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1.
Am J Hum Biol ; 36(1): e23981, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37610138

RESUMEN

OBJECTIVE: The aim was to analyze the relationship between early sports participation (ESP) and body fatness (BF) in adults, as well as to identify whether this possible relationship is directly influenced by the current physical activity (PA) level. METHODS: This cross-sectional study combined baseline data of two cohort. The BF estimated by DXA. The ESP, the subjects reported the engagement in sports during childhood (7-10 years) and adolescence (11-17 years) through two yes/no questions and current PA (described as steps) was device-measured using pedometers. Were identified as potential covariates and therefore adjusted the multivariate models: age, ethnicity, alcohol consumption, smoking, and sleep quality. Statistical analysis consisted of the chi-square test, analysis of variance/covariance, and structural equation modeling (software BioEstat version 5.0; p-value < .05). RESULTS: Adults engaged in ESP had lower BF; among women, the variance in BF explained by ESP was 25.5%; among men, it was 9.2%. Sports participation in early life (r = -.436 [95% CI: -0.527 to -0.346]) and current PA (r = -.431 [95% CI: -0.522 to -0.340]) were inversely related to BF, as well as positively related to each other (r = .328 [95% CI: 0.226 to 0.430]). In the mediation model, current PA partially mediated (18.5%) the impact of ESP on BF, while current PA and ESP remained relevant determinants of BF. CONCLUSION: Early sports participation and current PA have a significant impact on BF in adulthood, which is of similar magnitude and independent of each other.


Asunto(s)
Ejercicio Físico , Deportes , Masculino , Adulto , Adolescente , Humanos , Femenino , Estudios Transversales , Tejido Adiposo , Etnicidad
2.
J Neural Eng ; 20(1)2023 01 18.
Artículo en Inglés | MEDLINE | ID: mdl-36548996

RESUMEN

Objective.Previous electrophysiological research has characterized canonical oscillatory patterns associated with movement mostly from recordings of primary sensorimotor cortex. Less work has attempted to decode movement based on electrophysiological recordings from a broader array of brain areas such as those sampled by stereoelectroencephalography (sEEG), especially in humans. We aimed to identify and characterize different movement-related oscillations across a relatively broad sampling of brain areas in humans and if they extended beyond brain areas previously associated with movement.Approach.We used a linear support vector machine to decode time-frequency spectrograms time-locked to movement, and we validated our results with cluster permutation testing and common spatial pattern decoding.Main results.We were able to accurately classify sEEG spectrograms during a keypress movement task versus the inter-trial interval. Specifically, we found these previously-described patterns: beta (13-30 Hz) desynchronization, beta synchronization (rebound), pre-movement alpha (8-15 Hz) modulation, a post-movement broadband gamma (60-90 Hz) increase and an event-related potential. These oscillatory patterns were newly observed in a wide range of brain areas accessible with sEEG that are not accessible with other electrophysiology recording methods. For example, the presence of beta desynchronization in the frontal lobe was more widespread than previously described, extending outside primary and secondary motor cortices.Significance.Our classification revealed prominent time-frequency patterns which were also observed in previous studies that used non-invasive electroencephalography and electrocorticography, but here we identified these patterns in brain regions that had not yet been associated with movement. This provides new evidence for the anatomical extent of the system of putative motor networks that exhibit each of these oscillatory patterns.


Asunto(s)
Electroencefalografía , Corteza Sensoriomotora , Humanos , Movimiento/fisiología , Electrocorticografía/métodos , Potenciales Evocados
3.
J Neurosurg ; 138(2): 329-336, 2023 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-35901683

RESUMEN

OBJECTIVE: The globus pallidus internus (GPI) has been demonstrated to be an effective surgical target for deep brain stimulation (DBS) treatment in patients with medication-refractory Parkinson's disease (PD). The ability of neurosurgeons to define the area of greatest therapeutic benefit within the globus pallidus (GP) may improve clinical outcomes in these patients. The objective of this study was to determine the best DBS therapeutic implantation site within the GP for effective treatment in PD patients. METHODS: The authors performed a retrospective review of 56 patients who underwent bilateral GP DBS implantation at their institution during the period from January 2015 to January 2020. Each implanted contact was anatomically localized. Patients were followed for stimulation programming for at least 6 months. The authors reviewed preoperative and 6-month postsurgery clinical outcomes based on data from the Unified Parkinson's Disease Rating Scale Part III (UPDRS III), dyskinesia scores, and levodopa equivalent daily dose (LEDD). RESULTS: Of the 112 leads implanted, the therapeutic cathode was most frequently located in the lamina between the GPI external segment (GPIe) and the GP externus (GPE) (n = 40). Other common locations included the GPE (n = 24), the GPIe (n = 15), and the lamina between the GPI internal segment (GPIi) and the GPIe (n = 14). In the majority of patients (73%) a monopolar programming configuration was used. At 6 months postsurgery, UPDRS III off medications (OFF) and on stimulation (ON) scores significantly improved (z = -4.02, p < 0.001), as did postsurgery dyskinesia ON scores (z = -4.08, p < 0.001) and postsurgery LEDD (z = -4.7, p < 0.001). CONCLUSIONS: Though the ventral GP (pallidotomy target) has been a commonly used target for GP DBS, a more dorsolateral target may be more effective for neuromodulation strategies. The assessment of therapeutic contact locations performed in this study showed that the lamina between GPI and GPE used in most patients is the optimal central stimulation target. This information should improve preoperative GP targeting.


Asunto(s)
Estimulación Encefálica Profunda , Discinesias , Enfermedad de Parkinson , Núcleo Subtalámico , Humanos , Enfermedad de Parkinson/tratamiento farmacológico , Globo Pálido/cirugía , Núcleo Subtalámico/cirugía , Levodopa/uso terapéutico , Resultado del Tratamiento , Discinesias/tratamiento farmacológico , Electrodos Implantados
4.
Neuroscience ; 507: 36-51, 2022 12 15.
Artículo en Inglés | MEDLINE | ID: mdl-36368603

RESUMEN

We previously showed that both open-loop (beat of a metronome) and closed-loop (phase-dependent tactile feedback) cueing may be similarly effective in reducing Freezing of Gait (FoG), assessed with a quantitative FoG Index, while turning in place in the laboratory in a group of people with Parkinson's disease (PD). Despite the similar changes on the FoG Index, it is not known whether both cueing responses require attentional control, which would explain FoG Index improvement. The mechanisms underlying cueing responses are poorly understood. Here, we tested the hypothesis that the salience network would predict responsiveness (i.e., FoG Index improvement) to open-loop and closed-loop cueing in people with and without FoG of PD, as salience network contributes to tasks requiring attention to external stimuli in healthy adults. Thirteen people with PD with high-quality imaging data were analyzed to characterize relationships between resting-state MRI functional connectivity and responses to cues. The interaction of the salience network and retrosplenial-temporal networks was the best predictor of responsiveness to open-loop cueing, presenting the largest effect size (d = 1.16). The interaction between the salience network and subcortical as well as cingulo-parietal and subcortical networks were the strongest predictors of responsiveness to closed-loop cueing, presenting the largest effect sizes (d = 1.06 and d = 0.84, respectively). Salience network activity was a common predictor of responsiveness to both cueing, which suggests that auditory and proprioceptive stimuli during turning may require some level of cognitive and insular activity, anchored within the salience network, which explain FoG Index improvements in people with PD.


Asunto(s)
Trastornos Neurológicos de la Marcha , Enfermedad de Parkinson , Humanos , Señales (Psicología) , Proyectos Piloto , Marcha/fisiología
6.
J Occup Environ Med ; 64(12): 1001-1006, 2022 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-35941744

RESUMEN

OBJECTIVES: The aims of the study are to quantify the relationship between productivity loss and healthcare costs among adults with cardiovascular diseases and also to verify whether habitual physical activity (HPA) modulates this relationship. METHODS: Information was obtained about healthcare costs, productivity loss, and HPA. RESULTS: The sample consisted of 278 adults. Active workers who reported presenteeism and absenteeism due to cardiovascular diseases had higher direct costs ( P < 0.05) than those who reported other reasons. Those who reported absenteeism spent US $187.33 more on healthcare services annually than those who did not miss work because of health reasons. However, an annual savings of US $53.00 was observed for each increase in the score of HPA. CONCLUSIONS: There was a positive correlation between absenteeism and direct healthcare costs among adults with cardiovascular diseases, and HPA positively affected this relationship.


Asunto(s)
Enfermedades Cardiovasculares , Humanos , Ejercicio Físico , Costos de la Atención en Salud
7.
São Paulo med. j ; 138(3): 201-207, May-June 2020. tab, graf
Artículo en Inglés | LILACS, Sec. Est. Saúde SP | ID: biblio-1139684

RESUMEN

ABSTRACT BACKGROUND: Physical activity (PA) practices seem to differ between weekdays and weekends and these pattern changes can affect body fat differently. However, previous studies did not assess the mediation effect of weekday and weekend PA on maintenance of body fat using sophisticated statistical models. OBJECTIVE: To analyze the mediation effect of PA during weekdays and weekends on maintenance of fat mass over a 12-month follow-up. DESIGN AND SETTING: Longitudinal cohort study (12 months) conducted at a public university in Presidente Prudente, Brazil. METHODS: A sample of 225 adults (117 females) was used. Body fatness and fat mass were assessed using dual-energy X-ray absorptiometry. PA levels were assessed using a pedometer. The statistical analysis consisted of paired-sample t tests, independent-sample t tests, Pearson correlations and mediation models. RESULTS: After 12 months, weekend PA had decreased while body composition indicators remained stable (without changes). The correlation between fat mass at baseline and follow-up was high for both sexes (men: 0.966; women: 0.941; P-value = 0.001 for both). Moreover, PA indices were inversely but moderately related to fat mass at baseline and follow-up. Lastly, weekend PA mediated the association between fat mass at baseline and follow-up (P-value < 0.05) by around 2% and 4%. CONCLUSION: Weekend PA mediated the association between fat mass at baseline and fat mass after one year of follow-up among these adults. Further studies are required to investigate the association between physical activity, body fat and other variables such as dietary patterns and sleep time.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Composición Corporal , Ejercicio Físico , Brasil , Estudios de Cohortes , Estudios Longitudinales
8.
Sao Paulo Med J ; 138(3): 201-207, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32401834

RESUMEN

BACKGROUND: Physical activity (PA) practices seem to differ between weekdays and weekends and these pattern changes can affect body fat differently. However, previous studies did not assess the mediation effect of weekday and weekend PA on maintenance of body fat using sophisticated statistical models. OBJECTIVE: To analyze the mediation effect of PA during weekdays and weekends on maintenance of fat mass over a 12-month follow-up. DESIGN AND SETTING: Longitudinal cohort study (12 months) conducted at a public university in Presidente Prudente, Brazil. METHODS: A sample of 225 adults (117 females) was used. Body fatness and fat mass were assessed using dual-energy X-ray absorptiometry. PA levels were assessed using a pedometer. The statistical analysis consisted of paired-sample t tests, independent-sample t tests, Pearson correlations and mediation models. RESULTS: After 12 months, weekend PA had decreased while body composition indicators remained stable (without changes). The correlation between fat mass at baseline and follow-up was high for both sexes (men: 0.966; women: 0.941; P-value = 0.001 for both). Moreover, PA indices were inversely but moderately related to fat mass at baseline and follow-up. Lastly, weekend PA mediated the association between fat mass at baseline and follow-up (P-value < 0.05) by around 2% and 4%. CONCLUSION: Weekend PA mediated the association between fat mass at baseline and fat mass after one year of follow-up among these adults. Further studies are required to investigate the association between physical activity, body fat and other variables such as dietary patterns and sleep time.


Asunto(s)
Composición Corporal , Ejercicio Físico , Adulto , Brasil , Estudios de Cohortes , Femenino , Humanos , Estudios Longitudinales , Masculino
9.
Stereotact Funct Neurosurg ; 98(4): 270-277, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32434201

RESUMEN

INTRODUCTION: Deep brain stimulation (DBS) has emerged as a safe and effective therapy for refractory Tourette syndrome (TS). Recent studies have identified several neural targets as effective in reducing TS symptoms with DBS, but, to our knowledge, none has compared the effectiveness of DBS with conservative therapy. METHODS: A literature review was performed to identify studies investigating adult patient outcomes reported as Yale Global Tic Severity Scale (YGTSS) scores after DBS surgery, pharmacotherapy, and psychotherapy. Data were pooled using a random-effects model of inverse variance-weighted meta-analysis (n = 168 for DBS, n = 131 for medications, and n = 154 for behavioral therapy). RESULTS: DBS resulted in a significantly greater reduction in YGTSS total score (49.9 ± 17.5%) than pharmacotherapy (22.5 ± 15.2%, p = 0.001) or psychotherapy (20.0 ± 11.3%, p < 0.001), with a complication (adverse effect) rate of 0.15/case, 1.13/case, and 0.60/case, respectively. CONCLUSION: Our data suggest that adult patients with refractory TS undergoing DBS experience greater symptomatic improvement with surprisingly low morbidity than can be obtained with pharmacotherapy or psychotherapy.


Asunto(s)
Tratamiento Conservador/métodos , Estimulación Encefálica Profunda/métodos , Síndrome de Tourette/diagnóstico por imagen , Síndrome de Tourette/terapia , Ensayos Clínicos como Asunto/métodos , Tratamiento Conservador/tendencias , Estimulación Encefálica Profunda/tendencias , Humanos , Resultado del Tratamiento
10.
J Occup Environ Med ; 62(5): 325-330, 2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-31895736

RESUMEN

OBJECTIVE: Investigate whether obesity is responsible for costs due to productivity loss (PL) in adults, during 30 months of follow-up. METHODS: Absenteeism and disability retirement were considered as PL. For classification of obesity, body mass index (BMI) and waist circumference (WC) values were considered. The statistical software BioEstat (release 5.0) was used and the significance level was set at P value < 0.05. RESULTS: For the men, BMI and WC accounted for ∼60% and ∼30% of retirement due to disability (P = 0.001). For the women, this percentage represented ∼19% for BMI and ∼8% for WC, both P < 0.05. Physical activity was not a significant confounder in any of the analyses (P > 0.05). CONCLUSION: Total and abdominal obesity were responsible for increased costs from PL due to early retirement among adults aged 50 years or older.


Asunto(s)
Personas con Discapacidad , Eficiencia , Obesidad/economía , Jubilación/economía , Absentismo , Anciano , Índice de Masa Corporal , Brasil/epidemiología , Estudios de Cohortes , Costo de Enfermedad , Personas con Discapacidad/estadística & datos numéricos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Obesidad/epidemiología , Obesidad Abdominal/economía , Obesidad Abdominal/epidemiología , Jubilación/estadística & datos numéricos , Factores de Riesgo , Circunferencia de la Cintura
11.
Acta sci., Health sci ; 42: e47087, 2020.
Artículo en Inglés | LILACS | ID: biblio-1370890

RESUMEN

The aim of this study was to investigate the influence of a specific, kinesiotherapy-based rehabilitation program on the various symptoms of osteoarthrosis (OA), following group treatment. Thirty-one individuals, of both sexes, aged over 50 years and with medical diagnosis of OA, underwent 16 sessions, twice a week, totaling eight weeks, of a specific rehabilitation protocol based on group kinesiotherapy. Primary OA symptoms were assessed (directly related to the disease: OA symptoms, trunk flexibility, balance and pain), and so were secondary ones (indirectly related to the disease: signs of depression and anxiety, and quality of life). Data were tested through Student's t test or Wilcoxon's test, and contingencies of categorical data were analyzed using McNemar's test. There was an improvement in all primary symptoms of OA after the kinesiotherapy protocol was applied. Signs of anxiety and depression improved only in contingency, when risk stratification was taken into account. In addition, physical components of quality of life also showed improvement, which did not occur with mental components though. Therefore, the kinesiotherapy-based rehabilitation program was capable of positively influencing all primary symptoms, and only some aspects of secondary OA symptoms.


Asunto(s)
Humanos , Masculino , Femenino , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Osteoartritis/rehabilitación , Terapia por Ejercicio/instrumentación , Ansiedad/psicología , Dolor/fisiopatología , Calidad de Vida/psicología , Enfermedad Crónica/rehabilitación , Modalidades de Fisioterapia/instrumentación , Docilidad , Depresión/psicología , Equilibrio Postural
12.
Rev. bras. ativ. fís. saúde ; 24: 1-6, out. 2019. tab
Artículo en Portugués | LILACS | ID: biblio-1047134

RESUMEN

A privação do sono está relacionada ao desenvolvimento de doenças cardiometabólicas. O objetivo deste estudo foi analisar a associação entre qualidade do sono e ocorrência de doenças cardiometabólicas em adultos atendidos na Atenção Primária à Saúde. Estudo longitudinal composto por 169 adultos (68,6% do sexo feminino), média de idade 61,80 (desvio padrão = 8,80), acompanhados por 30 meses. A presença das doenças hipertensão arterial, dislipidemia, diabetes mellitus e ocorrência de infarto e a qualidade do sono foram mensuradas por meio de questionários. Os participantes foram divididos em grupos de acordo com a qualidade do sono (adequada/inadequada). Para verificar a diferença de idade, classe econômica, atividade física habitual e circunferência de cintura, entre os grupos a e b, utilizou-se o teste t de Student para amostras independentes. Para comparar a proporção das doenças (hipertensão arterial, infarto, diabetes e dislipidemias) entre os grupos, utilizou-se o teste Qui-quadrado com correção de Yates. A regressão logística binária foi utilizada para testar a magnitude de tais associações, ajustadas por sexo, idade, atividade física, obesidade abdominal, etilismo e tabagismo. As análises estatísticas foram realizadas no software BioEstat (versão 5.0) e o nível de significância adotado foi de p < 0,05. Verificou-se que 83,4% dos adultos reportaram ao menos uma alteração na qualidade do sono e os que apresentaram inadequada qualidade do sono tiveram 3,4 vezes mais chances de reportar diabetes (OR = 3,47; IC95%: 1,06-11,30), comparados aos com o sono adequado. Inadequada qualidade do sono parece contribuir para o aumento da ocorrência de diabetes mellitus, independente do tempo de prática de atividade física e a obesidade abdominal


Sleep deprivation is related to the development of cardiometabolic diseases. The aim of this study was to analyze the association between sleep quality and occurrence of cardiometabolic diseases in adults attending Primary Health Care. Longitudinal study of 169 adults (68.6% female), mean age 61.80 (deviation = 8.80), followed for 30 months. The presence of the diseases hypertension, dyslipidemia, diabetes mellitus and occurrence of infarction and the quality of sleep were measured using questionnaires. Participants were divided into groups according to sleep quality (adequate / inadequate). To verify the difference in age, economic class, habitual physical activity and waist circumference, between groups a and b, the Student's t test for in-dependent samples was used. To compare the proportion of diseases (hypertension, heart attack, diabetes, and dyslipidemia) between the groups, the chi-square test with Yates correction was used. Binary logistic regression was used to test the magnitude of such associations, adjusted for gender, age, physical activity, abdominal obesity, alcoholism and smoking. Statistical analyzes were performed using BioEstat software (version 5.0) and the significance level adopted was p <0.05. 83.4% of adults reported at least one change in sleep quality and those with inadequate sleep quality were 3.4 times more likely to report diabetes (OR = 3.47; 95%CI: 1.06 -11.30) compared to those with adequate sleep. Inadequate sleep quality seems to contribute to the increased occurrence of diabetes mellitus, regardless of the length of physical activity and abdominal obesity


Asunto(s)
Sueño , Enfermedades Cardiovasculares , Enfermedades Metabólicas , Actividad Motora
13.
Cardiol Young ; 29(5): 620-625, 2019 May.
Artículo en Inglés | MEDLINE | ID: mdl-31124771

RESUMEN

OBJECTIVE: To analyse the relationship of altered birth weight with metabolic and cardiovascular outcomes among adolescents, as well as to identify if sports participation is able to attenuate or even eliminate the impact of birth weight on health outcomes. METHODS: Cross-sectional study (Analysis of Behaviours of Children During Growth [ABCD Growth Study]). Adolescents with age ranging from 11 to 18 years old (14.7±2.1) stratified according to normal (n = 230) and altered (n = 35) birth weight composed the sample. Birth weight was self-reported by adolescent's parents. Sports participation was assessed by face-to-face interview. Carotid intima-media thickness (CIMT) and femoral intima-media thickness (FIMT) were measured using an ultrasound device. C-reactive protein levels were used to assess the inflammatory status. Blood pressure, Z score of metabolic risk (dyslipidemia and glucose), adiposity, and insulin resistance were covariates. RESULTS: In the crude model, FIMT (p value = 0.037) and C-reactive protein (p value = 0.029) were affected by altered birth weight. In the adjusted models, altered birth weight affected FIMT (p value = 0.048; small effect size of 1.7%), independently of sports participation. For C-reactive protein, previous time of engagement in sports (p value = 0.001; small effect size of 4.8%) affected C-reactive protein, independently of birth weight. CONCLUSION: Vascular structure seems to be affected by birth weight in adolescents, while its impact on inflammation seems to be attenuated by the regular engagement in sports.


Asunto(s)
Adiposidad , Peso al Nacer , Grosor Intima-Media Carotídeo , Ejercicio Físico , Tejido Adiposo/fisiopatología , Adolescente , Biomarcadores/análisis , Índice de Masa Corporal , Proteína C-Reactiva/análisis , Niño , Estudios Transversales , Femenino , Humanos , Inflamación/fisiopatología , Modelos Lineales , Masculino , Deportes
14.
Arq Bras Cardiol ; 112(6): 749-755, 2019 06.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-30892384

RESUMEN

BACKGROUND: The unhealthy lifestyle is growing and this can have repercussions on health status demanding actions on the occurrence of diseases and leads to increased expenses. OBJECTIVE: To examine the interrelationship between the costs of medicine use and lifestyle behaviors. METHODS: A cohort study with 118 participants, age around 51.7 ± 7.1 years old. It was collected personal and anthropometric data and information about medicine of continuous use to calculate the costs. Lifestyle variables included habitual physical activity (PA) assessed by pedometer, sedentary behavior by Baecke questionnaire, sleep quality by mini sleep questionnaire and self-report of smoke and alcohol consumption. Statistical analyses were performed by BioEstat (version 5.2) and the significance level set at p-value < 0.05. RESULTS: In 12 months, 62 subjects bought 172 medicines, representing an overall cost of US$ 3,087.01. Expenditures with drugs were negatively related to PA (r = -0.194, p-value = 0.035 and r = -0.281, p-value = 0.002), but positively related with sleep quality (r = 0.299, p-value=0.001 and r = 0.315, p-value = 0.001) and age (r = 0.274, p-value = 0.003). Four multivariate models were executed considering lifestyle behaviors in different moments of cohort and medicine costs, and all these models identify important relationship between lifestyle behaviors with expenditures with drugs. CONCLUSION: Worse sleep quality seems to increase the costs related to medicine use in adults, while obesity and ageing play a relevant role in this phenomenon and alcohol consumption seems a variable with relevant economic impact.


Asunto(s)
Costos de los Medicamentos/estadística & datos numéricos , Utilización de Medicamentos/economía , Gastos en Salud/estadística & datos numéricos , Estilo de Vida , Adulto , Anciano , Estudios de Cohortes , Estudios Transversales , Utilización de Medicamentos/estadística & datos numéricos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Autoinforme , Encuestas y Cuestionarios
15.
J Phys Act Health ; 15(7): 516-522, 2018 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-29569996

RESUMEN

PURPOSE: To analyze the relationship between engagement in sports in early life and bone variables among adults of both sexes. METHODS: The sample was composed of 225 men and women. Demographic data were collected, and dual-energy X-ray absorptiometry was used to assess bone mineral density, bone mineral content, and lean soft tissue. Sports participation in early life was assessed by an interview including childhood and adolescence. Consumption of tobacco and alcohol was also assessed by interview and the habitual physical activity level by a pedometer. RESULTS: Inactive men had bone mineral content around 11% lower than active men in childhood or adolescence, whereas for women, this difference represented around 14%. Active men had 74% less fat mass than inactive men in early life, and the difference was 67% for women. Early sports participation explained the differences in whole-body bone mineral content (16.8%, P-value = .005) and bone mineral density (8.8%, P-value = .015), as well as bone mineral density in lower limbs (18.9%, P-value = .001) among women. CONCLUSION: Adults engaged in sports in early life have higher bone mass than their inactive peers, especially women.


Asunto(s)
Densidad Ósea/fisiología , Huesos/fisiología , Ejercicio Físico/fisiología , Deportes/estadística & datos numéricos , Absorciometría de Fotón , Consumo de Bebidas Alcohólicas , Composición Corporal , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Uso de Tabaco
17.
J Neurosurg ; 128(4): 1165-1172, 2018 04.
Artículo en Inglés | MEDLINE | ID: mdl-28665249

RESUMEN

OBJECTIVE MR-guided laser interstitial thermal therapy (MRgLITT) is a minimally invasive method for thermal destruction of benign or malignant tissue that has been used for selective amygdalohippocampal ablation for the treatment of temporal lobe epilepsy. The authors report their initial experience adopting a real-time MRI-guided stereotactic platform that allows for completion of the entire procedure in the MRI suite. METHODS Between October 2014 and May 2016, 17 patients with mesial temporal sclerosis were selected by a multidisciplinary epilepsy board to undergo a selective amygdalohippocampal ablation for temporal lobe epilepsy using MRgLITT. The first 9 patients underwent standard laser ablation in 2 phases (operating room [OR] and MRI suite), whereas the next 8 patients underwent laser ablation entirely in the MRI suite with the ClearPoint platform. A checklist specific to the real-time MRI-guided laser amydalohippocampal ablation was developed and used for each case. For both cohorts, clinical and operative information, including average case times and accuracy data, was collected and analyzed. RESULTS There was a learning curve associated with using this real-time MRI-guided system. However, operative times decreased in a linear fashion, as did total anesthesia time. In fact, the total mean patient procedure time was less in the MRI cohort (362.8 ± 86.6 minutes) than in the OR cohort (456.9 ± 80.7 minutes). The mean anesthesia time was significantly shorter in the MRI cohort (327.2 ± 79.9 minutes) than in the OR cohort (435.8 ± 78.4 minutes, p = 0.02). CONCLUSIONS The real-time MRI platform for MRgLITT can be adopted in an expedient manner. Completion of MRgLITT entirely in the MRI suite may lead to significant advantages in procedural times.


Asunto(s)
Amígdala del Cerebelo/cirugía , Hipocampo/cirugía , Terapia por Láser/métodos , Imagen por Resonancia Magnética/métodos , Procedimientos Neuroquirúrgicos/métodos , Técnicas Estereotáxicas , Cirugía Asistida por Computador/métodos , Adulto , Anciano , Estudios de Cohortes , Sistemas de Computación , Epilepsia Refractaria/cirugía , Eficiencia , Epilepsia del Lóbulo Temporal/cirugía , Femenino , Humanos , Imagenología Tridimensional , Curva de Aprendizaje , Masculino , Persona de Mediana Edad , Tempo Operativo
18.
Diabetes Metab Syndr ; 11(1): 47-50, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-27575045

RESUMEN

Individuals with diabetes develop lower extremity amputation for several reasons. Investigations into pathways to the development of complications are important both for treatment and prevention. AIM: To evaluate the relationship between amputation and risk factors in people with diabetes mellitus. MATERIALS AND METHOD: All participants included in this study (n=165) were recruited from the Diabetic Foot Program, developed in a Brazilian University, over seven years (2007-2014) and all information for this study was extracted from their clinical records. RESULTS: The prevalence of amputation in patients with diabetes with four risk factors was up to 20% higher when compared to those with only one risk factor. The main predictive risk factors for amputation in this population were the presence of an ulcer and smoking. CONCLUSION: The risk factors for amputation can be predicted for people with diabetes mellitus and, in the present study, the main factors were the presence of an ulcer and the smoking habit.


Asunto(s)
Amputación Quirúrgica/métodos , Diabetes Mellitus Tipo 2/complicaciones , Pie Diabético/cirugía , Enfermedades del Sistema Nervioso Periférico/fisiopatología , Enfermedades Vasculares Periféricas/fisiopatología , Fumar/efectos adversos , Úlcera/fisiopatología , Anciano , Estudios Transversales , Pie Diabético/etiología , Femenino , Estudios de Seguimiento , Humanos , Masculino , Pronóstico , Factores de Riesgo
19.
Clin Neurophysiol ; 128(1): 128-137, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-27889627

RESUMEN

OBJECTIVE: Determine the incidence of resting state oscillations in alpha/beta, high frequency (HFO) bands, and their phase amplitude coupling (PAC) in a large cohort in Parkinson's disease (PD). METHODS: Intra-operative local field potentials (LFPs) from subthalamic nucleus (STN) were recorded from 100 PD subjects, data from 74 subjects were included in the analysis. RESULTS: Alpha/beta oscillations were evident in >99%, HFO in 87% and PAC in 98% of cases. Alpha/beta oscillations (P<0.01) and PAC were stronger in the more affected (MA) hemisphere (P=0.03). Alpha/beta oscillations were primarily found in 13-20Hz (low beta). Beta and HFO frequencies with the greatest coupling, were positively correlated (P=0.001). Tremor attenuated alpha (P=0.002) and beta band oscillations (P<0.001). CONCLUSIONS: STN alpha/beta band oscillations and PAC were evident in ⩾98% cases and were greater in MA hemisphere. Resting tremor attenuated underlying alpha/beta band oscillations. SIGNIFICANCE: Beta band LFP power may be used to drive adaptive deep brain stimulation (aDBS), augmented by a kinematic classifier in tremor dominant PD.


Asunto(s)
Ritmo alfa , Ritmo beta , Estimulación Encefálica Profunda/métodos , Enfermedad de Parkinson/fisiopatología , Núcleo Subtalámico/fisiopatología , Anciano , Ritmo alfa/fisiología , Ritmo beta/fisiología , Estudios de Cohortes , Femenino , Humanos , Masculino , Persona de Mediana Edad , Enfermedad de Parkinson/diagnóstico , Enfermedad de Parkinson/cirugía , Núcleo Subtalámico/cirugía
20.
Motriz rev. educ. fís. (Impr.) ; 22(4): 335-340, Oct.-Dec. 2016. tab
Artículo en Inglés | LILACS | ID: biblio-829265

RESUMEN

Abstract AIM: To compare bone mass and body composition variables between adolescents engaged in high-impact sports and adults who were sedentary during early life. METHOD: A cross-sectional study with 155 participants (64 adolescents and 91 adults) aged between 11 and 50 years old. Among the adults, history of sports was evaluated during face-to-face interviews, and information regarding the adolescents' training routines was provided by their coaches. Body composition was evaluated using Dual Energy X-Ray Absorptiometry which provided data about bone mineral density (BMD), bone mineral content (BMC), fat mass (FM), and free fat mass (FFM). RESULTS: Adults who engaged in sports practice during early life had higher values of BMC (ES-r = 0.063), FFM (ES-r = 0.391), and lower values of FM (ES-r = 0.396) than sedentary adults. Higher values of BMC (ES-r = 0.063) and BMD in lower limbs (ES-r = 0.091) were observed in active adolescents. Adolescents engaged in sports and adults who were sedentary in early life presented similar values in all bone variables, FM, and FFM. CONCLUSIONS: Sports involvement in early life is related to higher bone mass in adulthood. Adolescents engaged in sports presented similar bone mass to adults who had been sedentary in early life.


Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto , Persona de Mediana Edad , Composición Corporal/fisiología , Densidad Ósea/fisiología , Actividad Motora/fisiología
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