Asunto(s)

Asunto(s)

RESUMEN

In this paper the author argues that trans-identification and its associated medical treatment can constitute an attempt to evade experiences of psychological distress. This occurs on three levels. Firstly, the trans person themselves may seek to evade dysregulated affects associated with such experiences as attachment trauma, childhood abuse, and ego-alien sexual feelings. Secondly, therapists may attempt to evade feelings, such as fear and hatred, evoked by engaging with these dysregulated affects. Thirdly, we, as a society, may wish to evade acknowledging the reality of such trauma, abuse and sexual distress by hypothesizing that trans-identification is a biological issue, best treated medically. The author argues that the quality of evidence supporting the biomedical approach is extremely poor. This puts young trans people at risk of receiving potentially damaging medical treatment they may later seek to reverse or come to regret, while their underlying psychological issues remain unaddressed.

Dans cet article l'auteur soutient que l'indentification trans et son traitement médical associé peuvent constituer une tentative pour échapper à des expériences de détresse psychologique. Ceci se produit à trois niveaux. Premièrement, la personne trans elle-même peut chercher à éviter les affects dérégulés associés aux expériences telles que le traumatisme de l'attachement, l'abus sexuel dans l'enfance, les ressentis sexuels qui semblent incompatibles avec l'égo. Deuxièmement, les thérapeutes peuvent tenter d'échapper à des émotions, telles que la peur et la haine, évoquées par l'implication avec ces affects dérégulés. Troisièmement, nous, en tant que société, pouvons être animés par le souhait d'échapper à la réalité de tels traumatismes, abus et détresse sexuels en nourrissant l'hypothèse que l'identification trans est une question biologique, qu'il vaut mieux soigner de manière médicale. L'auteur soutient que la qualité des preuves en faveur de l'approche biomédicale est extrêmement pauvre. Ceci expose les jeunes personnes trans au risque de recevoir des traitements médicaux qui les endommagent, traitements qu'elles peuvent plus tard chercher à inverser, ou qu'elles regrettent, pendant que les questions psychologiques fondamentales restent sans attention.

En el presente trabajo, el autor argumenta que la identificación-trans y el tratamiento médico asociado puede constituir una intento de evadir experiencias de angustia psicológica. Esto sucede en tres niveles. Primero, la persona trans puede buscar evadir emociones desreguladas asociadas a experiencias como trauma de apego, abuso infantil, y sentimientos sexuales ego - no alineados. Segundo, los terapeutas pueden intentar evadir sentimientos, tales como miedo y odio, evocados al entrar en contacto con estos afectos desregulados. Tercero, nosotros, como sociedad, podemos desear evadir la realidad de semejante trauma, abuso y angustia sexual, al hipotetizar que la identificación-trans es un tema biológico, y mejor tratarlo medicalmente. El autor da cuenta que la evidencia que fundamenta el abordaje biomédico es extremadamente pobre. Esto supone, para las personas jóvenes trans, el riesgo de recibir tratamiento médico potencialmente dañino, que más tarde pueden buscar revertir, o del que arrepentirse mientras que los temas psicológicos subyacentes permanecen sin ser reconocidos.

Asunto(s)

RESUMEN

The author reflects on his contrasting analytic work with two transsexual patients. He uses three previous psychoanalytic studies (Stoller, Morel and Lemma) to explore whether effective analytic work with the issues driving a person's determined wish for sex reassignment surgery (SRS) is possible. Particular consideration is given to how such work might navigate a path between traumatizing and pathologizing the patient on the one hand and avoiding important analytic material out of fear of so doing on the other. The author proceeds to ask whether it is possible to tell in advance, with any degree of reliability, who is and who is not likely to benefit from surgery. He considers certain diagnostic issues in relation to these questions. Illustrations are given of how, in practice, countertransference anxieties about psychopathologizing transsexual patients can contribute to significant difficulties in working clinically with them. It is argued that the understanding and containment of such anxieties could eventually lead to more effective analytic work, and that such work might be further facilitated by considering the contribution of mind-body dissociation to transsexualism.

Asunto(s)

RESUMEN

The aim of this study was to determine the accuracy of dual-energy X-ray absorptiometry (DXA)-derived percentage fat estimates in obese adults by using four-compartment (4C) values as criterion measures. Differences between methods were also investigated in relation to the influence of fat-free mass (FFM) hydration and various anthropometric measurements. Six women and eight men (age 22-54 years, BMI 28.7-39.9 kg/m(2), 4C percent body fat (%BF) 31.3-52.6%) had relative body fat (%BF) determined via DXA and a 4C method that incorporated measures of body density (BD), total body water (TBW), and bone mineral mass (BMM) via underwater weighing, deuterium dilution, and DXA, respectively. Anthropometric measurements were also undertaken: height, waist and gluteal girth, and anterior-posterior (A-P) chest depth. Values for both methods were significantly correlated (r(2) = 0.894) and no significant difference (P = 0.57) was detected between the means (DXA = 41.1%BF, 4C = 41.5%BF). The slope and intercept for the regression line were not significantly different (P > 0.05) from 1 and 0, respectively. Although both methods were significantly correlated, intraindividual differences between the methods were sizable (4C-DXA, range = -3.04 to 4.01%BF) and significantly correlated with tissue thickness (chest depth) or most surrogates of tissue thickness (body mass, BMI, waist girth) but not FFM hydration and gluteal girth. DXA provided cross-sectional %BF data for obese adults without bias. However, individual data are associated with large prediction errors (+/-4.2%BF). This error appears to be associated with tissue thickness indicating that the DXA device used may not be able to accurately account for beam hardening in obese cohorts.

Asunto(s)

RESUMEN

This study assessed the relationship between haemoglobin mass (Hb(mass)) and maximum oxygen consumption (VO(2max)) in adolescents over 1 year. Twenty-three subjects (11-15 years) participated; 12 undertook ~12 months of cycle training (cyclists) and 11 were sedentary (controls). Hb(mass) and VO(2max) were measured approximately every 3 months. At baseline there was a high correlation (r = 0.82, P < 0.0001) between relative VO(2max) (ml kg(-1) min(-1)) and relative Hb(mass) (g kg(-1)). During 12 months there was a significant increase in relative VO(2max) of the cyclists but not the controls; however, there was no corresponding increase in relative Hb(mass) of either group. The correlation between percent changes in relative VO(2max) and relative Hb(mass) was not significant for cyclists (r = 0.31, P = 0.33) or controls (r = 0.42, P = 0.19). Training does not increase relative Hb(mass) in adolescents consistent with a strong hereditary role for Hb(mass) and VO(2max). Hb(mass) may be used to identify adolescents who have a high VO(2max).

Asunto(s)

RESUMEN

Bioelectrical impedance analysis (BIA) measures the impedance associated with passage of an alternating current through the body which is proportional to total body water (TBW) and therefore can provide expedient estimates of body composition. However, little validity information is available for commercially available bathroom scale type devices which perform whole body estimates from segmental (lower limb) measurements. This study therefore compared body composition estimates between a commercially available segmental BIA device (Tanita BC-532) and four compartment criterion values. Body composition of nine males and nine females (mean +/- SD: 37.7 +/- 18.7 yr; 170.7 +/- 5.3 cm; 68.38 +/- 9.7 kg) was determined via BIA and a four compartment model incorporating measures of body density, TBW and bone mineral mass. While the mean %BF and fat free mass (FFM) values for both methods were not significantly different, considerable intra-individual differences were observed. BIA values varied from the four compartment values by -3.0 to 4.4 %BF and -3.3 to 1.9 kg FFM. The BIA estimates of TBW were significantly different from the criterion measures and intraindividual differences displayed a large range (-0.6 to 3.6 kg). Significant underestimations of TBW via BIA are concerning given that this is the parameter initially established by this method. Furthermore, the BIA data resulted in a FFM hydration value of 68.5% which was significantly (p<0.001) lower than the four compartment value of 72.0%. In conclusion, the BIA device tested displayed poor individual accuracy for the estimation of body composition compared with a four compartment criterion method.

Asunto(s)

RESUMEN

René Descartes is often regarded as the 'father of modern philosophy'. He was a key figure in instigating the scientific revolution that has been so influential in shaping our modern world. He has been revered and reviled in almost equal measure for this role; on the one hand seen as liberating science from religion, on the other as splitting soul from body and man from nature. He dates the founding of his philosophical methods to the night of 10(th) November 1619 and in particular to three powerful dreams he had that night. This article utilizes Descartes' own interpretations of the dreams, supported by biographical material, as well as contemporary neuroscientific and psychoanalytic theory, to reach a new understanding of them. It is argued that the dreams can be understood as depicting Descartes' personal journey from a state of mind-body dissociation to one of mind-body deintegration. This personal journey may have implications for a parallel journey from Renaissance to modern culture and from modernity to post-modern culture.

Asunto(s)

RESUMEN

The purpose of this study was to investigate the suggestion in a recent meta-analysis that variability in hemoglobin mass increases when time between measurements increases from days to months. Hemoglobin mass of six active men was measured with the carbon monoxide method every 1-6 days for 100-114 days (42 +/- 3 measurements, mean +/- SD). Measurement error for each individual's series was estimated from the standard deviation of consecutive pairwise changes and compared with his total error (standard deviation of all values). Linear trends and periodicities in each series were quantified by regression and spectral analysis. Series with known random error and periodicity were also simulated and analyzed. There were clear differences in the pairwise error of measurement between subjects (range 1.4-2.7%). For five men, there was little difference between the total and pairwise errors; their mean ratio (1.06, 90% confidence limits 0.96-1.17) was less than ratios for simulated sinusoidal series with random error of 2%, amplitude of 2%, and periods of 20-100 days (ratios 1.13-1.21). Spectral analysis clearly revealed such periodicities in the simulated series but not in the series of these subjects. The sixth man, who had donated blood 12 days before commencing measurements, showed errors, trend, and periodicity consistent with gradual restoration of hemoglobin mass. Measurement error of hemoglobin mass does not increase over 100 days. Consequently, hemoglobin mass may be suitable for long-term monitoring of small changes that might occur with training or erythropoietin abuse, taking into consideration the small differences between athletes in errors and trends.

Asunto(s)

Asunto(s)

RESUMEN

PURPOSE: Although dehydration can impair endurance performance, a reduced body mass may benefit uphill cycling by increasing the power-to-mass ratio. This study examined the effects of a reduction in body mass attributable to unreplaced sweat losses on simulated cycling hill-climbing performance in the heat. METHODS: Eight well-trained male cyclists (mean +/- SD: 28.4 +/- 5.7 yr; 71.0 +/- 5.9 kg; 176.7 +/- 4.7 cm; VO2peak: 66.2 +/- 5.8 mL x kg(-1) x min(-1)) completed a maximal graded cycling test on a stationary ergometer to determine maximal aerobic power (MAP). In a randomized crossover design, cyclists performed a 2-h ride at 53% MAP on a stationary ergometer, immediately followed by a cycling hill-climb time-to-exhaustion trial (88% MAP) on their own bicycle on an inclined treadmill (8%) at approximately 30 degrees C. During the 2-h ride, they consumed either 2.4 L of a 7% carbohydrate (CHO) drink (HIGH) or 0.4 L of water (LOW) with sport gels to match for CHO content. RESULTS: After the 2-h ride and before the hill climb, drinking strategies influenced body mass (LOW -2.5 +/- 0.5% vs HIGH 0.3 +/- 0.4%; P < 0.001), HR (LOW 158 +/- 15 vs HIGH 146 +/- 15 bpm; P = 0.03), and rectal temperature (T(re): LOW 38.9 +/- 0.2 vs HIGH 38.3 +/- 0.2 degrees C; P = 0.001). Despite being approximately 1.9 kg lighter, time to exhaustion was significantly reduced by 28.6 +/- 13.8% in the LOW treatment (LOW 13.9 +/- 5.5 vs HIGH 19.5 +/- 6.0 min, P = 0.002), as was the power output for a fixed speed (LOW 308 +/- 28 vs HIGH 313 +/- 28 W, P = 0.003). At exhaustion, T(re) was higher in the LOW treatment (39.5 vs HIGH 39.1 degrees C; P < 0.001), yet peak HR, blood lactate, and glucose were similar. CONCLUSION: Exercise-induced dehydration in a warm environment is detrimental to laboratory cycling hill-climbing performance despite reducing the power output required for a given speed.

Asunto(s)

RESUMEN

PURPOSE: To quantify the fluid and food consumed during a men's and women's professional road-cycling tour. METHODS: Eight men (age 25 +/- 5 y, body mass 71.4 +/- 7.4 kg, and height 177.4 +/- 4.5 cm) and 6 women (age 26 +/- 4 y, body mass 62.5 +/- 5.6 kg, and height 170.4 +/- 5.2 cm) of the Australian Institute of Sport Road Cycling squads participated in the study. The men competed in the 6-d Tour Down Under (Adelaide, Australia), and the women, in the 10-d Tour De L'Aude (Aude, France). Body mass was recorded before and immediately after the race. Cyclists recalled the number of water bottles and amount of food they had consumed. RESULTS: Men and women recorded body-mass losses of approximately 2 kg (2.8% body mass) and 1.5 kg (2.6% body mass), respectively, per stage during the long road races. Men had an average fluid intake of 1.0 L/h, whereas women only consumed on average 0.4 L/h. In addition, men consumed CHO at the rate suggested by dietitians (average CHO intake of 48 g/h), but again the women failed to reach recommendations, with an average intake of approximately 21 g/h during a road stage. CONCLUSIONS: Men appeared to drink and eat during racing in accordance with current nutritional recommendations, but women failed to reach these guidelines. Both men and women finished their races with a body-mass loss of approximately 2.6% to 2.8%. Further research is required to determine the impact of this loss on road-cycling performance and thermoregulation.

Asunto(s)

RESUMEN

PURPOSE: The Concept II model C (IIC) rowing ergometer was replaced by the Concept II model D (IID), but the design modifications of the updated ergometer might alter resistance characteristics and rowing technique, thereby potentially influencing ergometer test results. This study evaluated the physiological response to rowing on the IIC and IID ergometers during a submaximal progressive incremental test and maximal-performance time trial. METHODS: Eight national-level rowers completed submaximal and maximal tests on the IIC and IID ergometers separated by 48 to 72 h. Physiological responses and calculated blood lactate thresholds (LT1 and LT2) were compared between ergometer models (IIC vs IID) using standardized drag-factor settings. RESULTS: Power output, oxygen consumption, rowing economy (mL O2 . min-1 . W-1), heart rate, blood lactate concentration, stroke rate, and rating of perceived exertion all displayed similar responses regardless of ergometer model. Calculated physiological values equivalent to LT1 and LT2 were also similar between models, except for blood lactate concentration at LT, which displayed a small but statistically significant difference (P = .02) of 0.2 mmol/L. CONCLUSIONS: The physiological response when rowing on IIC and IID ergometers is nearly identical, and testing can therefore be carried out on either ergometer and the results directly compared.

Asunto(s)

RESUMEN

This study determined whether some of the more vigorous household and garden tasks (sweeping, window cleaning, vacuuming and lawn mowing) were performed at a moderate intensity (3-6 METs or metabolic equivalents) by a representative sample of 50, 55 to 65-year-old women (X +/- SD; 59.3 +/- 3.1 years, 161.5 +/- 5.2 cm, 69.4 +/- 12.4 kg, 38.4 +/- 7.3% BF). Data collection was conducted in a standardised laboratory environment and in the subjects' homes. Energy expenditure during self-perceived moderate paced walking around a quadrangle was also used as a marker of exercise intensity. Energy expenditure measured via indirect calorimetry was also predicted from: HR, CSA accelerometer counts, Quetelet's index and the Borg rating of perceived exertion. Ninety-six percent of the subjects walked at an intensity of >or= 3.0 METs. Except for vacuuming in the laboratory (X = 2.9 METs; P = 0.19), the intensity of each of the other activities was significantly (P or= 3.0 METs when the four household/garden activities were performed in the subjects' homes. These activities therefore have the potential to contribute to the 30 min day(-1) of moderate intensity physical activity required to confer health benefits but there was much inter-individual variability in the intensity at which these tasks were performed. Random intercept regression analyses yielded prediction equations with 95% confidence intervals of +/- 0.80 and +/- 0.84 METs for the laboratory and home based equations, respectively. Considering the means for the five activities ranged from 2.9 to 5.5 METs, these 95% confidence intervals lack predictive precision at the individual level. Nevertheless, the laboratory and home-based equations predicted with correct classification rates of 89 and 90%, respectively, whether energy expenditure was < 3.0 or >or= 3.0 METs.

Asunto(s)

RESUMEN

PURPOSE: To quantify the power-output demands of men's road-cycling stage racing using a direct measure of power output. METHODS: Power-output data were collected from 207 races over 6 competition years on 31 Australian national male road cyclists. Subjects performed a maximal graded exercise test in the laboratory to determine maximum aerobic-power output, and bicycles were fitted with SRM power meters. Races were described as flat, hilly, or criterium, and linear mixed modeling was used to compare the races. RESULTS: Criterium was the shortest race and displayed the highest mean power output (criterium 262 +/- 30 v hilly 203 +/- 32 v flat 188 +/- 30 W), percentage total race time above 7.5 W/kg (criterium 15.5% +/- 4.1% v hilly 3.8% +/- 1.7% v flat 3.5% +/- 1.4%) and SD in power output (criterium 250 v hilly 165 v flat 169 W). Approximately 67%, 80%, and 85% of total race time was spent below 5 W/kg for criterium, hilly and flat races, respectively. About 70, 40, and 20 sprints above maximum aerobic-power output occurred during criterium, hilly, and flat races, respectively, with most sprints being 6 to 10 s. CONCLUSIONS: These data extend previous research documenting the demands of men's road cycling. Despite the relatively low mean power output, races were characterized by multiple high-intensity surges above maximum aerobic-power output. These data can be used to develop sport-specific interval-training programs that replicate the demands of competition.

Asunto(s)

RESUMEN

Little information exists on the power output demands of competitive women's road cycle racing. The purpose of our investigation was to document the power output generated by elite female road cyclists who achieved success in FLAT and HILLY World Cup races. Power output data were collected from 27 top-20 World Cup finishes (19 FLAT and 8 HILLY) achieved by 15 nationally ranked cyclists (mean +/- SD; age: 24.1+/-4.0 years; body mass: 57.9+/-3.6 kg; height: 168.7+/-5.6 cm; VO2max 63.6+/-2.4 mL kg(-1) min(-1); peak power during graded exercise test (GXT(peak power)): 310+/-25 W). The GXT determined GXT(peak power), VO2peak lactate threshold (LT) and anaerobic threshold (AT). Bicycles were fitted with SRM powermeters, which recorded power (W), cadence (rpm), distance (km) and speed (km h(-1)). Racing data were analysed to establish time in power output and metabolic threshold bands and maximal mean power (MMP) over different durations. When compared to HILLY, FLAT were raced at a similar cadence (75+/-8 vs. 75+/-4 rpm, P=0.93) but higher speed (37.6+/-2.6 vs. 33.9+/-2.7 km h(-1), P=0.008) and power output (192+/-21 vs. 169+/-17 W, P=0.04; 3.3+/-0.3 vs. 3.0+/-0.4 W kg(-1), P=0.04). During FLAT races, riders spent significantly more time above 500 W, while greater race time was spent between 100 and 300 W (LT-AT) for HILLY races, with higher MMPs for 180-300 s. Racing terrain influenced the power output profiles of our internationally competitive female road cyclists. These data are the first to define the unique power output requirements associated with placing well in both flat and hilly women's World Cup cycling events.

Asunto(s)

RESUMEN

PURPOSE: a) Compare the predictive potential of speed and CSA(hip) (Computer Science Applications accelerometer positioned on the hip) for level terrain walking METs (1 MET = VO2 of 3.5 mL.kg(-1).min(-1)) and energy expenditure (kcal.min(-1)); b) cross-validate previously published CSA(hip)- and speed-based MET and energy expenditure prediction equations; c) measure self-paced walking speed, exercise intensity (METs) and energy expenditure in the middle aged population. METHODS: Seventy-two 35- to 45-yr-old volunteers walked around a level, paved quadrangle at what they perceived to be a moderate pace. Oxygen consumption was measured using the criterion Douglas bag technique. Speed, CSA(hip), heart rate, and Borg rating of perceived exertion were also monitored. RESULTS: Speed explained 10% more variance of walking METs than CSA(hip). Speed and mass explained 8% more variance of walking energy expenditure (kcal.min) than CSA(hip) and mass. The best previously published regression equations predict our walking METs and energy expenditures within 95% prediction limits of +/- 0.7 METs and +/- 1.0 kcal.min(-1), respectively. Women paced themselves at a significantly higher mean speed (5.5 km.h(-1)) and intensity (4.1 METs) than their male counterparts (5.2 km.h(-1) and 3.8 METs). Both genders expended approximately 0.75 kcal.kg(-1) for every kilometer of level terrain walked. CONCLUSION: Speed-based MET and energy expenditure predictions during level terrain walking were more accurate than those utilizing CSA(hip).

Asunto(s)

RESUMEN

This study measured the energy expenditure of four self-paced household and garden tasks to determine whether 55- to 65-year-old men performed them at a moderate intensity [3-6 metabolic equivalents (METs)] and to predict the activity intensity via indirect methods. Resting metabolic rate and oxygen consumption were measured using Douglas bags in 50 men (X +/- SD: 60.6 +/-3.2 years, 175.8 +/- 5.6 cm, 82.6 +/- 10.1 kg ) who performed self-perceived moderate paced walking and self-paced sweeping, window cleaning, vacuuming and lawn mowing. Heart rate, CSA accelerometer counts (hip and arm), Quetelet's index, Borg rating of perceived exertion and respiratory frequency were measured as possible predictors of energy expenditure. Each of the four household and garden activities was performed at a mean intensity of > or = 3.0 METs in both the standardised laboratory environment (sweeping = 3.4, window cleaning = 3.8, vacuuming = 3.0 and lawn mowing = 5.3 METs) and the subjects' homes (sweeping = 4.1, window cleaning = 3.5, vacuuming = 3.6 and lawn mowing = 5.0 METs). Comparisons between the two settings were significantly different (p < or =0.008). Except for window cleaning, the MET values were not different from those of our previous younger sample (35-45 years). Regression analysis yielded prediction equations with 95% confidence intervals of +/-0.8 METs for both the laboratory and home environments. Although the energy expenditure means for these activities indicate that they can contribute to the 30 min day(-1) of moderate intensity physical activity required to confer health benefits, there was substantial inter-individual variability. While the regression equations lack predictive precision at the individual level, they were able to determine whether energy expenditure was above the 3.0 MET threshold with correct classification rates of 91% and 94% in the laboratory and home, respectively.

Asunto(s)

RESUMEN

This study determined whether four self-paced household tasks, conducted in the subjects' homes and a standardised laboratory environment, were performed at a moderate intensity [3-6 metabolic equivalents (METs)] in a representative sample of thirty-six 35- to 45-year-old females. Energy expenditure was also predicted via indirect methods. Self-paced energy expenditure during sweeping, window cleaning, vacuuming and mowing was measured using the Douglas bag technique. Heart rate, respiratory frequency, Computer Science Applications (CSA) movement counts (hip and wrist), Borg rating of perceived exertion and Quetelet's index were also recorded as potential predictors of energy expenditure. While the four activities were performed at mean intensities >or=3.0 METs in both the home and laboratory, all comparisons between these two environments were statistically significant ( P<0.001). The 95% confidence intervals (CIs) for the home and laboratory prediction equations were +/-1.1 METs and +/-1.0 MET, respectively. These data suggest that the aforementioned household chores can contribute to the 30 min x day(-1) of moderate-intensity activity required to confer health benefits. However, the substantial between-subject variability in energy expenditure resulted in some persons performing these tasks at a light intensity (<3.0 METs). The significant MET differences between the home and laboratory emphasise the effects of 'environment and terrain' and the 'mental approach to a task' on self-paced energy expenditure. Considering the means for the five activities ranged from 3.1 METs to 6.0 METs, the 95% CIs for the regression equations lack predictive precision.

Asunto(s)

RESUMEN

Participation in at least 30 min of moderate intensity activity on most days is assumed to confer health benefits. This study accordingly determined whether the more vigorous household and garden tasks (sweeping, window cleaning, vacuuming and lawn mowing) are performed by middle-aged men at a moderate intensity of 3-6 metabolic equivalents (METs) in the laboratory and at home. Measured energy expenditure during self-perceived moderate-paced walking was used as a marker of exercise intensity. Energy expenditure was also predicted via indirect methods. Thirty-six males [ X (SD): 40.0 (3.3) years; 179.5 (6.9) cm; 83.4 (14.0) kg] were measured for resting metabolic rate (RMR) and oxygen consumption ( VO(2)) during the five activities using the Douglas bag method. Heart rate, respiratory frequency, CSA (Computer Science Applications) movement counts, Borg scale ratings of perceived exertion and Quetelet's index were also recorded as potential predictors of exercise intensity. Except for vacuuming in the laboratory, which was not significantly different from 3.0 METs ( P=0.98), the MET means in the laboratory and home were all significantly greater than 3.0 ( P/=3.0 METs.

Asunto(s)