Fat-Free Mass Index for body composition analysis in pediatric sport: a cross-sectional study.

BACKGROUND: Analyzing fat free mass (FFM) helps sport professionals during the prescription of sport training for children and adolescents in a sport initiation program. In this way, it is possible to determine fat mass (FM) (FFM subtracted from total body weight) and design interventions to increase FFM and reduce %F, making it possible to maximize performance in relation to the physical demands of sport. However, there is still no reliable anthropometric index to analyze FFM in this population. The aim the present study was to develop the Fat-Free Mass Index (FFMI) for pediatrics of both sexes. METHODS: Cross-sectional study with a sample composed of 254 pediatrics (139 males [age: 13.0±2.3] and 115 females [age: 12.5±2.2]), from a sports initiation school. We divided the sample into the groups: 1) development (N.=169); and 2) cross-validation (N.=85). The body composition was analyzed by dual-energy X-ray absorptiometry (DXA), in addition we acquired anthropometric data (height, body weight and hip circumference) for the development of the FFMI - Pediatric (FFMIp). By means of linear regression we tested the predictive power of FFM using DXA as a reference method, then we developed FFMIp and tested its reliability and validity in relation to DXA. RESULTS: FFMIp consisted of: -16.679 + (0.615 × body mass (kg)) - (2.601 × sex) + (0.618 × age(years)) - (0.332 × hip(cm)) + (0.278 × stature(cm)), where for sex 0 = male and 1 = female. For the FFM analysis, FFMIp showed no significant difference from DXA (P>0.05). It also showed significant accuracy (Cb>0.960), precision (ρ>0.990) and agreement (CCC>0.960) for both groups (development and cross-validation). CONCLUSIONS: Pediatric FFMI proposed by this study proved to be valid for the analysis of fat-free mass in pediatric athletes of sports initiation of both sexes.

Performance analysis of women over 55 years on abdominaltests: impact of anthropometry and flexibility

The objective of the present study was to evaluate the effect of anthropometric variables and flexibility on the performance of women aged 55+ years on abdominal test protocols. The sample was composed by 20 physically active volunteers, aged 55 years (median 61), who were participants in gymnastic activities program. Each volunteer performed two abdominal tests: partial trunk flexion with a 7.6 cm sliding of the hands (P1) and partial flexion of the trunk with the hands on the thighs (P2), both executed with the feet resting on the ground. For analysis, the number of correct executions (final position) was considered in each test, as recommended by the authors. Measurements of body mass, flexibility, height, waist and hip perimeters, subjective perception of exertion, and calculations of body mass index and waist-hip ratio were performed. The perception of abdominal effort, and discomfort or pain in the cervical and lumbar region were also evaluated. The results showed that there were no statistically significant associations between the analyzed indicators (Age: P1: rs = -0.024, p = 0.916; P2: rs = -0.194, p = 0.407; BMI: P1: rs =-0.064, p = 0.792; P2: rs = -0.235, p= 0.327; Waist Circumference: P1: rs = -0.143, p = 0.563; P2: rs = 0.027, p = 0.908; Flexibility: r s= -0.327, p = 0.169; P2: rs = 0.0009, p = 0.991; Hip waist ratio: P1: rs = -0.209, p = 0.371; P2: rs = 0.217, p = 0.353) and the performance on the tests. In addition, 35% of the participants made valid attempts on P1 while 45% produced at least one valid attempt on P2. It was concluded that both abdominal tests were adequate for the studied sample and they can be applied to adult and elderly women to assess their abdominal musculature.(AU)

El objetivo del presente estudio fue evaluar el efecto de las variables las antropométricas y la flexibilidad sobre el desempeño de mujeres mayores de 55 años en protocolos de testes abdominales. La muestra, seleccionada por criterio de accesibilidad, estuvo formada por 20 voluntarias físicamente activas, mayores de 55 años (mediana 61), que participaban en actividades gimnásticas para personas mayores. Cada voluntaria realizó dos pruebas abdominales: flexión parcial del tronco con deslizamiento de las manos de 7,6 cm (P1) y flexión parcial del tronco con las manos en los muslos (P2), ambas ejecutadas con los pies apoyados en el suelo. Para el análisis, se consideró el número de ejecuciones correctas (posición final) en cada prueba, según lo recomendado por los autores. Se realizaron mediciones de masa corporal, flexibilidad, altura, perímetro de cintura y cadera, percepción subjetiva del esfuerzo y cálculos del índice de masa corporal y la relación cintura-cadera. También se evaluó la percepción de esfuerzo abdominal y de malestar o dolor en la región cervical y lumbar. Los resultados mostraron que no hubo asociaciones estadísticamente significativas entre las variables analizadas (Edad: P1: rs = -0,024, p = 0,916; P2: rs = -0,194, p = 0,407; IMC: P1: rs =-0,064, p = 0,792; P2: rs = -0,235, p = 0,327; Perímetro de cintura: P1: rs = -0,143, p = 0,563; P2: rs = 0,027, p = 0,908; Flexibilidad: rs = -0,327, p = 0,169; P2: rs = 0,0009, p = 0,991; Relación cintura/cadera: P1: rs = -0,209, p = 0,371; P2: rs = 0,217, p = 0,353) y el desempeño en las pruebas, y el 35% de las participantes hicieron intentos válidos en P1 mientras que el 45% produjo al menos un intento válido en P2. Se concluyó que ambas pruebas abdominales fueron adecuadas para la muestra estudiada y se pueden aplicar a mujeres adultas y mayores para evaluar su musculatura abdominal.(AU)

The comparative measurement of body segment parameters using dual energy X-ray absorptiometry between sexes.

BACKGROUND: The study aimed to determine the proportion of the body segments in relation to the total body mass in healthy people, as well as analyze the composition of each segment and compare these results between sexes. METHODS: A total of 60 young adults (30 men and 30 women) were subjected to a full-body scan by dual energy X-rays absorptiometry (DXA) under standardized conditions. The regions of interest (ROI) were determined by a single trained evaluator. The body was divided into 16 segments to obtain values of total mass, lean mass (LM), fat mass, bone mineral content (BMC), lean mass percentage (%LM) and fat mass percentage (%FM) of each body segment represented by the 16 ROI. RESULTS: Men presented higher absolute mass in the upper limbs (Δ=32.87%; P<0.05). The proportion of the lower limbs (Δ=6.83%; P<0.05) and trunk (Δ=5.07%; P<0.05) of men is higher than women. In addition, males have more LM in the upper limbs (Δ=42.19%; P<0.05) and trunk (Δ=26.46%; P<0.001), and more BMC in the trunk (Δ=18.78%; P<0.05) and forearms (Δ=32.21%; P<0.05). They also present higher %LM (Δ=6.48%; P<0.001) and lower %FM (Δ=54.43%; P<0.001) than women in the forearms. CONCLUSIONS: The different body segments represent a different percentage of the total body mass in men than in women, as well as men present more LM and BMC in the trunk and upper limbs.

The influence of biological maturation and neuromuscular performance on peak bone mineral density in children.

BACKGROUND: The growth and development cycle of the adult is characterized by substantial changes in physical size and maturity, and is controlled by the simultaneous influence of genetic components and the environment. Changes in the development of bones, muscles and adipose tissue are among the most important aspects of adolescent physical development. The aim of this research was to examine the correlation between bone mineral density (BMD) and neuromuscular performance in children at different stages of maturation. METHODS: The study included 31 participants of both sexes (11.7±1.89 years). Body composition was assessed through bone densitometry using an energy duo X-ray source. The neuromuscular performance of the upper limbs was analyzed by the medicine ball hand grip and throwing tests. The lower limbs by the vertical counter-motion jump test, and skeletal maturation was analyzed by bone age. Maturation was used as an effect control between the association of BMD and neuromuscular performance. RESULTS: The results demonstrated significant associations between the performance of upper (P<0.0001) and lower (P=0.01) limbs and BMD. On inter-group comparison for only the accelerated maturational stage, male participants had greater BMD than female participants (P=0.001; effect size 3.13). Regarding the maturational stages, male participants in the accelerated maturational stage demonstrated higher BMD than those in the normal and delayed maturational stages (P=0.04; effect size 3.10), whereas female participants did not demonstrate significant differences in BMD accumulation. CONCLUSIONS: BMD has a strong correlation with the neuromuscular performance of upper and lower limbs of children of both sexes.

Effects of Ibuprofen Intake in Muscle Damage, Body Temperature and Muscle Power in Paralympic Powerlifting Athletes.

The aim of this study is to evaluate the effect of ingesting ibuprofen on post-workout recovery of muscle damage, body temperature and muscle power indicators in Paralympic powerlifting athletes. The study was carried out with eight Paralympic powerlifting athletes (aged 27.0 ± 5.3 years and 79.9 ± 25.5 kg of body mass) competing at the national level, with a minimum training experience of 12 months, who all submitted to two experimental conditions: Ibuprofen (2 × 00 mg) and control. The maximal isometric force of the upper limbs and rate of force development, thermography, and serum biochemical analyzes of creatine kinase, lactate dehydrogenase, aspartate aminotransferase and alanine aminotransferase were measured before, after, 24 h after and 48 h after the intervention. Maximal isometric force only decreased in the placebo condition, which increased back to baseline levels, while no substantial decline in baseline force was seen in the ibuprofen condition, although no effect for exercise condition was detected. After the exercise, the rate of force development decreased significantly for both conditions and did not exceed baseline levels again after 48 h. Muscle temperature decreased significantly at 48-h post-exercise in the placebo condition, when compared with the previous day of measurement; and deltoid muscle temperature at 48-h post-exercise was higher with the ibuprofen condition. Although the results indicate some positive effects of ibuprofen use, they do not enable a clear statement regarding its positive effects on muscle function and muscle damage. Ibuprofen seems to have caused a delay in the anti-inflammatory response following exercise.

Reliability of a Test for Assessment of Isometric Trunk Muscle Strength in Elderly Women.

OBJECTIVE: The aim of this study was to analyze the reproducibility of a protocol using the maximal isometric strength test of the trunk in elderly women aged above 60 years, without low back pain. METHODS: Twenty-one physically inactive elderly women, who had not engaged in any activity or exercise program in the past three months, participated in the cross-sectional study that consisted of two days of evaluations for the maximal isometric strength of the extensor and flexor muscles of the trunk, with a 48 h interval between the sessions. A platform with fixed seating was used, which allowed the fixation of the hip and lower limbs, with a load cell connected to a linear encoder. To verify the reliability of the test, the interclass correlation coefficient, variation coefficient, minimum detectable difference (MDD), standard error of measurement, and Bland-Altman graphs were calculated. RESULTS: No statistical difference was observed between the first and second evaluation, which indicates that there was no learning effect. Interclass correlation coefficient values were classified as very high and high for extensor (0.98) and flexor (0.86) muscles, respectively, besides low variation (9% for both muscle groups) and acceptable values for minimum detectable difference (extensors = 51.1 N, flexors = 48.9 N). In addition, the Bland-Altman analysis revealed low bias and values within the limits of agreement. CONCLUSION: It is concluded that the test of maximum isometric strength of the trunk in healthy and trained elderly people presents high reliability. These values proved to be reliable if performed in at least two evaluation sessions, which confirms the hypothesis of the authors by the consistency of the measurement test.

Impact of two hydrogymnastics class methodologies on the functional capacity and flexibility of elderly women.

BACKGROUND: Activities in the aquatic environment can be an interesting alternative of physical exercise for the elderly, due to several properties of water, which can favor the physiological, metabolic, perceptive, and musculoskeletal effects. The aim of this study was to compare the effects of performing two hydrogymnastic class methodologies on the functional capacity and flexibility in elderly women. METHODS: Ninety women, aged 55-70 years, were divided into three groups, the control group (CG; N.=30) who did not exercise during the 12 weeks, experimental group 1 (EG1; N.=30), who performed water gymnastics classes with emphasis on lower limb exercises for 12 weeks, and experimental group 2 (EG2; N.=30), who performed conventional hydrogymnastics classes for 12 weeks. The volunteers were evaluated through the 30-second chair stand (30CST), 2-minute step test (2MST), timed up and go (TUG), static balance (SB) and chair sit-and-reach (CSR) tests. RESULTS: In the intragroup comparison, there were significant improvements in the performance of 30CST tests (F=5.5, P=0.022), TUG (F=19.3, P<0.001), SB (F=5.3, P=0.025), and CSR (F=12.0, P=0.001) in EG1 and EG2. For intergroup comparisons, the EG1 presented better results than CG in CST (P<0.05). The EG2, presented better results than CG in CST, TUG, SB and CSR (P<0.05). There were no significant differences for the comparison between EG1 and EG2. CONCLUSIONS: It was concluded that 12 weeks of hydrogymnastics practice improved the functional capacity and flexibility of the elderly women evaluated, and no differences were found between the two types of methodologies used.

Cardiovascular Responses to Unilateral, Bilateral, and Alternating Limb Resistance Exercise Performed Using Different Body Segments.

Moreira, OC, Faraci, LL, de Matos, DG, Mazini Filho, ML, da Silva, SF, Aidar, FJ, Hickner, RC, and de Oliveira, CEP. Cardiovascular responses to unilateral, bilateral and alternating limb resistance exercise performed using different body segments. J Strength Cond Res 31(3): 644-652, 2017-The aim of this study was to verify and compare the cardiovascular responses to unilateral, bilateral, and alternating limb resistance exercise (RE) performed using different body segments. Fifteen men experienced in RE were studied during biceps curls, barbell rows, and knee extension exercises when performed bilaterally, unilaterally, and using alternating limbs. The protocol consisted of 3 sets of 10 repetitions at 80% of 10 repetition maximum with 2-minute rest between sets. Heart rate (HR) and blood pressure (BP) were measured after the last repetition. There was a statistically significant increase in HR, systolic blood pressure (SBP), and rate pressure product (RPP), from rest to postexercise. The RPP was higher in the third set of all exercises and in all 3 forms of execution, when compared with the first set. Bilateral biceps curls caused a greater increase in RPP (first and second sets) and HR, compared with the same exercise performed unilaterally. Furthermore, the performance of bilateral biceps curls induced greater HR and RPP, in all sets, compared with bilateral knee extension and barbell rows. There was also a significantly higher SBP for the alternating second and third sets and also for the bilateral third set of the knee extensions as compared with the barbell rows. It was concluded from the data of this study that the cardiovascular response was increased from rest to postexercise in all forms of exercise, especially immediately after the third set of RE. For exercises performed bilaterally with the upper body (biceps curls), there was a greater cardiovascular response when compared with the same exercise performed unilaterally or with lower-body exercise performed bilaterally.

Effects of eight weeks of functional training in the functional autonomy of elderly women: a pilot study.

BACKGROUND: This study aimed to evaluate the effects of eight weeks of practical training on the functional autonomy of the elderly. METHODS: The study included 52 elderly women, 65.42±10.31 years, 65.29±11.30 kg body mass, 1.58±0.07 height, 26.30±4.52 body mass index, 86.48±10.96 cm waist circumference. These elderly women received a specific functional training protocol where their functional autonomy was assessed at three specific times (0, 10 and 20 sessions). The evaluation consisted of a set of five tests defined by the Latin-American Development Group for the Elderly (GDLAM) to determine the functional autonomy of the elderly: walk 10 meters (C10m); stand up from a chair and walk straightaway (SUCWA); dress and undress a T-shirt (DUT); stand up from a sitting position (SUSP); stand up from a lying position (SULP). In each test, the time taken to complete the task was measured. RESULTS: There were statistically significant differences in all functional autonomy tests after 20 training sessions: C10m (pre: 8.10±1.27; post: 7.55±1.10); SUCWA (pre: 40.98±2.77; post: 38.44±2.57); DUT (pre: 13.25±0.88; post: 11.85±0.82); SUSP (pre: 10.74±0.52; post: 8.98±056) and SULP (pre: 3.86±0.37; post: 2.82±0.37). CONCLUSIONS: It was determined that 20 functional training sessions were enough to improve the functional autonomy of elderly women. However, we believe that higher volume and intensity of training could be interesting alternatives for even stronger results in future interventions.

The influence of the level of physical activity and human development in the quality of life in survivors of stroke.

BACKGROUND: The association between physical activity and quality of life in stroke survivors has not been analyzed within a framework related to the human development index. This study aimed to identify differences in physical activity level and in the quality of life of stroke survivors in two cities differing in economic aspects of the human development index. METHODS: Two groups of subjects who had suffered a stroke at least a year prior to testing and showed hemiplegia or hemiparesis were studied: a group from Belo Horizonte (BH) with 48 people (51.5 ± 8.7 years) and one from Montes Claros (MC) with 29 subjects (55.4 ± 8.1 years). Subsequently, regardless of location, the groups were divided into Active and Insufficiently Active so their difference in terms of quality of life could be analyzed. RESULTS: There were no significant differences between BH and MCG when it came to four dimensions of physical health that were evaluated (physical functioning, physical aspect, pain and health status) or in the following four dimensions of mental health status (vitality, social aspect, emotional aspect and mental health). However, significantly higher mean values were found in Active when compared with Insufficiently Active individuals in various measures of physical health (physical functioning 56.2 ± 4.4 vs. 47.4 ± 6.9; physical aspect 66.5 ± 6.5 vs. 59.1 ± 6.7; pain 55.9 ± 6.2 vs. 47.7 ± 6.0; health status 67.2 ± 4.2 vs. 56.6 ± 7.8) (arbitrary units), and mental health (vitality 60.9 ± 6.8 vs. 54.1 ± 7.2; social aspect 60.4 ± 7.1 vs. 54.2 ± 7.4; emotional aspect 64.0 ± 5.5 vs. 58.1 ± 6.9; mental health status 66.2 ± 5.5 vs. 58.4 ± 7.5) (arbitrary units). CONCLUSIONS: Despite the difference between the cities concerning HDI values, no significant differences in quality of life were found between BH and MCG. However, the Active group showed significantly better results, confirming the importance of active lifestyle to enhance quality of life in stroke survivors.