Recreational Physical Activity Improves Adherence and Dropout in a Non-Intensive Behavioral Intervention for Adolescents With Obesity.

Purpose: The aim of this study was to compare adherence and dropout rates in adolescents with obesity participating in a behavioral-counseling intervention with or without recreational physical activity (PA). Material and methods: Seventy-four adolescents (13 to 18y, 40 girls and 34 boys) with obesity (body mass index [BMI] z-score ≥ 2.0) were randomized into a counseling group (CG; n = 37) and a counseling + recreational physical activity group (CPAG; n = 37). Adolescents from both groups received behavioral counseling once a week for 12 weeks and monthly for an additional 12 weeks. CPAG adolescents participated in supervised recreational physical activity sessions twice a week for 12 weeks. Body composition, body image dissatisfaction, symptoms of depression, binge eating, bulimia, anorexia and quality of life were assessed at baseline and after 24-weeks. Result: The dropout rate was 2.73 times higher in adolescents from CG compared to CPAG (χ2 = 4.48; p = .034; R2McF = 0.044). Girls were 2.56 times more likely to withdraw when compared to boys (χ2 = 3.86; p = .049; R2McF = 0.038). Binomial logistic regression which incorporated sex, intervention group, BMI z-score and BSQ score at baseline (R2McF = 0.177) explained 75% of the dropout rate. Both interventions were effective in reducing waist circumference (p < .01) and improving quality of life, symptoms of depression, bulimia and binge eating (p < .01). Conclusion: Incorporating a recreational physical activity component to a non-intensive behavioral intervention may be a feasible strategy to reduce dropout rates in adolescents with obesity seeking treatment.

The effects of COVID-19 stay-at-home orders on physical activity of people with obesity

ABSTRACT Objective To verify the association of changes on physical activity levels during coronavirus disease 2019 (COVID-19) outbreak of individuals with normal weight and overweight/obesity, and the influence of sex in this relationship. Methods This cross-sectional study (survey research) was conducted in Brazil between May 5 and May 17, 2020. Participants (n=1,828 / 1,062 women >18 years) were invited through social media to answer a structured questionnaire via Google Forms. The online assessment included self-reported responses to questions on physical activity, overall health, weight, and height. Binary logistic regression analyzed the relationship between overweight/obesity (body mass index ≥25kg/m2), the impact of COVID-19 on physical activity level, and the influence of sex. Results Compared to normal weight people, those with overweight/obesity practice less moderate to vigorous physical activity (p<0.001). There were associations between women and men with overweight/obesity and the impact of COVID-19 on the physical activity practice compared to normal weight people, adjusted by age, education level, social isolation, and previous physical activity level (p<0.017). Conclusion The study found an association of weight and changes in physical activity levels. Individuals with overweight/obesity were more likely to have a lower physical activity level during COVID-19 pandemic, regardless of sex.

Increased Screen Time Is Associated With Alcohol Desire and Sweetened Foods Consumption During the COVID-19 Pandemic.

Background: Elevated screen time has been associated with addictive behaviors, such as alcohol and sugar intake and smoking. Considering the substantial increase in screen time caused by social isolation policies, this study aimed to analyze the association of increased screen time in different devices during the COVID-19 pandemic with consumption and increased desire of alcohol, smoking, and sweetened foods in adults. Methods: A sample of 1,897 adults with a mean age of 37.9 (13.3) years was assessed by an online survey, being composed by 58% of women. Participants were asked whether screen time in television, cell phone, and computer increased during the pandemic, as well as how much time is spent in each device. Closed questions assessed the frequency of alcohol and sweetened food consumption, smoking, and an increased desire to drink and smoke during the pandemic. Educational level, age, sex, feeling of stress, anxiety, depression, and use of a screen device for physical activity were covariates. Binary logistic regression models considered adjustment for covariates and for mutual habits. Results: Increased television time was associated with increased desire to drink (OR = 1.46, 95% CI: 1.12; 1.89) and increased sweetened food consumption (OR = 1.53, 95% CI: 1.18; 1.99), while an increase in computer use was negatively associated with consumption of alcohol (OR = 0.68, 95% CI: 0.53; 0.86) and sweetened foods (OR = 0.78, 95% CI: 0.62; 0.98). Increased cell phone time was associated with increased sweetened food consumption during the pandemic (OR = 1.78, 95% CI: 1.18; 2.67). Participants with increased time in the three devices were less likely to consume sweetened foods for ≥5 days per week (OR = 0.63, 95% CI: 0.39; 0.99) but were twice as likely to have sweetened food consumption increased during pandemic (OR = 2.04, 95% CI: 1.07; 3.88). Conclusion: Increased screen time was differently associated with consumption and desire for alcohol and sweets according to screen devices. Increased time in television and cell phones need to be considered for further investigations of behavioral impairments caused by the pandemic.

Physical Activity Is Associated With Improved Eating Habits During the COVID-19 Pandemic.

The aim of this study was to analyze the association between physical activity and eating habits during the COVID-19 pandemic among Brazilian adults. A sample of 1,929 participants answered an online survey, however 1,874 were included in the analysis. The impact of the COVID-19 pandemic on eating habits was assessed inquiring about participants' intake of fruits, vegetables, fried foods, and sweets during the pandemic. Physical activity was assessed by asking participants about their weekly frequency, intensity and number of minutes/hours engaging in structured physical activities per week. Participants were then stratified into categories based on moderate-to-vigorous intensity (0-30; 31-90; 91-150; 151-300; and >300 min/week) and into active (≥150 min) or inactive (<150 min). Increased sweets consumption was the most commonly reported change to eating habits (42.5%), followed by an increase in the consumption of vegetables (26.6%), fruits (25.9%), and fried foods (17.9%). Physical activity practice was related to lower consumption of fried foods (OR = 0.60; p < 0.001) and sweets (OR = 0.53; p < 0.001). A cluster analysis revealed subjects with higher the level of physical activity was more likely to follow a healthy diet (p < 0.001). Thus, physical activity was positively associated with healthier eating habits. Health authorities must recommend regular physical as a strategy to improve overall health during the COVID-19 pandemic. Future studies should address the physical activity interventions to improve health status during a pandemic.

Impact of the COVID-19 pandemic stay at home order and social isolation on physical activity levels and sedentary behavior in Brazilian adults / Impacto da permanência em casa e do isolamento social, em função da COVID-19, sobre o nível de atividade física e o comportamento sedentário em adultos brasileiros

ABSTRACT Objective To investigate the impact of the coronavirus 2019 pandemic on physical activity levels and sedentary behavior among Brazilians residents aged ≥18 years. Methods An online survey was distributed through a social media platform between May 5 and 17, 2020. Participants completed a structured questionnaire in Google Forms, which assessed the physical activity level and sedentary behavior of adults in Brazil during the pandemic. Results Age (OR: 0.98; 95%CI: 0.97-0.99), chronic disease (OR: 1.29; 95%CI: 1.03-1.63), physical inactivity before the coronavirus 2019 pandemic (OR: 2.20; 95%CI: 1.78-2.72) and overweight (OR: 1.34; 95%CI: 1.09-1.65) showed higher risk of impact on physical activity levels. Increased sitting time was associated with older individuals (OR: 0.97; 95%CI: 0.96-0.98), inactivity (OR: 1.51; 95%CI: 1.16-1.96), chronic disease (OR: 1.65; 95%CI: 1.23-2.22), higher number of days in social isolation (OR: 1.01; 95%CI: 1.00-1.02) and higher schooling levels (OR: 1.87; 95%CI: 1.26-2.78). Conclusion Our results demonstrated that advanced age, chronic disease and physical inactivity before social isolation had a greater risk of impact on reduced physical activity levels and increased sitting time during the coronavirus 2019 disease pandemic.

RESUMO Objetivo Investigar o impacto da pandemia de coronavírus 2019 sobre o nível de atividade física e comportamento sedentário entre brasileiros com idade ≥18 anos. Métodos Uma pesquisa on-line foi distribuída por meio de mídias sociais entre 5 e 17 de maio de 2020. Os participantes responderam a um questionário estruturado no Google Forms, que avaliou o nível de atividade física e comportamento sedentário de adultos no Brasil durante a pandemia. Resultados Idade (RC: 0,98; IC95%: 0,97-0,99), doença crônica (RC: 1,29; IC95%: 1,03-1,63), inatividade física antes da pandemia de coronavírus 2019 (RC: 2,20; IC95%: 1,78-2,72) e excesso de peso (RC: 1,34; IC95%: 1,09-1,65) apresentaram maior risco de impacto no nível de atividade física. O aumento do tempo sentado foi associado a indivíduos mais velhos (RC: 0,97; IC95%: 0,96-0,98), inatividade (RC: 1,51; IC95%: 1,16-1,96), doença crônica (RC: 1,65; IC95%: 1,23-2,22), maior número de dias no isolamento social (RC: 1,01; IC95%: 1,00-1,02) e níveis de escolaridade mais altos (RC: 1,87; IC95%: 1,26-2,78). Conclusão Nossos resultados demonstraram que a idade, a presença de doenças crônicas e a inatividade física antes do isolamento social tiveram maior risco de impacto na redução do nível de atividade física e maior tempo sentado durante a pandemia de coronavírus 2019.

Aerobic training in obese adolescents: a multidisciplinary approach / Treinamento aeróbio em adolescentes obesos: uma abordagem multidisciplinar / Entrenamiento aeróbico en obesos adolescentes: un enfoque multidisciplinario

ABSTRACT Introduction: The prevalence of excess weight/obesity in adolescence has increased, and physical training may be effective in combating this scenario. Objective: To analyze the effect of different intensities of aerobic training on the body composition of obese adolescents undergoing multidisciplinary intervention. Methods: In this study, 107 pubertal (Tanner 3 and 4), obese (BMI=34.72±4.10 kg/m²) adolescents (14.85±1.44 years) were randomly assigned to three groups: high intensity training (HITG - ventilatory threshold I (VTI)); low intensity training (LITG - 20% below the VTI) and control group (CG), without intervention. The adolescents in the HITG and LITG underwent nutritional and psychological (1x/week) and clinical (1 x/month) follow-up and physical training (3x/week) for 12 weeks. Results: Reductions in fat mass (FM) and body fat percentage (BFP) (p< 0.001) and an increase in fat-free mass (FFM) (p<0.001) were observed in all groups. There was a reduction in BMI only in the experimental groups (p<0.001). Conclusion: The effects of multidisciplinary treatment on the body composition of obese adolescents occur independently of the intensity of aerobic physical training. Level of Evidence I; High quality randomized clinical studies with or without statistically significant difference, but with narrow confidence intervals.

RESUMO Introdução: A prevalência de sobrepeso / obesidade na adolescência aumentou, e treinamento físico pode ser eficaz para combater este cenário. Objetivo: Analisar o efeito de diferentes intensidades de treinamento aeróbio sobre a composição corporal de adolescentes obesos, submetidos à intervenção multidisciplinar. Métodos: Neste estudo, 107 adolescentes (14,85±1,44 anos), púberes (Tanner 3 e 4) e obesos (34,72±4,10 kg/m²) foram aleatoriamente alocados em três grupos: treinamento de alta intensidade (GTAI - limiar ventilatório I (LVI)), treinamento de baixa intensidade (GTBI - 20% abaixo do LVI) e grupo controle (GC), sem intervenção. Os adolescentes do GTAI e GTBI receberam acompanhamento nutricional e psicológico (1x/semana), clínico (1x/mês) e treinamento físico (3x/semana) durante 12 semanas. Resultados: Foram observadas reduções na massa gorda (MG) e no percentual de gordura (%G) em todos os grupos (p<0,001) e um aumento na massa livre de gordura (MLG) (p<0,001). Houve redução no IMC apenas nos grupos experimentais (p<0,001). Conclusão: Os efeitos do tratamento multidisciplinar sobre a composição corporal de adolescentes obesos ocorrem independentes da intensidade do treinamento físico aeróbio. Nível de Evidência I; Estudos clínicos randomizado de alta qualidade com ou sem diferença estatisticamente significante, mas com intervalos de confiança estreitos.

RESUMEN Introducción: La prevalencia de sobrepeso / obesidad en la adolescencia aumentó, y el entrenamiento físico puede ser eficaz para combatir este escenario. Objetivo: Analizar el efecto de diferentes intensidades de entrenamiento aeróbico sobre la composición corporal de adolescentes obesos sometidos a la intervención multidisciplinaria. Métodos: En este estudio, 107 adolescentes (14,85 ± 1,44 años), púberes (Tanner 3 y 4), obesos (34,72 ± 4,10 kg / m²) fueron aleatoriamente asignados en tres grupos: entrenamiento de alta intensidad (GEAI - umbral de ventilación I (LVI)); El entrenamiento de baja intensidad (GEBI - 20% por debajo del LVI) y el grupo de control (GC), sin intervención. Los adolescentes del GEAI y GEBI recibieron seguimiento nutricional y psicológico (1x/semana), clínico (1x/mes) y entrenamiento físico (3x/ semana) durante 12 semanas. Resultados: Se observaron reducciones en la masa grasa (MG) y en el porcentaje de grasa (% G) en todos los grupos (p<0,001) y un aumento en la masa libre de grasa (MLG) (p<0,001). Se observó una reducción en el IMC sólo en los grupos experimentales (p<0,001). Conclusión: Los efectos del tratamiento multidisciplinario sobre la composición corporal de adolescentes obesos ocurren independientes de la intensidad del entrenamiento físico aeróbico. Nivel de Evidencia I; Estudio clínico aleatorio de alta calidad, con o sin diferencia estadísticamente significativa, pero con estrechos intervalos de confianza.

The Effects of Muscle Strength Responsiveness to Periodized Resistance Training on Resistin, Leptin, and Cytokine in Elderly Postmenopausal Women.

Prestes, J, Nascimento, DdC, Neto, IVS, Tibana, RA, Shiguemoto, GE, Perez, SEA, Botero, JP, Schoenfeld, BJ, and Pereira, GB. The effects of muscle strength responsiveness to periodized resistance training on resistin, leptin, and cytokine in elderly postmenopausal women. J Strength Cond Res 32(1): 113-120, 2018-The aim of this study was to evaluate muscle strength responsiveness and to determine whether interleukin 4 (IL-4), leptin, and resistin would be affected by the individual pattern of response to a resistance training (RT) periodization program. Twenty-six elderly postmenopausal women participated in the present study (mean age = 62.57 ± 6.69 years and body mass index = 28.09 ± 4.83 kg·m). Four-month longitudinal training program was performed consisting of 2 whole-body sessions per week with increasing intensity and decreasing volume by using 6-14 repetitions maximum (RM). Two acute whole-body RT sessions (before and after chronic training) were also performed comprising 3 sets of 12-14RM. The responsiveness was determined based on their relative muscle strength gains in 45° leg press. High responders were defined as relative muscle strength gains ≥32% and low responders <32% (n = 13 in each group). Muscle strength increased by a higher amount in the high-responsive group as compared with the low-responsive group in the 45° leg press and bench press, whereas muscle strength increased for both groups when compared with pretraining evaluation (p = 0.001). Low responders displayed higher plasma leptin levels when compared with high responders at baseline (p = 0.001), and after 16 weeks of training, leptin levels were significantly lower when compared with baseline (pretraining period). Both groups displayed a decrease in baseline resistin values after 16 weeks of RT, but only a statistically simple main effect was observed for low responders. In addition, there were no effect of time and no significant interaction between the responsiveness and time on IL-4 concentration. In conclusion, RT is effective in improving upper and lower limb muscle strength in elderly women, with higher magnitudes of increase seen for those classified as high responders. Resistin and leptin displayed a decrease over time, regardless of responsiveness classification.

Relation between leukocyte count, adiposity, and cardiorespiratory fitness in pubertal adolescents / Relação entre contagem de leucócitos, adiposidade e aptidão cardiorrespiratória em adolescentes púberes

Objective To compare the total and differential leukocyte count in obese and normal-weight adolescents, and to verify their possible relations with cardiorespiratory fitness and adiposity indicators. Methods A cross-sectional study conducted with 139 adolescents (107 obese and 32 normal weight) aged between 13 and 18 years. Cardiorespiratory fitness was determined by direct gas analysis during an incremental treadmill test. Total leukocytes and subsets were estimated by flow cytometry. Body composition was assessed by dual-energy X-ray absorptiometry. The t-test for independent samples was used for comparison between groups. The relation between leukocytes, cardiorespiratory fitness and adiposity indicators was verified by Pearson’s correlation and multiple linear regression (adjusted for age and body mass index) tests. Results Obese adolescents had higher leukocyte (8.12±2.36u/L x 103; p=0.001), neutrophil (4.33±1.86u/L x 103; p=0.002), and monocyte (0.70±0.22u/L x 103; p=0.002) counts compared to the levels of normal weight subjects. After the necessary adjustments, cardiorespiratory fitness had a negative association with leukocytes, neutrophils, and monocytes in boys. Conclusion Obese adolescents had higher total and differential leucocyte count when compared to normal weight individuals. We also observed a weak positive association between adiposity and total leukocyte, monocyte, and neutrophil counts, and in boys, a negative association between cardiorespiratory fitness and total count of leukocytes, monocytes, and neutrophils. .

Objetivo Comparar a contagem total e diferencial de leucócitos de adolescentes obesos e eutróficos, e verificar suas possíveis relações com a aptidão cardiorrespiratória e indicadores de adiposidade. Métodos Estudo transversal realizado com 139 adolescentes (107 obesos e 32 eutróficos), com idades entre 13 e 18 anos. A aptidão cardiorrespiratória foi determinada por análise direta de gases durante um teste incremental em esteira rolante. As contagens de leucócitos totais e subconjuntos foram estimadas por citometria de fluxo. A composição corporal foi avaliada pelo método de dupla energia de raios X. O teste t para amostras independentes foi utilizado para comparação entre os grupos. A relação entre leucócitos, aptidão cardiorrespiratória e indicadores de adiposidade foi verificada por meio dos testes de correlação de Pearson e regressão linear múltipla (ajustado para idade e índice de massa corporal). Resultados Os adolescentes obesos apresentaram leucócitos (8,12±2,36u/L x 103; p=0,001), neutrófilos (4,33±1,86u/L x 103; p=0,002) e monócitos (0,70±0,22u/L x 103; p=0,002) mais elevados em comparação com os níveis dos eutróficos. Após os ajustes necessários, a aptidão cardiorrespiratória foi negativamente associada com leucócitos, neutrófilos e monócitos em meninos. Conclusão Adolescentes obesos apresentaram maior contagem de leucócitos totais e subpopulações, quando comparados aos eutróficos. Observou-se também uma fraca relação positiva entre adiposidade e leucócitos totais, monócitos ...

Efeitos de diferentes intensidades de exercício sobre a concentração sérica de interleucinas / Effects of different exercise intensities on serum interleukins levels

O presente estudo teve como objetivo analisar os efeitos agudos e de curta duração de duas intensidades de exercício aeróbio sobre a concentração circulante de IL-6 e IL-10. Quinze homens jovens fisicamente ativos (21,0 ± 1,9 anos) foram submetidos a duas sessões de exercício ("crossover"): alta intensidade de exercício (AIE)- (80% VO2pico), e baixa intensidade de exercício (BIE)- (40% VO2pico), com intervalo de sete dias ("Wash out"). Amostras de sangue foram coletadas em tubos com EDTA, antes do exercício (basal), imediatamente após o exercício (agudo) e após 2 h de recuperação passiva. As concentrações séricas de IL-6 e IL-10 foram determinadas com a utilização de kits comerciais de ELISA. Os resultados demonstraram elevação aguda da IL- 6, em resposta ao AIE em relação ao BIE (p < 0,05), enquanto que a IL-10 apresentou maior redução sistêmica aguda para BIE em comparação a AIE (p < 0,05). Não houve diferença na variação das citocinas após 2 h do término do exercício. Conclui-se que ambas as sessões agudas de exercício são capazes de modular a concentração circulante destas citocinas, e que a magnitude das alterações são dependentes da intensidade do esforço

The aim of this study was to analyze the acute and short-term effects of high and low exercise intensities on IL-6 and IL-10. Fifteen young healthy physically active males (21.0 ± 1.9 yrs) were submitted to 2 experimental trials (cross-over) with a 7-dais wash-out: high exercise intensity (80% VO2peak) and low exercise intensity (40% VO2peak) session. Blood samples were collected before exercise (baseline), immediately after exercise (acute), and two hours after the end of the exercise session (2 h). IL-6 and IL-10 circulating levels were determinate by ELISA. The results demonstrated an acute increase in IL-6 levels after high intensity compared to low intensity exercise (p < 0.05), however, IL-10 presented an acute decrease in response to low intensity exercise (p < 0.05). No effects were observed after 2 h of recovery from the session. Thus we conclude that acute exercise sessions are able to modulate the circulating levels of the studies cytokines, and the magnitudes of these changes are dependent of the exercise intensity

Efeito agudo da suplementação de cafeína sobre o desempenho físico durante teste incremental de esforço / Acute effect of caffeine suplementation on physical performance during an incremental effort test

O presente estudo teve como objetivo investigar os efeitos da ingestão de cafeína (CAF) sobre a velocidade de corrida (VC) referente à intensidade do primeiro limiar ventilatório (LV1) e velocidade máxima de corrida (Vmáx). Para tanto, oito mulheres saudáveis, ativas fisicamente, realizaram dois testes incrementais máximos (TImáx) em esteira ergométrica em duas condições diferentes, sob ingestão de CAF e placebo (PLA). Para contrastar os dados, utilizou-se o teste t de Student pareado. Houve diferença significativa (P ≤0,05) na VC (PLA 7,87 ± 1,72 km/h, CAF 8,50 ± 1,69 km/h), na frequência cardíaca (PLA 152,37 ± 21,41 bpm, CAF 167,00 ± 14,71 bpm) e na VE (PLA 31,40 ± 8,53 L/min, CAF 34,46 ± 9,52 L/min), na intensidade referente ao LV1. Diferentemente, na Vmáx não foram observadas diferenças significativas na VC, FC e vetilação (VE) em ambas as condições. É possível concluir que a VC, FC e VE foram modificadas com a suplementação de CAF na intensidade do LV1, mas não na Vmáx.

The present study aimed to investigate the effects of caffeine (CAF) ingestion on running speed (RS) on the intensity of the first ventilatory threshold (VT1) and maximum running speed (Vmax). Therefore, eight healthy women, physically active performed two maximal incremental tests (TImax) on the treadmill at two different conditions under CAF intake and placebo (PLA). To contrast the data, we used the paired Student t test. There were statistically significant differences (P ≤ 0.05) in RS (PLA 7.87 ± 1.72 km / h, 8.50 ± 1.69 CAF km / h), heart rate (PLA 152.37 ± 21.41 bpm, CAF 167.00 ± 14.71 bpm) and LV (PLA 31.40 ± 8.53 L / min, CAF 34.46 ± 9.52 L / min), the intensity for the VT1. In contrast, the Vmax were not significant differences in VC, HR and ventilation (VE) in both conditions. It is possible to conclude that the VC, VE and HR were modified with the supplementation of CAF in the intensity of VT1, but not in the Vmax.

Efeitos do treinamento de força a longo prazo sobre parâmetros hemodinâmicos e concentração de resistina em mulheres na pós-menopausa / The effects of long term strength training on hemodynamic parameters and resistin level in postmenopausal women / Efectos del entrenamiento de fuerza a largo plazo en los parámetros hemodinámicos y concentración de resistina em mujeres posmenopausia

Investigar a influência do treinamento de força (TF) sobre a concentração sorológica de resistina e pressão arterial de mulheres na pós-menopausa. Métodos: Estudo longitudinal, realizado na Universidade Federal de São Carlos, do qual participaram 23 mulheres sedentárias na pós-menopausa. O TF apresentou duração de 13 meses (dez/2008 a jan/2010), com duas sessões semanais, cada uma consistindo em três séries de 8-12 repetições máximas e um exercício para cada grupo muscular principal. Foi avaliada a força muscular máxima nos seguintes exercícios: supino, leg press 45° e flexão do cotovelo em pé. A concentração sérica de resistina foi determinada pelo método ELISA. No processamento estatístico, utilizou-se o ANOVA (com medidas repetidas) para comparar os momentos Pré, 6 meses e 13 meses (p<0,05). Para avaliar as correlações resistina × pressão arterial, resistina × força muscular e força × pressão arterial, utilizou-se o teste de correlação de Pearson. Resultados: As mulheres apresentaram o seguinte perfil antropométrico: 61,33±3,8 anos; estatura de 148,5±32,7 cm; massa corporal de 67,56±10,85 kg. O TF induziu a redução da concentração de resistina (30272,4±8100,1 versus 16350,6±2404,6 pg/mL) e pressão arterial sistólica (120,5±11,8 versus 115,8±1,6 mmHg), e o aumento da força muscular no leg press 45o (172,3±27,3 versus 348,6±40,8 kg), supino (31,9±4,1 versus 41,8±5,6 kg) e flexão docotovelo (21,0±2,4 versus 26,5±2,9 kg) após os 13 meses (p<0,05). Conclusão: Os resultados deste estudo revelaram que o TF a longo prazo aumenta a força muscular máxima, diminui a pressão arterial sistólica e os níveis séricos da resistina ? alterações fisiológicas benéficas para a redução do risco de doenças cardiovasculares em mulheres na pós-menopausa...

Investigate the influence of strength training (ST) on serum resistin levels and blood pressure of postmenopausal women. Methods: Longitudinal study conducted at the Federal University of São Carlos with twenty-three sedentary postmenopausal women. The ST lasted 13 months (Dec./2008 to Jan./2010) and consisted of two weekly sessions with three sets of 8-12 maximum repetitions and one exercise for each main muscle group. Maximum muscular strength was tested in the following exercises: bench press, 45° leg press, and standing arm curl. Serum resistin level was determined using the ELISA method. ANOVA (with repeated measures) was used for the comparisons between periods Pre-, 6 months and 13 months (p < 0.05); Pearson?s correlation test was used to evaluate the correlations between resistin × blood pressure, resistin × muscle strength and strength × blood pressure. Results: Women presented the following anthropometric profile: 61.33±3.8 years; height 148.5±32.7 cm; body mass 67.56±10.85 kg. The ST decreased resistin levels (30272.4 ± 8100.1 to 16350.6 ± 2404.6 pg/mL) and systolic blood pressure (120.5 ± 11.8 to 115.8 ± 1.6 mmHg), and increased muscular strength in the leg press 45o (172.3 ± 27.3 to 348.6 ± 40.8kg), bench press (31.9 ± 4.1 to 41.8 ± 5.6 kg) and arm curl (21.0 ± 2.4 to 26.5 ± 2.9 kg) after 13 months (p < 0.05). Conclusion: The results of this study revealed that long-term ST increases maximum muscular strength, decreases systolic blood pressure and serum resistin levels, which are beneficial physiological alterations that reduce the risk for cardiovascular diseases in postmenopausal women...

Investigar la influencia del entrenamiento de fuerza (EF) sobre la concentración serológica de resistina y presión arterial em mujeres posmenopausia. Métodos: Estudio longitudinal realizado en la Universidad Federal de São Carlos en el cual participaron 23 mujeres sedentarias posmenopausia. El EF tuvo duración de 13 meses (diciembre de 2008 a enero de 2010) con dos sesiones semanales, siendo cada sesión constituida de tres series de 8-12 repeticiones máximas y un ejercicio para cada grupo muscular principal. Fue evaluada la fuerza muscular máxima en los siguientes ejercicios: supino, leg press 45° y flexión de codo de pie. La concentración sérica de resistina fue determinada por el método ELISA. En el procesamiento estadístico se utilizo ANOVA (con medidas repetidas) para las comparaciones entre los momentos pre, 6 meses y 13 meses (p < 0,05); se utilizó La prueba de correlación de Pearson para evaluar las correlaciones entre resistina × presión arterial, resistina × fuerza muscular y fuerza × presión arterial. Resultados: Las mujeres presentaron el siguiente perfil antropométrico: 61,33±3,8 años; altura 148,5±32,7 cm; masa corporal 67,56±10,85 kg. El EF llevó a La reducción de la concentración de resistina (30272,4±8100,1 versus 16350,6±2404,6 pg/mL) y presión arterial sistólica (120,5±11,8 versus 115,8±1,6 mmHg) y aumento de fuerza muscular en el leg press 45º (172,3±27,3 versus 348,6±40,8 kg), supino (31,9±4,1 versus 41,8±5,6 kg) y flexión de codo (21,0±2,4 versus 26,5±2,9 kg) después de los 13 meses (p < 0,05). Conclusión: Los resultados del estudio revelaron que el EF a largo plazo aumenta la fuerza muscular máxima, disminuye la presión arterial sistólica y los niveles séricos de la resistina, alteraciones fisiológicas benéficas para la reducción del riesgo de enfermedades cardiovasculares em mujeres posmenopausia...

Formação profissional em Educação Física e saúde na Universidade Federal de São Paulo / Professional formation in Physical Education and health at Universidade Federal de São Paulo

O objetivo deste texto é apresentar o curso de Bacharelado em Educação Física - Modalidade Saúde da Universidade Federal de São Paulo - Campus Baixada Santista. O referido curso iniciou suas atividades em 2006, almejando a formação de um profissional que esteja habilitado às demandas do universo do sistema de saúde. Em sua estrutura curricular, o curso apresenta 4 eixos: O ser humano em sua dimensão biológica; O ser humano e sua inserção social; Trabalho em Saúde, e; Aproximação à prática específica de Educação Física. Após formatura de quatro turmas o curso passa por avaliação de seu Projeto Pedagógico, entendendo a necessidade de adequações que permitam fortalecer a formação em Educação Física e saúde na instituição. Contudo, os resultados iniciais suportam a continuidade do projeto pedagógico, o qual se compreende adequado para a formação de um profissional disposto ao diálogo interdisciplinar e ao trabalho interprofissional no sistema de saúde.

The propose of this paper is to present the course of Bachelor of Physical Education - Health Modality of Federal University of São Paulo - Campus Baixada Santista. This course began activities in 2006, aiming the formation of a professional who is qualified to the demands of the health care´s universe. The curriculum of the course has 4 axes: The Human in its Biological Dimension; Human Being and their Social Integration; Health Work, and; Approach to the Specific Practice of Physical Education. After graduation of four classes, the course undergoes to a curricular reevaluation, understanding the need for adjustments for strengthening the formation in Physical Education and Health at the institution. However, the initial results support the continuity of the education program, which it shows suitable to the formation of a professional willing to the interdisciplinary dialogue and to the interprofessional work in the health system.

Composição corporal e aptidão aeróbia de mulheres obesas: efeitos benéficos da terapia interdisciplinar / Body composition and aerobic fitness in obese women: beneficial effects of interdisciplinary therapy

Introdução: A obesidade é uma doença crônica multifatorial de proporções epidêmicas. O sedentarismo e hábitos alimentares pouco saudáveis são considerados seus principais fatores etiológicos. Estudos recentes apontam que o tratamento interdisciplinar pode promover benefícios favorecendo a perda de peso e a melhora da qualidade de vida. Objetivo: Verificar o efeito de 20 semanas de um programa de terapia interdisciplinar de mudança de estilo de vida no consumo máximo de oxigênio, na composição corporal e nos parâmetros antropométricos de mulheres adultas obesas. Metodologia: vinte e nove voluntárias do gênero feminino, com idade entre 30 e 50 anos e índice de massa corporal (IMC) entre 30 e 40 Kg/m², foram submetidas a 20 semanas da terapia interdisciplinar, composta por cinco intervenções semanais, sendo três de exercícios físicos, uma de nutrição e uma de psicologia, com duração de 60 minutos cada intervenção. Foi avaliada a composição corporal e a aptidão aeróbia através de um teste ergoespirométrico máximo. Resultados: Pós-terapia foi encontrado uma redução significativa na massa corporal (- 4,71% p<0,001), IMC (- 4,72% p<0,001) e perímetros analisados, como o perímetro abdominal (- 6,03% p<0,001). Foi verificado também uma melhora significativa na composição corporal, diminuindo a gordura corporal (- 2,2% p<0,001) e no consumo máximo de oxigênio relativo ao peso (+ 15,79% p<0,001) e absoluto (+ 10,91% p<0,001). Conclusão: Após 20 semanas, a terapia interdisciplinar apresentou efeitos benéficos em mulheres obesas o que reforça este modelo como uma estratégia viável para o tratamento da obesidade clínica, melhora da composição corporal e aptidão aeróbia.

Introduction: Obesity is a chronic multifactorial disease and it?s considered a global epidemic. Sedentary lifestyle and unhealthy eating habits are considered its main etiological factors. Recent studies indicate that interdisciplinary therapy can promote benefits favoring weight loss and improve quality of life. Aims: To investigate the effect of an interdisciplinary therapy on maximal oxygen uptake, body composition and anthropometric parameters in obese adult women. Methods: twenty-nine female volunteers, aged between 30 and 50 years and body mass index (BMI) between 30 and 40 kg/m², were enrolled at 20 week interdisciplinary therapy consisting of physical exercise sessions three times a week and nutritional and psychological intervention once a week at the Federal University of São Paulo ? UNIFESP. It was evaluated body composition and aerobic fitness (VO2max) using a maximal cardiopulmonary exercise test. Results: Post-therapy was found a significant reduction on body weight (- 4.71%, p <0.001), BMI (- 4.72%, p <0.001) and perimeters, such as the abdominal circumference (- 6.03 wt% <0.001). We also noticed a significant improvement in body composition, reducing body fat (- 2.2%, p <0.001) and maximal oxygen consumption relative to weight (+ 15.79% p <0.001) and absolute (+ 10.91% p <0.001). Conclusion: In 20 weeks, interdisciplinary therapy showed beneficial effects in obese adult women which reinforces this model as a viable strategy for the treatment of clinical obesity, body composition and aerobic fitness improvement.

Effects of resistance training on resistin, leptin, cytokines, and muscle force in elderly post-menopausal women.

It may be that resistance exercise can be used to prevent the degenerative processes and inflammation associated with ageing. Thus, the aim of the present study was to evaluate the effects of resistance training on cytokines, leptin, resistin, and muscle strength in post-menopausal women. Thirty-five sedentary women (mean age 63.18 years, s = 4.8; height 1.64 m, s = 0.07; body mass 57.84 kg, s = 7.70) were recruited. The 16 weeks of periodized resistance training consisted of two weekly sessions of three sets of 6-14 repetition maximum. Maximal strength was tested in bench press, 45 degrees leg press, and arm curl. Plasma tumour necrosis factor-alpha, interleukin-6, interleukin-15, leptin, and resistin were determined by enzyme-linked immunosorbent assay. Maximal strength on all measures was increased after 16 weeks. There were minor or no modifications in tumour necrosis factor-alpha and interleukin-15. Interleukin-6 was decreased 48 h after compared with baseline and declined after 16 weeks. Leptin decreased 24 h after compared with baseline and was reduced at baseline and 48 h after compared with pre-training. There was a decrease in resistin after 24 and 48 h compared with baseline and a decline in baseline and immediately after levels compared with pre-training. A possible explanation of the results of the present study is a lower production of pro-inflammatory cytokines by the innate immune system. Periodized resistance training seems to be an important intervention to reduce systemic inflammation in this population.

Perfil antropométrico e ingestão de macronutrientes em atletas profissionais brasileiros de futebol, de acordo com suas posições / Anthropometric profile and macronutrient intake in professional Brazilian soccer players according to their field positioning

O objetivo do presente estudo foi avaliar o perfil antropométrico, o valor energético total da dieta (VET) e a ingestão de macronutrientes em atletas profissionais de futebol, assim como verificar se existem diferenças entre as posições: goleiros (n = 12), zagueiros (n = 20), meio-campistas (n = 41), laterais (n = 21) e atacantes (n = 24) dentre as variáveis estudadas. A amostra foi composta por 118 futebolistas (23 anos ± 5 anos), profissionais da elite do Estado de São Paulo. Todas as avaliações foram realizadas durante o período competitivo. A composição corporal foi determinada através da medida das dobras cutâneas e os dados nutricionais obtidos por inquérito alimentar. Os goleiros e zagueiros mostraram-se mais altos, pesados e com maior quantidade de massa magra do que os demais atletas, porém sem diferenças significativas em relação à percentagem de gordura. Em relação aos hábitos alimentares destes atletas, verificou-se que os mesmos apresentaram dieta com baixa ingestão de carboidratos, hiperprotéica e tendência à hiperlipídica. Assim, pode-se concluir que existem diferenças antropométricas entre as posições estudadas e inadequações nutricionais. Os resultados do presente estudo sugerem que sejam realizadas intervenções nutricionais em futebolistas de elite, visando melhorar o desempenho.

The aim of this study was to evaluate the anthropometric profile, total energy value of the diet and macronutrient intake of professional soccer players, as well as verifying the differences among tactical positions: goalkeepers (n = 12), center backs (n = 20), median fields (n = 41), running backs (n = 21) and strikers (n = 24) in the studied variables. The sample was composed by 118 professional players (23 years ± 5 years) of the elite of the São Paulo state. All the evaluations were accomplished during the competitive period. Body composition was determined through skin folds measurement and the dietary data obtained through usual food intake. The goalkeepers and center backs were shown taller, heavier and with larger amount of lean mass than the other athletes, even so without significant differences among body fat percentage. The dietary habits of these athletes indicate a lower carbohydrate ingestion, hyperprotein and tendency to hyperlipidic diet. Thus, we can conclude that there are nutritional inadequacies and anthropometric differences among the players and their tactical positions. The results of the present study suggest that nutritional interventions are accomplished in the soccer elite, seeking to maximize the athletic performance.

El objetivo del estudio presente era evaluar el perfil antropométrico, el total del valor energético de la dieta (VED) y la ingestión de macronutrientes en los atletas profesionales de fútbol, así como verificar si existen diferencias entre las posiciones: el arquero (el n = 12), defensa (el n = 20), mediocampistas (el n = 41), laterales (el n = 21) y atacantes (el n = 24) entre las variables estudiadas. La muestra estaba compuesta por 118 jugadores del fútbol (23 años ± 5 años), profesionales de élite del Estado de San Paulo. Todas las evaluaciones fueron realizadas durante el período competitivo. La composición corporal se estableció a través de la medida de los pliegues cutáneos y los datos nutricionales obtenidos por encuesta alimentaría. Se mostraron el arqueros y defensas superiores, y fuertes y con una cantidad más grande de masa magra que los otros atletas, sin embargo hubo diferencias significantes respecto al porcentaje de gordura. Respecto a los hábitos alimentarios de estos atletas, se verificó que los mismos presentaron la dieta con baja ingestión de carbohidratos, hiperprotéica y con tendencia a la hiperlipidez. Así, puede concluirse que existen diferencias antropométricas entre las posiciones estudiadas e insuficiencias nutritivas. Los resultados del estudio presente sugieren que las intervenciones nutritivas sean cumplidas en jugadores de fútbol de elite, mientras intentando buscar mejorar la acción física.