Ana Carolina Kanitz

Physiological comparisons between aquatic resistance training protocols with and without equipment.

Purpose: To provide an overview of the safety and efficacy of mitomycin C (MMC) as adjuvant therapy after refractive surgery procedures. Methods: Literature review. Results: Over the past 10 years, MMC has been used by refractive surgeons to prophylactically decrease haze after surface ablation procedures and therapeutically in the treatment of preexisting haze. Development of MMC treatments has had a significant role in the revival of surface ablation techniques. We reviewed the literature regarding mechanism of action of MMC, its role in modulating wound healing after refractive surgery, and its safety and efficacy as adjuvant therapy applied after primary photorefractive keratectomy surgery or after photorefractive keratectomy re-treatment after laser in situ keratomileusis and other corneal surgeries and disorders. The drug is a potent mitotic inhibitor that effectively blocks keratocyte activation, proliferation, and myofibroblast differentiation. Many studies have suggested that MMC is safe and effective in doses used by anterior surface surgeons, although there continue to be concerns regarding long-term safety. After initial depletion of anterior keratocytes, keratocyte density seems to return to normal 6 to 12 months after the use of MMC when corneas are examined with the confocal microscope. Most clinical studies found no difference between preoperative and postoperative corneal endothelial cell densities when MMC 0.02% was applied during refractive surgery, with exposure time of 2 minutes or less. Conclusions: After more than 10 years of use, MMC has been found to be effective when used for prevention and treatment of corneal haze. Questions remain regarding optimal treatment parameters and long-term safety.The purpose of the present study was to compare the physiological responses of oxygen uptake (VO(2)) and energy expenditure (EE) in two different aquatic resistance training protocols performed with three sets of 20 seconds (3 × 20) and six sets of 10 seconds (6 × 10) and with and without Speedo Resistance Equipment. Ten young healthy women volunteers, familiar with exercises in an aquatic environment, participated in this study. The four separate protocols were randomly selected and performed at a 48-hour interval by the same instructor. The total time of the 3 × 20 protocol was 34 minutes and that of the 6 × 10 protocol was 43 minutes, and all exercises were performed at maximal speed and amplitude. Although the protocols had different total times, they included one minute of stimulus per muscle group and the same time intervals. EE(gross) and EE(net) values were higher in the 6 × 10 protocol than in the 3 × 20 one. The variables VO(2) and EE(min) did not present significant difference between the protocols. VO(2), EE(gross), EE(net) and EE(min) values were higher when the equipment was used (W situation) than when it was not (WO situation). In the postexercise analysis, the W situation also showed higher VO(2) and EE(gross) values than the WO situation. Therefore, this study suggests the use of Speedo Resistance Equipment to increase VO(2) and EE, and it also suggests lengthier aquatic resistance training to obtain greater EE values per session.

Cardiorespiratory and neuromuscular responses during water aerobics exercise performed with and without equipment.

The aim of the study was to compare the cardiorespiratory and neuromuscular responses to water aerobics exercise performed with and without equipment. 15 women performed stationary jogging combined with elbow flexion/extension without equipment, with water-drag forces equipment and with water-floating equipment, at 2 submaximal cadences and at maximal cadence. Heart rate, oxygen uptake and electromyographic signal from biceps brachii, triceps brachii, biceps femoris and rectus femoris were collected during the exercise. The heart rate and oxygen uptake showed significantly higher values during the execution of the water aerobics exercise with either equipment compared to the execution without equipment. In addition, significant difference was found between submaximal cadences. For neuromuscular responses, no significant differences were found between the submaximal cadences for all muscles analyzed; however, significant differences were found between these submaximal cadences and the maximal cadence. Similarly, the results showed no significant differences between the execution of the exercise with or without equipment, except in the muscle activation of triceps brachii and biceps femoris, which was higher when using water-floating and water-drag forces equipment, respectively. In conclusion, the water aerobics exercise presented higher cardiorespiratory responses with equipment and also increased the cadence of execution. Nevertheless, neuromuscular responses were higher only at maximal cadence.

MAXIMAL AND VENTILATORY THRESHOLDS OF OXYGEN UPTAKE AND RATING OF PERCEIVED EXERTION RESPONSES TO WATER AEROBIC EXERCISES

Abstract Alberton, CL, Antunes, AH, Beilke, DD, Pinto, SS, Kanitz, AC, Tartaruga, MP, and Kruel, LFM. Maximal and ventilatory thresholds of oxygen uptake and rating of perceived exertion responses to water aerobic exercises. J Strength Cond Res 27(7): 1897–1903, 2013—This study aimed to compare the V[Combining Dot Above]O2max and first and second ventilatory threshold (1stVT and 2ndVT) V[Combining Dot Above]O2 values and rating of perceived exertion (RPE) responses of treadmill running (TR) with those of 3 water aerobic exercises: stationary running (SR), jumping jack (JJ), and forward kick (FK). Nine women (22.89 ± 1.81 years, 1.66 ± 0.07 m, 58.46 ± 4.19 kg) performed 1 maximal test session for each of the 4 exercise protocols in a randomized order to determine the V[Combining Dot Above]O2max and V[Combining Dot Above]O2 values and RPE responses corresponding with the 1stVT and 2ndVT. V[Combining Dot Above]O2 values were also expressed as a percentage of V[Combining Dot Above]O2max (%V[Combining Dot Above]O2max). A repeated measures analysis of variance and Bonferroni’s post hoc test were used, with &agr; = 0.05 denoting statistical significance. The analyses showed that the V[Combining Dot Above]O2 responses were significantly higher for TR than for the other exercises at all effort intensities (V[Combining Dot Above]O2max: p < 0.001; 1stVT and 2ndVT V[Combining Dot Above]O2: p < 0.001), followed by intermediate responses for SR and FK and lower responses for JJ. However, no significant differences between exercises for values of %V[Combining Dot Above]O2max (1stVT: p = 0.099; 2ndVT: p = 0.131) and RPE (1stVT: p = 0.275; 2ndVT: p = 0.477) were found at submaximal intensities, indicating that it is possible to achieve and maintain the same training intensity with these exercises during a typical water fitness lesson. Moreover, the RPE values obtained for the 1stVT and 2ndVT can make the prescription of intensity for these water exercises for young women more simple and practical.

Moderators of response in exercise treatment for depression: A systematic review

INTRODUCTION Exercise have antidepressant effects in people with Major Depressive Disorder (MDD). However, about to half of patients do not respond to exercise. The identification of factors that moderates the antidepressant effects of exercise in people with MDD may help researchers and health professionals to identify sub-groups of patients that would benefit more from exercise. METHODS A systematic review was carried out using Medline(PubMed), EMBASE and psycINFO up to April 2015. Individual and composite moderators were summarized and the strength of the evidence was assessed. RESULTS Eleven studies were included for review resulting in the identification of potential individual (two biological, three clinical, two psychological and two social individual) and two potential composite moderators (the interaction between BDNF and Body Mass Index (BMI) and between family history of mental illness and gender). Only the two biological features and the BDNF x BMI interaction provided confirmatory evidence. LIMITATIONS Due the different statistical approaches used in the studies, it was not possible to perform meta-analyses. The small number of studies and the exploratory nature of the evidence limits a wider generalization of the findings. CONCLUSION Potential clinical, psychological, social or biological moderators were identified. However, the small number of studies and the limited strength of the evidence requires further studies before drawn definitive results. Further trials should consider the inclusion of moderators analysis using an a-priori, theoretical/evidence based hypothesis in order to provide high quality evidence for the use of personalized medicine in exercise for depression.

Effects of two deep water training programs on cardiorespiratory and muscular strength responses in older adults

This study aimed to investigate the effects of two deep water training programs on cardiorespiratory and muscular strength responses in older adults. Thirty-four older adults men were placed into two groups: deep water endurance training (ET; n = 16; 66 ± 4 years) and deep water strength prior to endurance training (concurrent training: CT; n = 18; 64 ± 4 years). The training period lasted 12 weeks, with three sessions a week. The resting heart rate and the oxygen uptake at peak (VO2peak) and at the second ventilatory threshold (VO2VT2) were evaluated during a maximal incremental test on a cycle ergometer before and after training. In addition, maximal dynamic strength (one repetition maximum test--1RM) and local muscular resistance (maximum repetitions at 60% 1RM) of the knee extensors and flexors were evaluated. After the training period, the heart rate at rest decreased significantly, while the VO2peak and VO2VT2 showed significant increases in both groups (p<0.05). Only the VO2VT2 resulted in significantly greater values for the ET compared to the CT group after the training (p<0.05). In addition, after training, there was a significant increase in the maximal dynamic strength of the knee extensors and the local muscular endurance of the knee extensors and flexors, with no difference between the groups (p > 0.05). In summary, the two training programs were effective at producing significant improvements in cardiorespiratory and muscular strength responses in older adult men. However, deep water endurance training at high intensities provides increased cardiorespiratory responses compared to CT and results in similar muscular strength responses.

Glucose control can be similarly improved after aquatic or dry-land aerobic training in patients with type 2 diabetes: A randomized clinical trial

OBJECTIVES To compare the effects of two aerobic training methods in water and on dry-land on glycemic, lipid, inflammatory, hormonal, cardiorespiratory, and functional outcomes in patients with type 2 diabetes. DESIGN Randomized clinical trial. METHODS Thirty-five patients with type 2 diabetes were randomly assigned to aquatic aerobic training group (n=17) or dry-land aerobic training group (n=18). Exercise training interventions had duration of 12 weeks, performed in three weekly sessions (45min/session), with intensity progressing from 85% to 100% of heart rate of anaerobic threshold during interventions. All outcomes were evaluated at baseline and 12 weeks later. RESULTS Patients were 56.7±7.9 years old. Decreases in glycated hemoglobin were observed in both groups (AT: -0.42±0.28%, DLT: -0.35±1.8%). Total cholesterol, high density lipoprotein, low density lipoprotein levels, plasma renin activity, angiotensin II concentrations, C-reactive protein, systolic blood pressure, resting heart rate, and timed up and go test performed at the usual speed also decreased in both groups in response to both interventions (p<0.05), without between-group differences. Both groups increased the ratio between oxygen uptake at the anaerobic threshold and oxygen uptake of peak (p=0.01). CONCLUSIONS Aerobic training in an aquatic environment provides effects similar to aerobic training in a dry-land environment in patients with type 2 diabetes.

Oxygen Uptake, Muscle Activity and Ground Reaction Force during Water Aerobic Exercises

This study aimed to compare the oxygen uptake (VO2), the muscle activity of lower limbs, and the vertical ground reaction force (V-GRF) of women performing water aerobic exercises at different intensities. 12 young women performed the experimental protocol, which consisted of 3 water exercises (stationary running [SR], frontal kick [FK] and cross country skiing [CCS]) at 3 intensities (first and second ventilatory thresholds and maximum effort). A two-way repeated measures ANOVA was used. Regarding VO2, different responses between intensities (p<0.001) were found, and values between exercises were similar. For electromyographic activity (EMG), differences between intensities for all muscles (p<0.001) were found. Greater EMG signals were observed in the FK compared to SR for rectus femoris, semitendinosus, vastus lateralis and biceps femoris muscles (p<0.05). Regarding V-GRF, there was an increase in the V-GRF at greater intensities compared to the first ventilatory threshold (p=0.001). In addition, lower values were found during CCS compared to the SR and FK exercises (p<0.001). Thus, greater cardiorespiratory and neuromuscular responses were observed with increasing intensity. Exercises such as CCS could be used to attenuate the V-GRF; if the purpose is to reduce the muscular activity of lower limbs at a specific intensity, SR could be recommended.

Rating of Perceived Exertion and Physiological Responses in Water-Based Exercise.

Abstract The aim of the present study was to relate the overall rating of perceived exertion (RPE-overall) with cardiorespiratory and neuromuscular variables during stationary running with the elbow flexion/extension performed with water-floating equipment. The sample consisted of eleven women that performed the water-based exercise at submaximal cadences. The heart rate, oxygen uptake, ventilation, and electromyographic signal (EMG) from biceps brachii (%EMG BB), triceps brachii (%EMG TB), biceps femoris (%EMG BF) and rectus femoris (%EMG RF) muscles were measured during the exercise, and the overall RPE was measured immediately following its completion. The Pearson product-moment linear correlation was used to investigate associations between the variables analyzed in the present study. Significant relationships were observed between the RPE-overall and all the cardiorespiratory variables, with the r values ranging from 0.60 to 0.70 (p<0.05). In addition, the RPE-overall showed a significant (p<0.05) relationship with %EMG BB (r=0.55) and %EMG BF (r=0.50). These results suggest an association between the RPE-overall with all cardiorespiratory and two neuromuscular variables during the execution of a water-based aerobic exercise using water-floating equipment.

Comparação do índice de esforço percebido e consumo de oxigênio em exercício em cicloergômetro entre gestantes e não-gestantes e entre o exercício aquático e terrestre

The purpose of the present study was to assess the differences in ratings of perceived exertion (RPE) and oxygen uptake (VO2) behavior during water and land-based exercise, performed in the exercise intensity of the first ventilatory threshold between pregnant and non-pregnant women. Seven pregnant (gestational ages between the 27th and 30th week) and seven non-pregnant women performed two continuous cycle ergometer tests (water and land-based) at the first ventilatory threshold intensity. During all sessions, respiratory gases were collected with a portable AEROSPORT KB1-C mixing box gas analyzer. A pneumotach was used with a neoprene mask. Heart rate (HR) measurements were obtained with a POLAR F1. Data were collected every 20s. RPE on Borg scale from 6 to 20 was derived at the end of the exercise. One-way ANOVA was applied for repeated measures using the post-hoc Bonferroni test (p<0.05). No significant differences were found in VO2 or RPE when comparing water with land-based exercise. In the same way, no significant difference was found between pregnant and non-pregnant subjects. We suggest that RPE can be used for water and land-based exercise prescription on cycle ergometer at the intensity of first ventilatory threshold, for both pregnant and non-pregnant women.

Comparação das respostas cardiorrespiratórias de um exercício de hidroginástica com e sem deslocamento horizontal nos meios terrestre e aquático

O objetivo do estudo foi comparar as respostas cardiorrespiratorias de um exercicio de hidroginastica (corrida estacionaria) realizado com e sem deslocamento horizontal no meio terrestre (MT), em piscina funda (PF) e em piscina rasa (PR). Seis mulheres jovens realizaram os exercicios durante 4 min numa cadencia de 80 bpm. O exercicio consistia em flexao e extensao de quadril com os bracos simulando um movimento de corrida. A frequencia cardiaca (FC) e o consumo de oxigenio (VO2 ) foram coletados no ultimo minuto de exercicio e a percepcao de esforco (PE) foi coletada ao termino do exercicio. Para a comparacao das variaveis utilizou-se ANOVA two-way para medidas repetidas com fatores meio e forma de execucao (p < 0,05). Para todas as variaveis analisadas foram encontrados valores menores no exercicio em PR comparado ao exercicio no MT. Porem, nenhuma diferenca foi observada entre o exercicio no MT e em PF, exceto para a FC, que foi menor no exercicio em PF. Em relacao a forma de execucao, para a FC, foram encontrados valores maiores no exercicio com deslocamento quando comparado ao exercicio sem deslocamento somente na PF. Estes achados sugerem a possibilidade de executar o exercicio analisado em PF com gasto energetico (GE) similar e FC menor quando comparado ao mesmo exercicio no MT. Fato de grande relevância para populacoes que querem obter um GE semelhante ao exercicio no MT, mas que necessitam de uma menor sobrecarga cardiovascular.