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2.
Pediatr Rev ; 41(6): 265-275, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32482689

RESUMEN

Pediatric rhabdomyolysis is a common diagnosis that pediatricians need to be able to recognize because prompt treatment can prevent potential complications, such as acute kidney injury. The triggers for rhabdomyolysis are extensive, with viruses being the most common cause in pediatric patients. The pathophysiology behind rhabdomyolysis is complex and still being researched, but having a firm understanding of the cascade that results when muscle injury occurs is essential for proper management. Guidelines for managing pediatric rhabdomyolysis currently do not exist, but this article aims to review the available literature and give clinicians a general approach to aid in history taking, physical examination, diagnosis, acute management, follow-up, and prevention.


Asunto(s)
Rabdomiólisis , Solución Salina/uso terapéutico , Algoritmos , Biomarcadores/sangre , Niño , Creatina Quinasa/sangre , Ejercicio Físico/fisiología , Humanos , Infecciones/complicaciones , Rabdomiólisis/diagnóstico , Rabdomiólisis/etiología , Rabdomiólisis/fisiopatología , Rabdomiólisis/terapia
3.
Artículo en Inglés | MEDLINE | ID: mdl-32492778

RESUMEN

To reduce transmission of the coronavirus, from its initial outbreak in 2019 up to now, various safety measures have been enacted worldwide by the authorities that have likely led to reduced physical activity levels in the general population. This short communication aims to briefly outline the deteriorative consequences of physical inactivity on parameters of physical fitness and ultimately to highlight associated increases of cardiovascular disease risk and mortality. Finally, evidence-based practical recommendations for exercise that can be performed at home are introduced, to help avoid physical inactivity and therefore maintain or achieve good physical health.


Asunto(s)
Infecciones por Coronavirus , Ejercicio Físico , Pandemias , Neumonía Viral , Conducta Sedentaria , Betacoronavirus , Coronavirus , Infecciones por Coronavirus/epidemiología , Humanos , Aptitud Física , Neumonía Viral/epidemiología
4.
Artículo en Inglés | MEDLINE | ID: mdl-32486380

RESUMEN

A global pandemic caused by the novel coronavirus (COVID-19) resulted in restrictions to daily living for Canadians, including social distancing and closure of city and provincial recreation facilities, national parks and playgrounds. The objective of this study was to assess how these preemptive measures impacted physical activity behaviour and well-being of Canadians. An online survey was utilized to measure participant physical activity behavior, nature exposure, well-being and anxiety levels. Results indicate that while 40.5% of inactive individuals became less active, only 22.4% of active individuals became less active. Comparatively, 33% of inactive individuals became more active while 40.3% of active individuals became more active. There were significant differences in well-being outcomes in the inactive population between those who were more active, the same or less active (p < 0.001) but this was not seen in the active population. Inactive participants who spent more time engaged in outdoor physical activity had lower anxiety than those who spent less time in outdoor physical activity. Public health measures differentially affected Canadians who were active and inactive and physical activity was strongly associated with well-being outcomes in inactive individuals. This suggests that health promoting measures directed towards inactive individuals may be essential to improving well-being.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Ejercicio Físico/fisiología , Ejercicio Físico/psicología , Neumonía Viral/epidemiología , Conducta Social , Adulto , Factores de Edad , Anciano , Ansiedad/epidemiología , Betacoronavirus , Canadá/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Salud Pública , Calidad de Vida , Características de la Residencia , Factores Sexuales , Factores Socioeconómicos
5.
Rev Assoc Med Bras (1992) ; 66(3): 296-299, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32520148

RESUMEN

OBJECTIVE: The aim of our study is to explore the relationship between physical performance and visual acuity in university students in China. METHODS: tests of standing long jump, 50-meter dash and pull-ups sit-ups were conducted. The visual acuity was measured using a logarithm of the minimum angle of resolution (logMAR) chart. Pearson correlation was used to test the correlation of physical performance with visual acuity in university students. RESULTS: The number of pull-ups was negatively associated with visual acuity in the left eye for male students, while a negative correlation was found between the time of the 50-meter dash and visual acuity in the right eye for female students. CONCLUSIONS: Our study identified that physical exercise might help improve visual acuity. University students should practice strength exercises to improve physical performance.


Asunto(s)
Ejercicio Físico/fisiología , Rendimiento Físico Funcional , Agudeza Visual/fisiología , Adulto , China , Estudios Transversales , Femenino , Humanos , Masculino , Factores Sexuales , Estudiantes , Universidades , Pruebas de Visión/métodos , Adulto Joven
6.
Rev Assoc Med Bras (1992) ; 66(3): 314-320, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32520151

RESUMEN

OBJECTIVE: We investigated the associations between objectively assessed sedentary behavior (SB) and moderate-to-vigorous physical activity (MVPA) and body composition variables among a representative sample of Brazilian adults. METHODS: Using an accelerometer, SB and MVPA were monitored for at least 5 days in 524 participants (261 men; age, 18-65 years). Each minute epoch was classified as sedentary or spent in light, moderate, or vigorous physical activity (LPA, MPA, and VPA, respectively). The measured body composition variables included abdominal perimeter (AP) and neck circumference (NC). RESULTS: Men accumulated significantly more min/day of MPA (37.82 versus 27.28), VPA (1.10 versus 0.31), MVPA (39.02 versus 27.61), and steps/day (14,978 versus 13,443) than women (p<.001). In men, MPA, VPA, MVPA, and steps/day were negatively associated with AP (p<.05) independently of SB. Only VPA was significantly associated with NC (ß= 0.113; p=.002). In women, only SB was significantly associated with AP (ß= 0.003; p=.031). There were no significant associations between physical activity intensities and body composition in women. CONCLUSIONS: Our findings on the unequal association of physical activity with body composition variables between sexes can help inform future intervention strategies in Brasil.


Asunto(s)
Composición Corporal/fisiología , Ejercicio Físico/fisiología , Conducta Sedentaria , Acelerometría , Adolescente , Adulto , Anciano , Antropometría , Brasil , Femenino , Humanos , Masculino , Persona de Mediana Edad , Actividad Motora , Factores Sexuales , Adulto Joven
7.
Artículo en Inglés | MEDLINE | ID: mdl-32532013

RESUMEN

Countries all over the world implemented lockdowns to counteract COVID-19. These lockdowns heavily limited people's exercise possibilities. At the same time, experts advocated to remain physically active to prevent future health problems. Based on an online survey, this study examines adults' exercise levels and patterns during the COVID-19 lockdown in Belgium. Ordinal logistic regression analyses of 13,515 valid and population-weighted responses indicate a general increase in exercise frequencies, as well as in sedentary behavior. Except for people aged 55+, previously low active adults self-reported to exercise more during the lockdown. Among the people who were already high active before COVID-19, those above 55 years old, those with low education, those used to exercise with friends or in a sport club, and those who were not using online tools to exercise, self-reported to exercise less during the lockdown. Having less time, sitting more, and missing the familiar way and competitive element of exercising were the main reasons for a self-reported exercise reduction. Given the health risks associated with physical inactivity, results imply that governments should consider how those who were not reached can be encouraged to exercise during a lockdown. After all, additional COVID-19 lockdowns might be implemented in the future.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Ejercicio Físico , Neumonía Viral/epidemiología , Cuarentena/psicología , Adulto , Anciano , Bélgica/epidemiología , Infecciones por Coronavirus/psicología , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Neumonía Viral/psicología , Conducta Sedentaria , Autoinforme
8.
Arch Endocrinol Metab ; 64(3): 312-318, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32555999

RESUMEN

OBJECTIVE: To identify the level of physical activity and glycemic variability of adolescents with type 1 diabetes mellitus and to compare glycemic variability on days with different amounts of moderate to vigorous physical activity (MVPA). SUBJECTS AND METHODS: A sample of 34 subjects aged 10 to 15 years, 18 (52.94%) female; age: 13.04 ± 1.94; HbA1c: 9.76 ± 1.51. Physical activity was measured by wGT3X accelerometer. The glucose data were obtained using continuous glucose monitoring, and the following glycemic variability measures were calculated: standard deviation (SD), low blood glucose index (LBGI), high blood glucose index (HBGI), mean amplitude of glycemic excursions (MAGE), glycemic risk assessment in diabetes equation (GRADE) and coefficient of variation (CV). The most and least active days (the days with greater and lesser time dedicated to physical activities of moderate to vigorous intensity, respectively) were identified. In addition, based on the whole period of accelerometer use, daily means of time spent in MVPA were identified among participants, who were then divided into three groups: up to 100 minutes; from 101 to 200 minutes and above 201 minutes. Then, the measures of glycemic variability were compared among the most and least active days and among the groups too. RESULTS: The amount of MVPA was significantly different between the days evaluated (237.49 ± 93.29 vs. 125.21 ± 58.10 minutes), but glycemic variability measures did not present a significant difference. CONCLUSION: Despite the significant differences in the amount of MVPA between the two days evaluated, the glycemic variability did not change significantly. Arch Endocrinol Metab. 2020;64(3):312-8.


Asunto(s)
Glucemia/análisis , Diabetes Mellitus Tipo 1/sangre , Ejercicio Físico/fisiología , Adolescente , Niño , Estudios Transversales , Diabetes Mellitus Tipo 1/metabolismo , Diabetes Mellitus Tipo 1/fisiopatología , Femenino , Humanos , Masculino
9.
Medicine (Baltimore) ; 99(22): e20427, 2020 May 29.
Artículo en Inglés | MEDLINE | ID: mdl-32481443

RESUMEN

To describe social support, self-efficacy, and exercise adherence and to measure the correlations among these factors in postoperative breast cancer patients in Southwest China.Social support, self-efficacy, and exercise adherence are interacting factors that contribute to physical and mental health and quality of life. Little is known about the status of these factors in Southwest China, and little research has explored the relationships among them.Using a stratified sampling method, we selected patients who underwent modified radical mastectomy in 20 secondary and tertiary comprehensive hospitals in Southwest China. A descriptive cross-sectional study was conducted. Questionnaires were given to 632 breast cancer patients who met the inclusion and exclusion criteria (from August 2018 to February 2019). The questionnaire included the following 4 sections: general information, perceived social support scale, strategies used by people to promote health, and postoperative functional exercise adherence scale. Structural equation modeling was used to evaluate the hypothesized relationships among social support, self-efficacy, and exercise adherence.The level of social support of postoperative patients with breast cancer in Southwest China was high (63.43 ±â€Š9.25); however, levels of self-efficacy (95.00 ±â€Š18.81) and exercise adherence (49.07 ±â€Š10.57) were moderate. Higher social support correlated with higher exercise adherence (r = 0.526, P < .01). Higher self-efficacy was also correlated with higher exercise adherence (r = 0.427, P < .01). In-home support, out-of-home support, and self-efficacy had direct positive effects on exercise adherence (ß = 0.37, P < .01; ß = 0.23, P < .01; and ß = 0.32, P < .01, respectively); in-home support indirectly affected exercise adherence through self-efficacy (ß = 0.58, P < .01).Social support and self-efficacy correlated highly with exercise adherence. It is recommended that attention be paid to the development of self-efficacy and social support during postoperative rehabilitation to improve the exercise adherence of postoperative breast cancer patients.


Asunto(s)
Neoplasias de la Mama/psicología , Ejercicio Físico/psicología , Adulto , Neoplasias de la Mama/cirugía , Estudios Transversales , Femenino , Humanos , Masculino , Mastectomía , Persona de Mediana Edad , Cooperación del Paciente/psicología , Autoeficacia , Apoyo Social , Encuestas y Cuestionarios
10.
Cien Saude Colet ; 25(suppl 1): 2411-2421, 2020 Jun.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-32520286

RESUMEN

This paper presents the results of an opinion poll conducted in Brazil on the perception of social isolation during the COVID-19 pandemic. The questionnaire was prepared on Google Forms, disseminated through social networks, with questions about the socioeconomic profile and factors associated with isolation. A non-probabilistic sample was obtained with 16,440 respondents. Data were analyzed using the Stata 13 software. Social interaction was the most affected aspect among people with higher education and income (45.8%), and financial problems caused a more significant impact (35%) among people with low income and education. Those who practice some physical activity showed lower levels of stress 13%, as well as greater normality in sleep 50.3%. People who reported living in worse habitability conditions reported willingness to remain isolated for less time, 73.9%. Among non-isolated people (10.7% of the total sample), 75.8% believe that social isolation will reduce the number of victims of COVID-19. We conclude, based on this sample, that the perception about social isolation as a pandemic mitigation action varies by income, education, age, and gender. However, most believe that it is the most appropriate control measure and are willing to wait as long as necessary to contribute to the fight against COVID-19.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Pandemias , Espacio Personal , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Aislamiento Social/psicología , Adulto , Factores de Edad , Brasil/epidemiología , Infecciones por Coronavirus/economía , Infecciones por Coronavirus/prevención & control , Estudios Transversales , Escolaridad , Ejercicio Físico/psicología , Femenino , Humanos , Renta , Relaciones Interpersonales , Masculino , Pandemias/economía , Pandemias/prevención & control , Neumonía Viral/economía , Neumonía Viral/prevención & control , Opinión Pública , Factores Sexuales , Factores Socioeconómicos , Estrés Psicológico/epidemiología , Encuestas y Cuestionarios/estadística & datos numéricos , Factores de Tiempo
11.
Rev Esp Salud Publica ; 942020 Jun 12.
Artículo en Español | MEDLINE | ID: mdl-32527993

RESUMEN

This coronavirus pandemic has placed unprecedented restrictions on people's physical activity and routines. Prolonged home stays may lead to fear, panic, anxiety, and depression states, which in turn, can drive to a reduction of active lifestyles. Hence, determining the psychological response in the general population, and the influence level of home-based physical activity development could be relevant during this exceptional Covid-19 disease quarantine period. A multicenter, cross-sectional, and observational study design will be conducted in 12 Iberoamerican countries expecting to enroll 3,096 participants, through a snowball sampling technique. The study started on March 15th, 2020, and it is expected to be completed in August 2020 through online survey that will include demographic data, health status, psychological impact of the Covid-19 outbreak, mental health status, and level of physical activity. This study will be conducted following the principles established by the protocol, the Declaration of Helsinki, and the Ethical Guidelines for Clinical Research. Data from the study will be disseminated in manuscripts for submission to peer-reviewed journals as well as in abstracts for submission to relevant conferences. Trial registration number: NCT04352517, pre-results.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/psicología , Brotes de Enfermedades , Ejercicio Físico/psicología , Conductas Relacionadas con la Salud , Salud Mental , Neumonía Viral/psicología , Cuarentena/psicología , Adulto , Anciano , Anciano de 80 o más Años , Protocolos Clínicos , Infecciones por Coronavirus/epidemiología , Estudios Transversales , Femenino , Estado de Salud , Encuestas Epidemiológicas , Humanos , América Latina/epidemiología , Masculino , Persona de Mediana Edad , Pandemias , Neumonía Viral/epidemiología , Portugal/epidemiología , España/epidemiología
12.
Medicine (Baltimore) ; 99(23): e20597, 2020 Jun 05.
Artículo en Inglés | MEDLINE | ID: mdl-32502032

RESUMEN

The current absence of a disease-modifying treatment for Alzheimer disease highlights the necessity for the benefits of nonpharmacological approaches. We aimed to investigate the effect of exercise in older patients with Alzheimer dementia.This is an observational, prospective cohort study in medical center. Eighty older patients with Alzheimer dementia, including 54 with mild dementia and 26 with moderate dementia, were followed up over 2 years. Patients were divided into exercise and no-exercise groups according to their weekly exercise habit. Mini-Mental State Examination (MMSE), clinical dementia rating (CDR), and senior fitness test were checked initially. We defined death and unexpected hospitalization as the outcomes.Age, sex, education years, and MMSE showed no significant differences between the groups (P > .05) in all patients. All the patients of the exercise group had significantly better left upper body strength, higher aerobic endurance, and left and right balance maintenance time than those of the no-exercise group (P < .05). There were no changes in hospitalization and mortality between the exercise and non-exercise groups during the 2-year follow-ups in all participants. However, in the mild and moderate dementia subgroups, age, sex, education years, and MMSE showed no significant differences between the groups (P > .05). The exercise group had significantly better lower body strength, left upper body strength, aerobic endurance, right upper body flexibility, lower body flexibility, balance maintenance, and agility than the no-exercise group in patients with mild dementia (P < .05). Moreover, the exercise group had significantly lesser unexpected hospitalization than the no-exercise group in the patients with mild dementia (P = .037).Despite the similarity in the status of dementia, exercise habit was found to be associated with a better senior fitness test score status. Hence, exercise can decrease unexpected hospitalization in patients with mild dementia but not those with total dementia.


Asunto(s)
Enfermedad de Alzheimer/terapia , Ejercicio Físico , Aptitud Física/fisiología , Anciano , Anciano de 80 o más Años , Estudios de Casos y Controles , Femenino , Estudios de Seguimiento , Hospitalización/estadística & datos numéricos , Humanos , Masculino , Estudios Prospectivos , Índice de Severidad de la Enfermedad , Encuestas y Cuestionarios
13.
Medicine (Baltimore) ; 99(23): e20625, 2020 Jun 05.
Artículo en Inglés | MEDLINE | ID: mdl-32502040

RESUMEN

INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is a common high-burden and highly disabling lung disease. The quality of life and exercise endurance of patients with COPD is often low because of atrophy of the respiratory and skeletal muscles. Although recommended by the global initiative for chronic obstructive lung disease guidelines, pulmonary rehabilitation (PR) has not been used widely because of its inherent limitations. Tuna-Hui-Chun-Gong (TNHCG) is a popular traditional exercise used to treat COPD in China. We aim to evaluate the safety and efficacy of TNHCG for PR of COPD. METHODS: The provided protocol is for a single-blind randomized controlled trial in which 120 COPD patients will be randomly and equally divided into the experimental or control group. The control group will be treated with standard COPD drugs while the experimental group will perform TNHCG exercises apart from standard drug treatment. The duration of treatment will be 24 weeks and a follow-up for 48 weeks. The primary outcome will be the 6-Minute Walk Test. The secondary outcomes will include the pulmonary function test, St George's respiratory questionnaire, COPD assessment test, modified medical research council dyspnea scale, Hospital Anxiety and Depression Scale, and exacerbation frequency. A safety assessment will also be performed during the trial. DISCUSSION: Our study will provide evidence to support TNHCG exercise as an additional measure for PR of COPD. TRIAL REGISTRATION: ChiCTR1900028332, Registered December 29, 2019. ETHICS AND DISSEMINATION: Ethics approval has been granted by the Sichuan Traditional Chinese Medicine Regional Ethics Review Committee (No. 2019KL-050).


Asunto(s)
Tolerancia al Ejercicio , Ejercicio Físico , Medicina China Tradicional/métodos , Enfermedad Pulmonar Obstructiva Crónica/rehabilitación , Calidad de Vida , Humanos , Ensayos Clínicos Controlados Aleatorios como Asunto , Método Simple Ciego , Resultado del Tratamiento , Prueba de Paso
14.
Cent Eur J Public Health ; 28(2): 120-123, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32592556

RESUMEN

OBJECTIVE: Cardiorespiratory fitness (CRF) is defined as the capacity of the cardiovascular and pulmonary systems to meet the oxygen demands of the body during physical work. Poor CRF is connected with a higher risk for the development of various noninfectious diseases such as cardiovascular disease or malignancies. The standard test for the assessment of CRF is exercise testing with the measurement of maximal oxygen consumption (VO2 max). Standard VO2 max values for adult men and women in the Czech Republic have been available since the 1970s without being updated. According to experts, these standard values are now unusable for contemporary CRF measurements of the population in the Czech Republic. The Fitness Registry and the Importance of Exercise: a National Database (FRIEND) - 4,494 patients (1,717 men) defined new standard values for bicycle ergometry CRF for the population in the United States of America. The aim of the study was the statistical comparison of VO2 max values (reference standards) in the 1970s population in the Czech Republic with the new reference standards of the FRIEND registry. METHODS: All analyses were performed using IBM SPSS statistics and all tests with a p-value of less than 0.05 were considered statistically significant. RESULTS: VO2 max norms for women in the Czech population were higher in all age categories with statistically significant differences in the categories 30-39, 40-49 and 50-59 (p < 0.001). In the male population aged 20-29 years, VO2 max was significantly higher in the FRIEND registry (p < 0.001) in contrast to the other age categories, 30-39, 40-49 and 50-59, which were significantly higher in the Czech population (p < 0.001). CONCLUSIONS: Czech VO2 max population norms from the 1970s are (with the exception of age category 20-29 years) higher than values from the recent FRIEND registry.


Asunto(s)
Capacidad Cardiovascular/fisiología , Prueba de Esfuerzo , Ejercicio Físico/fisiología , Consumo de Oxígeno/fisiología , Aptitud Física , Adulto , República Checa , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estándares de Referencia , Estados Unidos , Adulto Joven
17.
Medicine (Baltimore) ; 99(26): e20846, 2020 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-32590780

RESUMEN

BACKGROUND: Among all types of cervical spondylitis, cervical spondylitis radiculopathy (CSR) has the highest incidence. The incidence of CSR increases year by year and is generally younger, which has seriously threatened people's quality of life and affected their work and life. This study proposes to improve the recovery rate of patients with CSR, delay the recurrence, improve the symptoms of patients, and improve the quality of life of patients through the rehabilitation and exercise of five-step cervical vertebra exercises. METHODS: For 90 patients with CSR that met the inclusion criteria, SPSS 23.0 software random number generator was used to randomly divide the patients into an experimental group and control group, with 45 cases in each group. The control group took basic nursing measures, and the experimental group took five steps of cervical vertebra rehabilitation exercises on the basis of elementary nursing measures. The rehabilitation effect of five-step exercises on CSR patients was evaluated by Neck Disability Index (NDI), Visual Analogue Scale (VAS), and Cervical range of motion measured (CROM) before and after intervention. RESULTS: The results of this trial will be published on the website of China Clinical Trial Registration Center (http://www.chictr.org.cn/searchproj.aspx) and in peer-reviewed journals or academic conferences. CONCLUSIONS: This study will examine the feasibility and preliminary effects of five-step exercises for the treatment of patients with CSR. TRIAL REGISTRATION: This protocol was registered in Clinical Trials platform with the number ChiCTR1900027299.


Asunto(s)
Terapia por Ejercicio/normas , Radiculopatía/terapia , Adulto , China , Ejercicio Físico/psicología , Terapia por Ejercicio/métodos , Terapia por Ejercicio/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Radiculopatía/psicología , Resultado del Tratamiento
18.
Medicine (Baltimore) ; 99(26): e20763, 2020 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-32590752

RESUMEN

Several previous studies have reported that physical activity (PA) levels can independently affect the prevalence of gallstone disease (GD) in Western countries. However, this association has not been reported in Eastern countries. Therefore, this study aimed to determine whether PA is an independent determinant of GD prevalence in a Korean population, according to the World Health Organizations Global Recommendations on PA for Health.A total of 8908 subjects who completed a questionnaire underwent medical examination and ultrasound scanning at the Health Promotion Center of the Jeju National University Hospital between January 2009 and December 2018. GD and fatty liver disease were diagnosed by abdominal ultrasound. Biochemical parameters and body mass index were determined, and metabolic syndrome status, age, and PA levels were extracted from medical records. Univariate and multivariate analyses were performed to identify independent factors affecting GD.The estimated rates of PA and GD among male subjects were 23.7% and 4.6%, whereas the rates among females were 18.4% and 4.2%, respectively. Multivariate analysis suggested that no PA, old age, and higher aspartate aminotransferase level in males and nonalcoholic fatty liver disease status in females were independent factors affecting GD.In our study, PA was associated with a reduction in GD among males but not females.


Asunto(s)
Ejercicio Físico/fisiología , Cálculos Biliares , Enfermedad del Hígado Graso no Alcohólico , Factores Sexuales , Factores de Edad , Índice de Masa Corporal , Femenino , Cálculos Biliares/sangre , Cálculos Biliares/diagnóstico por imagen , Cálculos Biliares/epidemiología , Humanos , Masculino , Persona de Mediana Edad , Enfermedad del Hígado Graso no Alcohólico/diagnóstico , Enfermedad del Hígado Graso no Alcohólico/epidemiología , Prevalencia , Factores Protectores , República de Corea/epidemiología , Factores de Riesgo , Ultrasonografía/métodos
19.
Medicine (Baltimore) ; 99(26): e20870, 2020 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-32590791

RESUMEN

BACKGROUND: Exercise-induced fatigue (EF) has been a major area of interest within the field of sports and clinical medicine. Implemented on people's skin, muscles, and joints as an important part of complementary and alternative medicine , massage therapy has a positive effect on the recovery of EF and sports injuries. In this systematic review, we aim to evaluate the effectiveness and safety of massage therapy for patients with EF. METHODS: We will search the following electronic databases for randomized controlled trials to evaluate the effectiveness and safety of massage therapy in treating EF: China National Knowledge Infrastructure, Wanfang and PubMed Database, Cochrane Central Register of Controlled Trials, Cumulative Index of Nursing and Allied Health Literature, Excerpta Medica database, and Medical Literature Analysis and Retrieval System Online. Each database will be searched from inception to May 2020. The entire process will include study selection, data extraction, risk of bias assessment and meta-analyses. RESULTS: This proposed study will evaluate the effectiveness and safety of massage therapy for patients with EF. The outcomes will include change in fatigue relief and adverse effect. CONCLUSIONS: This proposed systematic review will evaluate the existing evidence on the effectiveness and safety of massage therapy for patients with EF. DISSEMINATION AND ETHICS: The results of this review will be disseminated through peer-reviewed publication. Because all of the data used in this systematic review and meta-analysis has been published, this review does not require ethical approval. Furthermore, all data will be analyzed anonymously during the review process.


Asunto(s)
Ejercicio Físico/fisiología , Fatiga/etiología , Masaje/normas , Protocolos Clínicos , Fatiga/fisiopatología , Humanos , Masaje/métodos , Revisiones Sistemáticas como Asunto
20.
Sports Health ; 12(4): 341-346, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32511080

RESUMEN

BACKGROUND: Although there is mounting evidence on sex-linked differences in paraspinal muscle function, it is unknown whether sex-based variations in mechanical and contractile characteristics of the lumbar erector spinae (LES) can be monitored noninvasively in healthy participants at rest using tensiomyography (TMG). HYPOTHESIS: Sex-specific effects in muscle displacement (Dm) and velocity of muscle deformation (Vd) will be observed via TMG assessed in the LES. STUDY DESIGN: Observational study. LEVEL OF EVIDENCE: Level 3. METHODS: LES response was measured in a relaxed state in 40 healthy adults (20 females). Possible differences between the conditions were investigated using mixed-model analyses of variance. Two-stage hierarchical linear regression analyses were performed to predict the outcome of TMG Dm and Vd based on participant sex. RESULTS: There were significant main effects of sex with large effect sizes for both TMG parameters, resulting from lower mean values in women compared with men (Dm, P < 0.01; Vd, P < 0.01). In contrast, neither the main effect of side (left vs right LES) nor the interaction between the side and sex reached significance (all P > 0.3). Introducing the sex variable in stage 2 of the regression analyses significantly improved the prediction of the TMG parameters (all ∆R2 ≥ 0.18; all P < 0.01; all f2 ≥ 0.29). CONCLUSION: Sex-based differences in muscle stiffness and contractile characteristics could be observed by TMG on LES muscles in healthy individuals at rest. The data suggest that these disparities are not exclusively attributable to anthropometric measures but may be linked to intrinsic sex-based differences in skeletal muscle characteristics. CLINICAL RELEVANCE: We recommend implementing TMG in a clinical setting using the obtained results as a basis to factor for the patient's biological sex when assessing effects of therapeutic/exercise regimens aiming at the optimization of myofascial tissue regeneration and performance.


Asunto(s)
Contracción Muscular/fisiología , Miografía/métodos , Músculos Paraespinales/fisiología , Caracteres Sexuales , Adulto , Anciano , Fenómenos Biomecánicos , Estatura , Índice de Masa Corporal , Peso Corporal , Ejercicio Físico/fisiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Músculos Paraespinales/anatomía & histología , Valores de Referencia , Adulto Joven
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