Frank Shiguemitsu Suzuki

Correlation of six-minute walking performance with quality of life is domain- and gender-specific in healthy older adults.

We analyzed the relationship between performance on the 6-min walk test (6MWT) and health-related quality of life (HRQoL) in older subjects. Our secondary aim was to determine the distance to be completed on the 6MWT for the subject to achieve a score of 50 on the Short Form (36) Health Survey (SF-36). Associations were tested using linear correlation and multivariate linear regression. Participants were 130 healthy older individuals. The predictive performance of the 6MWT based on an SF-36 score of 50 was assessed using a receiver operating characteristic curve and its area under curve (AUC). Associations were observed between physical functioning, role-emotional, social functioning, vitality, general health score, and 6MWT performance in women, after adjusting for confounding variables (coefficients: 0.57, 0.38, 0.40, and 0.46, respectively; p < 0.05). No association was found for men. The distance for the 6MWT to predict an SF-36 score of 50 was 481 m for men in the physical functioning (AUC: 0.79) and role-physical (AUC: 0.84) domains, and 420 m for women in role-emotional (AUC: 0.75), role-physical (AUC: 0.80), and general health (AUC: 0.80) domains. Our results indicate that superior 6MWT performance may be associated with better HRQoL in several domains in only healthy older women. No association between 6MWT performance and role-emotional, mental health, or vitality domains was found. We suggest that a score of 50 is represented by a 6MWT distance of 481 m for men and 420 m for women, at least in the role-physical domain.

Different land-based exercise training programs to improve bone health in postmenopausal women

Summary Bone mineral density reduction is a health problem in postmenopausal women because it leads to osteoporosis and high risk of falling, and bone fracture. Bone fractures induce functional dis-ability, poor quality of life, and reduced lifespan. Thus, therapies that reduce bone loss are highly necessary. In this study, we summarized findings from the literature regarding several useful land-based (as opposed to aquatic) exercise training programs for bone density maintenance in post-menopausal women. Trials published up to January 2013 in Cochrane Library, PubMed, and Medline databases (n=1966) were evaluated. The search included studies assessing ET effects on BMD in postmenopausal women. In the current literature, 4 types of exercise training programs (resistance, endurance, whole-body vibration, and multi-component training) have shown benefit in multiple bone sites. However, sev -eral studies provide a more positive clinical perspective for multi-component training. We show evidence that several land training programs may benefit bone health, in which multi-component training is most recommended. This is based on findings that multi-component train -ing induces lower fall frequency and risk for osteoporosis.

EFFECTS OF A MULTICOMPONENT EXERCISE PROGRAM ON THE FUNCTIONAL FITNESS IN ELDERLY WOMEN

Introduction: Aging is inevitable and irreversible, but with the advancement of technology, life expectancy is increasing every year, bringing proposals for various interventions to improve the quality of life. One such intervention is physical exercise programs. Objectives: To investigate the impact of multicomponent training in circuits on functional autonomy parameters in elderly women. Methods: Elderly were recruited and distributed in two groups: trained (N = 16) and non-trained (N = 15). Those in the trained group performed 75-minute training sessions twice a week over a 56-week period. The resistance training included upper and lower limbs with a relative intensity of 70% of 1RM, exercises using body weight, stretching and specific tasks for agility, performed in a circuit form and totaling three passages. Participants underwent functional autonomy (FA) assessment by the protocol of the Latin American Developmental Group for Maturity, the 6-minute walk test (T6M), and the sit-and-reach (SR) test. Results: The trained group had a significant decrease in body weight (p=0.02) and body mass index (p=0.015). Significant improvements (p=0,009) were also observed in FA, SR, and T6M after the intervention Compared with the untrained group, the trained group also obtained significant differences in all functional parameters analyzed. Conclusion: A long-term multicomponent training program conducted on a circuit and applied twice a week was enough to improve multiple components of the functional autonomy of elderly women. Level of Evidence II; Prognostic studies Investigating the effect of a patient characteristic on the outcome of disease.

ALTERATIONS IN PEAK TORQUE OCCUR WITHOUT HEMATOLOGICAL CHANGES AFTER MUSCLE FATIGUE

Rev Bras Med Esporte – Vol. 23, No 3 – Mai/Jun, 2017 ABSTRACT Introduction: Muscular fatigue during voluntary muscle contractions is a complex and multifactorial phenomenon associated with central changes and adaptations of the neuromuscular system. Objective: The aim of this study was to analyze the changes in both peak torque and hematological parameters in active and inactive healthy subjects following a muscular fatigue protocol. Methods: Twenty-one healthy adult males performed a muscle fatigue protocol (10 sets, 10 repetitions of knee extension at 75% of the maximal isometric torque (MIT), 120os-1 and 40 seconds of rest). Hematocrit (Ht), red blood cells (RBC) and leukocytes (L) analysis were evaluated before (B) and after (A) a fatigue test. Results: The inactive group presented impairment only in concentric muscular action of -41±4% in relation to the active (-23±3%) group. No differences were found in hematological parameters in inactive group (Ht, B: 45.00±0.01 vs. A: 47.00±0.01; RBC, B: 442±40 vs. A: 487±41; L, B: 7,565±2,878 vs. A: 8,015±4,224) and the active group (Ht, B: 45.00±0.63 vs. A: 47.00±0.01; RBC, B: 477±30 vs. A: 559±37; L, B: 6,418±3,557 vs. A: 6,632±4,460). Conclusion: Differences were found only in concentric actions between groups. Additionally, there were no relationships found in hematological parameters between groups.

Musculoskeletal analysis of masticatory system arising from malocclusion: literature review

Introduction: The malocclusion can be defined as any change in the natural position of contact between the teeth and the arcades format that affects the morphofunctional architecture of the masticatory system of individuals affected by such condition. The aim of this study was to review the literature and to investigate the morphofunctional changes of the mandible and masticatory muscles as result of malocclusion. Material and Methods: This study consisted of a systematic review and the search for the theoretical composition was performed in the Lilacs, PubMed and Scielo database using as descriptors the words Malocclusion, Mandible, Masticatory Muscles and as filters the words Abstract Available, English Language, Humans, Rats. Results: This research allowed the authors to assert that the occlusal alterations are capable of causing morphological and functional modifications in the mandible and masticatory muscles. Conclusion: Given these aspects, it was possible to highlight the malocclusion as an aggravating factor at quality of life.

Functional Fitness and Self-Reported Quality of Life of Older Women Diagnosed with Knee Osteoarthrosis: A Cross-Sectional Case Control Study

Aim. Utilizing a cross-sectional case control design, the aim of this study was to evaluate the functional fitness and self-reported quality of life differences in older people diagnosed with knee osteoarthrosis (O) who participated in health promotion groups. Methods. Ninety older women were distributed into two groups: control without O of the knee (C, n = 40) and a group diagnosed with primary and secondary knee O with grade II or higher, with definite osteophytes (OA, n = 50). Functional fitness was evaluated by specific tests, and the time spent in physical activity and quality of life was evaluated by the IPAQ and WHOQOL (distributed in four domains: physical: P, psychological: PS, social: S, and environmental: E) domain questionnaires. Results. No differences were found between ages of groups (C: 66 ± 7; OA: 67 ± 9; years). The values of the chair stand test (rep) in the OA (13 ± 5) group were different when compared to C group (22 ± 5). For the 6-minute walk test (meters), the values obtained for the C (635 ± 142) were higher (P < 0.01) than the OA (297 ± 143) group. The time spent in physical activity (min) was greater (P < 0.001) in the control (220 ± 12) group compared to OA (100 ± 10) group. Higher values (P < 0.001) in all domains were found in the C (P: 69 ± 16, PS: 72 ± 17, S: 67 ± 15, E: 70 ± 15) group compared to OA (P: 48 ± 7, PS: 43 ± 8, S: 53 ± 13, E: 47 ± 14) group. Conclusion. Our data suggests that knee O, in older women, can promote a decline in time spent performing physical activity and functional fitness with decline in quality of life with an increase in sitting time.

ATIVIDADE FÍSICA E NÍVEL DE DEPRESSÃO EM IDOSAS

Introduction: In the last 50 years, it has been having a significant increase in the elderly population, which is a group of people that face physical condition decline due to changes occurring in their bodies throughout the years. Objective: Knowing that such a decrease in functional capacity is one the factors causing depression in the elderly, this study aims to determine the influence of physical exercise in the occurrence of signs suggestive of geriatric depression. Materials and Methods: Data were collected through a structured interview using the Geriatric Depression Scale (Yesavage, (1983). Results: From the 15 elderly interviewed, according to Yesavage Geriatric Scale scores, 12 had normal level (80%), 03 presented mild depression (20%), and no moderate / severe depression was observed (0%). Data collected have showed that the practice of regular physical exercise contributes positively to lower depression levels in elderly women, because the active individual presents a lower risk of developing diseases due to the practice itself and also to social life. Conclusion: Thus, it may be concluded that physical activity possibly contributes to an improvement in functional capacity while reduces levels of geriatric depression. DESCRIPTORS: Elderly. Aging. Physical activity.