECP. Métodos: Onze pacientes com DP em uso de ECP bilateral do núcleo subtalâmico foram avaliados pelos testes Time Up and Go (TUG), escala de equilíbrio de Berg (EEB) e posturografia estática. Na fase 1, todos participaram de oito semanas de treinamento em esteira em conjunto com fisioterapia convencional. Após seis semanas (wash-out), cada paciente participou de oito semanas subsequentes de treinamento em esteira com suporte parcial de peso corporal. Resultados: Depois da fase 1, houve melhora no desempenho cognitivo do TUG (antes: 15,7 ± 1,8 s; depois: 13,7 ± 3,1 s; p < 0,01) e aumento da oscilação anteroposterior e médio-lateral do corpo com os olhos fechados. Após a fase 2, os resultados do TUG convencional (antes: 12,3 ± 2,0 seg; depois: 10,7 ± 1,7 seg; p < 0,01) e cognitivo (antes: 14,6 ± 3,5 s; depois: 12,5 ± 1,6 s; p < 0,05) demonstraram melhora. Os protocolos de treinamento não causaram mudanças significativas na EEB.. Conclusão: Ambos os treinos melhoraram o equilíbrio estático e dinâmico e tiveram resultados semelhantes; no entanto, o treinamento em esteira com suporte é uma opção potencialmente superior, uma vez que os pacientes tendiam a se sentir mais seguros. Nível de Evidência II, estudos terapêuticos - investigação de resultados de tratamento.

11.
Clinics ; Clinics;79: 100411, 2024. graf
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1569145

RESUMEN

Abstract Introduction: Despite strong evidences supporting the protective role of exercise against stress-induced repercussions, the literature remains inconclusive regarding metabolic aspects. Therefore, this study aimed to evaluate the effect of Physical Training (PT) by swimming on the metabolic parameters of rats subjected to restraint stress. Methods: Wistar rats (n = 40) were divided into four groups: Control (C), Trained (T), Stressed (S), and Trained/Stressed (TS). The restraint stress protocol involved confining the animals in PVC pipes for 60 minutes/day for 12 weeks. Concurrently, the swimming PT protocol was performed without additional load in entailed sessions of 60 minutes conducted five days a week for the same duration. The following parameters were analyzed: fitness progression assessed by the physical capacity test, body mass, serum level of glucose, triglyceride, cholesterol and corticosterone, as well as glycemic tolerance test, evaluated after glucose administration (2 g/kg, i.p.). Results: Trained groups (T and TS) exhibited enhanced physical capacity (169 ± 21 and 162 ± 22% increase, respectively) compared to untrained groups (C: 9 ± 5 and S: 11 ± 13% increase). Corticosterone levels were significantly higher in the S group (335 ± 9 nmoL/L) compared to C (141 ± 3 nmoL/L), T (174 ± 3 nmoL/L) and TS (231 ± 7 nmoL/L), which did not differ from each other. There were no significant changes in serum glucose, cholesterol, and triglyceride levels among the groups. However, the glycemic curve after glucose loading revealed increased glycemia in the S group (area under curve 913 ± 30 AU) but the TS group exhibited values (673 ± 12 AU) similar to the groups C (644 ± 10 AU) and T (649 ± 9 AU). Conclusion: Swimming-based training attenuated stress-induced corticosterone release and prevented glucose intolerance in rats, reinforcing the importance of exercise as a potential strategy to mitigate the pathophysiologi-cal effects of stress.

12.
Artículo en Inglés | MEDLINE | ID: mdl-37998313

RESUMEN

High-intensity interval training (HIIT) is considered an effective method to improve fitness and health indicators, but its high-intensity exercises and the mechanical and metabolic stress generated during the session can lead to the occurrence of exercise-induced muscle damage. Therefore, this study aimed to describe, by means of a systematic review, the effects of a single HIIT session on exercise-induced muscle damage. A total of 43 studies were found in the Medline/PubMed Science Direct/Embase/Scielo/CINAHL/LILACS databases; however, after applying the exclusion criteria, only 15 articles were considered eligible for this review. The total sample was 315 participants. Among them, 77.2% were men, 13.3% were women and 9.5 uninformed. Their age ranged from 20.1 ± 2 to 47.8 ± 7.5 years. HIIT protocols included running with ergometers (n = 6), CrossFit-specific exercises (n = 2), running without ergometers (n = 3), swimming (n = 1), the Wingate test on stationary bicycles (n = 2), and cycling (n = 1). The most applied intensity controls were %vVO2max, "all out", MV, MAV, Vmax, and HRreserve%. The most used markers to evaluate muscle damage were creatine kinase, myoglobin, and lactate dehydrogenase. The time for muscle damage assessment ranged from immediately post exercise to seven days. HIIT protocols were able to promote changes in markers of exercise-induced muscle damage, evidenced by increases in CK, Mb, LDH, AST, ALT, pain, and muscle circumference observed mainly immediately and 24 h after the HIIT session.


Asunto(s)
Entrenamiento de Intervalos de Alta Intensidad , Carrera , Masculino , Humanos , Femenino , Ejercicio Físico/fisiología , Carrera/fisiología , Terapia por Ejercicio , Entrenamiento de Intervalos de Alta Intensidad/métodos , Músculos
13.
Artículo en Inglés | MEDLINE | ID: mdl-37947578

RESUMEN

The aim of this study was to investigate the effectiveness of supervised and unsupervised physical training programs using outdoor gym equipment on the lifestyles of elderly people. METHODS: physically independent elderly people were randomly distributed into three groups: supervised training (n: 20; ST), unsupervised training (n: 20; UT) and control (n: 20; C). The ST and UT groups completed a 12-week program, with exercises performed three times a week. The ST group underwent weekly 30 min sessions consisting of a 5 min warm-up (walking at 60% of HRmax), followed by 20 sets of 30, "monitored by a metronome with 30" of passive recovery between sets and a five-minute cool-down. The following equipment was used: elliptical, rowing, surfing and leg press. The UT group was instructed to freely attend the gym and train spontaneously using the same equipment used by ST. Lifestyle changes were evaluated using a questionnaire containing specific domains. RESULTS: no significant differences were identified in the domains for family, physical activity, nutrition, smoking, sleep, behavior, introspection, work and overall score; however, the values corresponding to the alcohol domain for the ST and UT groups were lower (p < 0.05) than the C group, remaining even lower after the 12 weeks of intervention. Time effect (p < 0.05) was found only in the ST group for the physical domains, sleep, behavior and overall score. CONCLUSION: elderly people submitted to supervised and unsupervised physical exercise programs using outdoor gym equipment present positive changes in lifestyle parameters compared to physical inactive elderly people.


Asunto(s)
Ejercicio Físico , Ejercicio de Calentamiento , Anciano , Humanos , Terapia por Ejercicio , Estilo de Vida , Caminata
14.
J Funct Morphol Kinesiol ; 8(4)2023 Oct 25.
Artículo en Inglés | MEDLINE | ID: mdl-37987484

RESUMEN

Our aim was to evaluate musculoskeletal discomfort and the lifestyle of military police officers of administrative and tactical force departments. Military police officers were distributed into two groups: administrative (Adm, n = 15) and tactical force (TF, n = 16) departments. Their lifestyle was assessed using the Fantastic Lifestyle questionnaire. Moreover, physical activity quantification was assessed using the International Physical Activity questionnaire, and musculoskeletal discomfort was quantified using the Corlett diagram. The mean total time of physical activity was 546 ± 276 min per week. No differences (p = 0.0832) were found between the Adm (454 ± 217 min) and TF (623 ± 301 min) groups. Concerning lifestyle, in general the sample presented very good (42%) and good (42%) style classification. For this parameter, no significant differences were found, but only a tendency was discovered (x2: 7.437; p = 0.0592); indeed, the TF presented a better classification (63%) of very good, compared to the Adm (53%) of good. No differences (p > 0.05) were found in musculoskeletal perception of discomfort between the right and left sides (p > 0.05) for all police officers and between the Adm and FT groups (p > 0.05). Military police officers showed high and moderate risk for waist circumference and waist-to-hip ratio, respectively; however, lifestyle and total time of physical activity were considered adequate without differences between military administrative and tactical force sectors.

15.
Einstein (Sao Paulo) ; 21: eAO0215, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37341217

RESUMEN

OBJECTIVE: A comparative analysis of the association between sedentary behavior versus physical activity levels and tumor staging in women with breast cancer. METHODS: The present research adopted a cross-sectional study design to recruit a total of 55 adult and elderly women newly diagnosed with breast cancer for data collection and analysis. Inclusion criteria involved patients in procession of a formal approval for participation in the study by the treating physician and those not hitherto subjected to the first cycle of chemotherapy. RESULTS: Physical activity levels did not influence the pathological stage of breast cancer (p=0.26) or histological tumor grade (p=0.07) in the analyzed subjects. However, there was a significant association between physical activity levels and responsiveness to hormones (epidermal growth factor receptor (HER2), p<0.05) in the analyzed subjects. Significant difference was detected in the histological tumor grade in relation to the mean time spent sitting during the weekend (p<0.05). However, sedentary behavior had no influence on the tumor stage (p>0.05). CONCLUSION: Physical activity levels did not influence the tumor stage and histological tumor grade. Sedentary behavior had a significant influence on the histological tumor grade.


Asunto(s)
Neoplasias de la Mama , Adulto , Anciano , Humanos , Femenino , Conducta Sedentaria , Estudios Transversales , Brasil , Investigadores
16.
Conscientiae Saúde (Online) ; 22: e23202, 01 jun. 2023.
Artículo en Portugués | LILACS-Express | LILACS | ID: biblio-1552231

RESUMEN

Objetivo: O objetivo do estudo foi verificar o efeito hipotensor de uma sessão de hidroginástica em idosas normotensas e hipertensas de estágio 1. Método: Vinte e oito idosas fisicamente independentes distribuídas nos grupos normotensas (N, n:10) e hipertensas (H, n:18), foram submetidas a uma sessão de hidroginástica com duração de 45 minutos, sendo a intensidade monitorada pela percepção subjetiva de esforço. Foram analisadas a pressão arterial sistólica (PAS), diastólica (PAD), pressão arterial média e duplo produto. As diferenças foram analisadas pelo teste t de student ou ANOVA-two way com medidas repetidas, com nível de significância de p<0,05. Resultados: Foi identificado efeito no tempo, grupo e interação somente na PAS (p<0,05). Sessenta minutos após a prática de hidroginástica foi observada a redução significativa da PAS e PAD somente no grupo hipertensas. Conclusão: Uma sessão aguda de hidroginástica foi promoveu redução das pressões sistólica, diastólica, média e do duplo produto somente nas idosas hipertensas.


Objective: The aim of the study was to verify the hypotensive effect of a water aerobics session in normotensive and stage 1 hypertensive elderly women. Method: twenty-eight physically independent elderly women divided into two groups: normotensive (N, n:10) and hypertensive (H, n:18) were submitted to water based exercise session lasting 45 minutes, the intensity being monitored by the subjective perception of exertion. Systolic (SBP) and diastolic (DBP) blood pressure were analyzed. Differences were analyzed by t-test or repeated measures ANOVA as appropriate and significance level of p<0.05. Results: Sixty minutes after water aerobics, a significant reduction in SBP and DBP was found only in the hypertensive group. However, an effect on time, group and interaction was identified only on PAS. Conclusion: an acute water aerobics session was able to promote a reduction in systolic, diastolic, mean and double product pressures only in hypertensive elderly women.

17.
Int J Cardiol Heart Vasc ; 46: 101214, 2023 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-37181278

RESUMEN

Background: Despite the success of interventional coronary reperfusion strategies, morbidity and mortality from acute myocardial infarction are still substantial. Physical exercise is a well-recognized effective non-pharmacological therapy for cardiovascular diseases. Therefore, the objective of this systematic review was to analyze studies in animal models of ischemia-reperfusion in association with physical exercise protocols. Search strategy: Articles published on the topic over a 13-year period (2010-2022) were searched in two databases (PubMed and Google Scholar) using the keywords exercise training, ischemia/reperfusion or ischemia reperfusion injury. Meta-analysis and quality assessment of the studies were performed using the Review Manager 5.3 program. Results: From the 238 articles retrieved from PubMed and 200 from Google Scholar, after screening and eligibility assessment, 26 articles were included in the systematic review and meta-analysis. For meta-analysis comparing the group of previously exercised animals with the non-exercised animals and then submitted to ischemia-reperfusion, the infarct size was significantly decreased by exercise (p < 0.00001). In addition, the group exercised had increased heart-to-body weight ratio (p < 0.00001) and improved ejection fraction as measured by echocardiography (p < 0.0004) in comparison to non-exercised animals. Conclusion: We concluded that the animal models of ischemia-reperfusion indicates that exercise reduce infarct size and preserve ejection fraction, associated with beneficial myocardial remodeling.

18.
J Diet Suppl ; 20(5): 689-705, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-35758017

RESUMEN

Sodium bicarbonate (NaHCO3) has been used as an ergogenic substance during high-intensity exercises. Therefore, the aim of the present study was to investigate the effects of NaHCO3 supplementation on external and internal load parameters during isokinetic exercise in trained subjects. Ten subjects were tested on two occasions: after ingesting 0.3 g.kg-1 of body mass of NaHCO3 or placebo. Maximum voluntary isometric contraction was performed before and after a dynamic protocol consisting of 10 series of 10 movements of flexion/extension of the knee extensors at 120° s-1 at an interval of 60 s between series. Outcomes considered were: peak torque (isokinetic dynamometry), blood lactate and creatine concentration (CK), analysis of perceptions of effort (OMNI scale), pain (visual analog scale) and recovery (scale raging 6 to 20). Performance was assessed using peak torque values. Muscle damage was assessed prior and 24 h post exercise. The subjective perceptions of effort, pain and recovery were assessed at different times and the internal load of the session was assessed 30 min post-effort. Although significant reductions in peak torque were noted both in isometric (NaHCO3:-29.11 ± 22.95%, Placebo: -23.51 ± 15.23%; p = 0.38) and isokinetic strength (NaHCO3:-23.0 ± 13.9%, Placebo:-19.6 ± 9.1%; p = 0.09), there was no effect of supplementation on performance (p > 0.05). The blood CK concentrations (NaHCO3: pre:225.3 ± 135.9 U/L, post: 418.4 ± 318.4 U/L; Placebo: pre:238 ± 94.03 U/L, post:486 ± 336.6 U/L) increased after protocol (p = 0.005), however, without differences between conditions. In conclusion, the NaHCO3 did not attribute benefits in performance or in parameters related to the internal load of exercise.


Asunto(s)
Suplementos Dietéticos , Músculo Esquelético , Bicarbonato de Sodio , Humanos , Estudios Cruzados , Método Doble Ciego , Músculo Esquelético/efectos de los fármacos , Dolor , Bicarbonato de Sodio/farmacología , Creatina Quinasa/sangre , Contracción Isométrica , Ácido Láctico/sangre
19.
Einstein (São Paulo, Online) ; 21: eAO0215, 2023. tab, graf
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1440072

RESUMEN

ABSTRACT Objective A comparative analysis of the association between sedentary behavior versus physical activity levels and tumor staging in women with breast cancer. Methods The present research adopted a cross-sectional study design to recruit a total of 55 adult and elderly women newly diagnosed with breast cancer for data collection and analysis. Inclusion criteria involved patients in procession of a formal approval for participation in the study by the treating physician and those not hitherto subjected to the first cycle of chemotherapy. Results Physical activity levels did not influence the pathological stage of breast cancer (p=0.26) or histological tumor grade (p=0.07) in the analyzed subjects. However, there was a significant association between physical activity levels and responsiveness to hormones (epidermal growth factor receptor (HER2), p<0.05) in the analyzed subjects. Significant difference was detected in the histological tumor grade in relation to the mean time spent sitting during the weekend (p<0.05). However, sedentary behavior had no influence on the tumor stage (p>0.05). Conclusion Physical activity levels did not influence the tumor stage and histological tumor grade. Sedentary behavior had a significant influence on the histological tumor grade.

20.
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1431492

RESUMEN

Abstract Basketball is a sport practiced around the world in this way, performances tests especially with low-cost and accessible are suggested to adjust the training. The 00aim of present study was to evaluate and correlate the speed and jump performance of lower limbs of basketball athletes from the Praia Grande, city of São Paulo, Brazil. Twelve male athletes (6.92 ± 2.57 years of pratice) from the Basketball team of Praia Grande City, aged 18.7 ± 0.6 years, height 1.85 ± 0.06, body mass 83.66 ± 10.16 kg were evaluated. The athletes were submitted to test sessions using the protocol for evaluating the maximum speed of 20 meters and the unilateral vertical jump. The speed on 20 meter test was 3.53 ± 0.20 seconds. Although an asymmetry of 17.81 ± 14.64% was found, no statistical difference (p = 0.817) was found between the dominant (36.50 ± 7.36 cm) and non-dominant (35.92 ± 5.63 cm) of vertical jump performance. Additionally, correlation between 20-meter test and values jump was found to dominant leg (p = 0.042) but not to non-dominant leg (p = 0.704). In conclusion, although asymmetry was found between members of the dominant and non-dominant side of the pitch, did not show any difference in the vertical jump.


Resumo O basquete é um esporte praticado em todo o mundo, desta forma, testes de desempenho principalmente com baixo custo e acessíveis são sugeridos para adequar o treinamento. O objetivo do presente estudo foi avaliar e correlacionar a velocidade e o desempenho de salto de membros inferiores de atletas de basquetebol da cidade da Praia Grande, São Paulo, Brasil. Foram avaliados 12 atletas do sexo masculino (6,92 ± 2,57 anos de prática) da equipe de Basquetebol da Cidade de Praia Grande, com idade 18,7 ± 0,6 anos, estatura 1,85 ± 0,06, massa corporal 83,66 ± 10,16 kg. Os atletas foram submetidos a sessões de testes utilizando o protocolo de avaliação da velocidade máxima de 20 metros e do salto vertical unilateral. A velocidade no teste de 20 metros foi de 3,53 ± 0,20 segundos. Embora tenha sido encontrada uma assimetria de 17,81 ± 14,64%, não foi encontrada diferença estatística (p = 0,817) entre o desempenho do salto vertical dominante (36,50 ± 7,36 cm) e não dominante (35,92 ± 5,63 cm). Além disso, foi encontrada correlação entre o teste de 20 metros e os valores de salto para perna dominante (p = 0,042), mas não para perna não dominante (p = 0,704). Em conclusão, embora tenha sido encontrada assimetria entre membros do lado dominante e não dominante do campo, não houve diferença no salto vertical

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