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1.
Int J Environ Health Res ; 32(9): 2098-2111, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34152875

RESUMO

This study investigated the effect of aquatic exercise on mental health, functional autonomy, and oxidative dysfunction in elderly with DM2. A total of 104 elderly were included in the longitudinal clinical study and were attributed to the diabetes group (n = 30) and the non-diabetic group (n = 29). Both groups were involved in the aquatic exercise (nine exercises; 3 sets x 1-minute duration each; linear intensity and frequency measured twice a week) for 12 weeks. The assessments of mental health, functional autonomy, and oxidative dysfunction were done. All results were evaluated at baseline and 12 weeks later. The values of the following variable scores decreased in the DM2 group after participation in the aquatic exercise: depression (-56 ± 2 scores; 57%), anxiety (-8.2 ± 2 scores; 41%), stress (-3.1 ± 0.3 scores; 32%), and sleep (-3. 7 ± 1.3 points; 51%); an improvement in Berg scores was observed (+53.1 ± 2 points; 8%), Tug tests (-6.1 ± 0.7 points; 25%), carbonyl groups (-0.048 ± 0.01 nnmol/mg/protein; 49%), and total thiol (+0.33 ± 0.08 nnmol/mg/protein; 83%). We have concluded that a linear intensity aquatic exercise program improves mental health, functional autonomy, and oxidative dysfunction in elderly with DM2.


Assuntos
Diabetes Mellitus , Saúde Mental , Idoso , Exercício Físico/psicologia , Terapia por Exercício , Humanos , Estresse Oxidativo
2.
Acta Neuropsychiatr ; 26(1): 43-50, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25142099

RESUMO

OBJECTIVE: Cognitive deficits in schizophrenia play a crucial role in its clinical manifestation and seem to be related to changes in the cholinergic system, specifically the action of acetylcholinesterase (AChE). Considering this context, the aim of this study was to evaluate the chronic effects of ketamine in the activity of AChE, as well as in behavioural parameters involving learning and memory. METHODS: The ketamine was administered for 7 days. A duration of 24 h after the last injection, the animals were submitted to behavioural tests. The activity of AChE in prefrontal cortex, hippocampus and striatum was measured at different times after the last injection (1, 3, 6 and 24 h). RESULTS: The results indicate that ketamine did not affect locomotor activity and stereotypical movements. However, a cognitive deficit was observed in these animals by examining their behaviour in inhibitory avoidance. In addition, an increase in AChE activity was observed in all structures analysed 1, 3 and 6 h after the last injection. Differently, serum activity of AChE was similar between groups. CONCLUSION: Chronic administration of ketamine in an animal model of schizophrenia generates increased AChE levels in different brain tissues of rats that lead to cognitive deficits. Therefore, further studies are needed to elucidate the complex mechanisms associated with schizophrenia.


Assuntos
Acetilcolinesterase/metabolismo , Encéfalo/enzimologia , Ketamina/toxicidade , Atividade Motora/efeitos dos fármacos , Esquizofrenia/enzimologia , Animais , Corpo Estriado/enzimologia , Modelos Animais de Doenças , Hipocampo/enzimologia , Masculino , Memória/efeitos dos fármacos , Córtex Pré-Frontal/enzimologia , Ratos , Ratos Wistar , Esquizofrenia/induzido quimicamente
3.
Metab Brain Dis ; 28(3): 501-8, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23775300

RESUMO

Schizophrenia is one of the most disabling mental disorders that affects up to 1 % of the population worldwide. Although the causes of this disorder remain unknown, it has been extensively characterized by a broad range of emotional, ideational and cognitive impairments. Studies indicate that schizophrenia affects neurotransmitters such as dopamine, glutamate and acetylcholine. Recent studies suggest that rivastigmine (an acetylcholinesterase inhibitor) is important to improve the cognitive symptoms of schizophrenia. Therefore, the present study evaluated the protective effect of rivastigmine against the ketamine-induced behavioral (hyperlocomotion and cognitive deficit) and biochemical (increase of acetylcholinesterase activity) changes which characterize an animal model of schizophrenia in rats. Our results indicated that rivastigmine was effective to improve the cognitive deficit in different task (immediate memory, long term memory and short term memory) induced by ketamine in rats. Moreover, we observed that rivastigmina reversed the increase of acetylcholinesterase activity induced by ketamine in the cerebral cortex, hippocampus and striatum. However, rivastigmine was not able to prevent the ketamine-induced hyperlocomotion. In conslusion, ours results indicate that cholinergic system might be an important therapeutic target in the physiopathology of schizophrenia, mainly in the cognition, but additional studies should be carried.


Assuntos
Acetilcolinesterase/metabolismo , Inibidores da Colinesterase/farmacologia , Transtornos Cognitivos/induzido quimicamente , Transtornos Cognitivos/psicologia , Antagonistas de Aminoácidos Excitatórios/farmacologia , Ketamina/farmacologia , Fármacos Neuroprotetores/farmacologia , Fenilcarbamatos/farmacologia , Esquizofrenia/induzido quimicamente , Análise de Variância , Animais , Aprendizagem da Esquiva/efeitos dos fármacos , Comportamento Animal/efeitos dos fármacos , Encéfalo/efeitos dos fármacos , Encéfalo/enzimologia , Eletrochoque , Masculino , Memória/efeitos dos fármacos , Memória de Curto Prazo/efeitos dos fármacos , Atividade Motora/efeitos dos fármacos , Ratos , Ratos Wistar , Rivastigmina , Esquizofrenia/enzimologia , Psicologia do Esquizofrênico
4.
Neuroendocrinology ; 96(4): 272-84, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22456428

RESUMO

A fatty diet during pregnancy in mouse dams causes metabolic abnormalities (similar to metabolic syndrome in humans) in the rodents' offspring. We tested the hypothesis that the offspring of dams fed a high-fat diet during pregnancy and lactation develop metabolic abnormalities and leptin resistance. Pregnant C57BL/6 mice (n = 20) were fed either standard chow (SC; 19% fat) or a high-fat diet (HF; 49% fat). After weaning, male offspring were divided into four groups, according to the diet of dams and offspring: SC(dams)/SC(offspring), SC/HF, HF/SC and HF/HF (n = 30/group). For a metabolic analysis, we evaluated body mass, fat mass depots, blood plasma and adipocyte structure at 12 weeks of age. To analyse leptin sensitivity, each group was divided into two groups (vehicle or leptin) to identify the feeding response and pSTAT3 expression after acute intracerebroventricular (ICV) treatment. The offspring of mothers fed a high-fat diet presented increased body mass and visceral fat, adipocyte hypertrophy and insulin resistance. This phenotype was not associated with central leptin resistance. Thus, maternal programming by HF predisposes offspring to metabolic abnormalities despite leptin sensitivity.


Assuntos
Adiposidade/fisiologia , Dieta Hiperlipídica/efeitos adversos , Resistência à Insulina/fisiologia , Leptina/sangue , Fenômenos Fisiológicos da Nutrição Materna/fisiologia , Efeitos Tardios da Exposição Pré-Natal/sangue , Animais , Glicemia/metabolismo , Dieta Hiperlipídica/métodos , Gorduras na Dieta/administração & dosagem , Gorduras na Dieta/efeitos adversos , Feminino , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Fenótipo , Gravidez
5.
Am J Phys Med Rehabil ; 101(6): 584-589, 2022 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-34483259

RESUMO

ABSTRACT: The elastic function of running-specific prostheses likely contributes to a lower metabolic cost of running. However, it remains unclear whether running-specific prostheses provide advantages concerning the metabolic cost of running in relationship with nonamputee runners. This study aimed to systematically review the scientific literature to examine the peak performance (peak oxygen consumption-VO2peak and peak speed) and the metabolic cost between paired amputees and nonamputees during running and between amputee runners with traditional prostheses and running-specific prostheses. A literature search on three databases (MEDLINE/PubMed, Scopus, and Web of Science) was conducted using the following key words: (amputation OR amputee) AND (run OR running OR runner) AND (prosthesis OR prosthetics), resulting in 2060 records and 4 studies within the inclusion criteria. A methodological quality assessment was carried out using a modified version of the Downs and Black checklist. VO2peak of the amputees athletes (54 ± 2 mL kg-1 min-1) is similar (mean difference = -0.80 mL kg-1 min-1, confidence interval = -4.63 to 3.03) to nonamputees athletes (55 ± 2 mL kg-1 min-1). The average metabolic cost of the paired amputee athletes (4.94 ± 1.19 J kg-1 m-1) also does not differ (mean difference = 0.73 J kg-1 m-1, confidence interval = -0.74 to 2.20) from nonamputee runners (4.21 ± 0.16 J kg-1 m-1). The research on running in amputee and nonamputee athletes is limited. The few existing studies have limited methodological quality. The metabolic cost data from amputee athletes running with running-specific prostheses are within the range of nonamputee data.


Assuntos
Amputados , Membros Artificiais , Corrida , Amputação Cirúrgica , Atletas , Fenômenos Biomecânicos , Humanos , Extremidade Inferior/cirurgia
6.
Eur J Appl Physiol ; 105(6): 861-7, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19153761

RESUMO

The present study investigated mitochondrial adaptations and oxidative damage after 4 and 8 weeks of running training in skeletal muscle of mice. Twenty-one male mice (CF1, 30-35 g) were distributed into the following groups (n = 7): untrained (UT); trained-4 weeks (T4); trained-8 weeks (T8). Forty-eight hours after the last training session the animals were killed by decapitation and quadriceps (red portion) were removed and stored at -70 degrees C. Succinate dehydrogenase (SDH), complexes I, II, II-III and IV, lipoperoxidation (TBARS), protein carbonyls (PC) and total thiol content were measured. Results show that endurance training (8-wk) increases the SDH activity and complexes (I, II, III, IV), decreases oxidative damage (TBARS, CP) and increases total thiol content in skeletal muscle when compared to untrained animals. In conclusion, eight weeks of running training are necessary for increases in mitochondrial respiratory chain enzyme activities to occur, in association with decreased oxidative damage.


Assuntos
Mitocôndrias Musculares/fisiologia , Músculo Esquelético/fisiologia , Estresse Oxidativo/fisiologia , Condicionamento Físico Animal/fisiologia , Animais , Transporte de Elétrons/fisiologia , Peroxidação de Lipídeos/fisiologia , Masculino , Camundongos , Camundongos Endogâmicos , Carbonilação Proteica/fisiologia , Succinato Desidrogenase/metabolismo , Compostos de Sulfidrila/metabolismo
7.
Rev Col Bras Cir ; 45(6): e1840, 2019 Jan 07.
Artigo em Português, Inglês | MEDLINE | ID: mdl-30624518

RESUMO

OBJECTIVE: to determine the role of endoscopic ultrasonography (EU) in comparison with nuclear magnetic resonance imaging (MRI) and examination under anesthesia (EUA) in the management of patients with perianal fistulizing Crohn's disease. METHODS: we conducted a cross-sectional, observational study with patients with perianal Crohn's disease evaluated at a tertiary center in Curitiba, Paraná, Brazil, from February 2016 to March 2017. All patients underwent EU, MRI and EUA. We evaluated the degree of agreement between the three methods by obtaining the Kappa coefficient. A Kappa value of 0.7 or greater indicated good agreement. We used the Friedman's non-parametric test to compare the number of fistulous paths detected in each modality. We set the level of statistical significance at p<0.05. RESULTS: we included 20 patients. There was agreement between the three exams in 11 patients. The level of Kappa agreement between the three exams was 0.53 (moderate - p<0.001). There was no statistically significant difference in relation to the number of fistulous trajectories detected in the three exams (p=0.641). EU failed to identify a fistulous pathway in three patients; MRI failed in three; and EUA failed in two. CONCLUSION: EU was comparable to MRI and EUA for the evaluation of perianal fistulizing Crohn's disease, and can be considered a valid exam for preoperative investigation of such patients.


OBJETIVO: determinar o papel da ultrassonografia endoscópica (UE) em relação à ressonância magnética nuclear (RMN) e ao exame sob anestesia (ESA) no manejo de pacientes com doença de Crohn fistulizante perianal. MÉTODOS: estudo observacional transversal com pacientes com doença de Crohn perianal, avaliados em um centro terciário de Curitiba, Paraná, Brasil, de fevereiro de 2016 a março de 2017. Todos os pacientes foram submetidos à UE, RMN e ESA. O grau de concordância entre os três métodos foi avaliado através da obtenção do coeficiente de Kappa. Um valor de Kappa de 0,7 ou maior indicou boa concordância. O teste não paramétrico de Friedman foi utilizado para comparar o número de trajetos fistulosos detectados em cada modalidade. Considerou-se o nível de significância estatística como p<0,05. RESULTADOS: vinte pacientes foram incluídos. Houve concordância entre os três exames em 11 pacientes. O nível de concordância de Kappa entre os três exames foi 0,53 (moderado) (p<0,001). Não houve diferença estatisticamente significativa em relação ao número de trajetos fistulosos detectados nos três exames (p=0,641). Houve falha na identificação de um trajeto fistuloso em três pacientes com a UE, em três pacientes com a RMN e em dois pacientes com o ESA. CONCLUSÃO: a UE foi comparável à RMN e ao ESA para avaliação da doença de Crohn fistulizante perianal, e pode ser considerada um exame válido para investigação pré-operatória desses pacientes.


Assuntos
Doença de Crohn/diagnóstico por imagem , Doença de Crohn/patologia , Endossonografia/métodos , Imageamento por Ressonância Magnética/métodos , Fístula Retal/diagnóstico por imagem , Fístula Retal/patologia , Adulto , Anestesia/métodos , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fístula Retal/classificação , Valores de Referência , Reprodutibilidade dos Testes , Adulto Jovem
8.
Redox Rep ; 7(2): 95-102, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-12189055

RESUMO

Calendula officinalis (marigold) has many pharmacological properties. It is used for the treatment of skin disorders, pain and also as a bactericide, antiseptic and anti-inflammatory. Reactive oxygen species (ROS) and reactive nitrogen species (RNS) are known to participate in the pathogenesis of various human diseases and may be involved in the conditions which C. officinalis is used to treat. The aim of this study was to investigate the relationship between the beneficial properties of this plant and its antioxidant action. The butanolic fraction (BF) was studied because it is non-cytotoxic and is rich in a variety of bioactive metabolites including flavonoids and terpenoids. Superoxide radicals (O(2)(*-)) and hydroxyl radicals (HO(*)) are observed in decreasing concentrations in the presence of increasing concentrations of BF with IC(50) values of 1.0 +/- 0.09 mg/ml and 0.5 +/- 0.02 mg/ml, respectively, suggesting a possible free radical scavenging effect. Lipid peroxidation in liver microsomes induced by Fe(2+)/ascorbate was 100% inhibited by 0.5 mg/ml of BF (IC(50) = 0.15 mg/ml). Its total reactive antioxidant potential (TRAP) (in microM Trolox equivalents) was 368.14 +/- 23.03 and its total antioxidant reactivity (TAR) was calculated to be 249.19 +/- 14.5 microM. The results obtained suggest that the butanolic fraction of C. officinalis possesses a significant free radical scavenging and antioxidant activity and that the proposed therapeutic efficacy of this plant could be due, in part, to these properties.


Assuntos
Butanóis/farmacologia , Butiratos/farmacologia , Calendula , Sequestradores de Radicais Livres/farmacologia , Peroxidação de Lipídeos/efeitos dos fármacos , Microssomos Hepáticos/metabolismo , Extratos Vegetais/farmacologia , Animais , Flores , Técnicas In Vitro , Cinética , Microssomos Hepáticos/efeitos dos fármacos , Ratos , Substâncias Reativas com Ácido Tiobarbitúrico/metabolismo
9.
Braz J Psychiatry ; 35(3): 295-304, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24142093

RESUMO

OBJECTIVE: Atypical antipsychotics (AAPs) promote obesity and insulin resistance. In this regard, the main objective of this study was to present potential mechanisms and evidence concerning side effects of atypical antipsychotics in humans and rodents. METHOD: A systematic review of the literature was performed using the MEDLINE database. We checked the references of selected articles, review articles, and books on the subject. RESULTS: This review provides consistent results concerning the side effects of olanzapine (OL) and clozapine (CLZ), whereas we found conflicting results related to other AAPs. Most studies involving humans describe the effects on body weight, adiposity, lipid profile, and blood glucose levels. However, it seems difficult to identify an animal model replicating the wide range of changes observed in humans. Animal lineage, route of administration, dose, and duration of treatment should be carefully chosen for the replication of the findings in humans. CONCLUSIONS: Patients undergoing treatment with AAPs are at higher risk of developing adverse metabolic changes. This increased risk must be taken into account when making decisions about treatment. The influence of AAPs on multiple systems is certainly the cause of such effects. Specifically, muscarinic and histaminergic pathways seem to play important roles.


Assuntos
Antipsicóticos/efeitos adversos , Benzodiazepinas/efeitos adversos , Clozapina/efeitos adversos , Resistência à Insulina , Esquizofrenia/tratamento farmacológico , Aumento de Peso/efeitos dos fármacos , Animais , Antipsicóticos/classificação , Glicemia/metabolismo , Peso Corporal/efeitos dos fármacos , Humanos , Modelos Animais , Olanzapina , Ratos
10.
Rev. Col. Bras. Cir ; 45(6): e1840, 2018. tab, graf
Artigo em Português | LILACS | ID: biblio-976939

RESUMO

RESUMO Objetivo: determinar o papel da ultrassonografia endoscópica (UE) em relação à ressonância magnética nuclear (RMN) e ao exame sob anestesia (ESA) no manejo de pacientes com doença de Crohn fistulizante perianal. Métodos: estudo observacional transversal com pacientes com doença de Crohn perianal, avaliados em um centro terciário de Curitiba, Paraná, Brasil, de fevereiro de 2016 a março de 2017. Todos os pacientes foram submetidos à UE, RMN e ESA. O grau de concordância entre os três métodos foi avaliado através da obtenção do coeficiente de Kappa. Um valor de Kappa de 0,7 ou maior indicou boa concordância. O teste não paramétrico de Friedman foi utilizado para comparar o número de trajetos fistulosos detectados em cada modalidade. Considerou-se o nível de significância estatística como p<0,05. Resultados: vinte pacientes foram incluídos. Houve concordância entre os três exames em 11 pacientes. O nível de concordância de Kappa entre os três exames foi 0,53 (moderado) (p<0,001). Não houve diferença estatisticamente significativa em relação ao número de trajetos fistulosos detectados nos três exames (p=0,641). Houve falha na identificação de um trajeto fistuloso em três pacientes com a UE, em três pacientes com a RMN e em dois pacientes com o ESA. Conclusão: a UE foi comparável à RMN e ao ESA para avaliação da doença de Crohn fistulizante perianal, e pode ser considerada um exame válido para investigação pré-operatória desses pacientes.


ABSTRACT Objective: to determine the role of endoscopic ultrasonography (EU) in comparison with nuclear magnetic resonance imaging (MRI) and examination under anesthesia (EUA) in the management of patients with perianal fistulizing Crohn's disease. Methods: we conducted a cross-sectional, observational study with patients with perianal Crohn's disease evaluated at a tertiary center in Curitiba, Paraná, Brazil, from February 2016 to March 2017. All patients underwent EU, MRI and EUA. We evaluated the degree of agreement between the three methods by obtaining the Kappa coefficient. A Kappa value of 0.7 or greater indicated good agreement. We used the Friedman's non-parametric test to compare the number of fistulous paths detected in each modality. We set the level of statistical significance at p<0.05. Results: we included 20 patients. There was agreement between the three exams in 11 patients. The level of Kappa agreement between the three exams was 0.53 (moderate - p<0.001). There was no statistically significant difference in relation to the number of fistulous trajectories detected in the three exams (p=0.641). EU failed to identify a fistulous pathway in three patients; MRI failed in three; and EUA failed in two. Conclusion: EU was comparable to MRI and EUA for the evaluation of perianal fistulizing Crohn's disease, and can be considered a valid exam for preoperative investigation of such patients.


Assuntos
Humanos , Masculino , Feminino , Adulto , Adulto Jovem , Imageamento por Ressonância Magnética/métodos , Doença de Crohn/patologia , Doença de Crohn/diagnóstico por imagem , Fístula Retal/patologia , Fístula Retal/diagnóstico por imagem , Endossonografia/métodos , Valores de Referência , Estudos Transversais , Reprodutibilidade dos Testes , Fístula Retal/classificação , Anestesia/métodos , Pessoa de Meia-Idade
11.
Rev. bras. med. esporte ; 23(4): 284-289, July-Aug. 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-898981

RESUMO

ABSTRACT Introduction: Worldwide cocaine use in all its various forms is increasing; cocaine users exceeded 17 million in the world. In Brazil, this data is also alarming. A survey conducted in 2010 found that the country has more than 900,000 crack-cocaine users. Objective: To evaluate the effects of exercise on anthropometric variables and components of physical fitness in ex-crack cocaine users. Methods: Randomized controlled trial with 20 men, divided into exercise group (n=10) and control group (n=10), admitted to a detoxification center. We assessed the physical fitness components related to health (cardiorespiratory endurance, flexibility, muscular strength/endurance, and body composition) before and after the physical training program. Results: The exercise contributed to the maintenance of anthropometric variables, while the control group had an increased in total body fat and visceral fat. Regarding physical fitness, resistance training led to the increase of most variables studied, particularly strength and cardiorespiratory capacity. On the other hand, the VO2max and the strength of the sedentary subjects were reduced (P<0.05). Conclusion: The exercise showed beneficial effects on the components of physical fitness and maintenance of body composition.


RESUMO Introdução: O consumo mundial de cocaína em suas diversas formas está aumentando; os usuários de cocaína ultrapassaram 17 milhões no mundo. No Brasil, esses dados também são alarmantes. Uma pesquisa realizada em 2010 descobriu que o país tem mais de 900.000 usuários crack. Objetivo: Avaliar os efeitos do exercício em variáveis antropométricas e componentes de aptidão física em ex-usuários de crack. Métodos: Estudo randomizado e controlado com 20 homens, divididos em grupo exercício (n = 10) e grupo controle (n = 10), internados em clínica de desintoxicação. Foram avaliados os componentes da aptidão física relacionados à saúde (resistência cardiorrespiratória, flexibilidade, força/resistência muscular e composição corporal) antes e depois do programa de treinamento físico. Resultados: O exercício contribuiu para a manutenção de variáveis antropométricas, enquanto o grupo controle teve aumento da gordura corporal total e da gordura visceral. Com relação à aptidão física, o treinamento de resistência contribuiu para o aumento da maioria das variáveis estudadas, particularmente força e capacidade cardiorrespiratória. Por outro lado, o VO2max e a força dos sujeitos sedentários foram diminuídos (P < 0,05). Conclusão: O exercício mostrou efeitos benéficos nos componentes da aptidão física e na manutenção da composição corporal.


RESUMEN Introducción: El consumo mundial de cocaína en sus diversas formas está aumentando; los usuarios de cocaína superaron los 17 millones en el mundo. En Brasil, estos datos también son alarmantes. Una encuesta realizada en 2010 encontró que el país tiene más de 900.000 usuarios de crack. Objetivo: Evaluar los efectos del ejercicio en variables antropométricas y componentes de aptitud física en ex-usuarios de crack. Métodos: Estudio aleatorizado y controlado con 20 hombres, divididos en grupo ejercicio (n = 10) y grupo control (n = 10), internados en una clínica de desintoxicación. Se evaluaron los componentes de la aptitud física relacionados con la salud (resistencia cardiorrespiratoria, flexibilidad, fuerza/resistencia muscular y composición corporal) antes y después del programa de entrenamiento físico. Resultados: El ejercicio contribuyó al mantenimiento de variables antropométricas, mientras que el grupo control tuvo aumento de la grasa corporal total y la grasa visceral. Con respecto a la aptitud física, el entrenamiento de resistencia contribuyó al aumento de la mayoría de las variables estudiadas, sobre todo fuerza y capacidad cardiorrespiratoria. Por otra parte, el VO2máx y la fuerza de los sujetos sedentarios disminuyeron (P < 0,05). Conclusión: El ejercicio mostró efectos beneficiosos en los componentes de la aptitud física y en el mantenimiento de la composición corporal.

13.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 35(3): 295-304, Jul-Sep. 2013. tab, graf
Artigo em Inglês | LILACS | ID: lil-687945

RESUMO

Objective: Atypical antipsychotics (AAPs) promote obesity and insulin resistance. In this regard, the main objective of this study was to present potential mechanisms and evidence concerning side effects of atypical antipsychotics in humans and rodents. Method: A systematic review of the literature was performed using the MEDLINE database. We checked the references of selected articles, review articles, and books on the subject. Results: This review provides consistent results concerning the side effects of olanzapine (OL) and clozapine (CLZ), whereas we found conflicting results related to other AAPs. Most studies involving humans describe the effects on body weight, adiposity, lipid profile, and blood glucose levels. However, it seems difficult to identify an animal model replicating the wide range of changes observed in humans. Animal lineage, route of administration, dose, and duration of treatment should be carefully chosen for the replication of the findings in humans. Conclusions: Patients undergoing treatment with AAPs are at higher risk of developing adverse metabolic changes. This increased risk must be taken into account when making decisions about treatment. The influence of AAPs on multiple systems is certainly the cause of such effects. Specifically, muscarinic and histaminergic pathways seem to play important roles. .


Assuntos
Animais , Humanos , Ratos , Antipsicóticos/efeitos adversos , Benzodiazepinas/efeitos adversos , Clozapina/efeitos adversos , Resistência à Insulina , Esquizofrenia/tratamento farmacológico , Aumento de Peso/efeitos dos fármacos , Antipsicóticos/classificação , Glicemia/metabolismo , Peso Corporal/efeitos dos fármacos , Modelos Animais
14.
Bol. psicol ; 63(138): 49-63, jun. 2013.
Artigo em Português | LILACS | ID: lil-717461

RESUMO

Buscamos neste trabalho analisar o sentido do silêncio no setting analítico, embasados pela psicanálise tal como proposta por Winnicott e a partir de fragmentos da vivência clínica de uma das autoras¹. Para tanto levantamos o sentido do silêncio no setting para alguns psicanalistas e, posteriormente, nos referirmos especialmente aos conceitos relacionados à Teoria do Amadurecimento Emocional de Winnicott, tais como o holding, handling e apresentação de objetos, e o da hesitação e transicionalidade. Valemo-nos, ainda, dos conceitos de transferência e contratransferência para refletir sobre a dupla terapêutica no setting analítico. Nossas considerações finais apontam para a necessidade de se tomar o silêncio como uma comunicação importante em determinadas circunstâncias do trabalho terapêutico, além de sugerir que o setting, neste estudo de caso, solicitou a postura esperançosa e não invasiva da terapeuta a fim de possibilitar o surgimento do espaço transicional, por meio do qual pôde ser retomado o processo de amadurecimento do paciente...


We tried to analyze in this paper the meaning of silence into the analytical setting, based in Winnicott’s proposal of psychoanalysis and from clinical experience fragments of one the authors. Therefore, we surveyed the meaning of silence in the setting for some psychoanalysts and, afterwards, we made reference mainly to the concepts related to Winnicott’s Theory of the Emotional Maturity, such as holding, handling, the presentation of objects, and those concerning hesitation and transitionality. We further availed ourselves of the concepts of transference and count transference to ponder on the therapeutic dyad into the analytical setting. Our final considerations point to the need to consider silence as an important communication in certain circumstances of the therapeutic work, as well as suggesting that the setting, in this case study, requested hopeful non-invasive approach of the therapist, to allow the appearance of transitional space through which the emotional maturity can be resumed in this patient...


Assuntos
Narração , Psicanálise
15.
Rio de Janeiro; s.n; 2011. 84 f p.
Tese em Português | LILACS | ID: lil-756244

RESUMO

O consumo materno de dieta hiperlipídica saturada durante a gestação e lactação favorece o desenvolvimento obesidade e anormalidades metabólicas na prole. Este trabalho teve como objetivo testar a hipótese de que a prole proveniente de mães alimentadas com dieta hiperlipídica durante a gestação e lactação desenvolve obesidade e anormalidades metabólicas e de que essas alterações estão associadas a resistência central a leptina. As ratas grávidas da linhagem C57BL/6 (n=20) foram alimentadas com dieta standard chow (SC; 19% de lipídeos) ou dieta hiperlipídica (HF; 49% de lipídeos) durante todo período de gestação e lactação. Após o desmame, a prole de machos foi dividida em quatro grupos experimentais, de acordo com a dieta das mães e da prole: SC(mães)/SC(prole), SC/HF, HF/SC e HF/HF (n=12/gp). As características metabólicas foram avaliadas pela curva de ganho de peso; medida da pressão arterial; glicose de jejum, área sob a curva no teste oral de tolerância a glicose; concentrações de triglicerídeos hepáticos e estimativa da esteatose hepática; análise plasmática de insulina e leptina e; distribuição e análise morfológica do tecido adiposo. Para analisar a sensibilidade a leptina, os quatro grupos originais foram subdivididos em dois grupos cada (veículo ou leptina-5µg) para verificar a resposta alimentar (g) após o tratamento agudo intracerebroventricular (ICV) e a sinalização hipotalâmica de leptina. A dieta HF durante o período pós-desmame (grupo SC/HF), durante gestação e lactação (grupo HF/SC), ou ambos os períodos (grupo HF/HF), promoveu aumento da massa corporal. No que concerne as alterações hepáticas e a ação da insulina, a dieta HF durante o período perinatal favoreceu 25% de esteatose hepática, hiperinsulinemia e hiperleptinemia, enquanto os demais grupos experimentais SC/HF e HF/HF, demonstraram um padrão mais exacerbado...


Maternal high-fat diet consumption during pregnancy and lactation causes metabolic abnormalities (MA) (similar to metabolic syndrome in humans) in the rodents’ offspring. We tested the hypothesis that the offspring of dams fed a high fat diet during pregnancy and lactation develop MA and leptin resistance.Pregnant C57BL6 mice (n=20) were fed either standard chow (SC; 19% fat) or a high fat diet (HF; 49% fat). After weaning, male offspring were divided into four groups according to the diet of dams and offspring: SC(dams)/SC(offspring), SC/HF, HF/SC and HF/HF (n=12/group). MA were characterized by weight gain curve measured weekly; tail-cuff systolic pressure; fast glucose and areas under the curve after oral glucose tolerance test; fat mass depots; leptin and insulin concentrations, all performed at 12 weeks of age.To analyze leptin sensitivity, each group was divided into two groups (vehicle or leptin-5µg) to identify the feeding response and pSTAT3 expression after acute intracerebroventricular (ICV) treatment (n=6/group). The HF schedule during post-weaning (SC/HF group), during gestation and lactation (HF/SC group), or both periods (HF/HF group), increased body mass in experimental groups. In respect to hepatic alterations and insulin action, the HF diet during gestation and lactation caused 25% of liver steatosis, hiperinsulinemia and hiperleptinemia, whereas SC/HF and HF/HF presented worst patterns. The fat distribution and morphometry pointed for the key role of HF during gestation and lactation in amplify the ability to store fat in the offspring...


Assuntos
Humanos , Animais , Masculino , Feminino , Camundongos , Dieta Hiperlipídica , Fenômenos Fisiológicos da Nutrição Materna , Composição Corporal , Metabolismo dos Carboidratos , Fígado/fisiopatologia , Gorduras na Dieta/metabolismo , Leptina , Obesidade
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