Alexandre de Paiva Luciano

Nutritional strategies of physically active subjects with muscle dysmorphia.

Background The aim of this study was to identify dietary strategies for physically active individuals with muscle dysmorphia based on a systematic literature review. Method References were included if the study population consisted of adults over 18 years old who were physically active in fitness centers. We identified reports through an electronic search ofScielo, Lilacs and Medline using the following keywords: muscle dysmorphia, vigorexia, distorted body image, and exercise. We found eight articles in Scielo, 17 in Medline and 12 in Lilacs. Among the total number of 37 articles, only 17 were eligible for inclusion in this review. Results The results indicated that the feeding strategies used by physically active individuals with muscle dysmorphia did not include planning or the supervision of a nutritionist. Diet included high protein and low fat foods and the ingestion of dietary and ergogenic supplements to reduce weight. Conclusion Physically active subjects with muscle dysmorphia could benefit from the help of nutritional professionals to evaluate energy estimation, guide the diet and its distribution in macronutrient and consider the principle of nutrition to functional recovery of the digestive process, promote liver detoxification, balance and guide to organic adequate intake of supplemental nutrients and other substances.

Estudo epidemiológico das lesões do pé e tornozelo na prática desportiva recreacional

OBJECTIVE: This is a retrospective study showing the incidence, type and extent of injuries occurring in the foot and/or ankle as a result of recreational sports practice. METHODS: We treated 131 patients, of which 123 were male and 8 female, with a history of trauma and pain in the foot and/or ankle after the practicing recreational sports. The average age of the male patients was 24.53 years. The evaluation was done through a research protocol, which contained the variables age, sex, diagnosis, and type of recreational sport. RESULTS: The sports were classified according to the American Medical Association, which divides them into contact and non-contact sports. 82.4% of the sample practiced contact sports, while 17.6% practiced sports classified as non-contact. CONCLUSIONS: The sprained ankle was the most frequent type of injury, especially those of grade I and II. Soccer was the sport responsible for the highest incidence of injuries and among its various forms the indoor soccer presented the highest frequency of injuries (35%). In the non-contact sports, the highest incidence was found in running. Level of Evidence IV, Case Series.OBJECTIVE: This is a retrospective study showing the incidence, type and extent of injuries occurring in the foot and/or ankle as a result of recreational sports practice. METHODS: We treated 131 patients, of which 123 were male and 8 female, with a history of trauma and pain in the foot and/or ankle after the practicing recreational sports. The average age of the male patients was 24.53 years. The evaluation was done through a research protocol, which contained the variables age, sex, diagnosis, and type of recreational sport. RESULTS: The sports were classified according to the American Medical Association, which divides them into contact and non-contact sports. 82.4% of the sample practiced contact sports, while 17.6% practicedsports classified as non-contact. CONCLUSIONS: The sprained ankle was the most frequent type of injury, especially those of grade I and II. Soccer was the sport responsible for the highest incidence of injuries and among its various forms the indoor soccer presented the highest frequency of injuries (35%). In the non-contact sports, the highest incidence was found in running. Level of Evidence IV, Case Series.

Avaliação funcional e radiográfica do pé torto congênito tratado cirurgicamente

OBJECTIVE: To review radiographic aspects of idiopathic congenital clubfeet operated on and compare them to the surgical results achieved. METHODS: The sample include 68 congenital clubfeet that were operated on with posteromedial, and/or lateral release of the soft parts. The age at the time of surgery varied from 6 to 24 months, and post-operative follow-up lasted from 1 to 16 years, with a mean of 4.87 years. At the time of evaluating results, anteroposterior and profile X-rays with charge were made of the feet, and the talus-calcaneus, talus-first metatarsus, and calcaneus-fifth metatarsus angles were plotted. A review was also made of the percentage movement backwards of the fibula onto the tibia, and the relation of the tibia and the navicular position in relation to the talus in both radiographic plans. RESULTS: 90.8% satisfactory results and 9.2% unsatisfactory results were obtained. The mean talus-calcaneus angle in the anteroposterior X-ray was 23.20o, and it was 23.20o in the profile X-ray, with no statistical significance. The talus-first metatarsus angle presented a mean of 4.84o, and the calcaneus-fifth metatarsus angle had a mean of 7.70o, both correlating to the results (P = 0.003). The percentage movement backwards of the fibula onto the tibia had a mean value of 60.67% (P = 0.007). CONCLUSIONS: 1o) When they were wider than 10o and 12o, the respective angles of the talus-first metatarsus in the anteroposterior X-rays, and of the calcaneus-fifth metatarsus in anteroposterior X-rays were significant for those clubfeet that had unsatisfactory results; 2o) the better the navicular alignment in relation to the talus in anteroposterior X-rays and in profile X-rays, the better the results; 3o) the percent relation of the backwards movement of the fibula onto the tibial was higher in those feet with unsatisfactory results; 4o) in anteroposterior and in profile X-rays, the talus-calcaneus angle did not show to be a good parameter to evaluate the results of idiopathic congenital clubfoot treatment.

Stress fracture in acetabular roof due to motocross: case report

One of the first steps to be taken in order to reduce sports injuries such as stress fractures is to have in-depth knowledge of the nature and extent of these pathological conditions. We present a case report of a stress fracture of the acetabular roof caused through motocross. This type of case is considered rare in the literature. The description of the clinical case is as follows. The patient was a 27-year-old male who started to have medical follow-up because of uncharacteristic pain in his left hip, which was concentrated mainly in the inguinal region of the left hip during motocross practice. After clinical investigation and complementary tests, he was diagnosed with a stress fracture of the acetabular roof.

NÍVEL DE ATIVIDADE FÍSICA EM ADOLESCENTES SAUDÁVEIS

Introducao: A recomendacao atual para pratica de atividades fisicas na infância e adolescencia e de que todo jovem deveria envolver-se diariamente por 60 minutos ou mais em atividades fisicas moderadas em cinco ou mais dias da semana, somando-se pelo menos 300 minutos de atividades fisicas por semana. Poucos estudos sobre o nivel de atividade fisica foram encontrados com amostras de criancas e adolescentes brasileiros. Objetivo: Esta pesquisa tem como objetivo a aplicacao de um questionario para avaliar o nivel de atividade fisica realizada e suas correlacoes com estagios da puberdade e indice de massa corporal (IMC) em adolescentes saudaveis matriculados na rede municipal de ensino da cidade de Taubate, SP, Brasil. Metodos: Foi realizado um estudo transversal por meio de aplicacao de um questionario (IPAQ) para avaliar o nivel de atividade fisica e sua correlacao com peso, altura e IMC de 202 adolescentes saudaveis. Resultados: O grupo de 15 a 17 anos, considerado pos-pubere nesta pesquisa, apresentou tempos significantemente maiores do que os demais grupos, quanto a resposta da questao 4b (p = 0,002), que indaga sobre o tempo total gasto sentado durante um dia de final de semana. Conclusao: O grupo de 9 a 11 anos, considerado pre-pubere nesta pesquisa, apresentou numeros significantemente maiores do que os demais grupos quanto as atividades ludicas moderadas.

Pelvic pseudotumor following total hip arthroplasty – case report,

Loosening is a well-known complication of total hip arthroplasty. The accumulation of detritus resulting from mechanical wear forms inflammatory cells that have the function of phagocytizing this debris. Over the long term, these cells may give rise to a local granulomatous reaction. Here, we present a report on a case of pelvic pseudotumor subsequent to total hip arthroplasty, which is considered rare in the literature. The patient was a 48-year-old black man who started to be followed up medically eight months earlier because of uncharacteristic abdominal pains, dysuria and pollakiuria. He had undergone left total hip arthroplasty 17 years previously. Through clinical investigation and complementary examinations, an extra-articular granulomatous mass was diagnosed, constituting a pelvic pseudotumor.

Segmental Stress Fracture of Tibia in Recreational Running: A Case Report

One of the first steps to be taken in order to reduce lesions in sports, such as stress fractures, is to know the nature and extension of this pathology. What follows is a case report of segmental stress fracture of the tibia in recreational athletes, which is considered somewhat rare in the literature. Case report: a 40-year-old female patient who started to have follow-up medical checks due to unusual pain in her right leg, concentrated mainly on the proximal region of the knee and ankle, after a 10-km run for a period of one month. Segmental stress fracture of the tibia was diagnosed after clinical research and further examinations.