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1.
Rev Prat ; 70(3): 268-272, 2020 Mar.
Artigo em Francês | MEDLINE | ID: mdl-32877056

RESUMO

Recommending physical activity for primary prevention of chronic diseases. Low level of physical activity (i.e. inactivity) is recognized as the second preventable common risk factor of chronic diseases after the tobacco use. Nonlinear dose-effect relationships are found between the volume and intensity of physical activity, and the global mortality and incidence of chronic diseases. A sedentary behavior, characterized by prolonged periods of very low energy expenditure, is also related to the global mortality and the incidence of chronic diseases. The deleterious effects of sedentary behavior are especially marked beyond seven hours a day sitting, or three hours a day in watching the television. All the results of recent survey demonstrate that in order to reduce the incidence of chronic diseases, both physical activity recommendations and decrease in sedentary time are recommended, whatever the age of the population.


Assuntos
Exercício Físico , Prevenção Primária , Comportamento Sedentário , Doença Crônica , Humanos , Televisão
2.
Rev Prat ; 70(3): 273-278, 2020 Mar.
Artigo em Francês | MEDLINE | ID: mdl-32877057

RESUMO

What benefit of physical activity in tertiary prevention? In tertiary prevention, regular physical activity associated with the reduction of sedentary behaviors reduce the risks of recurrence or aggravation of the disease, decrease co-morbidities, increase physical capacities and improve quality of life. These effects are found with a high level of evidence in chronic diseases as various as cardiovascular diseases, type 2 diabetes, cancers, COPD, osteo-articular diseases, anxio-depressive disorders. The scientific evidence of physical activity as a non medicamentous treatment of chronic diseases is not any more to make. However the level of physical-activity of the subjects carrying chronic diseases is very low, well below the recommendations and their time of sedentariness remains too h. It remains to determine the effective minimal amount of physical activity, how to replace time of sedentariness by time of physical-activity, and especially how to maintain the physical-activity on the long run.


Assuntos
Diabetes Mellitus Tipo 2 , Exercício Físico , Qualidade de Vida , Prevenção Terciária , Humanos , Comportamento Sedentário
3.
Rev Prat ; 70(3): 279-285, 2020 Mar.
Artigo em Francês | MEDLINE | ID: mdl-32877058

RESUMO

Medical prescription of physical activity. The prescription is "a therapeutic recommendation, possibly prescribed, made by a doctor". Up-to-date recommendations exist, relayed by the authorities which formalized this act of prescription by a law for long-term ailments. The medical prescription of physical activity and sports is directed to carriers of chronic pathologies for which it will have a therapeutic action and an action of prevention of the complications. It will include, at best, besides the precision of the four parameters characterizing this activity (type, intensity, duration and frequency of the sessions), advice of daily struggle against the sedentary lifestyle. It should be personalized, to consider the patient's condition and a possible risk incurred. It remains however to provide the skills to the prescribers, informed but not always trained, and to ensure the possibilities of practical realization of the exercises appearing on the medical prescription.


Assuntos
Terapia por Exercício , Exercício Físico , Prescrições , Humanos , Comportamento Sedentário
4.
Cien Saude Colet ; 25(9): 3511-3516, 2020 Sep.
Artigo em Português | MEDLINE | ID: mdl-32876274

RESUMO

The COVID-19 pandemic has generated several controversies in the health area, particularly regarding social isolation measures, widely perceived as being one of the most effective strategies to reduce the spread of the virus. The Physical Education (PE) area became involved in these discussions, through contradictory positions of professionals, scientific societies and class entities regarding the reopening of fitness centers during the pandemic. We understand that some of these discussions revealed important weaknesses in relation to the approach to basic health knowledge, such as those related to epidemiology and public health measures. We seek in this essay, without the intention of exhausting the subject or performing an academic prescription, to support our position regarding the urgency of the approach of PE training within the field of Public Health, as well as presenting some proposals for this approach to effectively occur. We advocate training that favors a broader view of health, that enables professionals in the field to understand the potential relationship between PE and health, but at the same time recognize that physical activity is not a panacea and that human health has many others determinants and conditions.


Assuntos
Infecções por Coronavirus/epidemiologia , Educação Física e Treinamento/métodos , Pneumonia Viral/epidemiologia , Saúde Pública , Infecções por Coronavirus/transmissão , Exercício Físico/fisiologia , Academias de Ginástica , Humanos , Pandemias , Pneumonia Viral/transmissão , Isolamento Social
5.
BMC Public Health ; 20(1): 1351, 2020 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-32887592

RESUMO

BACKGROUND: COVID-19 restrictions such as the closure of schools and parks, and the cancellation of youth sports and activity classes around the United States may prevent children from achieving recommended levels of physical activity (PA). This study examined the effects of the COVID-19 pandemic on PA and sedentary behavior (SB) in U.S. children. METHOD: Parents and legal guardians of U.S. children (ages 5-13) were recruited through convenience sampling and completed an online survey between April 25-May 16, 2020. Measures included an assessment of their child's previous day PA and SB by indicating time spent in 11 common types of PA and 12 common types of SB for children. Parents also reported perceived changes in levels of PA and SB between the pre-COVID-19 (February 2020) and early-COVID-19 (April-May 2020) periods. Additionally, parents reported locations (e.g., home/garage, parks/trails, gyms/fitness centers) where their children had performed PA and their children's use of remote/streaming services for PA. RESULTS: From parent reports, children (N = 211) (53% female, 13% Hispanic, Mage = 8.73 [SD = 2.58] years) represented 35 states and the District of Columbia. The most common physical activities during the early-COVID-19 period were free play/unstructured activity (e.g., running around, tag) (90% of children) and going for a walk (55% of children). Children engaged in about 90 min of school-related sitting and over 8 h of leisure-related sitting a day. Parents of older children (ages 9-13) vs. younger children (ages 5-8) perceived greater decreases in PA and greater increases in SB from the pre- to early-COVID-19 periods. Children were more likely to perform PA at home indoors or on neighborhood streets during the early- vs. pre-COVID-19 periods. About a third of children used remote/streaming services for activity classes and lessons during the early-COVID-19 period. CONCLUSION: Short-term changes in PA and SB in reaction to COVID-19 may become permanently entrenched, leading to increased risk of obesity, diabetes, and cardiovascular disease in children. Programmatic and policy strategies should be geared towards promoting PA and reducing SB over the next 12 months.


Assuntos
Infecções por Coronavirus/epidemiologia , Exercício Físico , Pandemias , Pneumonia Viral/epidemiologia , Comportamento Sedentário , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Inquéritos e Questionários , Estados Unidos/epidemiologia
6.
Rev Esp Salud Publica ; 942020 Aug 31.
Artigo em Espanhol | MEDLINE | ID: mdl-32865523

RESUMO

OBJECTIVE: The use of masks is one of the measures to protect against the Covid-19 pandemic. The type of mask and how to use it during physical exercise has generated controversy. This work aims to analyse the effect of the use of masks in the practice of high intensity physical exercise. METHODS: An exploratory review was conducted by querying the PubMed, Scopus, Google Scholar and CUIDEN databases. RESULTS: Respiratory physiology at rest and performing intense physical exercise was described, explaining how the use of masks during high-intensity physical exercise affects it in relation to gas exchange. CONCLUSIONS: In case of intense physical exercise, the use of masks is not recommended because of the enhancing effect on PCO2. It would not allow the complete expulsion of the expired CO2 and would increase its concentration, along with the typical increase of the breathing rate during the exercise.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Exercício Físico/fisiologia , Máscaras/efeitos adversos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Infecções por Coronavirus/transmissão , Humanos , Pneumonia Viral/transmissão
7.
Nutrients ; 12(9)2020 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-32872374

RESUMO

Novel coronavirus (COVID-19) is causing global mortality and lockdown burdens. A compromised immune system is a known risk factor for all viral influenza infections. Functional foods optimize the immune system capacity to prevent and control pathogenic viral infections, while physical activity augments such protective benefits. Exercise enhances innate and adaptive immune systems through acute, transient, and long-term adaptations to physical activity in a dose-response relationship. Functional foods prevention of non-communicable disease can be translated into protecting against respiratory viral infections and COVID-19. Functional foods and nutraceuticals within popular diets contain immune-boosting nutraceuticals, polyphenols, terpenoids, flavonoids, alkaloids, sterols, pigments, unsaturated fatty-acids, micronutrient vitamins and minerals, including vitamin A, B6, B12, C, D, E, and folate, and trace elements, including zinc, iron, selenium, magnesium, and copper. Foods with antiviral properties include fruits, vegetables, fermented foods and probiotics, olive oil, fish, nuts and seeds, herbs, roots, fungi, amino acids, peptides, and cyclotides. Regular moderate exercise may contribute to reduce viral risk and enhance sleep quality during quarantine, in combination with appropriate dietary habits and functional foods. Lifestyle and appropriate nutrition with functional compounds may offer further antiviral approaches for public health.


Assuntos
Infecções por Coronavirus/prevenção & controle , Dieta/métodos , Exercício Físico , Alimento Funcional , Estilo de Vida , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Antivirais/administração & dosagem , Betacoronavirus , Suplementos Nutricionais , Humanos
8.
Psychiatr Danub ; 32(Suppl 1): 105-113, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32890372

RESUMO

A growing body of research suggests that neuropsychiatric disorders are closely associated with a background state of chronic, low-grade inflammation. This insight highlights that these disorders are not just localized to dysfunction within the brain, but also have a systemic aspect, which accounts for the frequent comorbid presentation of chronic inflammatory conditions and metabolic syndromes. It is possible that a treatment resistant subgroup of neuropsychiatric patients may benefit from treatment regimens that target their associated proinflammatory state. Lifestyle factors such as physical activity (PA) and exercise (i.e. structured PA) are known to influence mental health. In turn, mental disorders may limit health-seeking behaviors - a proposed "bidirectional relationship" that perpetuates psychopathology. PA is renowned for its positive physical, physiological and mental health benefits. Evidence now points to inflammatory pathways as a potential mechanism for PA in improving mental illness. Relevant pathways include modulation of immune-neuroendocrine and neurotransmitter systems, the production of tissue-derived immunological factors that alter the inflammatory milieu and neurotrophins that are critical mediators of neuroplasticity. In this paper, we will focus on the role of PA in positively improving mental health through potential modulation of chronic inflammation, which is often found in individuals with mental disorders. In a related paper by Edirappuli and colleagues (2020), we will focus on the role of nutrition (another significant lifestyle factor) on mental health. Thus, inflammation appears to be a central process underlying mental illness, which may be mitigated by lifestyle modifications. Lifestyle factors are advantageous as first-line interventions due to their cost efficacy, low side-effect profile, and both preventative and therapeutic attributes. By promoting these lifestyle modifications and addressing their limitations and barriers to their adoption, it is hoped that their preventative and remedial benefits may galvanize therapeutic progress for neuropsychiatric disorders.


Assuntos
Exercício Físico , Transtornos Mentais , Reabilitação Psiquiátrica , Humanos , Estilo de Vida , Saúde Mental
9.
Zhonghua Liu Xing Bing Xue Za Zhi ; 41(8): 1280-1285, 2020 Aug 10.
Artigo em Chinês | MEDLINE | ID: mdl-32867436

RESUMO

Objective: To explore the associations between perceived built environment attributes and adults' leisure-time physical activity in four cities of China. Methods: Multistage cluster random sampling method was used to select adults aged 25 to 64 in Hangzhou, Suzhou, Chengdu, and Qingdao. Data were collected from June 2017 to July 2018. The perception of the urban built environment was assessed by the neighborhood environment walkability scale-abbreviated (NEWS-A), and the physical activity was assessed by the International Physical Activity Questionnaire. Generalized linear mixed models were used to explore the relationship between the perceived built environment and leisure-time physical activities. Results: A total of 3 789 participants were included in the analysis. After adjusting for potential confounders, better access to public services (OR=1.34, 95%CI: 1.02-1.75) and higher aesthetic quality (OR=1.37, 95%CI: 1.09-1.73) were positively associated with the possibility of engaging in leisure-time physical activity in the past week. Similarly, these two attributes were positively associated with leisure-time walking. Higher scores on the perception of street connectivity were positively associated with leisure-time walking [exp(ß)=1.09, 95%CI: 1.00-1.19]. Higher residential density [exp(ß)=1.000 4, 95%CI:1.000 0-1.000 8], better access to physical activity destinations[exp(ß)=1.09, 95%CI: 1.00-1.19], and better aesthetics [exp(ß)=1.11, 95%CI:1.00-1.22] were associated with higher leisure-time physical activity. Similarly, these three attributes were positively associated with the possibility of meeting the WHO recommendations. Conclusion: Changing some urban built environment attributes may increase leisure-time physical activity.


Assuntos
Ambiente Construído/estatística & dados numéricos , Exercício Físico , Atividades de Lazer , Adulto , China , Cidades , Humanos , Pessoa de Meia-Idade
10.
Glob Health Action ; 13(1): 1810415, 2020 12 31.
Artigo em Inglês | MEDLINE | ID: mdl-32867606

RESUMO

At the time of writing, it is unclear how the COVID-19 pandemic will play out in rapidly urbanising regions of the world. In these regions, the realities of large overcrowded informal settlements, a high burden of infectious and non-communicable diseases, as well as malnutrition and precarity of livelihoods, have raised added concerns about the potential impact of the COVID-19 pandemic in these contexts. COVID-19 infection control measures have been shown to have some effects in slowing down the progress of the pandemic, effectively buying time to prepare the healthcare system. However, there has been less of a focus on the indirect impacts of these measures on health behaviours and the consequent health risks, particularly in the most vulnerable. In this current debate piece, focusing on two of the four risk factors that contribute to >80% of the NCD burden, we consider the possible ways that the restrictions put in place to control the pandemic, have the potential to impact on dietary and physical activity behaviours and their determinants. By considering mitigation responses implemented by governments in several LMIC cities, we identify key lessons that highlight the potential of economic, political, food and built environment sectors, mobilised during the pandemic, to retain health as a priority beyond the context of pandemic response. Such whole-of society approaches are feasible and necessary to support equitable healthy eating and active living required to address other epidemics and to lower the baseline need for healthcare in the long term.


Assuntos
Controle de Doenças Transmissíveis/métodos , Infecções por Coronavirus/epidemiologia , Dieta , Exercício Físico , Pneumonia Viral/epidemiologia , População Urbana , Urbanização , Betacoronavirus , Ambiente Construído , Abastecimento de Alimentos , Comportamentos Relacionados com a Saúde , Humanos , Pandemias , Fatores de Risco
11.
Rev Prat ; 70(4): 427-431, 2020 Apr.
Artigo em Francês | MEDLINE | ID: mdl-32877102

RESUMO

Does sport practice have an impact on the immune status ? Both sports and physical activity alter our immune system. Intense/prolonged acute exercise triggers an immunosuppression period which lasts longer in unfit individuals. Although regular and well-designed workloads show immunostimulant and protective effects towards infectious diseases, highly-trained and elite athletes are definitively more vulnerable to microbial aggressions.


Assuntos
Esportes , Atletas , Exercício Físico , Humanos , Sistema Imunitário
12.
N Engl J Med ; 383(10): 909-918, 2020 09 03.
Artigo em Inglês | MEDLINE | ID: mdl-32877581

RESUMO

BACKGROUND: Evidence of the effectiveness of treatment for obesity delivered in primary care settings in underserved populations is lacking. METHODS: We conducted a cluster-randomized trial to test the effectiveness of a high-intensity, lifestyle-based program for obesity treatment delivered in primary care clinics in which a high percentage of the patients were from low-income populations. We randomly assigned 18 clinics to provide patients with either an intensive lifestyle intervention, which focused on reduced caloric intake and increased physical activity, or usual care. Patients in the intensive-lifestyle group participated in a high-intensity program delivered by health coaches embedded in the clinics. The program consisted of weekly sessions for the first 6 months, followed by monthly sessions for the remaining 18 months. Patients in the usual-care group received standard care from their primary care team. The primary outcome was the percent change from baseline in body weight at 24 months. RESULTS: All 18 clinics (9 assigned to the intensive program and 9 assigned to usual care) completed 24 months of participation; a median of 40.5 patients were enrolled at each clinic. A total of 803 adults with obesity were enrolled: 452 were assigned to the intensive-lifestyle group, and 351 were assigned to the usual-care group; 67.2% of the patients were Black, and 65.5% had an annual household income of less than $40,000. Of the enrolled patients, 83.4% completed the 24-month trial. The percent weight loss at 24 months was significantly greater in the intensive-lifestyle group (change in body weight, -4.99%; 95% confidence interval [CI], -6.02 to -3.96) than in the usual-care group (-0.48%; 95% CI, -1.57 to 0.61), with a mean between-group difference of -4.51 percentage points (95% CI, -5.93 to -3.10) (P<0.001). There were no significant between-group differences in serious adverse events. CONCLUSIONS: A high-intensity, lifestyle-based treatment program for obesity delivered in an underserved primary care population resulted in clinically significant weight loss at 24 months. (Funded by the Patient-Centered Outcomes Research Institute and others; PROPEL ClinicalTrials.gov number, NCT02561221.).


Assuntos
Disparidades em Assistência à Saúde , Estilo de Vida Saudável , Obesidade/terapia , Populações Vulneráveis , Perda de Peso , Adulto , Idoso , Dieta Redutora , Exercício Físico , Feminino , Letramento em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/etnologia , Obesidade/fisiopatologia , Educação de Pacientes como Assunto , Atenção Primária à Saúde , Fatores Socioeconômicos , Adulto Jovem
13.
Croat Med J ; 61(4): 309-318, 2020 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-32881428

RESUMO

AIM: To investigate the effect of the coronavirus 2019 (COVID-19) lockdown on lifestyle behaviors and mood changes in the Croatian general population. METHODS: During ten days of the COVID-19 lockdown in Croatia, 3027 respondents (70.3% female) from the general population completed an online, self-report questionnaire. Demographic data and data on lifestyle habits and mood changes before and during the COVID-19 lockdown were collected. RESULTS: A total of 95.64% of respondents reported to follow most or all restrictions, with female sex (P<0.001) and higher education level (P<0.001) being associated with higher restriction compliance. Women smoked an increased number of cigarettes (P<0.001). The proportion of respondents of both sexes who did not drink or drank 7 drinks per week or more increased (P<0.001). Women also reported lower frequency (P=0.001) and duration of physical exercise (P<0.001). In total, 30.7% of respondents gained weight, with female sex (OR, 2.726) and higher BMI (OR, 1.116; both P<0.001) being associated with an increased likelihood of gaining weight. Both men and women felt more frequently afraid (P<0.001), discouraged (P<0.001), and sad (P<0.001). CONCLUSION: Public health authorities should promote the adoption of healthy lifestyles in order to reduce long-term negative effects of the lockdown.


Assuntos
Afeto , Consumo de Bebidas Alcoólicas/epidemiologia , Fumar Cigarros/epidemiologia , Infecções por Coronavirus/epidemiologia , Exercício Físico , Pneumonia Viral/epidemiologia , Quarentena/estatística & dados numéricos , Ganho de Peso , Adulto , Betacoronavirus , Índice de Massa Corporal , Coronavirus , Croácia/epidemiologia , Estudos Transversais , Medo , Feminino , Humanos , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Razão de Chances , Pandemias , Admissão e Escalonamento de Pessoal , Quarentena/psicologia , Tristeza , Inquéritos e Questionários
14.
Medicine (Baltimore) ; 99(32): e21577, 2020 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-32769904

RESUMO

OBJECTIVES: To analyze the influence of Baduanjin exercise on blood pressure in patients with essential hypertension. METHODS: Randomized controlled trials were identified in Chinese and English databases to study the impact of Baduanjin exercise on essential hypertension. Qualified trials were selected and methodologic quality was critically evaluated. Two reviewers selected studies independently of each other. RESULTS: Twelve trials were included. There was a significant difference between the Baduanjin exercise intervention and control groups with regard to the change in systolic blood pressure (SBP) [SMD = - 1.80, 95% CI (- 2.86, - 0.73), P = .0009] and diastolic blood pressure (DBP) [SMD = -0.22, 95% CI (-2.00, -0.57), P = .0004]. Taking into account the subgroup analyses, the combined results showed that Baduanjin plus Antihypertensive drugs significantly reduced both SBP and DBP over a period > 12 weeks in all studies. CONCLUSIONS: Compared with control interventions, Baduanjin exercise seems to be an effective physical exercise in treating essential hypertension. Different training durations can lead to different effects.


Assuntos
Hipertensão Essencial/terapia , Terapia por Exercício/normas , Exercício Físico/fisiologia , Terapia por Exercício/métodos , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto/estatística & dados numéricos
15.
J Cardiopulm Rehabil Prev ; 40(5): 285-286, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32804796

RESUMO

PURPOSE: The coronavirus disease-2019 (COVID-19) pandemic has been spreading rapidly worldwide since late January 2020. The strict lockdown strategy prompted by the Italian government, to hamper severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) spreading, has reduced the possibility of performing either outdoor or gym physical activity (PA). This study investigated and quantified the reduction of PA in patients with automatic implantable cardioverter-defibrillators (ICDs) for primary prevention of sudden death. METHODS: Daily PA of 24 patients was estimated by processing recorded data from ICD-embedded accelerometric sensors used by the rate-responsive pacing systems. RESULTS: During the forced 40-d in-home confinement, a mean 25% reduction of PA was observed as compared with the 40-d confinement-free period (1.2 ± 0.3 vs 1.6 ± 0.5 hr/d, respectively, P = .0001). CONCLUSIONS: This objective quantification of the impact of the COVID-19 pandemic on PA determined by an ICD device showed an abrupt and statistically significant reduction of PA in primary prevention ICD patients, during the in-home confinement quarantine. To counteract the deleterious effects of physical inactivity during the COVID-19 outbreak, patients should be encouraged to perform indoor exercise-based personalized rehabilitative programs.


Assuntos
Reabilitação Cardíaca , Infecções por Coronavirus , Morte Súbita Cardíaca/prevenção & controle , Desfibriladores Implantáveis , Exercício Físico/fisiologia , Pandemias , Pneumonia Viral , Telerreabilitação/organização & administração , Idoso , Betacoronavirus , Reabilitação Cardíaca/métodos , Reabilitação Cardíaca/tendências , Controle de Doenças Transmissíveis/métodos , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Cardioversão Elétrica/instrumentação , Feminino , Humanos , Itália/epidemiologia , Masculino , Determinação de Necessidades de Cuidados de Saúde , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Quarentena/métodos
17.
Medicine (Baltimore) ; 99(34): e21794, 2020 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-32846812

RESUMO

Patients with cardiovascular diseases frequently experience exertional dyspnea. However, the relationship between respiratory muscle strength including its fatigue and cardiovascular dysfunctions remains to be clarified.The maximal inspiratory pressure/maximal expiratory pressure (MIP/MEP) before and after cardiopulmonary exercise testing (CPX) in 44 patients with heart failure and ischemic heart disease were measured. Respiratory muscle fatigue was evaluated by calculating MIP (MIPpost/MIPpre) and MEP (MEPpost/MEPpre) changes.The mean MIPpre and MEPpre values were 67.5 ±â€Š29.0 and 61.6 ±â€Š23.8 cm H2O, respectively. After CPX, MIP decreased in 25 patients, and MEP decreased in 22 patients. We evaluated the correlation relationship between respiratory muscle function including respiratory muscle fatigue and exercise capacity evaluated by CPX such as peak VO2 and VE/VCO2 slope. Among MIP, MEP, change in MIP, and change in MEP, only the value of change in MIP had an association with the value of VE/VCO2 slope (R = -0.36, P = .017). In addition, multivariate analysis for determining factor of change in MIP revealed that the association between the change in MIP and eGFR was independent from other confounding parameters (beta, 0.40, P = .017). The patients were divided into 2 groups, with (MIP change < 0.9) and without respiratory muscle fatigue (MIP change > 0.9), and a significant difference in peak VO2 (14.2 ±â€Š3.4 [with fatigue] vs 17.4 ±â€Š4.7 [without fatigue] mL/kg/min; P = .020) was observed between the groups.Respiratory muscle fatigue demonstrated by the change of MIP before and after CPX significantly correlated with exercise capacity and renal function in patients with cardiovascular disease.


Assuntos
Insuficiência Cardíaca/fisiopatologia , Fadiga Muscular , Isquemia Miocárdica/fisiopatologia , Músculos Respiratórios/fisiopatologia , Idoso , Exercício Físico/fisiologia , Teste de Esforço , Tolerância ao Exercício , Feminino , Taxa de Filtração Glomerular , Humanos , Rim/fisiopatologia , Masculino , Pressões Respiratórias Máximas , Pessoa de Meia-Idade
18.
Rev Med Suisse ; 16(701): 1405-1411, 2020 Aug 05.
Artigo em Francês | MEDLINE | ID: mdl-32833355

RESUMO

Muscle injuries are one of the most common injuries in professional and recreational sports. Their impact on absence during the games is therefore major. There are many risk factors, the main ones being a previous muscle injury, a lack of strength in the muscle in question, and the age of the athlete. Preventive medicine in this field, although essential, remains perfectible and the various preventive measures are sometimes not fully studied, or present variable evidence. Stretching, neuro-muscular exercises, muscle strengthening, nutrition or genetics can all be part of the most comprehensive preventive possible approach.


Assuntos
Traumatismos em Atletas/prevenção & controle , Extremidade Inferior , Esportes , Traumatismos em Atletas/genética , Exercício Físico , Terapia por Exercício , Humanos , Força Muscular
19.
Artigo em Inglês | MEDLINE | ID: mdl-32731509

RESUMO

The association between the changes in lifestyle during coronavirus disease 2019 (COVID-19) confinement and body weight have not been studied deeply. Therefore, the aim of the present study was to determine lifestyle changes, such as eating habits and physical activity (PA) patterns, caused by confinement during the COVID-19 pandemic and to analyze its association with changes in body weight. Seven hundred participants (women, n = 528 and men, n = 172) aged between 18-62 years old of the Chilean national territory participated in the study. Food habits, PA, body weight, and sociodemographic variables were measured through a survey in May and June 2020. The body weight increase presented positive association with the consumption of fried foods ≥ 3 times per week (OR; 3.36, p < 0.001), low water consumption (OR; 1.58, p = 0.03), and sedentary time ≥6 h/day (OR; 1.85, p = 0.01). Conversely, fish consumed (OR; 0.67, p = 0.03), active breaks (OR; 0.72, p = 0.04), and PA ≥ 4 times per week (OR; 0.51, p = 0.001) presented an inverse association with body weight increase. Daily alcohol consumption (OR; 4.77, p = 0.003) was associated with PA decrease. Food habits, PA, and active breaks may be protective factors for weight increase during COVID-19 confinement.


Assuntos
Infecções por Coronavirus/fisiopatologia , Exercício Físico , Comportamento Alimentar , Pneumonia Viral/fisiopatologia , Adolescente , Adulto , Betacoronavirus , Peso Corporal , Chile , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Ingestão de Líquidos , Feminino , Humanos , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Inquéritos e Questionários , Adulto Jovem
20.
JNMA J Nepal Med Assoc ; 58(227): 536-539, 2020 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-32827022

RESUMO

The ongoing nationwide lockdown due to the global pandemic COVID-19 started from March 24, 2020, in Nepal. Lots of medical students are in dilemma about how to utilize this time to make it more productive. To live a good life, we must be able to balance our life in general so, we can use this time to discover ourselves. It is equally important to adjust to the global pandemic and help locally to combat the current situation. This difficult time demands resilience. This article focuses on some ideas to discover ourselves and develop resilience within us.


Assuntos
Infecções por Coronavirus/epidemiologia , Educação a Distância , Motivação , Pneumonia Viral/epidemiologia , Quarentena/psicologia , Autoaprendizagem como Assunto , Estudantes de Medicina , Betacoronavirus , Exercício Físico , Humanos , Meditação , Exercícios de Alongamento Muscular , Nepal/epidemiologia , Pandemias , Ioga
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