Assessment of Integrative Therapeutic Methods for Improving the Quality of Life and Functioning in Cancer Patients-A Systematic Review.

Background: Cancer rehabilitation represents a series of measures adopted for the recovery of psychological, emotional, social, and financial functioning in the case of cancer patients. The purpose of this study is to identify the main elements of therapeutic management in the field of medical rehabilitation, as well as integrative, complementary medicine and holistic approaches that can be performed on the oncological patient. Methods: This systematic literature review follows the methodology outlined in the "Preferred Reporting Items for Systematic Reviews and Meta-Analysis" ("PRISMA") statement, which is an internationally recognized and widely accepted standard. Results: Active rehabilitative therapies offer therapeutic options for improving the functioning and quality of life of oncological patients; these therapies comprehensively address both the physical and psychological aspects of the disease. This review also includes the latest novelties and nanotechnologies applied in oncological rehabilitation, for example, drugs (or supplements) inspired by nature. Conclusions: Physical and rehabilitation medicine, mostly using stimulating therapeutic methods, was recently added to the list of contraindications in the management of oncological patients, both as an approach to the pathological concept itself and as an approach to the main clinical consequences and functional aspects of oncological therapies. Integrative, complementary medicine presents an important therapeutic resource in the case of oncological patients. Advanced studies are needed in the future to further ascertain the role of these therapies.

Exercise therapy, education, and cognitive behavioral therapy alone, or in combination with total knee arthroplasty, in patients with knee osteoarthritis: a randomized feasibility study.

BACKGROUND: One in five patients experience chronic pain 1 year after total knee arthroplasty (TKA), highlighting the need for enhanced treatment strategies to improve outcomes. This feasibility trial aimed to optimize the content and delivery of a complex intervention tailored to osteoarthritis (OA) patients at risk of poor outcome after TKA and assess the feasibility of initiating a full-scale multicenter randomized controlled trial (RCT). METHODS: Patients scheduled for TKA were included between August 2019 and June 2020 and block-randomized into one of three groups: (a) 12-week exercise therapy and education (ExE) and 10-module internet-delivered cognitive behavioral therapy (iCBT), (b) TKA followed by ExE and iCBT and (c) TKA and standard postoperative care. Outcomes were (i) recruitment and retention rate, (ii) compliance to the intervention and follow-up, (iii) crossover, and (iv) adverse events, reported by descriptive statistics. RESULTS: Fifteen patients were included in the study. Only 1 out of 146 patients screened for eligibility was included during the first 4 months. During the next 3 months, 117 patients were not included since they lived too far from the hospital. To increase the recruitment rate, we made three amendments to the inclusion criteria; (1) at-risk screening of poor TKA outcome was removed as an eligibility criterion, (2) patients across the country could be included in the study and (3) physiotherapists without specific certification were included, receiving thorough information and support. No patients withdrew from the study or crossed over to surgery during the first year. Nine out of 10 patients completed the ExE program and six out of 10 completed the iCBT program. Fourteen out of 15 patients completed the 1-year follow-up. One minor adverse event was registered. CONCLUSIONS: Except for recruitment and compliance to iCBT, feasibility was demonstrated. The initial recruitment process was challenging, and necessary changes were made to increase the recruitment rate. The findings informed how a definitive RCT should be undertaken to test the effectiveness of the complex intervention. TRIAL REGISTRATION: The MultiKnee RCT, including the feasibility study, is pre-registered at ClinicalTrials.gov: NCT03771430 11/12/2018.

The effectiveness of hydrotherapy on return to play in sports following hip arthroscopic surgery: a comparative study.

BACKGROUND: The postoperative management of femoroacetabular impingement (FAI) is variable with favourable surgical outcomes. Yet there is no evidence on the efficacy of hydrotherapy in athletes undergoing hip arthroscopy for FAI. The purpose of this study was to evaluate the role and the impact of hydrotherapy on return to sports following hip arthroscopy for symptomatic FAI. METHODS: 2 cohorts of mixed level of athletes from various sports: a hydrotherapy group that followed land-based exercises in combination with hydrotherapy exercises and a control group that followed solely the same land-based exercises. Pre- and postoperative pain and hip-specific outcome scores were completed, and patient satisfaction was rated. RESULTS: A total of 88 hip arthroscopies were included with a minimum of 2 years follow-up; the hydrotherapy group comprised of 36 hips and the control group, 52 hips. There was a significant improvement in time to return to previous performance (HR 1.91, 95% CI, 1.21-3.01; p = 0.005) in the hydrotherapy group compared with the control. The hip-specific scores and patient satisfaction were considerably improved in the hydrotherapy group. CONCLUSIONS: The analysis of our data indicates that the incorporation of hydrotherapy into postoperative rehabilitation for hip arthroscopy for FAI accelerates the return of athletes to their pre-injury performance, since recovery time decreased significantly.

Influence of Concurrent Exercise Training on Ankle Muscle Activation during Static and Proactive Postural Control on Older Adults with Sarcopenic Obesity: A Multicenter, Randomized, and Controlled Trial.

Sarcopenic obesity (SO), characterized by age-related muscle loss and excess body fat, significantly impairs postural control. However, limited research has explored the effects of concurrent exercise training on neuromuscular strategies during postural control in older adults with SO. The study enrolled 50 older adults with SO, split into an intervention group (IG, n = 25, mean age = 76.1 ± 3.5 years; mean BMI = 34.4 ± 4.0 kg/m2) and a control group (CG, n = 25, mean age = 75.9 ± 5.4 years; mean BMI = 32.9 ± 2.3 kg/m2). Participants in the IG were engaged in 60-min Total Mobility Plus Program (TMP) sessions three times a week for four months, while the CG maintained their typical daily activities. Standardized evaluations were conducted both before and after the intervention. These assessments included the Romberg and Timed Up and Go (TUG) tests, as well as the measurement of Center of Pressure (CoP) displacements parameters under various conditions. Additionally, ankle muscle activities were quantified during postural control evaluations and maximal voluntary contractions of plantar and dorsal flexors. Post-intervention results revealed a significant reduction of the standing time measured in the Romberg (-15.6%, p < 0.005) and TUG (-34.6%, p < 0.05) tests. Additionally, CoP area and velocity were notably reduced in various conditions (p < 0.05). Postural control improvements were associated with an increase of strength (p < 0.05) and decrease of ankle muscle activation (p < 0.05). These findings highlight the reversibility of neuromuscular system alterations associated with the synergistic effects of sarcopenia and obesity, emphasizing the trainability of postural control regulation within this population. By incorporating these insights into clinical practice and public health strategies, it seems possible to optimize the health and well-being of older adults with SO.

Ejercicios físicos como tratamiento para lesiones de la columna vertebral, en estudiantes universitarios

Elevar la calidad de vida de estudiantes en todas las carreras universitarias es uno de los retos más importantes para los especialistas de Educación Física, y la terapéutica en particular; sin embargo, cuando los beneficiarios presentan lesiones en la columna vertebral, necesitan una adecuada rehabilitación física y mental. Se planteó como objetivo desarrollar ejercicios físicos como tratamiento para compensar el tiempo de recuperación de los estudiantes con lesiones en la columna vertebral que asisten al área terapéutica de la Universidad de Oriente, a través de las clases de Educación Física. En la investigación, se utilizaron métodos de nivel teórico y empírico, para conocer el estado real del problema, además de las técnicas para recoger y procesar información. Los ejercicios físicos propuestos están dirigidos fundamentalmente a estudiantes que presentan escoliosis, y de forma profiláctica-terapéutica se ofrece tratamiento para compensar y/o prevenir el tiempo de aparición del dolor que permita su recuperación inmediata e incorporación al proceso de enseñanza-aprendizaje dentro de las clases de Educación Física. Se tuvo en cuenta una estructura y ordenamiento metodológico de los contenidos en cuatro etapas escalonadas durante la aplicación del tratamiento, en correspondencia con las características individuales de la muestra. Los especialistas que valoraron la propuesta lo consideraron factible para su aplicación y de utilidad.

Elevar a qualidade de vida dos estudantes em todas as carreiras universitárias é um dos desafios mais importantes para os especialistas em Educação Física e, em particular, para a terapia; Contudo, quando os beneficiários apresentam lesões na medula espinhal, necessitam de reabilitação física e mental adequada. O objetivo foi desenvolver exercícios físicos como tratamento para compensar o tempo de recuperação de alunos com lesões medulares que frequentam a área terapêutica da Universidade de Oriente, por meio de aulas de Educação Física. Na pesquisa foram utilizados métodos teóricos e empíricos para conhecer o real estado do problema, além das técnicas para coletar e processar informações. Os exercícios físicos propostos são direcionados fundamentalmente aos alunos portadores de escoliose, e de forma profilático-terapêutica é oferecido tratamento para compensar e/ou prevenir o momento do aparecimento da dor que permite recuperação imediata e incorporação no processo de ensino-aprendizagem dentro do aulas de educação física. Foi considerada uma estrutura e ordenação metodológica dos conteúdos em quatro etapas escalonadas durante a aplicação do tratamento, em correspondência com as características individuais da amostra. Os especialistas que avaliaram a proposta consideraram-na viável e útil para sua aplicação.

Raising the quality of life of students in all university careers is one of the most important challenges for Physical Education specialists, and therapy in particular; however, when beneficiaries have spinal cord injuries, they need adequate physical and mental rehabilitation. The objective was to develop physical exercises as a treatment to compensate for the recovery time of students with spinal cord injuries who attend the therapeutic area of the Universidad de Oriente, through Physical Education classes. In the research, theoretical and empirical methods were used to know the real state of the problem, in addition to the techniques to collect and process information. The physical exercises proposed are fundamentally aimed at students who have scoliosis, and in a prophylactic-therapeutic way, treatment is offered to compensate and/or prevent the time of onset of pain that allows immediate recovery and incorporation into the teaching-learning process within the physical education classes. A structure and methodological ordering of the contents was taken into account in four staggered stages during the application of the treatment, in correspondence with the individual characteristics of the sample. The specialists who evaluated the proposal considered it feasible for its application and useful.

Effect of Supervised and Unsupervised Exercise Training in Outdoor Gym on the Lifestyle of Elderly People.

The aim of this study was to investigate the effectiveness of supervised and unsupervised physical training programs using outdoor gym equipment on the lifestyles of elderly people. METHODS: physically independent elderly people were randomly distributed into three groups: supervised training (n: 20; ST), unsupervised training (n: 20; UT) and control (n: 20; C). The ST and UT groups completed a 12-week program, with exercises performed three times a week. The ST group underwent weekly 30 min sessions consisting of a 5 min warm-up (walking at 60% of HRmax), followed by 20 sets of 30, "monitored by a metronome with 30" of passive recovery between sets and a five-minute cool-down. The following equipment was used: elliptical, rowing, surfing and leg press. The UT group was instructed to freely attend the gym and train spontaneously using the same equipment used by ST. Lifestyle changes were evaluated using a questionnaire containing specific domains. RESULTS: no significant differences were identified in the domains for family, physical activity, nutrition, smoking, sleep, behavior, introspection, work and overall score; however, the values corresponding to the alcohol domain for the ST and UT groups were lower (p < 0.05) than the C group, remaining even lower after the 12 weeks of intervention. Time effect (p < 0.05) was found only in the ST group for the physical domains, sleep, behavior and overall score. CONCLUSION: elderly people submitted to supervised and unsupervised physical exercise programs using outdoor gym equipment present positive changes in lifestyle parameters compared to physical inactive elderly people.

The positive impact of lifestyle intervention on selected mio- and chemokines levels in prepubertal children with obesity.

INTRODUCTION: It is proven that life style modification (diet and physical exercises) have positive effect on the metabolic functions in pa-tients with obesity, even without significant weight reduction. AIM OF THE STUDY: The objective of the present study was to check whether the intensive controlled lifestyle intervention (personalized diet modification and monitored, regular physical activity) may have positive impact on the concentration of irisin and chemerin in children with obesity. MATERIAL AND METHODS: Twenty children (mean age 8.9) were included in the prospective, cross-over study. They were randomly assigned to group A (with three months intensive intervention), and B (standard intervention). After three months, the groups were switched. RESULTS: Mean irisin level increased significantly after the phase of intensive intervention (4.8 to 5.1 µg/ml; p = 0.03), regardless of whether the intervention was applied from the beginning (Group A) or after 3 months from the advice of healthy-lifestyle (Group B). A period without intensive monitoring was associated with a significant reduction of irisin level. For chemerin in the group A (starting from intensive intervention) mean level decreased after the phase of intensive intervention (65.8 to 57.0 ng/ml), and then increased to 67 ng/ml during the standard intervention. In the group B after the standard intervention period chemerin level increased 67.5 to 68.8 ng/ml (p = 0.03), and then after introduction the intensive intervention de-creased to 63.7 ng/ml. CONCLUSIONS: Personalized diet modification and regular, daily exercises may positively influence on the levels of irisin and chemerin.

CADETS' MOTIVATION FOR MOTOR ACTIVITY AS AN IMPORTANT FACTOR IN IMPROVING THEIR HEALTH.

OBJECTIVE: Aim: To investigate cadets' motivational priorities for physical exercises and sports in the process of their training and the dynamics of their health indicators. PATIENTS AND METHODS: Materials and methods: The research was conducted at the National Academy of Internal Affairs in 2018-2022. The research of motivational priorities involved 372 male cadets from the 1st to the 4th instructional years aged 17 to 22. Two groups were formed to investigate the state of cadets' health: group A (n = 39) included motivated cadets who were additionally engaged in sports, group B (n = 66) was represented by insufficiently motivated cadets who undertook training according to the traditional physical education program and did not additionally engage in physical exercises and sports. RESULTS: Results: It was found that the motivational priorities of cadets for physical exercises and sports vary depending on the instructional year. Group A cadets showed a significantly better level of health than those from group B, by 2.98 points (p ≤ 0.001) during the 4th instructional year. CONCLUSION: Conclusions: A high level of cadets' health formed in the process of physical exercises and sports during training will contribute to the mastering of the educational program and, in the future, will ensure the effectiveness of their service activities. Therefore, the formation of cadets' conscious motivation for motor activities during training in order to improve their health is an important task of higher educational institutions.

Effect of Nighttime Exercise on Sleep Quality Among the General Population in Riyadh, Saudi Arabia: A Cross-Sectional Study.

Introduction Engaging in physical activity has been proven to have health benefits, with a positive impact on sleep quality. While the timing of exercise plays a significant role in determining its effect on sleep, nighttime exercise still needs to be explored, especially in Saudi Arabia. This study assessed the effect of nighttime exercise on sleep quality among the general population in Riyadh, Saudi Arabia. Methods A cross-sectional study was conducted on people performing physical exercises in the gym, training, and walking places using a self-administered questionnaire evaluating exercising behaviors and sleep quality. Comparisons were performed using the Chi-square test and ANOVA, and p<0.05 was considered for significance. Results We enrolled 385 participants, among whom 53.8% were male, and 47.2% were female. The mean age was 28.2±7.85 years, and mostly aged 25-29 years (24.7%), followed by 20-24 years old (21.3%). Most had university degrees (61.3%) and were also employed (60%). Of all participants, the majority were overweight and obese (61.3%). Most (n=225) participants practiced vigorous physical exercise, and the mean Pittsburgh Sleep Quality Index (PSQI) global score was 7.37±3.49 points. Evening vigorous (r= 0.25, p=0.038) and moderate (r=0.30, p=0.025) physical exercise sessions lasting > 90 min had a significant positive correlation with poor sleep quality (high PSQL score). There was no statistically significant correlation between sleep quality and other variables (p>0.05). Conclusion This study found that participants had poor sleep quality, and lengthy, intense evening exercises had a negative effect on sleep. Incorporating regular exercise tailored to individual preferences and encouraging people to widen the time interval between exercise and bedtime could improve sleep quality.

IMPACT OF MOTOR ACTIVITY ON THE DYNAMICS OF INTELLECTUAL WORKING CAPACITY AND MENTAL COGNITIVE PROCESSES IN STUDENTS.

OBJECTIVE: The aim: To study the impact of physical exercises of different intensity on the dynamics of intellectual working capacity and mental cognitive processes in students. PATIENTS AND METHODS: Materials and methods: The research involved 293 students. The research was conducted in 2 stages. The 1st stage involved the study of the level of intellectual activity of students with sufficient (the experimental group, n = 76) and insufficient levels of their motor activity (the control group, n = 217). The 2nd stage provided for the determination of the dynamics of intellectual activity indicators in students (n = 76) before and after physical exercises of different intensity. RESULTS: Results: It was found that students with sufficient motor activity are characterized by significantly better indicators of intellectual working capacity and mental cognitive processes than students with insufficient motor activity. It was found that low-intensity physical exercises of a recreational nature had a more positive effect on intellectual working capacity in the course of training sessions. CONCLUSION: Conclusions: Organized motor activity and optimal physical exertion both during and after the end of intellectual functioning can directly affect the preser¬vation and improvement of students' intellectual working capacity.

Prejuízos da lombalgia à qualidade de vida de praticantes de musculação / The losses of low back pain to the health quality in bodybuilding

O exercício físico está presente no cotidiano com vários objetivos; dentre eles, a melhora da qualidade de vida. Apesar proporcionar benefícios à saúde, também patologias e sintomas podem incidir nesse tipo de atividade. Estes são desencadeados, na maioria das vezes, por comportamentos inadequados durante o treino, entre outros. Temos os benefícios da musculação para o corpo humano, porém essa prática constante também leva ao aumento da instalação de lesões musculoesqueléticas e sintomas, como a lombalgia. O objetivo deste estudo foi identificar quais são os prejuízos da lombalgia à qualidade de vida dos praticantes de musculação. O método proposto foi de estudo quantitativo exploratório. Os participantes foram abordados em academias da cidade de Maringá, Paraná, Brasil, respondendo aos questionários Roland Morris e Short Form Health Survey. Os dados demonstraram um comprometimento da capacidade funcional e de aspectos sociais dos indivíduos afetados pela lombalgia e praticantes de musculação.

Physical exercise is present in everyday life with several objectives: among them, the improvement of the quality of life. Despite providing health benefits, pathologies and symptoms can also affect this type of activity. These are triggered, most of the time, by inappropriate behavior during training, among others. We have the benefits of bodybuilding for the human body, but this constant practice also leads to an increase in the installation of musculoskeletal injuries and symptoms, such as low back pain. The objective of this study was to identify the damage caused by low back pain to the quality of life of bodybuilders. The proposed method was an exploratory quantitative study. Participants were approached in gyms in the city of Maringá, Paraná, Brazil, answering the Roland Morris and Short Form Health Survey questionnaires. The data showed an impairment of functional capacity and social aspects of individuals affected by low back pain and bodybuilders.

Training of the lateral pterygoid muscle in the treatment of temporomandibular joint disc displacement with reduction: A randomised clinical trial.

BACKGROUND: Disc displacement with reduction (DDwR) therapy should be performed only when pain or discomfort is presented. Data on treatment options for painful DDwR are very limited. OBJECTIVE: The aim was to investigate whether isometric training of the lateral pterygoid muscle (LPM) is equivalent to stabilisation appliance therapy with regard to the treatment of painful DDwR. The training program is based on the science of Janda. METHODS: This was a prospective, randomised study with a comparative treatment group. Sixty patients (≥18 years) with DDwR and pain were randomly assigned to two groups: (1) muscle training and (2) stabilisation appliance. The following variables were recorded at baseline examination and after 2, 4 and 6 months: changes in orofacial pain, clicking sounds of the temporomandibular joint (TMJ), force degrees for the lateral movement of the mandible and interincisal opening distance. p values of <.05 were considered statistically significant but 95% confidence intervals were also presented. RESULTS: A decrease in orofacial pain intensity was seen in both groups (p < .0001). Registered TMJ clicking disappeared after 6 months of treatment in 37% (n = 11) of the patients in the training group and in 27% (n = 8) of the appliance group (p = .0009 and p = .0047). Muscle training showed 27 improvements in Janda force degrees at the end of the study (p < .0001). CONCLUSION: Muscle training and appliance therapy improved mouth opening and reduced pain intensity in both patient groups. Muscle training might be a promising option in the treatment of patients suffering from painful DDwR.

Impacto de los ejercicios físicos en la rehabilitación de pacientes con lesiones medulares cervical incompleta, en Guinea-Bissau

Las personas con lesiones de la médula espinal cervical tienen de dos a cinco veces más probabilidades de morir prematuramente, estas lesiones son una de las causas de muerte más frecuente en la población mundial independientemente de la religión, edad, raza, sexo, nacionalidad o clase social; las tasas de supervivencia más bajas, se encuentran en los países de ingresos bajos y medianos. En Guinea-Bissau, los pacientes desconocen su enfermedad y los beneficios de la actividad física para su tratamiento; por ello, se realizó un estudio con diez pacientes que asisten al área de Neuro-rehabilitación motora, Bissau, donde el objetivo fue: determinar el impacto de los ejercicios físicos en la rehabilitación de los pacientes con lesión medular cervical incompleta. Se utilizaron métodos de orden cualitativo (revisión documental) y cuantitativos (medición) y criterio de expertos que permitieron el estudio del objeto y la evaluación teórica y práctica de los ejercicios físicos, los que fueron validados por 17 expertos, entre los cuales el 95 % evaluaron los indicadores en adecuados y muy adecuados y se aplicó en la práctica a diez pacientes con resultados muy satisfactorios, lo que confirmó la pertinencia del estudio realizado. El 100 % de los participantes alcanzaron un nivel significativo en las actividades de la vida diaria, capacidades físicas y funcionales. Este estudio respondió a necesidades investigativas de la Universidad de Ciencias de la Cultura Física y el Deporte "Manuel Fajardo", de Cuba y al Centro de Neuro-Rehabilitación Físico Motor Sanca, de Guinea-Bissau.

SÍNTESE Pessoas com lesões da medula cervical têm duas a cinco vezes mais probabilidade de morrer prematuramente, essas lesões são uma das causas de morte mais freqüentes na população mundial, independentemente da religião, idade, raça, sexo, nacionalidade ou classe social; as mais baixas taxas de sobrevivência são encontradas em países de baixa e média renda. Na Guiné-Bissau, os pacientes desconhecem sua doença e os benefícios da atividade física para seu tratamento; portanto, foi realizado um estudo com dez pacientes que freqüentavam a área de neuro-reabilitação motora, Bissau, onde o objetivo era: determinar o impacto dos exercícios físicos na reabilitação de pacientes com lesão incompleta da medula cervical. Foram utilizados métodos qualitativos (revisão documental) e quantitativos (medição) e julgamento de especialistas para estudar o objeto e a avaliação teórica e prática dos exercícios físicos, que foram validados por 17 especialistas, 95% dos quais avaliaram os indicadores como adequados e muito adequados, e foram aplicados na prática a dez pacientes com resultados muito satisfatórios, confirmando a relevância do estudo realizado. 100% dos participantes atingiram um nível significativo nas atividades de vida diária, nas habilidades físicas e funcionais. Este estudo respondeu às necessidades de pesquisa da Universidade de Cultura Física e Ciências do Esporte "Manuel Fajardo", Cuba e do Centro de Reabilitação Neuro-Motora Sanca, Guiné-Bissau.

People with cervical spinal cord injuries are two to five times more likely to die prematurely, these injuries are one of the most frequent causes of death in the world population regardless of religion, age, race, sex, nationality or social class; the lowest survival rates are found in low- and middle-income countries. In Guinea-Bissau, patients are unaware of their illness and the benefits of physical activity for their treatment; for this reason, a study was carried out with ten patients who attend the area of Motor Neuro-rehabilitation, Bissau, where the objective was: to determine the impact of physical exercises on the rehabilitation of patients with incomplete cervical spinal cord injury. Qualitative (documentary review) and quantitative (measurement) and expert criteria methods were used, which allowed the study of the object and the theoretical and practical evaluation of the physical exercises, which were validated by 17 experts, among whom 95% they evaluated the indicators as adequate and very adequate and it was applied in practice to ten patients with very satisfactory results, which confirmed the relevance of the study carried out. 100% of the participants reached a significant level in activities of daily living, physical and functional capacities. This study responded to the research needs of the "Manuel Fajardo" University of Physical Culture and Sports Sciences, of Cuba and the Sanca Neuro - Physical Motor Rehabilitation Center, of Guinea-Bissau.

INFLUENCE OF THERAPEUTIC GYMNASTICS ON BODY WEIGHT COMPOSITION, ANTHROPOMETRIC PARAMETERS AND QUALITY OF LIFE OF WOMEN WITH OBESITY IN THE CONDITIONS OF QUARANTINE RESTRICTIONS IN THE CONTEXT OF THE COVID-19 PANDEMIC.

OBJECTIVE: The aim: To determine the effectiveness of application of special therapeutic physical exercises to improve the indicators of body weight, anthropometric parameters and quality of life of obese women in the conditions of quarantine restrictions. PATIENTS AND METHODS: Materials and methods: We examined 10 women aged 37 ± 5 years with obesity of various degrees, which was determined by the body mass index (BMI, kg/m2). All women for two months were involved in specially designed therapeutic exercises in the remote mode. Evaluation of the effectiveness of therapeu¬tic exercises use was performed using the survey method to determine the quality of life of obese women according to a short version of the questionnaire "The world health organization quality of life (WHOQOL-BREF)"; anthropometric measurements of body parts sizes; bioimpedance analysis of body weight composition; statistical methods of data processing. RESULTS: Results: The effect of therapeutic gymnastics according to the proposed programme on the component composition of body weight of obese women was proved, which indicates a decrease in total body weight, reduction of body fat, increase in total body water and muscle component of body weight. It is shown that under the influence of corrective physical exercises the proportions of the body of women changed, as evidenced by the dynamics of the circumferences of all measured parts of the body of obese women. The improvement of women's quality of life in all indicators was identified. CONCLUSION: Conclusions: The use of special complexes of physical exercises, aimed at correction of the body weight of obese women,showed its significant effectiveness and led to the expected result.

Will the Construction of Sports Facilities Nudge People to Participate in Physical Exercises in China? The Moderating Role of Mental Health.

This study aims to examine the nudging effect of the sports facility construction on physical exercise (PE) participation with consideration of the moderating role of mental health in China. Multiple linear regression models are used in this study. The subjects are 4634 from the 2014 China Family Panel Studies (CFPS) data, which is a nationally representative longitudinal survey of Chinese individuals. We find that the construction of sports facilities nudges people to participate in PE, and gender, age, and education significantly influence people's participation in PE. Young, female, and better-educated people compose the "neo-vulnerable" population, who participate less in PE in China and need more interventions. Mental health status has no significant effect on people's PE participation, while it negatively moderates the nudging effect of the construction of sports facilities on PE. The results of this study suggest that only building sporting facilities is insufficient to encourage PE participation. Policies and interventions should be given to mentally disturbed individuals to guarantee and magnify the nudging effect of sports facilities on PE.

Differences in Carotid Artery Geometry and Flow Caused by Body Postural Changes and Physical Exercise.

Different body postures and physical exercises may lead to changes in arterial geometry and hemodynamics, which may be associated with the distribution of atherosclerosis lesions. This study was aimed at investigating potential geometric and hemodynamic changes of the carotid bifurcation in different body postures and after high-intensity interval training (HIIT) workouts. Three-dimensional vascular ultrasound (3DVUS) and Doppler ultrasound images were acquired for 21 healthy participants (aged 29 ± 6 y, 14 men and 7 women) in different body postures (sitting and three sleeping postures [supine, left lateral and right lateral]) and after physical exercises. The common carotid artery (CCA) and internal carotid artery (ICA) diameters of the left carotid artery were found to increase significantly from supine to left lateral (both p <0.05). CCA diameters (p < 0.05) and ICA/CCA diameter ratio (p < 0.01) of the left carotid artery changed significantly from supine to sitting. Significant differences in CCA peak systolic velocity (CCA PSV, p < 0.001), CCA end-diastolic velocity (CCA EDV, p < 0.001), CCA pulsatility index (CCA PI, p < 0.001) and maximum velocity-based wall shear stress at the CCA (WSS(max) at the CCA, p < 0.001) were identified in different postures. After physical exercises, significant increases were observed in the CCA diameter (p < 0.001), CCA PSV (p < 0.001), ICA PSV (p < 0.05), WSS(max) at the CCA (p < 0.001) and WSS(max) at the ICA (p < 0.05), as were significantly lower values of the CCA EDV (p < 0.01) and ICA/CCA PSV ratio (p < 0.05). Side-to-side differences were also detected in different postural change scenarios and after physical exercise; more significant differences were found to occur only in the left-sided carotid artery. Significant differences were identified under postural change and after physical exercise among healthy adults, suggesting that daily activity has an effect on the carotid bifurcation. These changes may be associated with formation and development of carotid atherosclerosis. Moreover, these side differences might be severe for patients and worth further attention in clinical practice.

Teleatendimento em exercício físico pa ra população com transtorno do espectro autista: desafios e possibilidades / Teleservice in physical exercise for population with autism spectrum disorder: challenges and possibilities

RESUMO Neste artigo, objetivou-se identificar possibilidades e dificuldades relacionadas ao teleatendimento em exercício físico para crianças com Transtorno do Espectro Autista (TEA) atendidas por um serviço especializado de Maceió. Utilizou-se o delineamento AB; e, na linha de base, foram aplicados instrumentos de caracterização dos perfis de sintomas relacionados ao TEA dos participantes e de aspectos sociodemográficos, tanto dos participantes quanto de seus mediadores familiares. A fase de intervenção, que consistiu em um teleatendimento em exercício físico via WhatsApp e chamada telefônica para aqueles que tinham smartphones e somente via chamada telefônica para quem não tinha, estendeu-se de abril de 2020 a dezembro de 2021 e contou com dez crianças (6,8 ± 2,1 anos) do sexo masculino e seus mediadores familiares. Ao longo da intervenção, realizaram-se análises dos registros audiovisuais dos mediadores familiares acerca das possibilidades e das dificuldades relacionadas à aplicação da intervenção. Concluiu-se que, ainda que tenha havido dificuldades tecnológicas e sociais, o teleatendimento foi uma importante estratégia para dar continuidade à prática de atividade física no ambiente doméstico e esteve associado à melhoria na relação dos mediadores familiares com os indivíduos com TEA.

ABSTRACT In this paper, we aimed to identify possibilities and difficulties related to teleservice in physical exercise for children with Autism Spectrum Disorder (ASD) attended by a specialized service in Maceió, Brazil. The AB design was used, and, at baseline, instruments for characterizing the ASD-related symptom profiles of the participants and sociodemographic aspects of both the participants and their family mediators were applied. The intervention phase, which consisted of a teleservice in physical exercise via WhatsApp and a phone call for those who had smartphones and only via phone call for those who did not, was extended from April 2020 to December 2021 and counted on ten male children (6.8 ± 2.1 years old) and their family mediators. During the intervention, analyses of the audiovisual records of the family mediators were conducted regarding the possibilities and difficulties of the application of the intervention. Although there were technological and social difficulties, it was concluded that teleservice was an important strategy to continue the practice of physical activity in the home environment and was associated with an improvement in the relationship between family mediators and individuals with ASD.

Health promotion at home in dementia: an experience of multidisciplinary action with a physical exercise program / Promoção da saúde em domicílio na demência: uma experiência de ação multiprofissional com programa de exercícios físicos

Trata-se de um relato de experiência da "oficina de estimulação cognitiva e reabilitação" para idosos com monitor que ocorreu em formato virtual por meio da plataforma Google Meet, durante a pandemia de COVID19, com o intuito de manter atividades de promoção da saúde e preservação cognitiva com as equipes. equipes multidisciplinares do Serviço de Geriatria/Crasi ­ Hospital Universitário Antônio Pedro - UFF no ano de 2021. A pesquisa visa contribuir para estudos de intervenções futuras do profissional de Educação Física, utilizando diversas ferramentas, incluindo música e efeitos multimídia, no contexto domiciliar cuidar de idosos com capacidade, abrindo novas perspectivas que ajudam a manter a qualidade de vida desses idosos, tornando-os mais ativos fisicamente.

Trata-se de relato de experiência da "oficina de estimulação e reabilitação cognitiva" para smartphones com monitor que ocorreu em formato virtual pela plataforma Google Meet , durante a pandemia da COVID19, intencionando manter as atividades de promoção da saúde e preservação cognitiva com as equipes multidisciplinares do Serviço de Geriatria/Crasi ­ Hospital Universitário Antônio Pedro - UFF no ano de 2021. A pesquisa tem por objetivo contribuir para estudos de intervenções futuras pelo profissional de Educação Física, utilizando ferramentas variadas entre elas a música e os efeitos multimídia, no contexto para idosos com síndrome demencial abrindo novas perspectivas que auxiliam na manutenção da qualidade de vida destes idosos, tornando-os mais ativos fisicamente.

Self-reported exercise or physical activity level: what matters to a better quality of life in the third trimester of pregnancy?

This study evaluated the relationship of self-reported exercise, physical activity (PA) level, and Quality of Life (QoL) among women in their third trimester of pregnancy and verified which factors are associated with physical exercise (PE) and QoL. A cross-sectional study was performed with women who have been pregnant for at least 28 weeks and who can engage in PE. Data on self-reported exercise, sociodemographic characteristics, PA level, and QoL were collected through the International Physical Activity Questionnaire (IPAQ) and the World Health Organization Quality of Life Questionnaire BREF version (WHOQOL-BREF). Frequencies, bivariate analyses, and logistic and linear regression were performed. Among 405 pregnant women, 103 (25.43 percent) reported practicing PE. The self-reported PE was associated with better scores in the physical and environmental domains of the WHOQOL-BREF. Several IPAQ variables and the WHOQOL-BREF environmental score were associated with self-reported exercise. The majority classified as "active" by the IPAQ was due to employment and not the PE practice. A correct conceptual approach to PA and PE during antenatal care has a different impact on health and QoL during pregnancy.

Motion, Relation, and Passion in Brain Physiological and Cognitive Aging.

The aim of the current paper was to present important factors for keeping the basic structures of a person's brain function, i.e., the grey and white matter, intact. Several lines of evidence have shown that motion, relation, and passion are central factors for preserving the neural system in the grey and white matter during ageing. An active lifestyle has shown to contribute to the development of the central nervous system and to contrast brain ageing. Interpersonal relationships, and interactions, have shown to contribute to complex biological factors that benefit the cognitive resilience to decline. Furthermore, the current scientific literature suggests that passion, strong interest, could be the driving factor motivating individuals to learn new things, thus influencing the development and maintenance of the neural functional network over time. The present theoretical perspective paper aims to convey several key messages: (1) brain development is critically affected by lifestyle; (2) physical training allows one to develop and maintain brain structures during ageing, and may be one of the keys for good quality of life as an older person; (3) diverse stimuli are a key factor in maintaining brain structures; (4) motion, relation, and passion are key elements for contrasting the loss of the grey and white matter of the brain.