Resting heart rate as a predictor of metabolic dysfunctions in obese children and adolescents

Background: Recent studies have identified that a higher resting heart rate (RHR) is associated with elevated blood pressure, independent of body fatness, age and ethnicity. However, it is still unclear whether RHR can also be applied as a screening for other risk factors, such as hyperglycemia and dyslipidemia. Thus, the purpose of the presented study was to analyze the association between RHR, lipid profile and fasting glucose in obese children and adolescents.Methods: The sample was composed of 180 obese children and adolescents, aged between 7-16 years. Whole-body and segmental body composition were estimated by Dual-energy X-ray absorptiometry. Resting heart rate (RHR) was measured by heart rate monitors. The fasting blood samples were analyzed for serum triglycerides, total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and glucose, using the colorimetric method.Results: Fasting glucose, TC, triglycerides, HDL-C, LDL-C and RHR were similar in both genders. The group of obese subjects with a higher RHR presented, at a lower age, higher triglycerides and TC. There was a significant relationship between RHR, triglycerides and TC. In the multivariate model, triglycerides and TC maintained a significant relationship with RHR independent of age, gender, general and trunk adiposity. The ROC curve indicated that RHR has a high potential for screening elevated total cholesterol and triglycerides as well as dyslipidemia.Conclusion: Elevated RHR has the potential to identify subjects at an increased risk of atherosclerosis development.

The Association between Skipping Breakfast and Biochemical Variables in Sedentary Obese Children and Adolescents

Objective To investigate the relationship between skipping meals and biochemical variables in obese children and adolescents.Study design The sample was composed of 174 obese children and adolescents, aged between 6 and 16 years (80 male and 94 female). Body composition was assessed by dual-energy x-ray absorptiometry, fasting blood glucose, and lipid profile were measured after 12 hours fasting. The frequency of skipping breakfast, lunch, or dinner was assessed through a face-to-face interview carried out with the parents.Results The prevalence of eating breakfast daily was low in boys (47.5%) and girls (44.7%). A higher frequency of eating breakfast was negatively correlated with glucose (r = -0.16; P = .026), triglycerides (r = -0.19; P = .011), and very low density lipoprotein cholesterol (r = -0.21; P = .005). In the multivariate model, the weekly frequency of eating breakfast remained negatively associated with glucose (beta = -0.975; P = .017), triglycerides (beta = -7.792; P = .017), and very low density lipoprotein cholesterol (beta = -1.870; P = .009) independent of age, sex, trunk fatness, and parents' education.Conclusion Skipping meals, mainly breakfast, is associated with glucose and lipid levels in obese children and adolescents. (J Pediatr 2012;161:871-4).

Padrão de co-ativação dos músculos do tronco durante exercícios com haste oscilatória

This study aimed to compare trunk muscle co-activation pattern during exercises using an oscillatory pole. Twelve volunteers participated in this study, in which they performed three different exercises. EMG activity of internal oblique (IO), external oblique (EO), rectus abdominis (RA), multifidus (MU) and iliocostalis lumborum (IL) was collected. The EMG signals were analyzed in time domain (RMS) and muscles activation ratios were computed as follow: anterior-posterior (A/P=RA+EO+IO/MU+IL), MU/IL and OE/OI. The bilateral oscillation of the pole in frontal plane (exercise II) promoted a higher value of MU/IL ratio than unilateral oscillation of the pole in sagital plane (exercise III). Also, the bilateral oscillation of the pole in frontal plane (exercise II) and the unilateral oscillation of the pole in sagital plane (exercise III) caused higher values of the IO/EO than bilateral oscillation of the pole in transversal plane (exercise I). Thus, the exercises II and III required higher activation of trunk stabilizer muscles, being more indicate for training, which aims higher recruitment of these muscles in daily activities.

Lumbar muscles recruitment during resistance exercise for upper limbs

The aim of this study was to evaluate the EMG activity of lumbar multifidus (MU), longissimus thoracis (LT) and iliocostalis (IC) muscles during an upper limb resistance exercise (biceps curl). Ten healthy males performed maximal voluntary isometric contraction (MVC) of the trunk extensors, after this, the biceps curl exercise was executed at 25%, 30%, 35% and 40% one repetition maximum during 1 min, with 10 min rest between them. EMG root mean square (RMS) and median frequency (MFreq) were calculated for each lifting and lowering of the bar during the exercise bouts, to calculate slopes and intercepts. The results showed increases in the RMS and decreases in the MFreq slopes. RMS slopes were no different between muscles, indicating similar fatigue process along the exercise irrespective of the load level. MU and LT presented higher RMS irrespective of the load level, which can be related to the specific function during the standing position. on the other hand, IC and MU presented higher MFreq intercepts compared to LT, demonstrating possible differences in the muscle fiber conduction velocity of these muscles. These findings suggest that trunk muscles are differently activate during upper limb exercises, and the fatigue process affects the lumbar muscles similarly. (C) 2008 Elsevier Ltd. All rights reserved.

EMG amplitude and frequency parameters of muscular activity: Effect of resistance training based on electromyographic fatigue threshold

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Gait training with partial body weight support during overground walking for individuals with chronic stroke: a pilot study

Background: It is not yet established if the use of body weight support (BWS) systems for gait training is effective per se or if it is the combination of BWS and treadmill that improves the locomotion of individuals with gait impairment. This study investigated the effects of gait training on ground level with partial BWS in individuals with stroke during overground walking with no BWS.Methods: Twelve individuals with chronic stroke (53.17 +/- 7.52 years old) participated of a gait training program with BWS during overground walking, and were evaluated before and after the gait training period. In both evaluations, individuals were videotaped walking at a self-selected comfortable speed with no BWS. Measurements were obtained for mean walking speed, step length, stride length and speed, toe-clearance, durations of total double stance and single-limb support, and minimum and maximum foot, shank, thigh, and trunk segmental angles.Results: After gait training, individuals walked faster, with symmetrical steps, longer and faster strides, and increased toe-clearance. Also, they displayed increased rotation of foot, shank, thigh, and trunk segmental angles on both sides of the body. However, the duration of single-limb support remained asymmetrical between each side of the body after gait training.Conclusions: Gait training individuals with chronic stroke with BWS during overground walking improved walking in terms of temporal-spatial parameters and segmental angles. This training strategy might be adopted as a safe, specific and promising strategy for gait rehabilitation after stroke.

Estudos de microscopia óptica e de microscopia eletrônica de varredura em folhas de Mentha spicata e de Mentha spicata x suaveolens (Lamiaceae)

O presente trabalho tem como objetivo realizar um estudo de anatomia foliar por meio de microscopia óptica e de microscopia eletrônica de varredura em Mentha spicata L. e Mentha spicata X suaveolens, caracterizando histologicamente a lâmina foliar. Secções transversais e paradérmicas da região mediana do limbo foliar mostraram a presença de epiderme unisseriada, coberta por uma fina camada de cutícula, apresentando tricomas glandulares do tipo capitado e peltado e não glandulares unisseriados multicelulares, não ramificados. O mesofilo de ambas as espécies é dorsiventral, com parênquima paliçádico uniestratificado, com células alongadas e rico em inclusões citoplasmáticas. O parênquima lacunoso é formado por três a quatro camadas de células irregulares. Os tricomas capitados presentes são classificados como do tipo I, e apresentam-se com uma célula basal, uma célula peduncular e uma grande célula apical, cujo formato varia de circular a piriforme. Os tricomas peltados consistem de uma célula basal, uma célula peduncular curta, larga e unicelular, com paredes externas cutinizadas e uma cabeça grande multicelular com 12 células secretoras, distribuídas radialmente em dois círculos concêntricos, o central com 4 células e o externo com 8 células, as quais acumulam o produto da secreção em uma cavidade entre a cutícula e as células secretoras; o pé do tricoma glandular está inserido em 11 células epidérmicas. Há predominância de tricomas capitados em relação aos tricomas peltados em ambas as espécies de Mentha.

Diversidade de ácaros (Arachnida: Acari) em Hymenaea martiana (Leguminosae) em gradiente de tamanho de plantas

Foram estudadas as comunidades de ácaros em indivíduos de Hymenaea martiana Hayne (Leguminosae) com diferentes tamanhos, localizados em fragmento de Mata Estacional Semidecidual com transição para o Cerrado. As plantas analisadas foram selecionadas com base no gradiente de altura e perímetro do tronco a 10 cm acima do solo. Foram realizadas coletas quinzenais no período de março de 2007 a março de 2008. em cada amostragem foram retiradas três folhas dos ramos externos e três dos ramos internos, ao redor da região mediana da copa de cada planta selecionada. Para comparar os padrões ecológicos das comunidades de ácaros entre as plantas, foram aplicados índices descritores da diversidade. em H. martiana, foram registrados 109.445 ácaros pertencentes a 28 espécies de 14 famílias. Nove espécies de ácaros, dentre as 19 classificadas como frequentes e acessórias, tiveram sua densidade populacional influenciada pelo tamanho da planta. Enquanto a densidade populacional de Chiapacheylus edentatus de Leon, 1962, Euseius cf. errabundus, Pronematus sp., Brevipalpus phoenicis (Geijskes, 1939) e Tarsonemus sp., apresentou correlação positiva com a altura da planta, a de Aberoptus aff. cerostructor, Euseius sibelius (De Leon, 1962), Typhlodromalus aripo de Leon, 1967 e Phytoseius nahuatlensis de Leon, 1959, apresentou correlação negativa. Não houve influência da altura da planta sobre a riqueza de espécies e densidade total de ácaros entre ramos internos e externos das plantas com diferentes alturas. As variações fisiológicas entre os indivíduos de diferentes estágios ontogenéticos de H. martiana, juntamente com fatores abióticos, podem ter influenciado a ocorrência e a distribuição dessas espécies de ácaros sobre essa planta.

Quaternary of the Pantanal, west-central Brazil

The Pantanal is a tectonic depression located at the left margin of the Upper Paraguay River. The Paraguay is the trunk river of an alluvial depositional tract composed by several large marginal alluvial fans, the Taquari fan being the largest one. The present landscape is a complex tropical wetland characterized by month-long floods every year, with geomorphic features derived from the present conditions and others inherited from successive Pleistocene and Holocene climates. Some areas containing ponds are landscape relicts generated by eolian deflation during the Last Glacial Maximum. Many ponds, closed depressions isolated from the superficial waters by vegetated crescent ridges of fine sands, were interpreted as salt pans bordered by lunette sand dunes. Initiation of the modern wetland has occurred during the Pleistocene/Holocene transition, with the change to a more humid climate and the individualization of lacustrine systems. Active tectonics has been playing an important role in the development of the Pantanal landscape. Nowadays, the Paraguay River meanders in a large flood plain with extensive swamp surfaces, being structurally constrained by faults in the west border of the basin. Sedimentation within the Pantanal wetland is also affected by tectonic activity, especially along faults associated with the Transbrasiliano Lineament. (C) 2003 Elsevier B.V. Ltd and INQUA. All rights reserved.

River avulsions on the Taquari megafan, Pantanal wetland, Brazil

The Pantanal wetland is located in a tectonically active interior sedimentary basin in west-central Brazil. The south-flowing Paraguay River is the trunk-river of an alluvial constructional landform comprising several large alluvial fans, the largest one of which is the Taquari megafan. The Taquari River flows in two distinct geomorphologic zones within the megafan. Entrenched on sediments of Pleistocene fan lobes, the Taquari River flows in a 3 to 5 km wide meander belt in the upper fan, where avulsion is hindered by entrenchment. Downstream of the intersection point, stream discharge progressively decreases and the Taquari River becomes narrow and shallow toward the Paraguay River plain. Within the distributary fan lobe, the channel-levee sandy complex is topographically higher than the adjacent floodplains and avulsion is a natural consequence of crevasses in the natural levees. Many channel avulsions have occurred during the last decades and documented cases show that significant channel changes may take place in a few years. Beginning with crevassing in 1988 and ending with the abandonment of the former channel in 1998, the river completely changed course in the lower fan. Presently, a major avulsion is occurring in the upper portion of the growing fan lobe, where many crevasses have appeared in the natural levees with associated splays onto the floodbasin. New anastomosed channels have formed north of the Taquari River, but downstream of them the flow is unconfined and the water spreads into natural floodbasins. This avulsion is still in process and allows observation of channel evolution, the geomorphic features produced, the sedimentary processes involved, and resulting effects. If the new channels do not rejoin the main channel, the river mouth may abandon its present master channel and shift to a position a hundred kilometers north from its present position. A large volume of sediment has been transferred to the floodbasin, with progradation of crevasse splay deposits over fine overbank sediments. Many geomorphic features, recognizable in satellite and radar images, clearly show that avulsion has occurred many limes before in the Taquari River. Avulsion belt deposits and former diverted channels testify to ancient avulsion events within the fan lobe and show that progradation of splays onto the floodbasin is the most important infilling process within the Taquari distributary fan lobe. The avulsion process in the lower Taquari River has accelerated in the last 30 years, along with the magnitude of flooding. Pasture and intensive agriculture in the catchment area has increased the sediment supply to the wetland, but larger floods are also a consequence of higher rainfall since 1973. Avulsion and floods have been a cause of great concern among the local population and landowners. Before human intervention in attempting to control floods, however, a better understanding of the avulsive river system is needed, especially because a major navigation project including the channelization of the Paraguay River was recently proposed. (c) 2005 Elsevier B.V. All rights reserved.

Contrasting fluvial styles of the Paraguay River in the northwestern border of the Pantanal wetland, Brazil

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Avaliação postural em pacientes com doença pulmonar obstrutiva crônica

O objetivo deste estudo foi avaliar alterações posturais em pacientes com Doença Pulmonar Obstrutiva Crônica (DPOC), por meio do Software para Avaliação Postural (SAPO). Trinta indivíduos constituíram 2 grupos: 15 pacientes com DPOC e 15 idosos saudáveis (controle). Os grupos realizaram espirometria e foram fotografados para avaliação postural. As imagens obtidas foram digitalizadas e, posteriormente, avaliou-se dez alterações posturais com o SAPO [inclinação lateral da cabeça (ILC), desnivelamento dos ombros (DO), desnivelamento pélvico anterior (DPA), inclinação lateral do tronco (ILT), desnivelamento das escápulas (DE), desnivelamento pélvico posterior (DPP), protusão da cabeça (PC), protusão de ombro (PO), báscula anterior da pelve (BAP) e cifose torácica (CT)]. Essas alterações, obtidas no grupo controle, foram conferidas com o padrão de normalidade para adultos jovens, proposto em estudo prévio. Para a comparação das alterações posturais entre grupo controle e DPOC, foi utilizado o teste de Mann-Whitney em grupo controle, e em adultos jovens, o teste t de Student não pareado, ambos com nível de significância estatística de 5%. Dentre as dez alterações posturais, o grupo controle apresentou sete (ILC, DPA, DE, DPP, PC, PO, BAP) com valores angulares significativamente maiores em relação aos adultos jovens. Quando comparados a idosos saudáveis, indivíduos com DPOC apresentaram um aumento significante na angulação de BAP, DPP e CT. Pacientes com DPOC apresentam três alterações posturais que provavelmente estão relacionadas à doença.

Exploração de fatores de risco para lesões desportivas em atletas de tênis de mesa

A prática do tênis de mesa requer inúmeras ações dinâmicas que podem conduzir a lesões desportivas, por isso é de importância conhecer fatores inerentes ao traumatismo nos atletas para posterior formulação dos modelos preventivos. Objetivou-se explorar os fatores de risco para lesões desportivas em mesa-tenistas. Para isso, foram entrevistados 111 atletas participantes do Campeonato Paulista de Tênis de Mesa, com média de idade de 22,39±8,88 anos de ambos os gêneros, recrutados ao acaso, classificados em dois níveis competitivos: regional/estadual e nacional/internacional. Utilizou-se o Inquérito de Morbidade Referida adaptado com as características do tênis de mesa com a finalidade de reunir dados pessoais, de treinamento e da lesão desportiva. Foram observadas 0,51 lesões por atleta, e os atletas de nível nacional/internacional apresentaram maiores índices de lesão (52,94%) do que os de nível estadual/regional (48,84%). No gesto específico, notou-se que os membros superiores (93,62%) e o tronco (87,5%) são os locais mais acometidos. Para ambos os níveis, o treinamento foi o momento mais relatado de ocorrência dos agravos. Conclui-se que atletas de nível nacional/internacional possuem maiores índices de lesão e que o gesto específico é a principal causa das lesões, acometendo principalmente os membros superiores e o tronco e ocorrendo com maior frequência durante o treinamento.

Circunferências medidas em diferentes locais do tronco e fatores de risco cardiometabólico

Os objetivos deste estudo foram comparar medidas de circunferências da cintura e abdominal e analisar suas relações com fatores de risco cardiometabólico em servidores de uma universidade da Bahia. Para tanto, cinquenta e cinco homens e setenta e uma mulheres (36,4 ± 11,2 anos) foram submetidos à avaliação antropométrica bem como medidas das pressões arteriais sistólica e diastólica, glicemia, triglicerídeos, colesterol total e frações HDL e LDL. Apesar das fortes correlações (P < 0.01) entre as diferentes medidas (r > 0,93), a circunferência da cintura foi significativamente menor que a circunferência abdominal em ambos os sexos, sendo a diferença média entre locais maior em mulheres (8,6 ± 4,1 vs 3,8 ± 4,2 cm; P < 0,01). A circunferência da cintura foi significativamente relacionada a dois e quatro fatores de risco em homens e mulheres, respectivamente. Por outro lado, a circunferência abdominal foi significativamente relacionada a um fator em homens e cinco em mulheres. Não foram observadas diferenças significativas (P > 0,05) entre coeficientes de correlação nos casos em que ambas as circunferências se relacionaram significativamente a um fator de risco. Esses resultados sugerem que o local de mensuração tem influência substancial sobre a circunferência tomada na região inferior do tronco, particularmente, em mulheres, porém, não evidenciam clara superioridade de uma das medidas quanto às relações com fatores de risco cardiometabólico tradicionais em amostra brasileira. Estudos devem ser conduzidos, buscando comparar a capacidade preditiva de diferentes medidas de circunferência para o desenvolvimento de fatores de risco e doenças cardiovasculares em diferentes populações.

Calagem na nutrição de cálcio e no desenvolvimento do sistema radicular da goiabeira

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)