Navegando por Palavras-chave "physical activity"

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    Aerobic exercise capacity in normal adolescents and those with type 1 diabetes mellitus
    (Blackwell Publishing, 2005-09-01) Komatsu, Willian R.; Gabbay, Monica Andrade Lima [UNIFESP]; Lazaretti-Castro, Marise [UNIFESP]; Saraiva, Gabriela L.; Chacra, Antonio Roberto; Barros Neto, Turibio Leite [UNIFESP]; Dib, Sergio A.; Universidade Federal de São Paulo (UNIFESP)
    Objective: To compare the aerobic exercise capacity between normal adolescents and those with type I diabetes mellitus (T1DM).Methods: An experimental group with 72 individuals diagnosed with T1DM aged 9-20, time from diagnosis 4.9 +/- 3.6 yr, without clinical cardiopulmonary disease or anemia and a control group (C) with 46 healthy individuals aged 10-18, matched by age, weight, height, body mass index, and lean and fat mass (kg), underwent an incremental aerobic exercising test on a motorized treadmill, where gas exchange variables - peak pulmonary ventilation (VE), peak oxygen consumption (VO2), and carbon dioxide production (CO2) - as well as their heart rate (HR) and time to exhaustion were recorded.Results: Body mass composition had no significant difference between experimental and control groups, and male and female subjects had similar exercising performances. the mean of hemoglobin A1c in the control group was 5.2 +/- 0.9% and in the diabetic group 8.1 +/- 2.2%; p = 0.000. the patients with T1DM showed lower levels of aerobic capacity than the control group. Their respective values for each variable were as follows: (i) maximal VO2 (T1DM: 41.57 +/- 7.68 vs. C: 51.12 +/- 9.94 mL/kg/min; p < 0.001) and (ii) maximal VE (T1DM: 76.39 +/- 19.93 vs. C: 96.90 +/- 25.72 mL/kg/min; p < 0.001). Patients with T1DM also had an earlier time to exhaustion (T1DM: 8.75 +/- 1.60 vs. 10.82 +/- 1.44 min).Conclusions: Adolescent patients with T1DM showed a reduced aerobic exercising capacity when compared to healthy peers matched to anthropometric conditions. This potential condition should be taken into consideration by the time of evaluation of the aerobic performance of these patients with glycemic control level.
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    Análise da postura corporal estática segundo o nivel de atividade fisica em idosos residentes no municipio de São Paulo
    (Universidade Federal de São Paulo (UNIFESP), 2009) Reis, Camila Costa Ibiapina [UNIFESP]; Ramos, Luiz Roberto [UNIFESP]; Ramos, Luiz Roberto [UNIFESP]
    The fast and intense ageing of the population leads to the necessity of a functional ageing. It is believed that the body posture and the physical activity can contribute to preserve the elderly’s autonomy and independence. Objectives: to analyze the elderly’static body posture with different levels of physical activity, controlling by sex and age, as well as to correlate body posture and quality of life level. Methods: It is a transversal, analytic-descriptive study, with blind assessment, because the body posture observers were not aware of the elderly’s physical activity and quality of life level. One hundred and sixty (160) elderly people were evaluated, being 104 women and 56 men, with an average age of 72.1 years old (± 7.1). In the body posture assessment, a symmetrograph and a plumb-bob were used, besides photographs in the anterior, posterior, right and left lateral views. This assessment counted on the participation of two observers simultaneously with no communication between them. The physical activity level was evaluated by means of the “International Physical Activity Questionnaire” (IPAQ), long version (transportation and leisure); and the quality of life by means of the SF-36 (Short-Form) questionnaire. As for the statistical analysis, a descriptive analysis of the sample was firstly carried out. After that, Student’s t test, chisquare test, unconditional logistic regression and kappa’s test were also used, being the adopted significance level p< 0,001. Results: 70.6% of the insufficiently active elderly showed the worst body posture, whereas in physically active elderly this frequency was of 44.6%, independently of sex. The oldest elderly have more chances to have a worse body posture than the youngest elderly. It was also observed an association between quality of life and body posture only in the field limitation due to physical aspects. A good agreement level between the postural evaluation observers was also observed. Conclusion: In relation to the sample studied, it was possible to conclude that the physically active elderly show a better body posture when compared to the insufficiently active elderly, independently of sex. The oldest elderly have a bigger chance of having worse body posture than the youngest elderly. Besides, the elderly with the worst body posture show more limitations due to physical aspects.
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    Atividade física na adolescência e sua relação com índices de qualidade de vida, autoimagem corporal e uso de drogas
    (Universidade Federal de São Paulo (UNIFESP), 2015-09-30) Pinheiro, Bruno de Oliveira [UNIFESP]; Avallone, Denise de Micheli [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The growing use / abuse of legal and illegal substances among adolescents has been the subject of numerous studies, focusing not only on the prevalence of use, but also on factors associated with the risk and protection, among the levels of quality of life and physical activity, by the effect on the health of the young. OBJECTIVES: This study aimed to investigate the relationship between different levels of physical activity, self-body image, quality of life and consumption of psychotropic substances among students. METHOD: The study was conducted with 754 adolescents from four public schools selected by criteria of convenience. We used as instruments the International Physical Activity Questionnaire (IPAQ), the KIDSCREEN-27 and the Drug Use Screening Inventory (DUSI), beyond a sociodemographic questionnaire with information related to academic aspects and the perception of self-body image, all self-applicable. The data underwent descriptive analysis and hypothesis testing, mean and variance based on test Kolmorov-Smirnov. The data underwent descriptive analysis and hypothesis testing. To compare the groups used the Student t test for continuous variables and the chi-square test for categorical variables. RESULTS: In relation to the level of physical activity, 33% of the sample practiced low, 51% moderate and 16% high level. Compared to other groups, students of the high level of physical activity group had lower levels of quality of life in dimensions related to autonomy / relationship with parents, friends / social support and school performance and higher use of drug use, energy drinks and ergogenic. By linking physical activity and perception of self-body image, the findings highlight the rates of body satisfaction in boys and body dissatisfaction in girls. It was indicative of abuse and dependence on substances in boys satisfaction in and dissatisfaction girls. For both sexes, the rate dissatisfied practicing high level of physical activity was higher compared to the other groups. CONCLUSIONS: The results found here consider that the use of substances can also be associated with the practice of physical activities, even if considered healthy practices, undermining its effectiveness as a protective factor when excessive practice of physical activity becomes risky behavior for use drug and negatively affecting the adolescent's quality of life and their perception of body self-image.
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    Changes in body fatness affect cardiovascular outcomes more than changes in physical activity
    (Cambridge Univ Press, 2017) Cayres, Suziane U.; Kemper, Han C. G.; Vanderlei, Luiz C. M.; Casonatto, Juliano; Machado-Rodrigues, Aristides M.; Barbosa, Mauricio F. [UNIFESP]; Fernandes, Romulo A.
    Objective The aim of this study was to analyse whether changes in physical activity and body fatness are related to modifications in cardiovascular risk factors among adolescents. Material and methods A sample of 89 healthy adolescents was recruited for this study. We assessed habitual physical activity, body fat percentage, arterial thickness, blood sample, and biological maturation. Multivariate models were used to analyse the relationships between independent and dependent variables. Results Physical activity (mean difference: 429.4 steps [95% confidence interval = -427 to 1286]) and body fatness (mean difference: -0.7% [95% confidence interval = -1.6-0.2]) remained stable during the study period. Independent of changes in physical activity, for each percentage increase in body fatness, femoral intima-media thickness increased by 0.007 mm (beta = 0.007 [95% confidence interval = 0.001-0.013]). Longitudinal relationships were found for high-density lipoprotein-cholesterol (beta = -0.477 mg/dl [95% confidence interval = -0.805 to -0.149]) and triacylglycerol (beta = 2.329 mg/dl [95% confidence interval = 0.275-4.384]). Conclusion Changes in body fatness are more important than the amount of physical activity on cardiovascular and metabolic risks.
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    Comparação entre treinamento cardiovascular versus treinamento de exercício resistido na melhora da qualidade de vida e capacidade funcional em pacientes com lúpus eritematoso sistêmico: ensaio clínico randomizado
    (Universidade Federal de São Paulo (UNIFESP), 2013-02-27) Abrahao, Marcelo Ismael [UNIFESP]; Trevisani, Virginia Fernandes Moca Trevisani [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Systemic lupus erythematosus (SLE) is an inflammatory, chronic, autoimmune disease that negatively impacts the patient’s quality of life. This double-blind randomized controlled trial compared the efficacy of cardiovascular training (CT) with resistance training (RT) in improving the health-related quality of life (HRQoL) and physical function of SLE patients. Sixty-three patients of both sexes, aged 42.9  14.4 years with a mean body mass index of 28.7  10.6 kg/m2, disease duration of 3.8  3.3 years, and not physically active participated in the study. The participants were randomly allocated to either the CT group (n = 20), RT group (n = 22), or control group (n = 21). HRQoL was assessed using the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36), severity of depression was measured with the Beck Depression Inventory, disease activity by the SLE Disease Activity Index (SLEDAI), and aerobic capacity by a 12-minute walk test (T12). The weight, height, and amount and type of medication used by the participants were also recorded. CT was superior to RT in improving HRQoL. There was no significant difference in physical function between intervention groups, except in aerobic capacity. Both training programs were not associated with changes in disease activity.
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    Contribuições das práticas alimentares e inatividade física para o excesso de peso infantil
    (Sociedade de Pediatria de São Paulo, 2008-09-01) Rinaldi, Ana Elisa M.; Pereira, Avany Fernandes; Macedo, Célia Sperandeo; Mota, João Felipe [UNIFESP]; Burini, Roberto Carlos; Universidade Estadual Paulista (UNESP); Universidade Federal do Rio de Janeiro; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To review the literature in order to show how current feeding and physical activity practices may contribute to childhood overweight. DATA SOURCE: Ovid Journals, Highwire and SciELO, selecting original and review articles from 1997 to 2007, published in English and Portuguese. DATA SYNTHESIS: The periodic assessment of children nutritional status is important to diagnose their current health status and to predict their adult life prognosis. In Brazil, the prevalence of childhood obesity is progressively increasing in all social classes and its frequency varies from five to 18%, according to the region assessed. The association between the health, demographic and behavioral transition and the change in feeding practices can explain the increasing prevalence of childhood overweight. The current food consumption with high fat, sugar and sodium intake and low intake of whole cereals, fruits and vegetables associated to physical inactivity due to the excessive use of computers, electronic games and television may play a role in childhood obesity. This life style can be explained by changing family habits and school environment. CONCLUSIONS: These data suggest considerable influence of environmental factors, mainly nutritional habits and physical inactivity, on the increasing prevalence of childhood overweight.
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    Correlation between K complex, periodic leg movements (PLM), and myoclonus during sleep in paraplegic adults before and after an acute physical activity
    (Stockton Press, 1997-04-01) Mello, Marco Tulio de [UNIFESP]; Silva, Antônio Carlos [UNIFESP]; Rueda, A. D.; Poyares, Dalva [UNIFESP]; Tufik, Sergio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    K complex is the characteristic wave of stage II of sleep. the relationship between periodic limb movements (PLM) and the restless legs syndrome (RLS), and the incidence of K complexes and alpha activity has been previously described. the aim of the present study was to evaluate the effect of an acute physical activity upon K complex, PLM, and myoclonus during sleep in individuals who were paraplegic. We evaluated 84 polysomnograms from 28 volunteers with a spinal cord injury at the level of T7-T12, obtained during three consecutive nights. On day 3, the volunteers were submitted to a test of maximum effort (manual cycloergometer, with the equipment Cybex Met 300, with a progressive load increase of 12.5 w, every 2 min). the analysis of the polysomnographic recordings showed a positive correlation between the incidence of K complex and limb movements on nights 1, 2 and 3. Similarly, a correlation between the incidence of K complex and myoclonus was observed on nights 1, 2 and 3. An increased incidence of the total K complex was seen on night 3, 36 h after the test of maximum effort. Both total K complex and K complex/h were reduced on night 2, compared to basal recording (night 1). There was a reduction of sleep latency on night 2, whereas total sleeping time increased progressively on night 3, as well as REM phase on nights 2 and 3. These findings indicate that physical activity can affect or modulate the incidence of K complex and suggest that a positive correlation between PLM and K complex may occur in those who are paraplegic from a spinal cord injury. in conclusion, sleep can be consolidated after physical activity.
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    Cross-Sectional Associations of Health-Related Quality of Life Measures With Selected Factors: A Population-Based Sample in Recife, Brazil
    (Human Kinetics Publ Inc, 2010-07-01) Soares, Jesus; Simoes, Eduardo J.; Ramos, Luiz Roberto [UNIFESP]; Pratt, Michael; Brownson, Ross C.; Ctr Dis Control & Prevent; Universidade Federal de São Paulo (UNIFESP); Washington Univ
    Background: We used data from a random telephone survey of 2045 adults in Recife, Brazil to investigate the associations of health-related quality of life (HRQoL) with selected factors. Methods: We generated odds ratios of 4 HRQoL measures (perception of overall health, mentally unhealthy days, physically unhealthy days, and physically and mentally unhealthy days impeding usual activities) by levels of environmental factors (number of destinations, neighborhood aesthetics, neighborhood crime safety, neighborhood traffic interference, and neighborhood walkability), physical activity behavior, and participation in the Academia da Cidade Program (ACP). Results: Perception of overall health was associated with age, gender, education, body mass index (BMI) level, chronic disease, and having heard or seen an ACP activity. Mentally unhealthy days were associated with age, sex, BMI level, neighborhood aesthetics, and neighborhood crime safety. Physically unhealthy days were associated with age, sex, chronic diseases, leisure time physical activity, and neighborhood crime safety, and neighborhood traffic interference. Physically and mentally unhealthy days impeding usual activities were associated with chronic disease neighborhood crime safety, and traffic interference. Conclusions: The associations of HRQoL with environmental factors and health promoting programs may have public health policy implications and highlight the need for additional research into HRQoL in Brazil.
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    Desenvolvimento e validação da escala copas - chronic obstructive pulmonary disease activity scale em pacientes com doença pulmonar obstrutiva crônica (dpoc) no Brasil
    (Universidade Federal de São Paulo (UNIFESP), 2014-03-31) Gomes, Luiza Gabriela Pessoa de Carvalho [UNIFESP]; Nascimento, Oliver Augusto Nascimento [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Chronic obstructive pulmonary disease (COPD) is a preventable and treatable disease, which is characterized by persistent obstruction of airflow and is usually progressive and associated with a chronic inflammatory response of the lungs to noxious particles or gases. Although COPD affects the lungs, it also produces significant systemic consequences, including physical limitation. Objective: To develop a scale of physical activity, to assess its reproducibility and validate this instrument by comparing it to the test of six-minute walk and the results of the pedometer. Materials and Methods: The study included patients who did not undergo pulmonary rehabilitation in the past two years and who were treated as outpatients with COPD Pulmonary Rehabilitation Center of Pulmonology UNIFESP. Pulmonary function test, walk test six minutes and applied questionnaires on quality of life, anxiety and depression and physical activity was performed. The proposed scale of physical activity in this study - Chronic Obstructive Pulmonary Disease Activity Scale - COPAS was compared with objective measures of physical activity. The scale score was divided into three domains, resulting in a total score. Results: Through factor analysis it was observed that 13 of the 27 questions, had affinities between them and determined linear score 0-76 points. The COPAS showed good test-retest reproducibility in relation (with a variation of r: 0.78 to 0.94 ). Also showed a weak correlation with 6MWT (r= 0.28 ) , number of steps (r= 0.36 ) and moderate correlation with IPAQ (r: 0.44 ). The overall average steps per day was 7.290 ± 4.341, with women walking 8,099 ± 4,868 and 6,742 ± 3,890 men steps. Conclusion: The COPAS is reproducible and correlated with 6MWT and the number of steps by pedometer reviews.
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    Early and current physical activity: relationship with intima-media thickness and metabolic variables in adulthood
    (Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia, 2014-10-01) Lima, Manoel C. S.; Barbosa, Maurício F.; Diniz, Tiego A.; Codogno, Jamile S.; Freitas Júnior, Ismael F.; Fernandes, Rômulo A.; Universidade Estadual Paulista (UNESP); Universidade Federal de São Paulo (UNIFESP)
    Background:It is unclear whether early physical activity has a greater influence on intima-media thickness and metabolic variables than current physical activity.Objective: To analyze the relationship between current and early physical activity, metabolic variables, and intima-media thickness measures in adults.Method: The sample was composed of 55 healthy subjects of both sexes (33 men and 22 women). Total body fat and trunk fat were estimated by dual-energy X-ray absorptiometry. Carotid and femoral intima-media thickness were measured using a Doppler ultrasound device. A 12-hour fasting blood sample collection was taken (fasting glucose and lipid profile). Early physical activity was assessed through face-to-face interview, and the current physical activity was assessed by pedometer (Digi-Walker Yamax, SW200), which was used for a period of seven days.Results: Current physical activity was negatively related to total cholesterol (rho=-0.31), while early physical activity was negatively related to triglycerides (rho=-0.42), total cholesterol (rho=-0.28), very low density lipoprotein (rho=-0.44), and carotid intima-media thickness (rho=-0.50). In the multivariate model, subjects engaged in sports activities during early life had lower values of very low density lipoprotein (b=-8.74 [b=-16.1; -1.47]) and carotid intima-media thickness (b=-0.17 [95%CI: -0.28; -0.05]).Conclusion: Early 95%CI physical activity has a significant influence on carotid intima-media thickness, regardless of the current physical activity.
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    Early subclinical limited axial and large joint flexibility in type 1 diabetes mellitus adolescents
    (Elsevier B.V., 2004-11-01) Komatsu, W. R.; Sergio, MAL; Dib, S. A.; Universidade Federal de São Paulo (UNIFESP)
    Objective: the objective of this study was to compare the axial and large joint mobility in adolescents with and without type I diabetes mellitus (DM1). Patient and methods: To check this relationship, 72 DM1 adolescents aged 9-20 years were admitted into the trial and compared with 46 healthy control subjects aged 10-18 years. the youths were compared with regard to anthropometrics (age, proportion female/male, weight, height, and BMI) data. the years from DM1 diagnosis and HbA(1c) (index) were 4.9+/-3.6 years and 1.40+/-0.39%, respectively. the values of the tests of flexibility of the movements of cervical joint, the abduction of scapular, wrist and back-lumbar joints and abduction of lame-femoral were obtained through the Fleximeter. Results: the DM1 patients and controls did not differ regarding age (DM1 median 16, range 9-20 years vs. controls 16, range 10-18 years) and BMI (DM1 mean+/-S.D. 21.49+/-3.69 kg/m(2) VS. controls 20.76+/-2.81 kg/m(2)). the scapular, back-lumbar, and lame-femoral flexibility were, respectively, significantly lower (P<.001) in DM1 adolescents (175+/-8degrees, 107+/-4degrees, 66+/-10degrees) compared with controls (189+/-13degrees, 116+/-14degrees, 76+/-12degrees), but the cervical joint mobility was the same in both groups (DM1: 98+/-12degrees vs. control: 101+/-13degrees). Conclusion: Thus, the results of our study show a subclinical limited axial and large joint mobility in DM1 adolescents. Future prospective studies are needed to ascertain whether the joint limitations found in these DM1 adolescents will persist into adulthood and play a role in the development of other diabetic complications. (C) 2004 Elsevier Inc. All rights reserved.
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    Efeitos benéficos do exercício físico nas epilepsias: o judô faz parte deste contexto?
    (Liga Brasileira de Epilepsia (LBE), 2007-09-01) Vieira, Douglas E. [UNIFESP]; Scorza, Fulvio Alexandre [UNIFESP]; Silva, Antonio Carlos da [UNIFESP]; Andrade, Marilia dos Santos [UNIFESP]; Cavalheiro, Esper Abrão [UNIFESP]; Albuquerque, Marly de [UNIFESP]; Arida, Ricardo Mario [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Bandeirante de São Paulo; Universidade de Mogi das Cruzes Faculdade de Medicina Núcleo de Pesquisas Tecnológicas
    INTRODUCTION: Persons with epilepsy have previously been discouraged from participation in physical activity and sports for fear of inducing seizures or increasing seizure frequency. Despite a shift in medical recommendations toward encouraging rather than restricting participation, the stigma remains and persons with epilepsy continue to be less active than the general population. OBJECTIVES: In these lines, several clinical and experimental studies have demonstrated a positive effect of physical exercise on epilepsy. Judo is a traditional and popular sport and people with epilepsy often ask physicians whether they may engage in this sport. CONCLUSIONS: Based on this, our review article is designed to show the risks and benefits of physical activity in patients with epilepsy and discusses the role of judo in this context.
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    Effect of Acute Physical Exercise on Patients with Chronic Primary Insomnia
    (Amer Acad Sleep Medicine, 2010-06-15) Passos, Giselle Soares [UNIFESP]; Poyares, Dalva [UNIFESP]; Santana, Marcos Gonçalves de [UNIFESP]; Garbuio, Silvério Aparecido [UNIFESP]; Tufik, Sergio [UNIFESP]; Mello, Marco Tulio de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Inst Sono
    Study Objectives: The aim was to assess and to compare the acute effects of three different modalities of physical exercise on sleep pattern of patients with chronic primary insomnia.Methods: Forty-eight insomnia patients, 38 female (mean age 44.4 +/- 8 y) were randomly assigned to 4 groups: control (CTR, n = 12), moderate-intensity aerobic exercise (MAE, n = 12), high-intensity aerobic exercise (HAE, n = 12), and moderate-intensity resistance exercise (MRE, n = 12). The patients were assessed on sleep pattern (by polysomnogram and daily sleep log) and anxiety (STAI) before and after the acute exercise.Results: The polysomnogram data showed reduction in the sleep onset latency (SOL) (55%) and in the total wake time (TWT) (30%); increase in total sleep time (TST) (18%), and in the sleep efficiency (SE) (13%) in the MAE group. The daily sleep log data showed increase in the TST (26%) and reduction in the SOL (39%). In addition, reduction (15%) in anxiety was also observed after moderate-intensity aerobic exercise.Conclusions: Acute moderate-intensity aerobic exercise appears to reduce pre-sleep anxiety and improve sleep in patients with chronic primary insomnia.
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    Evaluation of physical educators' knowledge about epilepsy
    (Academia Brasileira de Neurologia - ABNEURO, 2010-06-01) Vancini, Rodrigo Luiz [UNIFESP]; Lira, Claudio Andre Barbosa de [UNIFESP]; Silva, Sérgio Gomes da [UNIFESP]; Scorza, Fulvio Alexandre [UNIFESP]; Silva, Antonio Carlos da [UNIFESP]; Vieira, Douglas [UNIFESP]; Cavalheiro, Esper Abrão [UNIFESP]; Arida, Ricardo Mario [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Federal University of Goiás Jatobá Unity
    People with epilepsy suffer from a considerable lack of physical activity. In addition, an important problem of epilepsy management is the lack of qualified professionals. In this study we present data from a survey which aimed to assess physical educators' general knowledge about epilepsy. One hundred and thirty four physical educators of both sexes answered a questionnaire. Sixty percent of the professionals believe that a seizure is an abnormal electrical discharge of the brain, 13% that epilepsy is a cerebral chronic disease that can not be cured or controlled, 84% that people having convulsions will not necessarily present epilepsy and 5% that people with epilepsy have difficulties of learning. Questions concerned previous professional experience with epilepsy showed that 61% have seen a seizure and 53% have access to some information about epilepsy. Thus, 28% of professionals have a friend or relative with epilepsy, 14% have a student with epilepsy, and 29% helped someone during seizures. Our findings reveal a lack of physical educators' appropriate knowledge about epilepsy. Improvement of this might contribute to the improvement of epilepsy care/management.
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    Grau de atividade física e síndrome metabólica: um estudo transversal com a etnia Khisêdjê do Parque Indígena do Xingu, Brasil.
    (Universidade Federal de São Paulo (UNIFESP), 2012) Santos, Kennedy Maia dos [UNIFESP]; Gimeno, Suely Godoy Agostinho [UNIFESP]
    Este estudo teve como objetivo verificar a existencia de associacao entre o grau de atividade fisica e a presenca de sindrome metabolica (SM) entre indigenas Khisedje com 20 anos ou mais. Por meio de abordagem epidemiologica do tipo transversal, foram avaliados individuos Khisedje, do Parque Indigena do Xingu, Brasil. Formularios (dados sociodemograficos), testes (resistencia cardiorrespiratoria, forca e resistencia muscular, flexibilidade e nivel de atividade fisica segundo o numero de passos/dia utilizando o pedometro) e analise de material biologico (glicose e lipoproteinas sericas) foram utilizados para obtencao das informacoes de interesse. A existencia de associacao entre atividade fisica e a presenca de SM foi avaliada pela estatistica qui-quadrado (p < 0,05) e pelas razoes de prevalencias (por ponto e por intervalo com 95% de confianca) brutas e ajustadas. Empregou-se, na comparacao dos valores medios das variaveis biologicas segundo sexo ou idade, o teste t de Student. No teste de resistencia cardiorrespiratoria, 90,7% dos sujeitos apresentaram desempenho bom ou excelente; no de flexibilidade, 98,7% obtiveram desempenho excelente. Quanto ao numero de passos/dia, 70,0% foram classificados como ativos ou muito ativos. Nos testes de flexao do braco e do tronco, 50,6% e 33,3% foram classificados com desempenho acima da media ou excelente, respectivamente. No teste de impulso horizontal, 1,1% obtiveram desempenho bom. A prevalencia de SM foi de 27,8%, sendo maior entre as mulheres e entre os sujeitos das faixas etarias de 39 u 49 anos e ≥ 50 anos, quando comparado com a faixa etaria de 20 u 29 anos. A frequencia de SM tambem foi maior entre aqueles que tiveram desempenho fraco ou regular no teste de resistencia cardiorrespiratoria (RP= 2,52; IC95%: 1,26 u 5,03) e entre os classificados como obaixo ativo ou sedentarioo na avaliacao do nivel de atividade fisica segundo o numero de passos/dia; esta ultima associacao perdeu a significancia estatistica quando ajustada por sexo e idade. Medias menores no teste de impulso horizontal foram identificadas entre os sujeitos com SM quando comparados aos indigenas sem essa condicao. Com excecao do teste de forca explosiva de membros inferiores (impulso horizontal), os Khisedje apresentaram desempenho satisfatorio nos testes fisicos. O pior desempenho nos testes fisicos associou-se a presenca de SM, indicando a necessidade de maior vigilancia no controle e prevencao dos fatores de risco que compoe a SM
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    The impact of resistance exercise on the cognitive function of the elderly
    (Lippincott Williams & Wilkins, 2007-08-01) Cassilhas, Ricardo C.; Viana, Valter A. R.; Grassmann, Viviane; Santos, Ronaldo Vagner Thomatieli dos [UNIFESP]; Santos, Ruth F.; Tufik, Sergio [UNIFESP]; Mello, Marco Tulio de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Purpose: the purpose of this study was to assess the impact of 24 wk of resistance training at two different intensities on cognitive functions in the elderly. Methods: Sixty-two elderly individuals were randomly assigned to three groups: CONTROL (N = 23), experimental moderate (EMODERATE; N = 19), and experimental high (EHIGH; N = 20). the volunteers were assessed on physical, hemodynamic, cognitive, and mood parameters before and after the program. Results: On the I RM test (P < 0.001), the two experimental groups performed better than the CONTROL group, but they did not show differences between themselves. the EHIGH group gained more lean mass (P = 0.05) than the CONTROL group and performed better on the following tests: digit span forward (P < 0.001), Corsi's block-tapping task backward (P = 0.001), similarities (P = 0.03), Rey-Osterrieth complex figure immediate recall (P = 0.02), Toulouse-Pieron concentration test errors (P = 0.01), SF-36 (general health) (P = 0.04), POMS (tens ion-anxiety, P = 0.04; depression-dejection, P = 0.03; and total mood disorder, P = 0.03). the EMODERATE group scored higher means than the CONTROL group on digit span forward (P < 0.001), Corsi's block-tapping task backward (P = 0.01), similarities (P = 0.02), Rey-Osterrieth complex figure immediate recall (P = 0.02), SF-36 (general health, P = 0.005; vitality, P = 0.006), POMS (tension-anxiety, P = 0.001; depression-dejection, P = 0.006; anger-hostility, P = 0.006; fatigue-inertia, P = 0.02; confusion-bewilderment, P = 0.02; and total mood disorder, P = 0.001). We also found that IGF-1 serum levels were higher in the experimental groups (EMODERATE, P 0.02; EHIGH, P < 0.001). Conclusions: Moderate- and high-intensity resistance exercise programs had equally beneficial effects on cognitive functioning.
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    Impacto do exercício físico nos marcadores bioquímicos de remodelação óssea e homeostase mineral em crianças e adolescentes com doença celíaca obedientes à dieta sem glúten
    (Universidade Federal de São Paulo (UNIFESP), 2014-05-30) Damiati, Rosa Amelia [UNIFESP]; Sdepanian, Vera Lucia Sdepanian [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: Assess the effects of physical exercise on biochemical markers of bone remodeling and mineral homeostasis in children and adolescents with celiac disease who compliance with gluten-free diet. Methods: We evaluated 24 patients with a mean age of 10.4 (2.6) years, 11 male, with celiac disease in obedience to the gluten free diet for over a year. All patients received supplemental calcium and vitamin D, aiming at achieving the recommendations of the RDA for age. The patients were divided into two groups: one group (n = 9) performed exercise of moderate impact four times a week for three months; another group did not perform physical exercise. Serum measurements were performed at baseline and after three months of bone formation markers P1nP and CTx bone resorption, 25OHD, intact parathyroid hormone, ionized calcium, phosphorus, magnesium, alkaline phosphatase, creatinine, albumin and urinary calcium. Results: After 3 months of exercise, the children had a mean concentration of the bone formation marker P1nP greater (p = 0,004) and higher 25OHD (p = 0,004) than those who did not engage in physical exercise, whereas adolescents did not show these differences . As for CTx and other biochemical markers of bone metabolism, there was no difference after 3 months of exercise in children and adolescents. In the group that did exercise, there was a correlation between P1nP before and after exercise (r = 0752, p = 0.020). Conclusions: The concentrations of the bone formation marker P1nP and 25OHD were higher after completion of exercise in children.
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    Incidence of periodic leg movements and of the restless legs syndrome during sleep following acute physical activity in spinal cord injury subjects
    (Stockton Press, 1996-05-01) Mello, Marco Tulio de [UNIFESP]; Lauro, Flávio Antônio Ascânio [UNIFESP]; Silva, Antonio Carlos da [UNIFESP]; Tufik, Sergio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The purpose of the present study was to evaluate sleep patterns and complaints, and Periodic Limb Movement (PLM) and the Restless Legs Syndrome (RLS) in subjects with complete spinal cord injury. Volunteers were submitted to two polysomnograms (Oxford Medilog SAC system - EEG, EMG, EOC): (1) basal night, when the volunteer arrived at the Sleep Center, and (2) after a maximal physical test (Cybex Met 300/increase of 12,5 watts/2 min until exhaustion). Eleven volunteers with complete spinal cord injury between T7-T12 were evaluated. Data were analyzed by the paired Student's t test (total sleeping time) and by the Wilcoxon matched paired test (change of sleep stages, number of awakenings during sleep, latency to REM sleep and leg movements-PLM+RLS). Comparison of sleep recordings from the night before with that from the night after (12 h) practice of physical activity, showed a significant reduction in all of the sleep parameters. The results indicate that physical activity improves the sleep patterns of spinal cord injured volunteers. In particular, we noticed that PLM and RLS after physical activity were inhibited during sleep.
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    Intervenções não farmacológicas para manejo do ganho de peso em pacientes com esquizofrenia em uso de antipsicóticos
    (Sociedade Brasileira de Endocrinologia e Metabologia, 2009-06-01) Attux, Cecília [UNIFESP]; Martini, Larissa Campagna [UNIFESP]; Reis, André Fernandes [UNIFESP]; Bressan, Rodrigo Affonseca [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    INTRODUCTION: Schizophrenic patients have a higher prevalence of obesity than the general population. There are several factors implicated in weight gain, including poor dietary conditions, sedentary lifestyle and antipsychotic drugs use. Obesity is also associated with metabolic disturbances such as diabetes mellitus. Weight gain interventions are necessary in this population, especially non-pharmacological interventions. OBJECTIVE: To review the non-pharmacological interventions for weight gain management in patients with schizophrenia. METHODS: Eight clinical trials and four open-label studies using these interventions were found. The methodology, strength and limitations of the studies were reviewed. CONCLUSIONS: Non-pharmacological interventions seem to have an important effect on weight gain prevention and control, and should be encouraged and adapted to patients and in mental health institution's reality.
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    Kallikrein kinin system activation in post-exercise hypotension in water running of hypertensive volunteers
    (Elsevier B.V., 2008-02-01) Pontes, Francisco L. [UNIFESP]; Bacurau, Reury F. P. [UNIFESP]; Moraes, Milton R. [UNIFESP]; Navarro, Francisco; Casarini, Dulce E. [UNIFESP]; Pesquero, Jorge L.; Pesquero, Joao B.; Araujo, Ronaldo C. [UNIFESP]; Piçarro, Ivan da Cruz [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Univ Mogi das Cruzes; Universidade Federal de Minas Gerais (UFMG)
    Previous studies demonstrated a reduction in blood pressure level immediately after different types of exercises, like running, cycling and resistance training, a phenomenon called post-exercise hypotension (PEH). Since PEH can persist for hours it could be suggested as a non-pharmacological therapy for hypertensive individuals. Unfortunately, usually running is not recommended due to the high impact caused by its practice. Therefore running in water treadmill should be a better option, since the environment is completely different and causes lower impact. However it is not known whether PEH occurs in this situation. the objective of this work was to evaluate the existence of PEH after water running and to compare PEH promoted by running in two different environments. in addition, changes in plasmatic concentrations of the kallikrein kinin system (KKS) components were also evaluated. Sixteen hypertensive subjects were submitted to two exercise sessions, conventional running and water running, in two different occasions. the pattern of heart rate, blood pressure and plasmatic concentrations of KKS components immediately after and one hour after exercise were investigated. Results showed a maximal reduction in systolic and diastolic blood pressure 30 min after both exercise models (P<0.001), indicating that moderate water running promotes PEH with similar magnitude as compared to conventional running. Plasma kallikrein activity and bradykinin concentration increased immediately after exercise (P<0.05), but these parameters were not different in both exercise models. in conclusion, our findings show that water running, similarly to conventional running, can also provoke PEH and alterations in the KKS components. (c) 2007 Elsevier B.V. All rights reserved.