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1.
Georgian Med News ; (294): 27-31, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31687944

RESUMO

The aim of the research is to study the dynamics of functional capabilities of 17-22 year old girls with different vegetative status during the ovarian-menstrual cycle. By the use of questionnaires and anthropo-physiometry, 28 girls with low motor activity and a regular (more than 3 cycles) menstrual cycle were selected, which allowed to determine the phases by calendar method. All of the surveyed people were in the main medical group of health. The modernized method of D. N. Davidenko muscular load was used. The heart rate was recorded at rest when the heart rate was reached at 150-155 beats per minute, at the end of testing and on the 5th minute of recovery, sitting on the cycle ergometer. To estimate the variability of the heart rate, a number of indicators proposed by R. M. Bayevsky were calculated to characterize the state of the vegetative nervous system. The degree of centralization of heart rate control was determined by means of a stress index, on the basis of which the group of patients was divided into subgroups depending on the type of regulation in the state of relative rest in the first (menstrual) phase of the menstrual cycle. It has been identified that vagotonics are characterized by higher, and sympathicotonics - by low values of PWC170, as an integral indicator of the body's functional capabilities. The optimal phases of physical performance for girls with vagotonic type of regulation are menstrual and premenstrual, with normotonic - menstrual and ovulatory, with sympathicotonic - postmenstrual and postovulatory phases of OMC. Physical activity in other phases of the cycle increases the level of functional stress and can provoke pre-pathological and pathological conditions.


Assuntos
Sistema Nervoso Autônomo/fisiologia , Exercício/fisiologia , Frequência Cardíaca/fisiologia , Hormônios/sangue , Ciclo Menstrual/fisiologia , Ovário/fisiologia , Adolescente , Feminino , Humanos , Adulto Jovem
2.
Medicine (Baltimore) ; 98(46): e17240, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31725601

RESUMO

BACKGROUND: Neck pain is an important cause of disability. In spite of its high prevalence rate, treatment of the disorder is a challenging topic. Exercise therapy appears to be effective at decreasing pain and improving function for patients with NP in practice guidelines. Core stability exercise is becoming increasingly popular for NP. However, it is currently unknown whether core stability exercise produces more beneficial effects than general exercise in patients with NP. The aim of this study is to explore the therapeutic effect of core stability exercise for neck pain. METHODS: This review will only include randomized controlled trials (RCTs). Published articles from July 2009 to July 2019 will be identified using electronic searches. Search strategy will be performed in 3 English databases, 1 Chinese database, and the WHO International Clinical Trials Registry Platform. Two reviewers will screen, select studies, extract data, and assess quality independently. The methodological quality including the risk of bias of the included studies will be evaluated using a modified assessment form, which is based on Cochrane assessment tool and Physiotherapy Evidence Database scale. Review Manager Software (Revman5.3) will be used for heterogeneity assessment, generating funnel-plots, data synthesis, subgroup analysis, and sensitivity analysis. We will use GRADE system to evaluate the quality of our evidence. RESULTS: We will provide some more practical and targeted results investigating the effect of Core Stability Exercise (CSE) for Neck Pain (NP) in the current meta-analysis. Meanwhile, we will ascertain study progress of Core Stability Exercise for Neck Pain and find out defects or inadequacies of previous studies, so that future researchers could get beneficial guidance for more rigorous study. CONCLUSION: The stronger evidence about Neck Pain's rehabilitative effect and safety will be provided for clinicians and policymakers. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42017055711. ETHICS AND DISSEMINATION: We do not apply for formal ethical approval from ethics committee because all of the study data in our review will be obtained in an anonymous way. Findings of this study are projected to be disseminated through peer-review publications.


Assuntos
Terapia por Exercício/métodos , Cervicalgia/reabilitação , Exercício/fisiologia , Humanos , Metanálise como Assunto , Força Muscular , Músculo Esquelético/fisiopatologia , Cervicalgia/fisiopatologia , Ensaios Clínicos Controlados Aleatórios como Assunto , Projetos de Pesquisa , Revisão Sistemática como Assunto , Tronco/fisiopatologia , Resultado do Tratamento
3.
Rev Prat ; 69(5): 510-514, 2019 May.
Artigo em Francês | MEDLINE | ID: mdl-31626454

RESUMO

The optimal treatment of osteoarthritis requires the combination of pharmacological and non-pharmacological treatments. The non-pharmacological treatments recommended by the medical and scientific associations are information, education, weight management (especially in case of overweight) and physical activity. Antalgic and anti-inflammatory pharmacological treatments should be used to facilitate the recovery and regular physical activity that is central in the management of osteoarthritis patients. It should include aerobic cardio-respiratory, resistance, flexibility and neuromuscular reprogramming and be associated with cognitive-behavioral therapies. Health professionals have to promote the activity and to inform their patients about the benefits, not only about the symptoms of osteoarthritis, but also about their overall health.


Assuntos
Terapia Cognitivo-Comportamental , Exercício/fisiologia , Osteoartrite , Humanos , Osteoartrite/fisiopatologia , Osteoartrite/psicologia
4.
Rev Prat ; 69(4): 438-443, 2019 Apr.
Artigo em Francês | MEDLINE | ID: mdl-31626503

RESUMO

The prescription of physical activity for patients living with a long-term condition has been enshrined in legislation since 2016. The French National Cancer Institute published a literature review on the expected effects of physical activity in patients living with cancer. The benefits are prevention or correction of physical deconditioning, a preservation and/or a normalization of body composition, a reduction of cancerrelated fatigue, an overall quality-of-life improvement, the improvement of treatments tolerance and their medium and long-term effects, an increased life expectancy and a lower risk of cancer recurrence. These effects can be observed for a mixed physical activity program -cardio respiratory fitness and muscular strength-, with moderate to vigorous intensity activity, 30 minutes a day at least 5 days a week. The benefits are all the more important as physical activity starts early. Health professionals have an important part to play in helping patients engage in physical activity, with a regular even moderate practice which is always beneficial as compared with sedentary behaviors.


Assuntos
Exercício , Neoplasias , Exercício/fisiologia , Promoção da Saúde , Humanos , Força Muscular/fisiologia , Neoplasias/reabilitação , Aptidão Física/fisiologia , Comportamento Sedentário
6.
Rev Bras Epidemiol ; 22Suppl 02(Suppl 02): E190013.SUPL.2, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31596384

RESUMO

OBJECTIVE: To analyze social inequalities in the prevalence of indicators of active aging in the Brazilian older adult population. METHODS: This is a cross-sectional study with a sample of 11,177 older adults who participated in the Brazilian National Health Survey in 2013. We estimated the prevalence of five domains of active aging (social activities, civic engagement, leisure-time physical activity, paid work, and volunteer work) according to gender, ethnicity, schooling, income, and private health insurance. Prevalence ratios and confidence intervals were calculated using Poisson regression. RESULTS: The percentage of involvement in organized social activities, civic engagement, and physical activity was 25.1, 12.4, and 13.1%, respectively. Regarding work, 20.7% of the sample had a paid job, and 9.7% participated in volunteer work. Women had a higher prevalence of participation in organized social activities and volunteer work; while civic engagement and paid work were more frequent among men. White people were more likely to participate in social activities, volunteer work, and leisure-time physical activity, explained by their schooling. The strata with a higher level of schooling, income, and who had private health insurance showed a greater incidence of participation in all activities studied. CONCLUSION: The five activities analyzed are challenging for the proposed policy of active aging, as they are marked by considerable social inequality.


Assuntos
Envelhecimento/fisiologia , Exercício/fisiologia , Inquéritos Epidemiológicos/métodos , Classe Social , Idoso , Idoso de 80 Anos ou mais , Brasil/epidemiologia , Estudos Transversais , Feminino , Inquéritos Epidemiológicos/estatística & dados numéricos , Humanos , Seguro Saúde/estatística & dados numéricos , Atividades de Lazer , Masculino , Pessoa de Meia-Idade , Distribuição por Sexo , Fatores Sexuais , Fatores Socioeconômicos , Inquéritos e Questionários , Trabalho/fisiologia , Trabalho/estatística & dados numéricos
7.
Clin Exp Rheumatol ; 37 Suppl 120(5): 31-39, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31621558

RESUMO

Osteoarthritis (OA) is a painful joint disease affecting more than 32.5 million adults in the US and over 350 million adults worldwide. The prevalence is expected to rise continually over the next several decades with significant impacts to societal health and economic costs as well as individuals' daily activities and quality of life. In 2008, the Centers for Disease Control and Prevention (CDC) and the Arthritis Foundation (AF) led a collaborative effort to address approaches to reduce the burden of OA via public health interventions, policies (systems and environmental), and communication strategies. This collaboration resulted in the National Public Health Agenda for OA (OA Agenda), which was vetted by more than 75 stakeholder organisations and released in 2010. The OA Agenda listed ten recommendations focused on public health interventions for OA including weight management, physical activity, self-management education, and injury prevention, and policies, systems, communication, research and evaluation. In 2011, the CDC and AF mobilised the OA Action Alliance (OAAA), a national coalition of organisations concerned with mitigating the public health impact of OA, to operationalise the recommendations set forth in the OA Agenda. Since then, the OAAA has grown to include more than 110 organisations that work collectively to increase awareness about the prevention and management of OA, provide educational resources, and expand access to evidence-based programmes for target audiences including individuals with OA, community-based organisations, healthcare systems and providers, and policymakers. This review highlights the OAAA's progress to date in addressing the OA Agenda recommendations; successes and challenges in delivery of effective communication, programmes, and resources; and future implications.


Assuntos
Exercício/fisiologia , Obesidade/complicações , Osteoartrite/complicações , Saúde Pública , Artralgia , Humanos , Qualidade de Vida , Programas de Redução de Peso
8.
J Frailty Aging ; 8(4): 162-168, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31637400

RESUMO

BACKGROUND: Physical frailty is a clinical syndrome associated with aging and manifesting as slowness, weakness, reduced physical activity, weight loss, and/or exhaustion. Frail older adults often report that their major problem is "low energy", and there is indirect evidence to support the hypothesis that frailty is a syndrome of dysregulated energetics. We hypothesized that altered cellular energy production underlies compromised response to stressors in the frail. METHODS: We conducted a pilot study to assess muscle energetics in response to a mild isometric exercise challenge in women (n=30) ages 84-93 years. The frailty status was assessed by a validated physical frailty instrument. Localized phosphorus (P31) magnetic resonance spectroscopy with a 1.5T magnet was used to assess the kinetics of Phosphocreatine recovery in the tibialis anterior muscle following maximal isometric contraction for 30 seconds. RESULTS: Phosphocreatine recovery following exertion, age-adjusted, was slowest in the frail group (mean=189 sec; 95%CI: 150,228) compared to pre-frail (mean=152 sec; 95%CI: 107,197) and nonfrail subjects (mean=132 sec; 95%CI: 40,224). The pre-frail and frail groups had 20 sec (95%CI: -49,89) and 57 sec (95%CI: -31,147) slower phosphocreatine recovery, respectively, than the non-frail. This response was paralleled by dysregulation in glucose recovery in response to oral glucose tolerance test in women from the same study population. CONCLUSIONS: Impaired muscle energetics and energy metabolism might be implicated in the physical frailty syndrome.


Assuntos
Exercício/fisiologia , Fragilidade/fisiopatologia , Músculos/metabolismo , Fosfocreatina/metabolismo , Idoso de 80 Anos ou mais , Feminino , Idoso Fragilizado , Humanos , Projetos Piloto
9.
Ig Sanita Pubbl ; 75(3): 181-187, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31645060

RESUMO

The American College of Sports Medicine states that 150 minutes per week of moderate aerobic activity improves quality of life, also in patients treated for cancer. Physical activity before, during, and after oncological treatments increases rates of survival, interval free from sickness, and side effects of treatment. The importance of physical exercise is often underestimated in Oncology, above all because of the need for an individualized approach and for a lack of recommendations that are valid for everyone. The literature now states that rehabilitation and exercise are as important as medical care. The National Cancer Institute in Aviano (Italy) has started a rehabilitation program for patients treated for breast cancer, followed by an assisted path to encourage physical activity. Thanks to various co-production processes, this program allows women to benefit from a personalised plan and it will be possible to assist patients and encourage physical activity through use of a mobile app. A synergy between the health and fitness worlds has been created, through co-production, accustoming patients to exercise during and following treatments.


Assuntos
Neoplasias da Mama , Exercício , Tutoria , Qualidade de Vida , Neoplasias da Mama/psicologia , Exercício/fisiologia , Exercício/psicologia , Terapia por Exercício , Feminino , Humanos , Itália
10.
Medicine (Baltimore) ; 98(41): e17400, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31593091

RESUMO

INTRODUCTION: Cardiac autonomic modulation is an important marker of cardiovascular health and the practice of physical activity is a fundamental tool for good maintenance or increments in this marker. However, it is not clear in the literature whether different intensities and different domains of physical activity are related in the same way to cardiac autonomic modulation. OBJECTIVES: This randomized epidemiologic study will examine the relationship between cardiac autonomic modulation and different intensities and domains of physical activity in a representative sample of adults. METHODS: The sample of study will consist of 252 subjects aged from 18 years and above. The sample will be randomized through census sectors in which the neighborhoods, streets, and houses will also be randomized. Cardiac autonomic modulation will be assessed by heart rate variability and the intensity (mild, moderate, intense) of physical activity will be evaluated by means of accelerometers, while the different domains of physical activity (physical activity at work, occupational activities) will be evaluated through a questionnaire. The relationship between cardiac autonomic modulation and different physical activity intensities, as well as the different domains will be analyzed by linear regression, considering a statistical significance of 5% and a 95% confidence interval. This research protocol is registered in ClinicalTrials.gov at number NCT03986879.


Assuntos
Acelerometria/estatística & dados numéricos , Sistema Nervoso Autônomo/fisiologia , Exercício/fisiologia , Coração/fisiologia , Esforço Físico/fisiologia , Adolescente , Adulto , Feminino , Frequência Cardíaca/fisiologia , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Estudos Observacionais como Assunto , Inquéritos e Questionários , Adulto Jovem
11.
Medicine (Baltimore) ; 98(41): e17494, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31593115

RESUMO

BACKGROUND: Infertility has troubled the world's 186 million people, and male infertility accounts for more than half. The literature of physical exercise related to semen quality has shown inconsistent results, and there is currently no systematic review to evaluate the effects of exercise on reproductive outcomes in male infertility patients. This study aims to assessing the effects of exercise interventions based on randomized controlled trials (RCTs) on semen quality and reproductive outcomes in male infertility. METHODS: English and Chinese literature about physical exercise treatment for male infertility published before July 31, 2019 will be systematic searched in PubMed, Embase, Web of Science, Cochrane Library, Open Grey, Clinicaltrials.gov, Chinese Clinical Trial Registry, WANFANG, VIP Chinese Science and Technology Journal Database, CNKI, Chinese biomedical document service system (SinoMed). Only RCTs of patients with male infertility will be included. Literature screening, data extraction, and the assessment of risk of bias will be independently conducted by 2 reviewers, and the 3rd reviewer will be consulted if any different opinions existed. Live-birth rate, pregnancy rate, adverse events (including miscarriage), sperm concentration, progressive motility, sperm morphology, and sperm DNA fragmentation will be evaluated. Systematic review and meta-analysis will be produced by RevMan 5.3 and Stata 14.0. This protocol reported in accordance with the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA-P) statement, and we will report the systematic review by following the PRISMA statement. CONCLUSION AND DISSEMINATION: We will assess the efficacy and safety of physical exercise on semen quality and reproductive outcomes in infertile men. The findings will be published in a peer-reviewed journal to provide evidence-based medical evidence for clinical decision making and the patient's lifestyle guidance. REGISTRATION INFORMATION: PROSPERO CRD42019140294.


Assuntos
Exercício/fisiologia , Infertilidade Masculina/epidemiologia , Reprodução/fisiologia , Espermatozoides/citologia , Adolescente , Adulto , Fragmentação do DNA , Feminino , Humanos , Nascimento Vivo/epidemiologia , Masculino , Pessoa de Meia-Idade , Gravidez , Taxa de Gravidez/tendências , Ensaios Clínicos Controlados Aleatórios como Assunto , Análise do Sêmen/estatística & dados numéricos , Contagem de Espermatozoides/estatística & dados numéricos , Espermatozoides/metabolismo , Adulto Jovem
12.
An Acad Bras Cienc ; 91(3): e20180748, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31596390

RESUMO

OBJECTIVE: the aim of this study is to map thermal stress risks for human health at the São Francisco River Basin (SFRB) in the Semiarid region, for climatic scenarios RCP 4.5 and 8.5. METHODS: The heat stress conditions were defined by the Wet Bulb Globe Temperature (WBGT) indicator and by the average number of annual days in which the WBGT values exceeded the 90th percentile of the reference period. The WBGT was estimated for the climate scenarios RCP 4.5 (intermediate) and 8.5 (pessimistic) for the period 2011-2090 comparing to the period of reference (1961-2005). RESULTS: The projections show that for the pessimistic scenario practically all municipalities of the SFRB region can reach values of WBGT that indicate a high risk for heat stress in the period 2071-2099. For this same scenario and period, the municipalities of the Lower and Under-average regions may present values of WBGT above the 90th percentile of the reference period in more than 90% of the days/year. CONCLUSIONS: These results show that, if the emission of greenhouse gases continues in the present proportions, some municipalities of the SFRB region may present a high risk for heat stress affecting the work capacity and the practice of physical exercises.


Assuntos
Monitoramento Ambiental/métodos , Transtornos de Estresse por Calor/etiologia , Temperatura Alta/efeitos adversos , Brasil , Cidades , Exercício/fisiologia , Ocupações em Saúde , Humanos , Umidade , Exposição Ocupacional , Fatores de Risco
13.
Medicine (Baltimore) ; 98(42): e17509, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31626108

RESUMO

To research the possible role of Tai Chi in preventing cardiovascular disease and improving cardiopulmonary function in adults with obesity aged 50 years and older.Between 2007 and 2012, 120 adults with obesity, aged 50 years and older, were divided into a Tai Chi group and a control group, with 60 participants in each group. The 2 groups were evaluated for weight, waist circumference, hip circumference, blood pressure (BP), body mass index, and incidence of chronic disease during follow-up monitoring.Two- and 6-year follow-up showed that the average BP in the Tai Chi group along with either the systolic or diastolic pressure decreased significantly compared to those in the control group (P < .001). Waist and hip circumference, weight, and body mass index in the Tai Chi group were significantly reduced compared to those in the control group (P < .001). The cardiopulmonary function of the control group and the Tai Chi group changed, with the cardiac index significantly higher in the Tai Chi group than in the control group (P < .05). The Tai Chi group had significantly higher levels of lung function, including vital capacity, maximal oxygen uptake, and total expiratory time, than the control group. The total incidence of complications and mortality in the Tai Chi group were much lower than those in the control group (P < .001). The incidence of cardiovascular and cerebrovascular disease in the Tai Chi group (16.67%) was lower than that in the control group (38.33%).Tai Chi is not only a suitable exercise for elderly people with obesity, but it can also help to regulate BP, improve heart and lung function in these individuals, as well as reduce the incidence of cardiovascular disease and other chronic diseases, helping to improve their quality of life.


Assuntos
Doenças Cardiovasculares/prevenção & controle , Obesidade/fisiopatologia , Tai Ji/métodos , Idoso , Pressão Sanguínea , Composição Corporal/fisiologia , Índice de Massa Corporal , Exercício/fisiologia , Teste de Esforço , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/complicações , Fatores de Tempo , Resultado do Tratamento
14.
Medicine (Baltimore) ; 98(43): e17600, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31651868

RESUMO

BACKGROUND: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a complex condition with no reliable diagnostic biomarkers. Studies have shown evidence of autonomic dysfunction in patients with ME/CFS, but results have been equivocal. Heart rate (HR) parameters can reflect changes in autonomic function in healthy individuals; however, this has not been thoroughly evaluated in ME/CFS. METHODS: A systematic database search for case-control literature was performed. Meta-analysis was performed to determine differences in HR parameters between ME/CFS patients and controls. RESULTS: Sixty-four articles were included in the systematic review. HR parameters assessed in ME/CFS patients and controls were grouped into ten categories: resting HR (RHR), maximal HR (HRmax), HR during submaximal exercise, HR response to head-up tilt testing (HRtilt), resting HR variability (HRVrest), HR variability during head-up tilt testing (HRVtilt), orthostatic HR response (HROR), HR during mental task(s) (HRmentaltask), daily average HR (HRdailyaverage), and HR recovery (HRR) Meta-analysis revealed RHR (MD ±â€Š95% CI = 4.14 ±â€Š1.38, P < .001), HRtilt (SMD ±â€Š95% CI = 0.92 ±â€Š0.24, P < .001), HROR (0.50 ±â€Š0.27, P < .001), and the ratio of low frequency power to high frequency power of HRVrest (0.39 ±â€Š0.22, P < .001) were higher in ME/CFS patients compared to controls, while HRmax (MD ±â€Š95% CI = -13.81 ±â€Š4.15, P < .001), HR at anaerobic threshold (SMD ±â€Š95% CI = -0.44 ±â€Š0.30, P = 0.005) and the high frequency portion of HRVrest (-0.34 ±â€Š0.22, P = .002) were lower in ME/CFS patients. CONCLUSIONS: The differences in HR parameters identified by the meta-analysis indicate that ME/CFS patients have altered autonomic cardiac regulation when compared to healthy controls. These alterations in HR parameters may be symptomatic of the condition.


Assuntos
Sistema Nervoso Autônomo/fisiopatologia , Encefalomielite/fisiopatologia , Síndrome de Fadiga Crônica/fisiopatologia , Coração/fisiopatologia , Adulto , Idoso , Exercício/fisiologia , Feminino , Frequência Cardíaca/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Síndrome , Teste da Mesa Inclinada
16.
Bone Joint J ; 101-B(10): 1186-1191, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31564149

RESUMO

AIMS: In previous studies, we identified multiple factors influencing the survivorship of hip resurfacing arthroplasties (HRAs), such as initial anatomical conditions and surgical technique. In addition, the University of California, Los Angeles (UCLA) activity score presents a ceiling effect, so a better quantification of activity is important to determine which activities may be advisable or detrimental to the recovered patient. We aimed to determine the effect of specific groups of sporting activities on the survivorship free of aseptic failure of a large series of HRA. PATIENTS AND METHODS: A total of 661 patients (806 hips) representing 77% of a consecutive series of patients treated with metal-on-metal hybrid HRA answered a survey to determine the types and amounts of sporting activities they regularly participated in. There were 462 male patients (70%) and 199 female patients (30%). Their mean age at the time of surgery was 51.9 years (14 to 78). Their mean body mass index (BMI) was 26.5 kg/m2 (16.7 to 46.5). Activities were regrouped into 17 categories based on general analogies between these activities. Scores for typical frequency and duration of the sessions were used to quantify the patients' overall time spent engaging in sporting activities. Impact and cycle scores were computed. Multivariable models were used. RESULTS: We found no association between any category of activity and a decrease in survivorship. Impact and hip cycle scores also failed to show any association with revision for aseptic failure or wear. CONCLUSION: Return to sporting activities after surgery is safe for patients treated with well-designed and well-implanted HRA. Cite this article: Bone Joint J 2019;101-B:1186-1191.


Assuntos
Artroplastia de Quadril/métodos , Exercício/fisiologia , Próteses Articulares Metal-Metal , Segurança do Paciente/estatística & dados numéricos , Volta ao Esporte/estatística & dados numéricos , Adulto , Fatores Etários , Idoso , Artroplastia de Quadril/reabilitação , California , Estudos Transversais , Feminino , Humanos , Estimativa de Kaplan-Meier , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Prognóstico , Falha de Prótese , Qualidade de Vida , Medição de Risco , Fatores Sexuais , Inquéritos e Questionários , Sobrevivência , Fatores de Tempo
17.
Zhongguo Zhen Jiu ; 39(10): 1063-6, 2019 Oct 12.
Artigo em Chinês | MEDLINE | ID: mdl-31621258

RESUMO

OBJECTIVE: To observe the therapeutic effect of pre-acupuncture at Neiguan (PC 6) and Zusanli (ST 36) on exercise-induced fatigue. METHODS: A total of 50 subjects were divided into an observation group and a control group by random number table method, 25 cases in each one. In the observation group, acupuncture was applied at Neiguan (PC 6) and Zusanli (ST 36) before exercise, once a day, consecutive 5-day treatment was required. In the control group, there was no intervention. The subjective fatigue perception score, serum levels of lactate and lactate dehydrogenase, heart rate and oxygen saturation before and after exercise were observed in the two groups. RESULTS: Compared before exercise, the subjective fatigue perception scores, serum levels of lactate and lactate dehydrogenase and heart rates after exercise were increased in the two groups (P<0.05, P<0.01), and the subjective fatigue perception score, serum levels of lactate and lactate dehydrogenase and heart rate after exercise in the observation group were lower than the control group (P<0.05, P<0.01). There was no significant difference in oxygen saturation before and after exercise in the two groups,there was no significant difference in oxygen saturation after exercise between the two groups (P>0.05). CONCLUSION: Pre-acupuncture at Neiguan (PC 6) and Zusanli (ST 36) can effectively reduce the subjective fatigue perception score,serum levels of lactate and lactate dehydrogenase and heart rate to improve exercise-induced fatigue.


Assuntos
Pontos de Acupuntura , Terapia por Acupuntura , Exercício , Fadiga/terapia , Estudos de Casos e Controles , Exercício/fisiologia , Frequência Cardíaca , Humanos
18.
Orthopade ; 48(12): 1030-1035, 2019 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-31659423

RESUMO

Physical activity and exercise is widely connected with positive effects on human health. However, exercise may also pose as a risk factor for health under specific circumstances. Primarily, the risks connected with exercise are physical risks, but also psychological risks may appear, especially when exercise is conducted excessively. Psychological risks include eating disorders, illegal and legal substance use and exercise dependence. The aims of the present article are to focus on potential risks and side effects of exercise and physical activity and to put the risks in the context of the positive effects of exercise on health.


Assuntos
Comportamento Aditivo/psicologia , Exercício/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Comportamento Aditivo/complicações , Exercício/fisiologia , Transtornos da Alimentação e da Ingestão de Alimentos/complicações , Humanos , Fatores de Risco , Transtornos Relacionados ao Uso de Substâncias/complicações
19.
Medicine (Baltimore) ; 98(39): e17195, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31574826

RESUMO

The aim of this study was to evaluate comparative clinical outcomes of discordant electrocardiographic (ECG) and echocardiographic (Echo) findings compared with concordant findings during treadmill exercise echocardiography in patients with chest pain and no history of coronary artery disease (CAD).A total of 1725 consecutive patients who underwent treadmill echocardiography with chest pain and no history of CAD were screened. The patients were classified into 4 groups: ECG-/Echo- (negative ECG and Echo), ECG+/Echo- (positive ECG and negative Echo), ECG-/Echo+, and ECG+/Echo+. Concomitant CAD was determined using coronary angiography or coronary computed tomography. Major adverse cardiac events (MACEs) were defined as a composite of coronary revascularization, acute myocardial infarction, and death.MACEs were similar between ECG-/Echo- and ECG+/Echo- groups. Compared with ECG+/Echo- group, ECG-/Echo+ group had more MACEs (adjusted hazard ratio [HR] adjusted by clinical risk factors [95% confidence interval {CI}], 3.57 [1.75-7.29], P < .001). Compared with ECG+/Echo+ group, ECG-/Echo+ group had lower prevalence of concomitant CAD and fewer MACEs (HR, 0.49 [0.29-0.81], P = .006).Positive exercise Echo alone during treadmill exercise echocardiography had worse clinical outcomes than positive ECG alone, and the latter had similar outcomes to both negative ECG and Echo. Positive exercise Echo alone also had better clinical outcomes than both positive ECG and Echo. Therefore, exercise Echo findings might be superior for predicting clinical outcomes compared with exercise ECG findings. Additional consideration of ECG findings on positive exercise Echo will also facilitate better prediction of clinical outcomes.


Assuntos
Dor no Peito/fisiopatologia , Doença da Artéria Coronariana/fisiopatologia , Ecocardiografia/estatística & dados numéricos , Eletrocardiografia/estatística & dados numéricos , Infarto do Miocárdio/fisiopatologia , Adulto , Idoso , Dor no Peito/complicações , Angiografia Coronária , Doença da Artéria Coronariana/etiologia , Exercício/fisiologia , Teste de Esforço , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/etiologia , Prognóstico , Modelos de Riscos Proporcionais , Reprodutibilidade dos Testes , Fatores de Risco , Tomografia Computadorizada por Raios X
20.
Wien Klin Wochenschr ; 131(21-22): 558-566, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31535221

RESUMO

BACKGROUND: Hemophilia is a congenital bleeding disorder with an estimated frequency of 1:10,000 births. Repeated joint bleeding is a hallmark of the disorder and leads to painful hemophilic arthropathy. Regular exercise can help improve joint stability and function, reduce the risk of injury and bleeding and improve physical fitness and quality of life. This method paper describes an online training concept aiming to offer access to appropriate exercise instructions for people with hemophilia who are not able to attend regular training at a hemophilia center. METHODS: The online exercise program is accessible through the homepage of the Department of Physical Medicine, Rehabilitation and Occupational Medicine of the Medical University Vienna as well as through scanning a QR code printed on information material using a smart phone or tablet. RESULTS: The program contains exercises to improve mobility, coordination, muscular strength and flexibility. A brief introduction is given by a hematologist, a pediatrician and a physiatrist. An introductory video informs about contraindications and essential precautions, such as medical attendance and sufficient factor therapy to consider before starting the training. Another video gives advice on the exercise composition. The demonstrated exercises are explained by a physician and are available for adults and children. To individualize training recommendations and offer further diagnostic tools and physical treatment options as necessary, the Department of Physical Medicine, Rehabilitation and Occupational Medicine of the Medical University of Vienna will establish consultation hours for people with hemophilia. CONCLUSION: As hemophilia is an orphan disease, patients are mainly treated in specialized centers. For patients who live far from these centers or have limited access to a training there for other reasons, the physical medicine consultation hour and the implementation of online exercise instructions offer individually adapted exercise information for a regular home-based training to benefit from increased physical fitness and joint stability.


Assuntos
Artralgia/terapia , Hemofilia A , Aptidão Física , Adulto , Artralgia/etiologia , Criança , Exercício/fisiologia , Terapia por Exercício , Hemofilia A/complicações , Humanos , Qualidade de Vida
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