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Malnutrition in heart failure (HF) is frequent and associated with a worse prognosis. Due to differences in investment and the profile of those assisted, the objective of this study was to evaluate the frequency of malnutrition in hospitalized patients with HF and its association with clinical outcomes in the public and private health systems. Methodology: A cross-sectional study, with 247 volunteers hospitalized with HF in three public hospitals and one private hospital in Aracaju, SE, Brazil. A subjective global nutritional assessment (SGA) and mini nutritional assessment (MNA) were performed. Results: Sample with 72.5% users of the public health system and 75.3% with malnutrition (public = 74.9%; private = 76.5%; p = 0.793). Regardless of the healthcare system, hospital stay (>14 days) was longer (p = 0.020) among those with malnutrition (48.4%) than well-nourished patients (29.5%). Malnutrition in the public system had higher mortality (7.5%; 5.8%; p < 0.001) and hospital transfer rate (21.1%; 0.0%; p < 0.001) than those in the private system. Death after discharge was observed only in the public system (p = 0.039). Conclusion: Malnutrition was frequent in both systems and was associated with longer hospital stays and, in the public hospital, in-hospital death and transfers.
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Insuficiencia Cardíaca , Desnutrición , Brasil/epidemiología , Estudios Transversales , Insuficiencia Cardíaca/complicaciones , Insuficiencia Cardíaca/epidemiología , Mortalidad Hospitalaria , Hospitalización , Humanos , Desnutrición/complicaciones , Desnutrición/epidemiología , Evaluación Nutricional , Estado NutricionalRESUMEN
Background: Paralympic powerlifting (PP) training is typically intense and causes fatigue and alterations in the immune system. Objective: To analyze whether IBU would affect performance and the immune system after training in PP. Methodology: 10 athletes at the national level (NL) and 10 at the regional level (RL) participated in the study, where force and blood indicators were evaluated after training. The study took place over three weeks: (1) familiarization and (2 and 3) comparison between recovery methods, with ibuprofen or placebo (IBU vs. PLA), 800 mg. In the evaluation of the force, the peak torque (PT), fatigue index (FI), and blood immune system biomarkers were analyzed. The training consisted of five sets of five repetitions with 80% of one maximum repetition (5 × 5, 80% 1RM) on the bench press. Results: The PT at the national level using IBU was higher than with PLA (p = 0.007, η2p = 0.347), and the FI in the NL was lower with IBU than with PLA (p = 0.002, η2p = 0.635), and when comparing the use of IBU, the NL showed less fatigue than the regional level (p = 0.004, η2p = 0.414). Leukocytes, with the use of IBU in the NL group, were greater than in the RL (p = 0.001, η2p = 0.329). Neutrophils, in the NL with IBU, were greater than in the RL with IBU and PLA (p = 0.025, η2p = 0.444). Lymphocytes, in NL with IBU were lower than in RL with IBU and PLA (p = 0.001, η2p = 0.491). Monocytes, in the NL with IBU and PLA, were lower than in the RL with IBU (p = 0.049, η2p = 0.344). For hemoglobin, hematocrit, and erythrocyte, the NL with IBU and PLA were higher than the RL with IBU and PLA (p < 0.05). Ammonia, with the use of IBU in the NL, obtained values higher than in the RL (p = 0.007), and with the use of PLA, the NL was higher than the RL (p = 0.038, η2p = 0.570). Conclusion: The training level tends to influence the immune system and, combined with the use of the IBU, it tends to improve recovery and the immune system.
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BACKGROUND: "The effective treatment of Heart Failure (HF) involves care with food intake. Recently, the Ministry of Health created the Brazilian Cardioprotective Diet and its dietary index, BALANCE, which assesses adherence to the standard's recommendations". METHODS: This observational prospective study is part of the Congestive Heart Failure Registry (VICTIM-CHF) of Aracaju/SE. Observations and data collection took place from April 2018 to February 2021. Sociodemographic and clinical aspects and food consumption were evaluated. Food intake was determined using the food frequency questionnaire. Foods were categorized using the BALANCE dietary index into green, yellow, blue and red food groups. The BALANCE dietary index was obtained using median and interquartile ranges, scores of the Mann-Whitney U test, and associations between clinical variables and the index, through linear regression. RESULTS: Participants included 240 patients with HF (61.12 ± 1.06 years), who were assisted by the Unified Health System (67.5%). Individuals with a partner showed greater adherence to the green food group recommendations (0.09; 0.00-0.17). The lowest adherence to recommendations regarding the blue food group was observed in individuals with excess weight, who had a higher consumption of foods rich in animal protein (0.54; 0.38-0.78). As for the red food group (ultra-processed foods) the highest adherence was observed by patients with diabetes mellitus (0.41; 0.05-0.77). The greatest adherence to the yellow food group, and a higher score, was observed in patients with the smallest left ventricular systolic diameter (LVSD). CONCLUSIONS: Being married was directly associated with the consumption of foods in the green group, while being overweight and having diabetes were inversely associated with adherence to the blue and red food groups, respectively. Greater adherence to the yellow food group recommendations was inversely associated with less change in the DSFVE.
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Dynamic knee valgus (DKV) is a frontal plane knee kinematic alteration that has been associated with patellofemoral pain (PFP) in female runners. DKV is commonly assessed in clinical practice by measuring frontal plane knee projection angle (FPPA) during squat tests. However, it remains unclear whether the DKV observed in these tests is similar to or correlates with that observed during running in female runners. The aims of this cross-sectional study were to correlate and compare DKV, by measuring FPPA values, in a lateral step-down (LSD) squat test and running in female runners with and without PFP. A two-dimensional (2D) video analysis of the LSD test and running was carried out for 21 asymptomatic female runners and 17 PFP female runners in order to determine FPPA values. A Pearson correlation test and a factorial ANOVA with Bonferroni post hoc correction were used for statistical analysis. The FPPAs recorded in the LSD test were significantly higher than those recorded during running in the asymptomatic (16.32° ± 5.38 vs. 4.02° ± 3.26, p < 0.01) and PFP groups (17.54° ± 7.25 vs. 4.64° ± 3.62, p < 0.01). No significant differences were found in FPPA values between asymptomatic and PFP runners during the LSD test (16.32° ± 5.38 vs. 17.54° ± 7.25, p = 0.55) and running (4.02° ± 3.26 vs. 4.64° ± 3.62, p = 0.58). There was a small (r < 0.3) and non-significant (p > 0.05) correlation in FPPAs between the LSD test and running in both groups. According to our results, DKV was not similar during the LSD test and running, and there was no significant correlation in FPPA values between the LSD test and running in both groups. Therefore, clinicians and therapists should be aware of these findings when using the LSD test in clinical practice to evaluate DKV in female runners with or without PFP.
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Background: The high rates of hospitalization and mortality caused by Heart Failure (HF) have attracted the attention of health sectors around the world. Dietary patterns that involve food combinations and preparations with synergistic or antagonistic effects of different dietary components can influence the worsening and negative outcomes of this disease. Objectives: To describe the dietary patterns of patients hospitalized for HF decompensation and associate them with demographic, economic, and clinical factors, and the type of care provided in Sergipe. Materials and Methods: Cross-sectional study that is part of the Congestive Heart Failure Registry (VICTIM-CHF)" of Aracaju/SE. Prospective data collection took place with all patients hospitalized between April 2018 and February 2021 in cardiology referral hospitals, 2 public and 1 private. The data collected were sociodemographic, clinical, lifestyle, anthropometric and food consumption variables. Daily dietary intake was estimated by applying a semiquantitative food frequency questionnaire. The extraction of dietary patterns, by exploratory factor analysis, was performed after grouping the foods according to the nutritional value and form of preparation into 34 groups. To assess the association between the factorial scores for adherence to the standards and the variables studied, the Mann-Whitney U test was applied. Linear regressions were also performed, considering the dietary pattern (one for each pattern) as a dependent variable. Results: The study included 240 patients hospitalized for HF decompensation, most of them elderly (mean age 61.12 ± 1.06 years), male (52.08%) and attended by the Unified Health SystemSUS (67.5%). Three dietary patterns were identified, labeled "traditional" (typical foods of the Brazilian northeastern population added to ultra-processed foods), "Mediterranean" (foods recommended by the Mediterranean diet) and "dual" (healthy foods combined with fast and easy-to-prepare foods like snacks, bread, sweets and desserts). Adherence to the "traditional" pattern was greater among men (p < 0.031) and non-diabetics (p < 0.003). The "Mediterranean" was more consumed by the elderly (p < 0.001), with partners (p = 0.001) and a lower income (p < 0.001), assisted by the SUS (p < 0.001) and without hypertension (p = 0,04). The "dual" diet pattern had greater adherence by the elderly (p < 0.001), self-declared non-black (p = 0.012), with higher income (p < 0.001), assisted in the private sector (p < 0.001) and with less impaired functional capacity (p = 0.037). It was also observed that being female (p = 0.031) and being older reduced the average scores of performing the "traditional" pattern (p = 0.002). Regarding the type of service, being from the public service reduced the average scores for adhering to the "dual" pattern (p = 0.008). Conclusions: Three dietary patterns representative of the population were found, called traditional, Mediterranean and dual, which were associated with demographic, economic and clinical factors. Thus, these standards must be considered in the development of nutritional strategies and recommendations in order to increase adherence to diets that are more protective against cardiovascular diseases.
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Dieta Mediterránea , Insuficiencia Cardíaca , Anciano , Brasil/epidemiología , Estudios Transversales , Demografía , Comida Rápida , Conducta Alimentaria , Femenino , Insuficiencia Cardíaca/epidemiología , Humanos , Masculino , Persona de Mediana Edad , Factores SocioeconómicosRESUMEN
BACKGROUND: Paralympic Powerlifting (PP) training tends to promote fatigue and oxidative stress. OBJECTIVE: To analyze the effects of ibuprofen use on performance and oxidative stress in post-training PP athletes. METHODOLOGY: Ten national level PP athletes (age: 27.13 ± 5.57) were analyzed for oxidative stress in post-training. The study was carried out in three weeks, (1) familiarization and (2 and 3) evaluated the recovery with the use of a placebo (PLA) and ibuprofen (IBU), 800 mg. The Peak Torque (PT), Torque Development Rate (TDR), Fatigue Index (FI), reactive substances to thiobarbituric acid (TBARS) and sulfhydryl groups (SH) were evaluated. The training consisted of five sets of five repetitions (80-90%) 1-Repetition Maximum (1-RM) in the bench press. RESULTS: The IBU showed a higher PT (24 and 48 h, p = 0.04, ɳ2 p = 0.39), a lower FI (24 h, p = 0.01, ɳ2p = 0.74) and an increased lymphocyte count (p < 0.001; ɳ2p = 4.36). There was no change in oxidative stress. CONCLUSIONS: The use of IBU provided improvements in strength and did not protect against oxidative stress.
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BACKGROUND: Variable resistance training has recently become a component of strength and conditioning programs. OBJECTIVE: This randomized counterbalanced cross-over study aimed to investigate the use of elastic bands (EB) and the traditional method (TRAD) and force indicators in a training session. METHODS: 12 Paralympic athletes (age: 28.60 ± 7.60 years) participated in this three-week study. In the first week, the participants were familiarized with EB and TRAD and were tested for maximal repetition (1-RM). The research occurred in weeks 2 and 3, which included the pre-post training, during which the following measures were extracted: maximum isometric force (MIF), the peak torque (PT), rate of force development (RFD), fatigue index (FI), and time to MIF (Time). The athletes performed two tests, EB and TRAD, separated by a one-week interval. RESULTS: Significant differences were found between the pre- and post-test for 1RM (p = 0.018, η2p = 0.412), MIF (p = 0.011, η2p = 0.415), PT (p = 0.012, η2p = 0.413), and RFD (p = 0.0002, η2p = 0.761). With the use of EB, there was a difference in RFD between TRAD before and EB after (p = 0.016, η2p = 0.761). There were significant differences in the before and after for FI between TRAD and EB (p < 0.001) and for Time (p < 0.001), indicating that training with the use of elastic bands promotes overload, characterized by increased fatigue and decreased strength. CONCLUSIONS: Training with EB did not decrease 1RM, PT, MIF or RFD, however, there was an increase in fatigue and time to reach MIF when compared to the method with fixed resistance.
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Backgroundand Objectives: In severe obesity, a relevant weight loss can promote the reduction of comorbidities, such as systemic arterial hypertension (SAH), dyslipidemia, and diabetes mellitus (DM2). Bariatric surgery (BS) has been an essential resource in the therapy of this disease with a short-term reduction of cardiometabolic risk (CR). This study aimed to evaluate the reduction of factors associated with the CR in patients undergoing BS at a 5-year follow-up. Materials and Methods: This is a longitudinal, retrospective study carried out with patients undergoing BS by the Brazilian Public Healthcare System (PHS). Anthropometric and clinical parameters related to the CR (DM2, dyslipidemia, and SAH), quantified by the Assessment of Obesity-Related Comorbidities (AORC) score, were evaluated at the following moments: admission and preoperative and postoperative returns (3 months, 6 months, 1 to 5 years). Results: The sample had a mean age of 44.69 ± 9.49 years and were predominantly in the age group 20-29 years (34.80%) and women (72.46%). At admission to the service, 42.3% had DM2, 50.7% dyslipidemia, and 78.9% SAH. Regarding BS, the gastric bypass technique was used in 92.86% of the sample, and the waiting time for the procedure was 28.3 ± 24.4 months. In the pre- and postoperative period of 3 months, there was a significant reduction in the frequency of DM2 (p < 0.003), dyslipidemia (p < 0.000), and SAH (p < 0.000). However, at postoperative follow-up from 6 months to 5 years, there was no significant reduction in the comorbidities studied. After five years, 35.7% had total remission of DM2 and 2.9% partial remission of DM2, 44.2% had control and remission of dyslipidemia, and 19.6% of SAH (AORC score ≤ 2 for the comorbidities). Conclusion: BS promoted a reduction of the CR in the first three months after BS in severely obese PHS users.
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Cirugía Bariátrica , Diabetes Mellitus Tipo 2 , Derivación Gástrica , Obesidad Mórbida , Adulto , Diabetes Mellitus Tipo 2/complicaciones , Diabetes Mellitus Tipo 2/epidemiología , Femenino , Estudios de Seguimiento , Humanos , Persona de Mediana Edad , Obesidad Mórbida/epidemiología , Obesidad Mórbida/cirugía , Estudios Retrospectivos , Resultado del Tratamiento , Adulto JovenRESUMEN
(1) Background: the present study aimed to evaluate the effect of different types of warm-ups on the strength and skin temperature of Paralympic powerlifting athletes. (2) Methods: the participants were 15 male Paralympic powerlifting athletes. The effects of three different types of warm-up (without warm-up (WW), traditional warm-up (TW), or stretching warm-up (SW)) were analyzed on static and dynamic strength tests as well as in the skin temperature, which was monitored by thermal imaging. (3) Results: no differences in the dynamic and static indicators of the force were shown in relation to the different types of warm-ups. No significant differences were found in relation to peak torque (p = 0.055, F = 4.560, η2p = 0.246 medium effect), and one-repetition maximum (p = 0.139, F = 3.191, η2p = 0.186, medium effect) between the different types of warm-ups. In the thermographic analysis, there was a significant difference only in the pectoral muscle clavicular portion between the TW (33.04 ± 0.71 °C) and the WW (32.51 ± 0.74 °C) (p = 0.038). The TW method also presented slightly higher values than the SW and WW in the pectoral muscles sternal portion and the deltoid anterior portion, but with p-value > 0.05. (4) Conclusions: the types of warm-ups studied do not seem to interfere with the performance of Paralympic Powerlifting athletes. However, the thermal images showed that traditional warm-up best meets the objectives expected for this preparation phase.
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BACKGROUND: In Paralympic powerlifting (PP), athletes with and without spinal cord injury (SCI) compete in the same category. Athletes with SCI may be at a disadvantage in relation to the production of muscle strength and the execution of motor techniques. OBJECTIVE: To analyze the indicators force, dynamic and static, at different intensities, on performance in athletes with and without SCI. METHODS: The sample was composed of two groups of PP athletes: SCI (30.57 ± 4.20 years) and other deficiencies (OD; 25.67 ± 4.52 years). Athletes performed a test of maximum isometric force (MIF), time to MIF (Time), rate of force development (RFD), impulse, variability and fatigue index (FI), dynamic tests Mean Propulsive Velocity (MPV), Maximum Velocity (Vmax) and Power. RESULTS: There were differences in the SCI in relation to OD, 50% 1RM (p < 0.05), in relation to MPV and Vmax. There were no differences in the static force indicators. Regarding EMG, there were differences between the SCI triceps in relation to the previous deltoid (p = 0.012). CONCLUSION: We concluded that the static and dynamic strength indicators are similar in Paralympic powerlifting athletes with spinal cord injury and other disabilities.
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Personas con Discapacidad , Traumatismos de la Médula Espinal , Atletas , Humanos , Fuerza Muscular , Músculo EsqueléticoRESUMEN
ABSTRACT: Gomes Moreira, D, José Brito, C, de Almeida Ferreira, JJ, Bouzas Marins, JC, López Díaz de Durana, A, Couceiro Canalejo, J, Butragueño Revenga, J, and Sillero-Quintana, M. Lactate concentration is related to skin temperature variation after a specific incremental judo test. J Strength Cond Res 35(8): 2213-2221, 2021-This study aimed to analyze the skin temperature (tsk) response in judokas after a specific incremental test and to determine whether anthropometric and physiological measures can be explained by the variation in mean tsk. A total of 23 male judo athletes (age: 20.1 ± 4.7 years; height: 173.1 ± 8.1 cm; and body mass: 71.7 ± 8.1 kg) performed a specific incremental judo test. Skin temperature evaluations were collected in 26 regions of interest (ROIs), and the mean tsk was calculated using an equation including 10 of them. The time points before the test (pre-test), immediately after (0 minutes), and after 5, 10, and 15 minutes of the test were established to measure the tsk, mean tsk, auricular temperature (tau), and blood lactate (LAC). The athletes completed a mean of 7.0 ± 1.0 stages of the test, 95% confidence interval (CI; 6.2-7.1). The VÌo2peak achieved was 48.7 ± 5.3 ml·kg-1·min-1, 95% CI (46.4-51.0). Compared with pre-test values, only the forehead significantly decreased 5 minutes after the test (p < 0.05). The posterior right arm and posterior left arm remained increased 10 minutes after the test (p < 0.05). After 15 minutes, 19 of the 26 ROIs analyzed were significantly decreased (p < 0.05). Among all tested models of linear regression, only 2 were significant, the difference of tsk 5 minutes compared with pre-test (F1, 21 = 16.49, p = 0.001) and the difference of tsk 10 minutes compared with pre-test, to predict LAC concentration at the end of the test (F1, 21 = 9.30, p = 0.006). We concluded that 5 minutes after the test, the judokas present a higher tau and a higher tsk in 7 ROIs, and the tsk decreases 15 minutes after the test in 19 of the considered ROIs. The variation of mean tsk 5 and 10 minutes after the test compared with pre-test values is associated with blood LAC at the end of the test.
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Artes Marciales , Temperatura Cutánea , Adolescente , Adulto , Atletas , Calor , Humanos , Ácido Láctico , Masculino , Adulto JovenRESUMEN
[This corrects the article DOI: 10.3389/fpsyg.2020.00130.].
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Combat sports have a great interest in society and among professional sports. They are an important group of sports in the Olympic Games, but the strategies carried out by athletes to reduce body weight for weighing day, is famously known, suffering the adverse physical and psychological effects of rapid weight loss. This could compromise not only the performance, but the health and development of young athletes. A total of 22 elite male judokas (18.05 ± 1.05 years old) were evaluated during four different competitions in one season; the variables of body weight, water levels, and lean and fat mass were measured by bioimpedance (BIA), (Tanita BC545N) during one season. Using the linear mixed model test, we found significant differences in bodyweight variable during the competitions 3-4. The water level variable showed significant differences in all competitions, except for 2-4. Body mass index was significantly different in all competitions, being higher in the later competitions, except between competitions 1-2 and 2-3. Judokas participate in weight loss methods for their weigh-in days. Furthermore, the age at which the athletes reduced their water levels are worrisome. These results could be used to create healthy programs, especially in elite judokas, in order to carry out strategies before, during, and after competitions with weight loss and controlled water levels increasing future performance and health.
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Índice de Masa Corporal , Peso Corporal , Artes Marciales , Adolescente , Adulto , Atletas , Humanos , Masculino , Pérdida de Peso , Adulto JovenRESUMEN
The present study compared emotional intelligence and anxiety between six combat sports of lower, intermediate and high-level female and male athletes. The sample was composed by 444 athletes (age: 24.7 ± 8.8 years, body mass: 72.4 ± 12.1 kg, height: 1.82 ± 0.3 m, and practice time: 13.1 ± 7.4 years) separated by sex (male n = 273, female n = 171) from different combat sports (jiu-jitsu n = 142, judo n = 137, karate n = 57, kendo n = 63, taekwondo n = 25, and freestyle wrestling n = 20) of three levels (high-level n = 57, intermediate n = 137 and low-level n = 142). Inventory of situations and anxiety response (ISRA) provided an independent evaluation for the three systems: cognitive, motor and physiological, as well as a total with four factors of analysis (anxiety before the evaluation, interpersonal, phobic and before habitual, and daily situations). Trait Meta-Mood Scale (TMMS-24) verified emotional intelligence scales. Descriptive results are demonstrated by percentage or median (first quartile Q1; third quartile Q3), Kruskal-Wallis and Mann-Whitney tests were conducted to compare groups, p ≤ 0.05. The main results demonstrated 10% more total anxiety for wrestling and judo compared to the other groups (p ≤ 0.05). Female athletes showed 15% more anxiety than men, while emotional attention demonstrated 10% better results for women. Significant differences were observed between high- versus low-level athletes in the total anxiety with 85 (44; 143) versus 122 (69; 186) of ISRA index and emotional repair with 30 (25; 34) versus 27 (22; 32) of TMMS-24 index. Emotional intelligence seems to be higher in female and in higher level, while anxiety appears to be prevalent in judo and wrestling, low-level and in female athletes. These outcomes provide support for the hypothesis that emotional abilities are an important contributor to emotional intelligence, particularly differentiating high level athletes than other levels. Results can be incorporated into strategies for reducing anxiety and improving emotional intelligence, considering particularities of gender and level groups.
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Brito, CJ, Moreira, DG, Ferreira, JJ, Díaz-de-Durana, AL, Miarka, B, Bouzas Marins, JC, and Sillero-Quintana, M. Immune response related with skin thermal pattern in judokas: A new application for infrared thermography? J Strength Cond Res 34(10): 2886-2894, 2020-This study investigated the association between body skin temperature (BST) and immune response after judo training, and compared the immune responses considering 2 post-training skin thermal pattern ("spots"-SPT and "localized"-LOC). For this, we evaluated 32 (25-male) black-belt judokas from the Spanish Junior National Team (18.0 ± 3.5 years, 72.4 ± 18.4 kg, and 17.1 ± 7.5% body fat). White blood cell and BST measurements were performed at pre-training, immediately, 1, and 24-hour post-training. Body skin temperature (° C) was estimated by skin temperature from 4 regions of interest (chest, upper arm, thigh, and calf). The main results indicated that 13 judokas were classified as SPT and 19 as LOC. In comparison with LOC, SPT had a significantly lower BST post-training (SPT = 33.0 ± 0.4 vs. LOC = 33.6 ± 0.8° C; p = 0.016), lower blood concentration of leukocytes (SPT = 7.9 ± 1.9 vs. LOC = 8.9 ± 1.9 cells × 10 per mm; p ≤ 0.001), and neutrophils (SPT = 5.5 ± 1.7 vs. LOC = 6.1 ± 2.2 cells × 10 per mm; p ≤ 0.001). In conclusion, the BST and immune response after judo training seem to be not associated. However, when the skin thermal pattern is considered, the SPT skin thermal pattern presented a lower post-training BST, blood leukocytes, and neutrophils in comparison with the LOC group. These results show a possible relationship between skin thermal pattern and immune responses for the first time; however, further studies are needed to confirm the evidence presented here.
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Inmunidad/fisiología , Artes Marciales/fisiología , Temperatura Cutánea/fisiología , Termografía/métodos , Adolescente , Pesos y Medidas Corporales , Femenino , Humanos , Recuento de Leucocitos , Masculino , Neutrófilos/metabolismo , España , Termografía/normas , Adulto JovenRESUMEN
Carballeira, E, Morales, J, Fukuda, DH, Granada, ML, Carratalá-Deval, V, López Díaz de Durana, A, and Stout, JR. Intermittent cooling during Judo training in a warm/humid environment reduces autonomic and hormonal impact. J Strength Cond Res 33(8): 2241-2250, 2019-The purpose of this study was to identify the effects of superficial cooling on physiological responses while training in a warm, humid environment during an international Judo training camp. Sixteen judokas (8 women and 8 men) participated in the experiment. Four high-level women and 4 men were randomly assigned to wear a cooling vest (vest group [VG]) during the recovery periods within a training session (i.e., 8 bouts of 5-minute fighting with 5-minute rest) and up to 10 minutes after the session, whereas the remaining athletes in the control group (CG) trained without the use of any cooling aids. No differences between groups were reported in well-being before the session or in perceived fatigue after the session. The temperature was increased after the training session (p = 0.02) without significant differences between groups; however, CG demonstrated a moderate effect size (ES = 0.95, 90% confidence interval [CI] = 0.09-1.82; probability of superiority [PS] = 74.9%) in contrast to the small effect for VG (ES = 0.28, 90% CI = -0.55 to 1.11; PS = 57.9%). There were time × group interactions for heart rate variability (lnRMSSD) (p = 0.006; VG vs. CG, PS = 79.0%) and the dehydroepiandrosterone-cortisol ratio (DHEA/C ratio) (p = 0.04; VG vs. CG, PS = 99.9%). Vest group preserved the cardiac autonomic control (p > = 0.05; ES = -0.06, 90% CI = -0.88 to 0.76; PS = 51.7%) compared with the large decrement of CG (p < 0.05; ES = -1.18, 90% CI = -2.07 to -0.29; PS = 74.9%). Furthermore, VG showed an increase of DHEA/C (p = 0.002) from presession to postsession based on a moderate decrease of cortisol (p > = 0.05; ES = -0.67, 90% CI = -1.52 to 0.17; PS = 68.2%) with a concomitant small increase of DHEA (p > = 0.05; ES = 0.46, 90% CI = -0.38 to 1.29; PS = 62.7%). Conversely, the CG showed a moderate effect for increased DHEA and a small effect for increased cortisol after training. No significant interactions or main effects were shown for isometric handgrip values. Cooling vests diminished the cardiovascular strain and hormonal impact of the Judo training session in high-level athletes and may be considered for recovery purposes during exercise in warm/humid environments.
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Frío , Calor , Humedad , Artes Marciales/fisiología , Adolescente , Adulto , Atletas , Temperatura Corporal , Ejercicio Físico/fisiología , Femenino , Fuerza de la Mano/fisiología , Frecuencia Cardíaca/fisiología , Humanos , Masculino , Percepción , Saliva/química , Adulto JovenRESUMEN
Un hecho fisiológico como es el proceso de embarazo y parto, puede condicionar en gran medida la futura salud y calidad de vida de la mujer. La retención del peso gestacional, los episodios de pérdida de orina y la depresión postparto son algunos de los problemas más frecuentes a los que la mujer ha de enfrentarse tras el nacimiento de su bebé. Con este estudio se pretendió valorar si un programa de ejercicio físico supervisado puede favorecer la recuperación del peso pre-gestacional, evitar las pérdidas de orina y mejorar el estado psicológico de la mujer. Para ello se diseñó un trabajo experimental, de tipo aleatorizado, no apareado, controlado y no enmascarado que se ha desarrollado por medio de un proyecto de colaboración entre el Hospital Universitario de Fuenlabrada y la Facultad de Ciencias de la Actividad Física y el Deporte (FCCAFD-INEF) de la Universidad Politécnica de Madrid (UPM). Se seleccionaron dos grupos de mujeres, el grupo de intervención y el grupo de control, que sin contraindicaciones absolutas y con el consentimiento médico para la práctica de actividad física, se encontrasen en los primeros 3 meses del período post-parto. El grupo de intervención llevó a cabo un programa de ejercicio físico de 12 semanas de duración con una frecuencia semanal de tres veces por semana y una duración de una hora por sesión. Las variables medidas fueron: recuperación del peso pregestacional (peso, índice de masa corporal), depresión postnatal, incidencia de los problemas sociales ocasionados por la pérdida de orina y percepción sobre el estado de salud propio. Los resultados muestran una aparente asociación positiva entre el ejercicio físico programado y la percepción del estado de salud propio (15,69 vs 10,08; p=0,03). El resto de variables no presentaron diferencias significativas entre los grupos de estudio (AU)
The pregnancy processes and the delivery can condition in great measure the future health and quality of the womans life. The retention of the maternal weight gain, the episodes of loss of urine and the postpartum depression are some of the most frequent problems which the woman has to face after the birth of his baby. The aim of this study is to value if a program of supervised physical exercise can favor the recovery of the pre-gestacional weight, avoid the losses of urine and improve the psychological condition of the woman. This investigation project was developed by means of a collaboration between the Fuenlabrada Hospital and the Faculty of Physical Activity and the Sports Sciences (FCCAFD-INEF) UPM. An experimental work, randomized type, not controlled and not masked was designed. Two groups of women were selected, the intervention group and control group without absolute contraindications and medical consent for physical activity, they were in the first 3 months of the postpartum period. The intervention group conducted an exercise program of 12 weeks duration with a frequency of three times per week and a duration of one hour per session. The variables measured were: pregestational weight regain (weight, body mass index), postnatal depression, incidence of social problems caused by the loss of urine and perception of health status. The results show an apparent positive association between physical exercise program and the perception of health (15.69vs 10.08, p = 0.03). Other variables did not show significant difference between the study groups (AU)
Asunto(s)
Humanos , Femenino , Técnicas de Ejercicio con Movimientos , Parto Obstétrico/rehabilitación , Periodo Posparto , Incontinencia Urinaria/terapia , Depresión Posparto/terapia , Sobrepeso/terapiaRESUMEN
The authors compared ACTN3 R577X genotype and allele frequencies in the majority of all-time-best Spanish judo male athletes (n = 108) and 343 ethnically matched nonathletic men. No between-groups differences were found in allele (P = .077) or genotype distributions (P = .178). Thus, the R577X polymorphism was not significantly associated with the status of being an elite judo athlete, at least in the Spanish population. The contribution of genetics to sports-related phenotype traits is undeniable with some genotypes, of which ACTN3 R577X is currently the leading candidate, partly distinguishing individuals predisposed to either endurance or power sports. However, few athletic events can be categorized as purely power or endurance based. Although genetic testing (ie, for ACTN3 R577X) is already being marketed to predict sports talent and potential of young children, its usefulness is still questionable, at least in competitive judo.