Attenuation of neuropsychiatric symptoms and caregiver burden in Alzheimer's disease by motor intervention: a controlled trial

OBJECTIVE: To analyze the effects of motor intervention on the neuropsychiatric symptoms of Alzheimer's disease and on the caregivers' burden. DESIGN: This is a controlled trial evaluating the effects of a motor intervention program on the neuropsychiatric symptoms. SETTING: The intervention was performed on community patients from two university centers specializing in physical exercise for the elderly. SUBJECTS: Patients with Alzheimer's disease were divided into two groups: sixteen received the motor intervention and sixteen controls (five controls were excluded because of clinical intercurrences). INTERVENTIONS: Aerobic exercises (flexibility, strength, and agility) and functional balance exercises were conducted over six months for 60 minutes three times per week. MAIN MEASURES: Psychopathological features of patients were evaluated with the Neuropsychiatric Inventory and Cornell Scale for Depression in Dementia. Caregivers were evaluated using the Neuropsychiatric Inventory-Distress and Burden Interview. A two-way analysis of variance (ANOVA) was applied to observe interactions (pre- vs. post-intervention; participants vs. controls). RESULTS: Patients from the intervention presented a significant reduction in neuropsychiatric conditions when compared to controls (Neuropsychiatric Inventory: F: 11.12; p = 0.01; Cornell Depression scale: F: 11.97; p = 0.01). The burden and stress of caregivers responsible for patients who participated in the intervention significantly decreased when compared to caregivers responsible for controls (Neuropsychiatric Inventory-Distress: F: 9.37; p = 0.01; Burden Interview: F: 11.28; p = 0.01). CONCLUSIONS: Aerobic exercise was associated with a reduction in the neuropsychiatric symptoms and contributed to attenuate the caregivers' burden. However, the researchers were not blinded to the patient's intervention status, which constitutes an important limitation of this study.

Efeito do exercício aeróbio na menopausa induzida por ooforectomia: estudo clínico, biomecânico e densitométrico em ratas

Pós-graduação em Bases Gerais da Cirurgia - FMB

Suplementação com creatina, estado redox e metabolismo glicídico muscular de ratos submetidos ao treinamento de caráter aeróbio

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Resposta pressórica e bioquímica de indivíduos hipertensos medicados, submetidos a programa de treinamento físico aeróbio

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

Associação do treinamento resistido e aeróbico em pacientes com doença pulmonar crônica

Introduction: The pulmonary rehabilitation (PR) is composed of aerobic and resisted exercises that improve the functional capacity to the exercise, life quality and decrease respiratory symptoms in subjects with chronic pulmonary disease. Objective: Assess the effects of a combined PR program in the cardiorespiratory function and peripheral muscle strength in subjects with chronic pulmonary disease. Method: Patients with chronic pulmonary disease were submitted to the PR program, which was developed on 24 sessions of 60 minutes (three times per week). The program was composed of aerobic exercises (two times per week) and resisted exercises (once a week). Before and after the PR the patients were submitted to manovacuometry in order to measure the maximum inspiratory pressure (MIP) and the maximum expiratory pressure (MEP), ventilometry, peek expiratory flow (PEF), six minute walking test (6MWT) and one maximum repetition (1RM). The data are presented in absolute frequency, percentage and mean±standard deviation. The t Student test was used to compare data before and after the PR and the ANOVA test to compare before, after and predicted distances in the 6MWT (p<0.05). Results: Seven patients were part of this study, 85.70% of women, 71.40% with pulmonary emphysema diagnosis. The mean age was 69.43±5.59 years old, the height was 1.61±0.07 m, the mean weight was 66.20±8.40 kg and the body mass index mean was 25.50±2.48 kg/m². From the variables assessed, the MEP increased from 79.71±13.69 to 84.42±12.83 cmH2O (p=0,03), the PEF increase from 255.71±66.3 to 320.00±93.63 l/min (p=0,03) and the distance in the 6MWT from 415.28±47.90 to 483,79±79,77 m (p=0,02). The load in the 1RM test in the reverse peck deck exercise (before - - 17.10±8.10kg; after – 210.40±9.00kg), knee in leg extension machine (before – 17.10±9.50kg; after – 26.40±13.10kg) and hip extensors (right before – 48.60±22.10kg; after – 62.90±19.30kg; and left before – 46.40±20.10kg; after – 62.10±18.20kg) increased significantly (p<0,05). Conclusion: After the PR program there was improvement in the expiratory muscular strength, in the lower limbs strength and in the functional capacity. Besides that, there was a reduction in the airflow obstruction of the subjects with chronic pulmonary disease.

Respostas da frequência de braçada e do comprimento de braçada na e acima da intensidade correspondente à máxima fase estável de lactato sanguíneo em indivíduos com diferentes níveis de performance

The main objective of this study was to analyze the behavior of variables related to swim ability at and above maximal lactate steady state (MLSS), performed at continuous and intermittent conditions in individuals with different aerobic performance levels. Participated of this study male swimmers with ages between 20 to 25 years, specialists in events of 400 m, 800 m and 1500 m and open water swims, with at least 3 years of experience in the modality. The individuals performed a maximal 400-m swim test. After this test, they were divided into two groups, in accordance with the speed attained during 400-m swim test: G1 (higher performance) and G2 (lower performance). For the determination of continuous MLSS (MLSSc), 2 to 4 trials of 30-min were performed. For the determination of the intermittent MLSS (MLSSi) 2 to 4 trials of 30-min (12 repetitions of 2 min 30 s, with 30 s of rest) were performed, in constant speed, with the first trial performed at 102.5% MLSSc. Th technical indexes, stroke rate (FB) and stroke length (CB) were determined in all tests. The SR was calculated trough recordings using the time needed to perform five stroke cycles. The SL was calculated dividing the speed by the SR. There was no significant difference on the antropometric characteristics between groups. The speed at and above MLSSc were significantly higher at G1 (1,23±0,05 e 1,27±0,06, respectively) than G2 (1,10±0,06 e 1,13±0,06, respectively). There was significant change in SL and SR in G2. In the same way, there was significant change in SL and SR only in G2, above MLSSc. Similar to continuous condition, the speeds at and above MLSSi were significantly higher in G1 (1,27±0,05 e 1,30±0,05, respectively) do que no G2 (1,14±0,07 e 1,16±0,07, respectively). There was significant change in SL and SR only in G2. There was significant change in SR and SL in both groups above MLSSi. Thus,...(Complete abstract click electronic access below)

Efeito do treinamento de saltos em mini-trampolim na resistência de força e na aptidão aeróbia em mulheres treinadas

Este estudo teve como objetivo analisar o efeito de um período de treinamento com uma aula coreografada na resistência de força de membros inferiores e na aptidão aeróbia em mulheres. Participaram do estudo, 11 mulheres ativas (Idade = 31,8  8,04 anos, Massa corporal = 60,5  6,49 kg e Estatura = 160,7  4,35cm). Foram realizados antes e após o período de treinamento os seguintes procedimentos: 1) Teste progressivo de Bruce, para a estimativa do consumo máximo de oxigênio (VO2max); 2) Teste de repetições máximas, para estimar a resistência de força (RF) e; 3) Aula coreografada. O treinamento foi realizado em um período de 6 semanas, com frequência semanal de 2 sessões. Houve um aumento significante na RF (de 30,4 3,98 para 37,2 6,25) e no VO2max (de 28,2 6,25 para 34,3 6,24 ml/kg/min) após o período de treinamento. Portanto, um período de treinamento composto por aulas coreografadas envolvendo saltos e um alto número de repetições proporciona uma melhora na resistência de força de membros inferiores e na aptidão aeróbia e mulheres ativas

Reprodutibilidade das respostas metabólicas e cardiorrespiratórias fisiológicas em um protocolo de exercício intermitente realizado com recuperação passiva e ativa

The main objective of this study was to analyze the reliability of blood lactate concentration ([La]), oxygen uptake (VO2) and heart rate (FC) in an intermittent protoco, performed at 95%VO2max with passive or active recovery in untrained subjects. Participated of this study, active healthy males with 20 to 25 years, which were doing aerobic exercises witha weekly frequency of 3 sessions at least. The individulas performed, in different days, the following protocols in a cyclergometer: 1) An incremental test until exhaustion to determine maximal oxygen uptake (VO2max) and the intensity at VO2max; b) Two transitions at 95%VO2max for the determination of the VO2 kinetics parameters and; c) Two intermittent tests until exhaustion, with repetitions at 95% IVO2max and with durantion defined as being half of the duration of the slow component. The duration of the recovery was half of the duration of the effort (effort:pause of 2:1). This test was performed with passive (GP) and active recovery (GA). The VO2 and FC were measured continulously in both tests. Blood collections were performed for the determination of the [La]. There was significant correlação in both groups for VO2 (ATIVA - 0.94, PASSIVA - 0.75), [La] (ATIVA - 0.83, PASSIVA - 0.90) and FC (0.93) only for the passive group. Thus, it can be concluded that the cardiorrespiratory and metabolic responses present good realiability in an intermittent exercise with active or passive recovery

Efeito do pacing e do exercício prévio na performance aeróbia

The aim of this study was to analyze the influence of prior exercise on different intensity distribution strategies (pacing). The study included five male individuals, apparently healthy, aged between 18 and 25 years, and without regular practice of physical activities. The subjects were tested on different days following the protocols on a cycle ergometer: 1) a progressive ramp test, 2) three constant load tests in the intensities of 85%, 90% and 95% IVO2max to exhaustion, and 3) six tests with and without holding a prior exercise intensity of 70%  with different strategies for Even-intensity pace, ES (401 ± 70 W), which consists of an exercise at a pace and / or constant intensity from beginning to end; where intensity is initially increased to 10% less than the ES progressively increase to reach 10% above the intensity of ES, and; Fast-start; FS, where there is a reversal in the way of distributing intensity, ie the initial intensity is 10% higher than the value of ES decreased progressively to 10% below that ES. All these tests were performed in random order. The tlim with previous exercise was significantly shorter than without previous exercise at FS condition (p < 0.05). The VO2final obtained at ES condition was similar with (3243 ± 599 ml.min-1) and without (3252 ± 384 ml.min-1) previous aerobic exercise (p > 0.05). However, the VO2final obtained at FS condition was higher with (3291 ± 218 ml.min-1) than without (3097 ± 207 ml.min-1) previous aerobic exercise (p < 0.05). The heart rate was higher at ES condition with than without previous aerobic exercise (p < 0.05). There was no significant difference in this variable for FS condition with and without previous aerobic exercise (p > 0.05). It can be concluded that the results the previous exercise (70%) achieved lasting 6 minutes followed by 6 minutes of recovery appears to influence / commit ting the conditions during the pacing for this population

Padronização e reprodutibilidade de um teste específico de avaliação da capacidade aeróbia em jogadores de futsal

Introdução: O futsal é uma modalidade esportiva altamente dinâmica e sua prática em nível de rendimento é caracterizada por uma exigência altíssima dos sistemas anaeróbio e aeróbio, sendo o último, responsável por sustentar as altas intensidades exigidas durante a partida. Um exemplo de teste para avaliar a capacidade aeróbia é o “Circuito de Hoff”, porém específico para o futebol. Com a finalidade de elaborar um protocolo de teste específico para o futsal, este estudo procura padronizar o teste “Circuito de Hoff” como uma forma i ndireta de i nvestigar a capacidade aeróbia de atletas dessa modalidade. Objetivo: Padroni zar o “Circuito de Hoff” para avaliação da capacidade aeróbia de jogadores de futsal, determinada pelo teste de lactato mínimo. Metodologia: Participaram do estudo 8 atletas de futsal do sexo masculino (idade: 21,75±2,05 anos) pertencentes a uma equipe universitária de competição do Estado de São Paulo. Inicialmente os participantes passaram por uma avaliação antropométrica e deram início ao um período de 5 dias de familiarização ao Hofffutsal e logo após então realizaram o teste de lactato mínimo no circuito Hofffutsal. Após 7 dias, teste de lactato mínimo no circuito Hofffutsal foi reaplicado para a verificação da reprodutibilidade (intra-teste). Para análise estatística de normalidade e homogeneidade dos dados foram utilizados os testes Shapiro-Wilks e Levene respectivamente. Para comparação dos resultados foi realizado o teste t de Student pareado e a correlação de Pearson (p<0,05). Resultados: O teste t de Student não encontrou diferenças estatísticas entre os valores de Lac_mín teste x Lac_min Re-teste, e R2 Teste X R2 Re-teste. Apresentou-se valores de 7,75±0,29 mmol/l de lactato mínimo e r2 de 0,94±0,09 para teste e um valor de 7,69±0,29 mmol/l de lactato mínimo ...(Resumo completo, clicar acesso eletrônico abaixo)

Influence of cardiac rehabilitation in Primigravida with spontaneous coronary artery dissection during postpartum

The physical exercise consists of trainable physical abilities such as strength and endurance. It can be inferred that the individual cardiac patient is dependent on it as an associated therapy to the drug treatment for a rapid and lasting improvement of their overall clinical status. The patient - with Spontaneous Coronary Artery Dissection Postpartum period - was subjected to 21 sessions of cardiac rehabilitation. A physical evaluation was performed, before and after the treatment period, for data collection: anthropometric values, flexibility, aerobic capacity and strength of grip. The patient had a positive response in aerobic capacity, flexibility and grip strength and the anthropometric values were kept in short term rehabilitation.

Feed restriction and a diet's caloric value: The influence on the aerobic and anaerobic capacity of rats

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Aerobic capacity of rats recovered from fetal malnutrition with a fructose-rich diet

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

Validity of critical frequency test for measuring table tennis aerobic endurance through specific protocol

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Heavy-intensity aerobic exercise affects the isokinetic torque and functional but not conventional hamstrings:quadriceps ratios

Running exercises are frequently related to muscular injuries, which may be a result of muscular imbalance. The present study aimed to verify the effects of heavy-intensity continuous running exercise on the functional and conventional hamstrings: quadriceps ratios, and also in the knee flexors and extensors EMG activity in active non-athletic individuals. Sixteen active males performed maximal isokinetic concentric and eccentric knee flexions and extensions at 60 degrees s(-1) and 180 degrees s(-1). In another session, the same procedure was conducted after a continuous running exercise at 95% onset of blood lactate accumulation. Torque and electromyographic ratios were calculated from peak torque and integrated electromyographic activity (knee flexor and extensors). Creatine kinase was measured before and 24 h after running exercise. Eccentric torque (knee flexion and extension) decreased significantly after running only at 180 degrees s(-1) (p < 0.05). No differences were found for the conventional torque ratios (p > 0.05), however, the functional torque ratios at 180 degrees s(-1) decreased significantly after running (p < 0.05). No effects on the electromyographic activity and electronnyographic ratios were found (p > 0.05). Creatine kinase increased slightly 24 h after running (p < 0.05). Heavy-intensity continuous running exercise decreased knee flexor and extensor eccentric torque, and functional torque ratios under fast velocities (180 degrees s(-1)), probably as result of peripheral fatigue. (C) 2008 Elsevier Ltd. All rights reserved.