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1.
MHSalud ; 17(1): 1-18, ene.-jun. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1091027

RESUMO

Resumen: El objetivo de este estudio fue determinar el IMC (índice de masa corporal), la autoestima y el nivel de actividad física de los niños y las niñas de II ciclo de la ciudad de San Salvador. Participaron 11 centros escolares: 359 (47 %) fueron niñas y 399 (53 %) niños, con edad promedio de 11.49 ±1.34 años, una talla de 147.11 ± 0.10 cm y un peso de 47.53 ± 13.758 kg. Se evaluó peso, talla, IMC, la percepción de actividad física y autoestima, por medio del cuestionario de actividad física para niños y niñas mayores (PAQ-C) y el cuestionario sobre autoestima (LAWSEQ). En los resultados obtenidos se encontró que un 29 % (n= 227) tienen bajo peso, un 46.7 % (n= 354) tienen peso saludable, un 18.3 % (n= 139) tiene sobrepeso y un 5 % (n= 38) tiene obesidad. En el caso de la actividad física los datos recabados muestran que un 53.7 % (n= 407) muestran valores de baja actividad física, un 43.8 % (n= 332) valores de actividad física media y un 2.5 % (n= 19) valores de actividad física alta. En el caso de la autoestima los datos evidencian que un 52. 9% (n= 401) están en condición de baja autoestima, un 43.1 % (n= 327) tiene autoestima promedio y un 4.0 % (n= 30) presenta valores de alta autoestima. Se concluye que los datos obtenidos en las variables de IMC, nivel de actividad física y autoestima en el grupo de estudiantes evaluados son alarmantes, lo que propone la necesidad de desarrollar estrategias para intervenir esta problemática.


Abstract: The objective of this study was to determine the BMI (Body Mass Index), the self-esteem and the level of physical activity of the children of the second cycle of the city of San Salvador. 11 schools participated: 359 (47 %) were girls and 399 (53 %) girls, with an average age of 11.49 ± 1.34 years, a height of 147.11 ± 0.10 cm and a weight of 47.53 ± 13.758 Kg. Weight, height was evaluated, body mass index, the perception of physical activity and self-esteem, through the Physical Activity Questionnaire for Older Children (PAQ-C), and Lawrence Self-Esteem Questionnaire (LAWSEQ). In the results obtained it was found that 29% (n= 227) are underweight, 46.7 % (n= 354) have a healthy weight, 18.3% (n= 139) are overweight and 5% (n= 38) He is obese. In the case of physical activity, the data collected show that 53.7% (n= 407) show values ​​of low physical activity, 43.8% (n= 332) values ​​of physical activity means and 2.5% (n= 19) values of high physical activity. In the case of self-esteem, the data show that 52.9% (n= 401) are in a low self-esteem condition, 43.1% (n= 327) have average self-esteem and 4.0% (n= 30) have high self-esteem values. It is concluded that the data obtained in the variables of body mass index, physical activity level and self-esteem in the students evaluated are alarming, which suggests the need to develop strategies for the intervention of this problem.


Resumo O objetivo deste estúdio foi determinar o IMC, a autoestima e o nível de atividade física dos estudantes do segundo ciclo do município de San Salvador. Participaram 11 centros educativos: 359 (47%) meninas e 399 (53%) meninos, com uma idade aproximada de 11,49 ± 1,34 anos, com 147,11 ± 0,10 cm de altura e 47,53 ± 13,758 kg de peso. Foi avaliado peso, altura, índice de massa corporal, percepção de atividade física e autoestima, por meio do questionário de atividade física para crianças e adolescentes (PAQ-C) e pesquisa sobre autoestima (LAWSEQ). Nos resultados obtidos, encontrou-se que 29% (n = 227) estão com baixo peso, 46,7% (n = 354) estão com peso saudável, 18,3% (n = 139) estão com sobrepeso e 5% (n = 38) tem obesidade. No caso da atividade física, os dados recuperados mostram que 53,7% (n = 407), tem uma atividade física baixa, 43,8% (n = 332) tem atividade física média e 2,5% (n = 19) tem atividade física alta. Sobre a autoestima, os dados deixam em evidencia que 52,9% (n = 401) estão em condição de autoestima baixa, 43,1% (n = 327) têm autoestima regular e 4,0% (n = 30) apresentam uma alta autoestima. As conclusões indicam que os dados obtidos nas variáveis de índice de massa corporal, nível de atividade física e autoestima dos estudantes avaliados são alarmantes, indicando a necessidade de propor estratégias para a intervenção desta problemática.


Assuntos
Humanos , Criança , Autoimagem , Estudantes , Exercício Físico , Criança , El Salvador , Sobrepeso , Obesidade Pediátrica , Atividade Motora
2.
MHSalud ; 17(1): 34-48, ene.-jun. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1091029

RESUMO

Resumen: El propósito de esta investigación fue determinar el efecto de una intervención motriz basada en el método de descubrimiento guiado sobre los patrones básicos de movimiento de un niño típico. Se contó con la participación de un infante de 9 años que se percibe físicamente activo, practica deportes con regularidad, asiste a la escuela y posee un estado de salud y cognitivo normal. La intervención se aplicó durante 6 semanas, 2 sesiones de evaluación pretest y postest, por medio del instrumento para la evaluación de los patrones básicos de movimiento, y 4 sesiones prácticas de 60 minutos, un día a la semana, durante 4 semanas. Para el análisis de resultados, se utilizó el porcentaje de cambio. Los resultados, luego de la intervención, mostraron mejorías en el porcentaje de cambio, en 4 de los de los patrones locomotores entre el 33.33 % y 300 %; en los patrones manipulativos, entre el 37.5 % y 900 %; así como un mejoramiento del 50 %, en el total de las destrezas locomotoras, y de 85,18%, la totalidad de las destrezas manipulativas. A su vez, tuvo una mejoría global en PBM del 65.08 %. Se concluye que, luego de este estudio de caso, un modelo de intervención motriz basado en el método empleado puede ser una herramienta útil para mejorar las destrezas motoras básicas en la población infantil.


Abstract: The purpose of this research was to determine the effect of a motor intervention based on the guided discovery method on the basic movement patterns of a typical child. The study involved a 9-year-old child who is physically active, plays sports regularly, attends school, and has normal cognitive and health status. The intervention was applied during six weeks, two pre-test and post-test evaluation sessions through the Instrument for the Evaluation of Basic Movement Patterns, and four practical sessions of 60 minutes, one day a week, for four weeks. For the analysis of results, the percentage change was used. The results after the intervention showed improvements in the percentage of change in four of the locomotive patterns between 33.33% and 300%; in the manipulative patterns between 37.5% and 900%; as well as an improvement of 50% in the total of locomotive skills and 85.18% in the total of manipulative skills. In turn, it had an overall improvement in PBM of 65.08%. It is concluded that after this case study, a model of motor intervention based on the method used can be a useful tool to improve basic motor skills in children.


Resumo: O objetivo desta pesquisa foi determinar o efeito de uma intervenção motora baseada no método de descoberta guiada sobre os padrões básicos de movimento de uma criança típica. O estudo envolveu uma criança de 9 anos de idade que é fisicamente ativa, pratica esportes regularmente, frequenta a escola e tem estado cognitivo e de saúde normal. A intervenção foi aplicada durante seis semanas, duas sessões de avaliação pré-teste e pós-teste através do Instrumento de Avaliação de Padrões Básicos de Movimento e quatro sessões práticas de 60 minutos, um dia por semana, durante quatro semanas. Para a análise dos resultados, foi utilizada a mudança percentual. Os resultados após a intervenção mostraram melhora no percentual de mudança em quatro dos padrões locomotivos entre 33,33% e 300%; nos padrões manipulativos entre 37,5% e 900%; bem como melhora de 50% no total de habilidades locomotivas e 85,18% no total de habilidades manipulativas. Por sua vez, teve uma melhora global na PBM de 65,08%. Conclui-se que, após este estudo de caso, um modelo de intervenção motora baseado no método utilizado pode ser uma ferramenta útil para melhorar as habilidades motoras básicas em crianças.


Assuntos
Humanos , Criança , Exercício Físico , Criança , Saúde da Criança , Costa Rica , Aprendizagem , Atividade Motora
3.
Enferm. actual Costa Rica (Online) ; (38): 151-162, Jan.-Jun. 2020. tab
Artigo em Espanhol | LILACS, BDENF - Enfermagem | ID: biblio-1090093

RESUMO

Resumen El objetivo de esta investigación fue estudiar la prevalencia de sobrepeso, obesidad y factores asociados en estudiantes de 5° y 6° grado de primaria en dos municipios de la Costa Chica de Guerrero. Se llevó a cabo un estudio descriptivo transversal. Para la recopilación de información se utilizó una báscula digital para registrar las medidas antropométricas y, se aplicó un cuestionario, que incluyó variables relacionadas con hábitos alimenticios, actividad física, tiempo dedicado a ver televisión (TV) y tiempo dedicado a dormir. Se encontró que el 16% de los estudiantes tuvo sobrepeso y 15% obesidad. Hubo mayor riesgo de padecer la enfermedad metabólica en los participantes que ven TV más de 5 h/día (ORns Cl adj = 1.72.IC 95% 1.27-2.34), mientras que comer cuatro o más veces al día tuvo un efecto protector (ORns Cl adj = 0.47, IC 95% 0.31-0.72). En los municipios de Cruz Grande y San Marcos los estudiantes de 5° y 6° de primaria tienen un grado medio de sobrepeso y obesidad; ya que el sedentarismo no es tan marcado y existe la tendencia a practicar el deporte. Se concluye que disminuir el número de horas frente al televisor y la correcta alimentación son acciones que pueden contribuir a la prevención y disminución del sobrepeso y la obesidad en estudiantes de primaria.


Abstract The objective of this research was to study the prevalence of overweight, obesity and associated factors in students of 5th and 6th grade of primary school in two municipalities of the Costa Chica, Guerrero. A crosssectional descriptive study was carried out. For the collection of information, a digital scale was used to record the anthropometric measurements and, a questionnaire was applied, which included variables related to eating habits, physical activity, time spent watching television (TV) and time spent sleeping. It was found that 16% of the students were overweight and 15% obese. There was an increased risk of metabolic disease in participants who watched TV more than 5 h / day (ORns Cl adj = 1.72.IC 95% 1.27-2.34), while eating four or more times a day had a protective effect (ORns Cl adj = 0.47, 95% CI 0.31-0.72). In the municipalities of Cruz Grande and San Marcos, students in grades 5 and 6 have a medium degree of overweight and obesity; since sedentary lifestyle is not as marked and there is a tendency to practice sports. It is concluded that reducing the number of hours in front of the television and the correct feeding are actions that can contribute to the prevention and reduction of overweight and obesity in elementary students.


Resumo O objetivo desta pesquisa foi estudar a prevalência de sobrepeso, obesidade e fatores associados em estudantes da 5ª e 6ª séries do ensino fundamental de dois municípios da Costa Chica de Guerrero. Foi realizado um estudo descritivo transversal. Para a coleta de informações, utilizou-se uma escala digital para registro das medidas antropométricas e aplicou-se um questionário, que incluiu variáveis relacionadas aos hábitos alimentares, atividade física, tempo gasto assistindo televisão (TV) e tempo gasto dormindo. Verificou-se que 16% dos estudantes estavam com sobrepeso e 15% com obesidade. Houve um risco aumentado de doença metabólica nos participantes que assistiram TV mais de 5 h / dia (ORns Cl adj = 1,72.IC 95% 1,27-2,34), enquanto comer quatro ou mais vezes por dia teve um efeito protetor (ORns Cl adj = 0,47, IC 95% 0,31-0,72). Nos municípios de Cruz Grande e San Marcos, os alunos das séries 5 e 6 apresentam sobrepeso e obesidade médios; uma vez que o estilo de vida sedentário não é tão acentuado e existe uma tendência a praticar esportes. Conclui-se que reduzir o número de horas em frente à televisão e a alimentação correta são ações que podem contribuir para a prevenção e redução do sobrepeso e obesidade em alunos do ensino fundamental.


Assuntos
Humanos , Criança , Estudantes , Exercício Físico , Saúde do Estudante , Sobrepeso , Comportamento Alimentar , Comportamento Sedentário , México , Atividade Motora , Obesidade
4.
Sci Total Environ ; 727: 138648, 2020 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-32498183

RESUMO

The gut microbiota appears to be a significant contributor to musculoskeletal health and disease. Genetic background, age, gender, diet, lifestyle and socio-economic aspects are also important factors that contribute to musculoskeletal health, as well as to the normal balance of the intestinal microbiota. Through the production of a large and diverse pool of bioactive small molecules, the gut microbiota can in fact signal to extra-intestinal organs, establishing a systems-level connection with the host metabolic, endocrine, immune and nervous apparatus. The gut microbiota has therefore been extensively studied in recent years, for health promotion, disease prevention and disease treatment, as well as for exercise performance. Practically, physical activity is recommended as a useful tool to prevent disease and improve prognosis when an athlete gets sick or injured. Therefore, the findings of studies performed on athletes should not be automatically transferred to all subjects undertaking non-competitive exercise.


Assuntos
Microbioma Gastrointestinal , Dieta , Exercício Físico , Humanos , Intestinos , Estilo de Vida
5.
Apunts, Med. esport (Internet) ; 55(206): 71-79, abr.-jun. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-ET2-5894

RESUMO

In order to better understand the possible relationships between the application of training loads and the risk of injury in professional women's basketball, four parameters from a professional women's basketball team (N = 11) were analysed: exposure time, number of injuries, rate of perceived exertion (RPE), and workload (sRPE). A total of 3182h of exposure were registered, 2774 were training hours, and 408 were game hours with a total of 9 time loss injuries. The data obtained from each player was related to the exposure time, injury risk, perception of effort, and workload. Several differences were observed between the injury risk values and the morning RPE (F = 5.0811; p = .032), the sRPE of the morning practices (F = 7.3585; p = .010) and the total time of exposure (F = 3.5055; p=.064). There is also a significant negative relationship between total training time and the number of time-loss (TL) injuries (rho = - .797; p = .003), as well as a possible association between exposure time and a lower risk of TL injury (R2 = .645). These findings suggest that an increase in specific exposure time could be associated with a decrease in the risk of time-loss injuries


Con el objetivo de entender mejor las posibles relaciones entre la aplicación de cargas de entrenamiento y el riesgo de lesión en el baloncesto femenino profesional, se analizaron 4 parámetros de un equipo de baloncesto femenino profesional (N = 11): tiempo de exposición, número de lesiones, percepción del esfuerzo después de las sesiones entrenamiento (RPE) y carga de entrenamiento (sRPE). Se registraron 3.182 horas de exposición totales, de las cuales 2.774 fueron de entrenamiento y 408h de competición con un total de 9 lesiones "time-loss" (TL) que comportaron tiempo de actividad perdido. Se relacionan los datos obtenidos de cada jugadora relativos a tiempo de exposición, lesiones, percepción del esfuerzo y carga de trabajo. Se observan posibles diferencias entre los valores de lesionabilidad y RPE de las sesiones de entrenamiento de la mañana (F = 5,0811; p = 0,032), el sRPE de la mañana (F = 7,3585: p = 0,010) y el tiempo total de exposición (F = 3,5055; p = 0,064). Se observa también una relación significativa negativa entre tiempo total de entrenamiento y el número de lesiones TL (rho = -0,797; p = 0,003), así como una posible asociación entre el tiempo de exposición y una menor incidencia lesional TL (R2 = 0,645). Estos valores sugieren que un aumento del tiempo de exposición de carácter específico podría vincularse a la disminución del riesgo de lesiones "time-loss"


Assuntos
Humanos , Feminino , Basquetebol/fisiologia , Esforço Físico , Fatores de Risco , Exercício Físico/fisiologia , Análise de Variância , Modelos Lineares
7.
Nutrients ; 12(6)2020 Jun 23.
Artigo em Inglês | MEDLINE | ID: mdl-32585830

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic resulted in physical isolation measures in many parts of the world. In Australia, nationwide restrictions included staying at home, unless seeking medical care, providing care, purchasing food, undertaking exercise, or attending work in an essential service. All undergraduate university classes transitioned to online, mostly home-based learning. We, therefore, examined the effect of isolation measures during the early phase of the COVID-19 pandemic in Australia (March/April) on diet (24-h recall) and physical activity (Active Australia Survey) patterns in third-year biomedical students. Findings were compared with students enrolled in the same course in the previous two years. In females, but not males, energy intake was ~20% greater during the pandemic, and snacking frequency and energy density of consumed snacks also increased compared with 2018 and 2019. Physical activity was impacted for both sexes during the pandemic with ~30% fewer students achieving "sufficient" levels of activity, defined by at least 150 min over at least five sessions, compared with the previous two years. In a follow-up study six to eight weeks later (14-18% response rate), during gradual easing of nationwide restrictions albeit continued gym closures and online learning, higher energy intake in females and reduced physical activity levels in both sexes persisted. These data demonstrate the health impacts of isolation measures, with the potential to affect long-term diet and activity behaviours.


Assuntos
Infecções por Coronavirus/psicologia , Dieta/estatística & dados numéricos , Exercício Físico/psicologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Estudantes/estatística & dados numéricos , Adulto , Austrália/epidemiologia , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Dieta/psicologia , Inquéritos sobre Dietas , Ingestão de Energia , Feminino , Seguimentos , Humanos , Masculino , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Estudantes/psicologia , Universidades , Adulto Jovem
8.
Artigo em Inglês | MEDLINE | ID: mdl-32486380

RESUMO

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.


Assuntos
Infecções por Coronavirus/epidemiologia , Exercício Físico/fisiologia , Exercício Físico/psicologia , Pneumonia Viral/epidemiologia , Comportamento Social , Adulto , Fatores Etários , Idoso , Ansiedade/epidemiologia , Betacoronavirus , Canadá/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Saúde Pública , Qualidade de Vida , Características de Residência , Fatores Sexuais , Fatores Socioeconômicos
9.
Rev Assoc Med Bras (1992) ; 66(3): 296-299, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32520148

RESUMO

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.


Assuntos
Exercício Físico/fisiologia , Desempenho Físico Funcional , Acuidade Visual/fisiologia , Adulto , China , Estudos Transversais , Feminino , Humanos , Masculino , Fatores Sexuais , Estudantes , Universidades , Testes Visuais/métodos , Adulto Jovem
10.
Rev Assoc Med Bras (1992) ; 66(3): 314-320, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32520151

RESUMO

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.


Assuntos
Composição Corporal/fisiologia , Exercício Físico/fisiologia , Comportamento Sedentário , Acelerometria , Adolescente , Adulto , Idoso , Antropometria , Brasil , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atividade Motora , Fatores Sexuais , Adulto Jovem
11.
Artigo em Inglês | MEDLINE | ID: mdl-32532013

RESUMO

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.


Assuntos
Infecções por Coronavirus/epidemiologia , Exercício Físico , Pneumonia Viral/epidemiologia , Quarentena/psicologia , Adulto , Idoso , Bélgica/epidemiologia , Infecções por Coronavirus/psicologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/psicologia , Comportamento Sedentário , Autorrelato
12.
Artigo em Inglês | MEDLINE | ID: mdl-32492778

RESUMO

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.


Assuntos
Infecções por Coronavirus , Exercício Físico , Pandemias , Pneumonia Viral , Comportamento Sedentário , Betacoronavirus , Coronavirus , Infecções por Coronavirus/epidemiologia , Humanos , Aptidão Física , Pneumonia Viral/epidemiologia
13.
Medicine (Baltimore) ; 99(23): e20597, 2020 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-32502032

RESUMO

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.


Assuntos
Doença de Alzheimer/terapia , Exercício Físico , Aptidão Física/fisiologia , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Feminino , Seguimentos , Hospitalização/estatística & dados numéricos , Humanos , Masculino , Estudos Prospectivos , Índice de Gravidade de Doença , Inquéritos e Questionários
14.
Medicine (Baltimore) ; 99(23): e20625, 2020 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-32502040

RESUMO

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).


Assuntos
Tolerância ao Exercício , Exercício Físico , Medicina Tradicional Chinesa/métodos , Doença Pulmonar Obstrutiva Crônica/reabilitação , Qualidade de Vida , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Método Simples-Cego , Resultado do Tratamento , Teste de Caminhada
15.
Medicine (Baltimore) ; 99(22): e20427, 2020 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-32481443

RESUMO

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.


Assuntos
Neoplasias da Mama/psicologia , Exercício Físico/psicologia , Adulto , Neoplasias da Mama/cirurgia , Estudos Transversais , Feminino , Humanos , Masculino , Mastectomia , Pessoa de Meia-Idade , Cooperação do Paciente/psicologia , Autoeficácia , Apoio Social , Inquéritos e Questionários
16.
Monaldi Arch Chest Dis ; 90(2)2020 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-32548994

RESUMO

The COVID-19 outbreak is having a significant impact on both cardiac rehabilitation (CR) inpatient and outpatient healthcare organization. The variety of clinical and care scenarios we are observing in Italy depends on the region, the organization of local services and the hospital involved. Some hospital wards have been closed to make room to dedicated beds or to quarantine the exposed health personnel. In other cases, CR units have been converted or transformed into COVID-19 units.  The present document aims at defining the state of the art of CR during COVID-19 pandemic, through the description of the clinical and management scenarios frequently observed during this period and the exploration of the future frontiers in the management of cardiac rehabilitation programs after the COVID-19 outbreak.


Assuntos
Reabilitação Cardíaca/normas , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Síndrome Coronariana Aguda/reabilitação , Reabilitação Cardíaca/psicologia , Cardiotônicos/efeitos adversos , Cardiotônicos/uso terapêutico , Exercício Físico , Feminino , Insuficiência Cardíaca/reabilitação , Humanos , Itália/epidemiologia , Masculino , Terapia Nutricional , Pandemias , Tromboembolia/reabilitação
17.
Cien Saude Colet ; 25(suppl 1): 2411-2421, 2020 Jun.
Artigo em Português, Inglês | MEDLINE | ID: mdl-32520286

RESUMO

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.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Pandemias , Espaço Pessoal , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Isolamento Social/psicologia , Adulto , Fatores Etários , Brasil/epidemiologia , Infecções por Coronavirus/economia , Infecções por Coronavirus/prevenção & controle , Estudos Transversais , Escolaridade , Exercício Físico/psicologia , Feminino , Humanos , Renda , Relações Interpessoais , Masculino , Pandemias/economia , Pandemias/prevenção & controle , Pneumonia Viral/economia , Pneumonia Viral/prevenção & controle , Opinião Pública , Fatores Sexuais , Fatores Socioeconômicos , Estresse Psicológico/epidemiologia , Inquéritos e Questionários/estatística & dados numéricos , Fatores de Tempo
18.
Rev Esp Salud Publica ; 942020 Jun 12.
Artigo em Espanhol | MEDLINE | ID: mdl-32527993

RESUMO

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.


Assuntos
Betacoronavirus , Infecções por Coronavirus/psicologia , Surtos de Doenças , Exercício Físico/psicologia , Comportamentos Relacionados com a Saúde , Saúde Mental , Pneumonia Viral/psicologia , Quarentena/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Protocolos Clínicos , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Feminino , Nível de Saúde , Inquéritos Epidemiológicos , Humanos , América Latina/epidemiologia , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/epidemiologia , Portugal/epidemiologia , Espanha/epidemiologia
20.
Arch Endocrinol Metab ; 64(3): 312-318, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32555999

RESUMO

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.


Assuntos
Glicemia/análise , Diabetes Mellitus Tipo 1/sangue , Exercício Físico/fisiologia , Adolescente , Criança , Estudos Transversais , Diabetes Mellitus Tipo 1/metabolismo , Diabetes Mellitus Tipo 1/fisiopatologia , Feminino , Humanos , Masculino
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