Eduardo Henrique De Rose

Posicionamento oficial da Sociedade Brasileira de Medicina do Esporte e da Sociedade Brasileira de Geriatria e Gerontologia: atividade física e saúde no idoso

Antonio Claudio Lucas da Nobrega, Elizabete Viana de Freitas, Marcos Aurelio Brazao de Oliveira,Marcelo Bichels Leitao, Jose Kawazoe Lazzoli, Ricardo Munir Nahas, Claudio Aparicio Silva Baptista,Felix Albuquerque Drummond, Luciano Rezende, Josbel Pereira, Maurilio Pinto,Rosana Bento Radominski, Neiva Leite, Edilson Schwansee Thiele, Arnaldo Jose Hernandez,Claudio Gil Soares de Araujo, Jose Antonio Caldas Teixeira, Tales de Carvalho,Serafim Ferreira Borges e Eduardo Henrique De Rose

Posicionamento oficial da Sociedade Brasileira de Medicina do Esporte: atividade física e saúde na mulher

Marcelo Bichels Leitao, Jose Kawazoe Lazzoli, Marcos Aurelio Brazao de Oliveira,Antonio Claudio Lucas da Nobrega, Geraldo Gomes da Silveira, Tales de Carvalho,Eney Oliveira Fernandes, Neiva Leite, Alice Volpe Ayub, Glaycon Michels,Felix Albuquerque Drummond, Joao Ricardo Turra Magni, Clayton Macedo eEduardo Henrique De Rose

Atividade física e saúde na infância e adolescência

Um estilo de vida ativo em adultos está associado a uma redução da incidência de várias doenças crônico-degenerativas bem como a uma redução da mortalidade cardiovascular e geral. Em crianças e adolescentes, um maior nível de atividade física contribui para melhorar o perfil lipídico e metabólico e reduzir a prevalência de obesidade. Ainda, é mais provável que uma criança fisicamente ativa se torne um adulto também ativo. Em conseqüência, do ponto de vista de saúde pública e medicina preventiva, promover a atividade física na infância e na adolescência significa estabelecer uma base sólida para a redução da prevalência do sedentarismo na idade adulta, contribuindo desta forma para uma melhor qualidade de vida. Nesse contexto, ressaltamos que a atividade física é qualquer movimento como resultado de contração muscular esquelética que aumente o gasto energético acima do repouso e não necessariamente a prática desportiva. Este documento, elaborado por médicos especialistas em exercício e esporte, baseia-se em conceitos científicos e na experiência clínica, tendo como objetivos: 1) estabelecer os benefícios da atividade física na criança e no adolescente; 2) caracterizar os elementos de avaliação e prescrição do exercício para a saúde nessa faixa etária; 3) estimular a recomendação e a prática da atividade física nas crianças e adolescentes, mesmo na presença de doenças crônicas, visto que são raras as contra-indicações absolutas.

Composição corporal, somatotipo e proporcionalidade de culturistas de elite do Brasil

Bodybuilding is a sport that mainly emphasizes physical appearance, body configuration and shape, trying to achieve aesthetics perfection. Kinanthropometry is a fundamental tool to lead training follow-up in bodybuilding. In spite of that, there are few scientific papers on the subject. The purpose of this paper is to describe body composition, somatotype and proportionality of 23 bodybuilders in the 2000 Brazilian Bodybuilding Championship. The subjects were evaluated moments before the competition according to the following specific variables: total weight, stature, nine skinfolds (tricipital, subscapular, bicipital, chest, medium axillary, suprailiac, abdominal, front thigh, medium calf), muscle girths (flexed biceps and calf-standing), and three bone breadths (elbow, ankle and knee), in accordance with ISAK methodology. The athletes were between 20 and 56 years old, with body weight between 57.4 kg and 105.8 kg. The sum of the nine skinfolds varied between 38.4 mm and 70.2 mm. The somatotype was 1.88.1-0.7, which can be classified as a balanced mesomorphic one. The average of body fat was 9.65%, using the Faulkner protocol, proposed by the Brazilian Group of Kinanthropometry. Fat weight was 7.29 kg. When compared to Phantom, the athletes showed higher body weight (Z = + 1.66), elbow girth (Z = + 5.26), and calf girth (Z = +O culturismo e um esporte que enfatiza a aparencia fisica, a configuracao e o formato corporais, buscando assim a excelencia estetica. A cineantropometria e uma ferramenta fundamental para guiar o curso do treinamento no culturismo. No entanto, existe escassez na producao de trabalhos cientificos para essa populacao. O objetivo deste trabalho e descrever a composicao corporal, o somatotipo e a proporcionalidade de 23 culturistas finalistas do Campeonato Brasileiro de Culturismo do ano de 2000. Os atletas foram avaliados momentos antes da competicao e as seguintes variaveis determinadas: peso total, estatura, nove dobras cutâneas (triceptal, subescapular, biceptal, peitoral, axilar media, supra-iliaca, abdominal, medial da coxa e medial da perna), dois perimetros musculares (braco fletido e perna) e tres diâmetros osseos (umeral, biestiloidal e femoral), conforme a metodologia proposta pela International Society for the Advancement of Kineanthropometry (ISAK). Os atletas apresentaram idades entre 20 e 56 anos e peso corporal entre 57,4kg e 105,8kg. O somatorio das nove dobras cutâneas (S9DC) variou entre 38,4mm e 70,2mm. O somatotipo encontrado foi de 1,8-8,1-0,7, classificado como mesomorfo balanceado. O percentual medio de gordura foi de 9,65%, usando o protocolo de Faulkner, proposto pelo Grupo Brasileiro de Cineantropometria. O peso de gordura encontrado foi de 7,29kg. Quando comparados ao Phantom, os atletas estudados apresentaram maiores: peso corporal (Z = +1,66), perimetro de braco (Z = +5,26) e perimetro de perna (Z = +1,91). Conclui-se que os culturistas brasileiros de elite estudados apresentam baixo percentual de gordura e grande peso muscular, quando comparados com o modelo de Ross e Wilson (1974), sendo a sua estrutura corporal semelhante a dos culturistas da elite internacional.

Doping cosmético: a problemática das aplicações intramusculares de óleos

Doping in sports world and in the subculture of professional and recreational bodybuilding athletes is very much known and also studied by the academic and scientific community. However, a new problem, which we defined as cosmetic doping, was introduced some decades ago and has grown in importance in Brazil in recent years. It is the systematic injection of oily substances by intramuscular routes, known as ADE (liposoluble vitamins A, D and E), with the purpose to enlarge the muscle volumetrically, what could lead to necrosis, physical deformities or even death. This article introduces the history of the cosmetic use of body fillers and the review of the possible deleterious and lethal effects that could result as a consequence of the use, as well as the mechanisms that are involved after the injection of these substances. Moreover, simple methods for potential observation of its use in athletes are presented. This paper also suggests that health professionals should report cases when these users are submitted due to their complications, since the studies and cases documented until the present time are only a small part of a reality of public health that tends to considerably increase.

Controle antidoping no Brasil: resultados do ano de 2003 e atividades de prevenção

This study presents the statistics of doping control, in- and out-of-competition in Brazil during the year 2003 and also shows the preventive actions developed. We have asked four laboratories and their coordinators to inform us about the controls on Brazilian athletes performed during the year 2003. All controls were performed under the World Anti-doping Agencys (WADA) rules and regulations. Our results show that 3,797 controls were performed in this year, being 3,266 in-competition and 531 out-of-competition controls. Most of the in-competition (92.16%) and out-of-competition tests (92.47%) were performed by LAB DOP, the doping control laboratory of the Chemical Institute of the Rio de Janeiro Federal University (UFRJ), one of the South American accredited laboratories. Professional soccer was the sport where most of the in-competition controls were performed (2.975 = 91.1%), with eight positive findings and a very low percent of positives (0.27%) when compared to the international literature. Most of the out-of-competition tests were performed by the Brazilian Olympic Committee (COB), during the preparation of our athletes for participating in the XIV Pan-American Games, at the Dominican Republic (92.47%). The positive result found was 19 positive in in-competition test and six in out-of-competition test. Two equestrian athletes refused to be tested. The percentage of positive in-competition (0.58%) is lower than the international percentages described, that ranges from 1 to 2%, with the exceptions of arm-fighting (30%), Paralympics table-tennis (10%), track and field (6.15%) and cycling (4.69%). The out-of-competition tests were found to have a greater incidence of positive results in bodybuilding (33.33%), equestrian (22.22%) and boxing (7.69%). The results of swimming (2.56%), track and field (1.89%) were in agreement with international data. The preventive actions of COB, the Brazilian Soccer Confederation and LAB DOP were shown in this article, altogether with the new anti-doping law from the Brazilian Sports Ministry.

Uso referido de medicamentos e suplementos alimentares nos atletas selecionados para controle de doping nos Jogos Sul-Americanos

The objective of the present study was to describe the prevalence of medicine and dietary supplements use in athlete who participated in the mandatory doping controls of the VII South American Sports Games, which took place in four Brazilian cities. One issue considering the doping control and relative to substances used in the days that preceded the competition was statistically analyzed. The authors analyzed data collected from 234 athletes of 25 sports participating in the Games, being these athletes 136 males and 98 females, distributed among the 13 participating countries. According to the questionnaire conducted in the doping control, 44% athletes informed some substances used up to three days before the competition. The medications were classified into non-steroidal anti inflammatory (NSAI) (24.8%), analgesics (15.9%), antibiotics (4.3%), cold medicine (3%) and other medicines (19.3%). Moreover, 50% of athletes reported the use of dietetic supplements, being this group divided into vitamins (39.7%), minerals (21.9%), amino acids (18.9%) and other substances (13.3%). The authors concluded that there was an overuse of antiinflammatory and analgesic medication in many sports modalities, which raises a concern in terms of control of symptoms of the athletes in competitions. Besides that, there was an important use of dietary supplements without specific indication. Such fact may cause an eventual adverse analytical finding in the control of doping by contamination or manipulation.The objective of the present study was to describe the prevalence of medicine and dietary supplements use in athlete who participated in the mandatory doping controls of the VII South American Sports Games, which took place in four Brazilian cities. One issue considering the doping control and relative to substances used in the days that preceded the competition was statistically analyzed. The authors analyzed data collected from 234 athletes of 25 sports participating in the Games, being these athletes 136 males and 98 females, distributed among the 13 participating countries. According to the questionnaire conducted in the doping control, 44% athletes informed some substances used up to three days before the competition. The medications were classified into non-steroidal anti inflammatory (NSAI) (24.8%), analgesics (15.9%), antibiotics (4.3%), cold medicine (3%) and other medicines (19.3%). Moreover, 50% of athletes reported the use of dietetic supplements, being this group divided into vitamins (39.7%), minerals (21.9%), amino acids (18.9%) and other substances (13.3%). The authors concluded that there was an overuse of antiinflammatory and analgesic medication in many sports modalities, which raises a concern in terms of control of symptoms of the athletes in competitions. Besides that, there was an important use of dietary supplements without specific indication. Such fact may cause an eventual adverse analytical finding in the control of doping by contamination or manipulation.

Informações sobre o uso de medicamentos no esporte

Endereço para correspondência: Dr. Eduardo Henrique De Rose E-mail: ehderose@terra.com.br destes Jogos, foi iniciado o controle sistemático de doping em Jogos Olímpicos de Inverno e de Verão. De acordo com a Comissão Médica do COI, a lista de substâncias proibidas circulada em janeiro de 2000 contém cinco classes farmacológicas: estimulantes, narcótico-analgésicos, agentes anabolizantes, diuréticos e hormônios peptídicos. Ademais, inclui três métodos igualmente proibidos: a manipulação física, química e farmacológica de urina, a administração de transportadores artificiais de oxigênio e substitutos de plasma, e ainda transfusão de sangue. Após fevereiro de 1993, o grupo de betabloqueadores, que era previamente proibido, foi transferido à categoria de droga restrita, cabendo às Federações Internacionais de cada modalidade esportiva incluir ou não esta substância no elenco das categorias proibidas. Os betabloqueadores são atualmente proibidos em esportes de precisão e pilotagem, tais como arco e flecha, tiro, pentatlo moderno, esgrima, saltos ornamentais, ginástica e equitação. A lista de classes farmacológicas e métodos proibidos é atualizada a cada ano, no mês de janeiro, em função do que está sendo utilizado ou já não tem mais sentido de ser usado pelos atletas, e a partir de pesquisas realizadas e que permitem um maior conhecimento dos agentes dopantes. Qualquer substância que pertença a classes farmacológicas proibidas não poderá ser usada, mesmo se não estiver listada como exemplo. O termo “compostos correlatos” utilizado no fim de cada classe farmacológica descreve drogas relacionadas esta categoria, seja pela sua estrutura química, seja por seu efeito farmacológico. A lista que vigora este ano, e que será a usada para os Jogos Olímpicos de Sydney, é a seguinte:

Referred use of medication and dietary supplements in athletes selected for doping control in the South-American Games

The objective of the present study was to describe the prevalence of medicine and dietary supplements use in athlete who participated in the mandatory doping controls of the VII South American Sports Games, which took place in four Brazilian cities. One issue considering the doping control and relative to substances used in the days that preceded the competition was statistically analyzed. The authors analyzed data collected from 234 athletes of 25 sports participating in the Games, being these athletes 136 males and 98 females, distributed among the 13 participating countries. According to the questionnaire conducted in the doping control, 44% athletes informed some substances used up to three days before the competition. The medications were classified into non-steroidal anti inflammatory (NSAI) (24.8%), analgesics (15.9%), antibiotics (4.3%), cold medicine (3%) and other medicines (19.3%). Moreover, 50% of athletes reported the use of dietetic supplements, being this group divided into vitamins (39.7%), minerals (21.9%), amino acids (18.9%) and other substances (13.3%). The authors concluded that there was an overuse of antiinflammatory and analgesic medication in many sports modalities, which raises a concern in terms of control of symptoms of the athletes in competitions. Besides that, there was an important use of dietary supplements without specific indication. Such fact may cause an eventual adverse analytical finding in the control of doping by contamination or manipulation.The objective of the present study was to describe the prevalence of medicine and dietary supplements use in athlete who participated in the mandatory doping controls of the VII South American Sports Games, which took place in four Brazilian cities. One issue considering the doping control and relative to substances used in the days that preceded the competition was statistically analyzed. The authors analyzed data collected from 234 athletes of 25 sports participating in the Games, being these athletes 136 males and 98 females, distributed among the 13 participating countries. According to the questionnaire conducted in the doping control, 44% athletes informed some substances used up to three days before the competition. The medications were classified into non-steroidal anti inflammatory (NSAI) (24.8%), analgesics (15.9%), antibiotics (4.3%), cold medicine (3%) and other medicines (19.3%). Moreover, 50% of athletes reported the use of dietetic supplements, being this group divided into vitamins (39.7%), minerals (21.9%), amino acids (18.9%) and other substances (13.3%). The authors concluded that there was an overuse of antiinflammatory and analgesic medication in many sports modalities, which raises a concern in terms of control of symptoms of the athletes in competitions. Besides that, there was an important use of dietary supplements without specific indication. Such fact may cause an eventual adverse analytical finding in the control of doping by contamination or manipulation.

Posicionamento Oficial da Sociedade Brasileira de Medicina do Esporte sobre: esporte Competitivo em Indivíduos acima de 35 anos

o fato de que o idoso nao tolera bem os extremos de tem-peratura e umidade, devendo ser evitados exercicios inten-sos sob tais condicoes climaticas, devido a possibilidadede hipertermia ou hipotermia.Documentos institucionais previamente publicados tra-caram recomendacoes quanto a pratica de exercicios com-petitivos em portadores de doencas cardiovasculares; quan-to aos criterios de afastamento e elegibilidade para compe-ticao desportiva; e quanto aos criterios para deteccao dedoencas cardiovasculares em uma populacao aparentementesaudavel. Entretanto, esses documentos se concentraram,principalmente, em atletas jovens ou individuos idosos pra-ticantes de atividade fisica de carater nao-competitivo.As competicoes para veteranos, organizadas pelas con-federacoes nacionais, federacoes regionais ou por associa-coes de atletas apresentam com frequencia bom nivel tec-nico. Alguns atletas com idades para serem consideradosveteranos ( master) ainda mantem carreiras competitivas emalgumas modalidades, participando de campeonatos mun-diais absolutos ou mesmo dos Jogos Olimpicos, com bonsresultados.O objetivo deste Posicionamento Oficial da SociedadeBrasileira de Medicina do Esporte (