Pub Date : 2021-06-21DOI: 10.18176/archmeddeporte.00044
Luisa Gámez-Calvo, J. Gamonales, Kiko León, Jesús Muñoz-Jiménez
The present work aims to carry out a structured and bibliographic review based on the results found regarding the terms Hippotherapy and Elderly people. For the reference search, the following keywords in English, Hippotherapy and Elderly, were used as descriptors, these keywords being always entered in databases of the same language. The computerized databases SCOPUS, WOS, SPORTDiscus were used. PubMed and Cochrane. To limit the search for documents, four inclusion criteria were introduced: i) Mention at least some of the characteristics of Hippotherapy for the elderly (minimum 20 words that mention the subject), ii) Select only scientific documents (journal articles) These articles may have an experimental design or be review articles, iii) Be accessible and be available in full text or with access to the abstract, and iiii) Be written in Spanish, English or Portuguese. The results show that the papers on Hippotherapy in the elderly address different research topics and show that equestrian therapies have beneficial therapeutic effects in the elderly population. Hippotherapy interventions improve static balance and dynamic balance, postural balance, functional mobility, flexibility, muscular strength, gait and cadence of steps. They reduce spasticity, causing a decrease in the risk of falls and an improvement in the quality of life of the elderly. In addition, they cause benefits on a psychological level, reducing levels of stress and depression, which produces an improvement in the quality of sleep and positively influences mood.
{"title":"Therapeutic effects of hippotherapy in the elderly: a review of the literature","authors":"Luisa Gámez-Calvo, J. Gamonales, Kiko León, Jesús Muñoz-Jiménez","doi":"10.18176/archmeddeporte.00044","DOIUrl":"https://doi.org/10.18176/archmeddeporte.00044","url":null,"abstract":"The present work aims to carry out a structured and bibliographic review based on the results found regarding the terms Hippotherapy and Elderly people. For the reference search, the following keywords in English, Hippotherapy and Elderly, were used as descriptors, these keywords being always entered in databases of the same language. The computerized databases SCOPUS, WOS, SPORTDiscus were used. PubMed and Cochrane. To limit the search for documents, four inclusion criteria were introduced: i) Mention at least some of the characteristics of Hippotherapy for the elderly (minimum 20 words that mention the subject), ii) Select only scientific documents (journal articles) These articles may have an experimental design or be review articles, iii) Be accessible and be available in full text or with access to the abstract, and iiii) Be written in Spanish, English or Portuguese. The results show that the papers on Hippotherapy in the elderly address different research topics and show that equestrian therapies have beneficial therapeutic effects in the elderly population. Hippotherapy interventions improve static balance and dynamic balance, postural balance, functional mobility, flexibility, muscular strength, gait and cadence of steps. They reduce spasticity, causing a decrease in the risk of falls and an improvement in the quality of life of the elderly. In addition, they cause benefits on a psychological level, reducing levels of stress and depression, which produces an improvement in the quality of sleep and positively influences mood.","PeriodicalId":38936,"journal":{"name":"Archivos de Medicina del Deporte","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46473725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-28DOI: 10.18176/ARCHMEDDEPORTE.00018
Bethia Pacheco, L. C. Venegas-Sanabria, Diego Chavarro-Carvaja
Hospital functional impairment is defined as the loss of the ability to perform at least one of the basic activities of daily living with respect to the baseline situation of the person (2 weeks before the onset of acute illness). Its prevalence has been increasing due to the demographic transition of the last few years, which has caused aging to become a challenge with great impact on the health of people, their families and the health system. One of the main consequences of the increase in hospitalizations in the elderly is hospital functional impairment. This condition has multiple consequences in the short, medium and long term, which include increased hospital stay, increased costs of care, increased morbidity and mortality, among others. One of the stages of hospital functional impairment, which corresponds to the functional decline during hospitalization, is modifiable; hence the importance of identification and timely management to intervene at risk patients. Among the interventions that are proposed to deal with this condition are specialized geriatric care, comprehensive management with a multidisciplinary team, nutritional support and physical activity. The latter has been shown to have beneficial effects on physical, cognitive and neuropsychiatric symptoms in the elderly; Therefore, it has been included in multiple hospital protocols as the main non-pharmacological intervention to reduce dependence and impact on functional hospital deterioration.The objective of this literature review is to describe the definition, epidemiology, risk factors, complications, factors associated with functional recovery and intervention programs described for the treatment. Additionally, describe the interventions that include physical activity in elderly patients hospitalized for acute pathologies and possible functional outcomes in this population.
{"title":"Hospital-associated functional decline and possible interventions based on physical activity, a review of the literature","authors":"Bethia Pacheco, L. C. Venegas-Sanabria, Diego Chavarro-Carvaja","doi":"10.18176/ARCHMEDDEPORTE.00018","DOIUrl":"https://doi.org/10.18176/ARCHMEDDEPORTE.00018","url":null,"abstract":"Hospital functional impairment is defined as the loss of the ability to perform at least one of the basic activities of daily living with respect to the baseline situation of the person (2 weeks before the onset of acute illness). Its prevalence has been increasing due to the demographic transition of the last few years, which has caused aging to become a challenge with great impact on the health of people, their families and the health system. One of the main consequences of the increase in hospitalizations in the elderly is hospital functional impairment. This condition has multiple consequences in the short, medium and long term, which include increased hospital stay, increased costs of care, increased morbidity and mortality, among others. One of the stages of hospital functional impairment, which corresponds to the functional decline during hospitalization, is modifiable; hence the importance of identification and timely management to intervene at risk patients. Among the interventions that are proposed to deal with this condition are specialized geriatric care, comprehensive management with a multidisciplinary team, nutritional support and physical activity. The latter has been shown to have beneficial effects on physical, cognitive and neuropsychiatric symptoms in the elderly; Therefore, it has been included in multiple hospital protocols as the main non-pharmacological intervention to reduce dependence and impact on functional hospital deterioration.The objective of this literature review is to describe the definition, epidemiology, risk factors, complications, factors associated with functional recovery and intervention programs described for the treatment. Additionally, describe the interventions that include physical activity in elderly patients hospitalized for acute pathologies and possible functional outcomes in this population.","PeriodicalId":38936,"journal":{"name":"Archivos de Medicina del Deporte","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44349464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-28DOI: 10.18176/ARCHMEDDEPORTE.00011
Walcir Ferreira-Lima, Silvia Bandeira da Silva-Lima, Flávia Évelin Bandeira-Lima, Fellipe Bandeira-Lima, Amanda Santos, A. Andaki, J. Mota, C. Molena-Fernandes, J. P. Fuentes
Objective: to investigate the association of risk factors for the development of cardiovascular diseases in students from 11 to 16 years old in different contexts. Material and method: Sample composed by students of Cáceres - Spain (n = 165) and Paranavaí - Brazil (n = 237). Body Mass Index, level of physical activity, blood pressure, total cholesterol, low- and high-density lipoproteins, triglycerides and fasting blood glucose were analyzed. For the analysis of variables, the Kolmogorov-Smirnov tests, Student t, Mann-Whitney U, Chi-square, and Odds Ratio were used, with a 95% confidence interval, a value of p <0.05 was considered statistically significant. Results: Spanish students have higher average values of age, physical activity level, obesity in general, low- and high-density lipoproteins and fasting blood glucose (p <0.05). Brazilians had a greater accumulation of risk factors compared to the Spanish, specifically only 8.5% of Brazilians are exempt from RF compared to 28.2% of Spanish. It is observed that there is a higher prevalence of two RFs (G-BRA: 40.7% vs. G-ESP: 24.2%); and three or more RF (G-BRA 27.0% vs. G-ESP: 13.7%), considering a value of p <0.001. Being more active was associated with HDL levels among Brazilians. Although Spanish students had a higher prevalence of general obesity, they were more active. Conclusion: Spanish students showed better results in physical activity levels, fasting glucose concentration, high and low density lipoproteins, in addition to a lower number cardiovascular risk factors, despite being mainly from public schools; with higher average age and higher general obesity prevalence, compared to Brazilians
{"title":"Study of the high prevalence and cardiovascular risk factors: students aged 11 to 16 years from Caceres-Spain and Paranavaí-Brazil","authors":"Walcir Ferreira-Lima, Silvia Bandeira da Silva-Lima, Flávia Évelin Bandeira-Lima, Fellipe Bandeira-Lima, Amanda Santos, A. Andaki, J. Mota, C. Molena-Fernandes, J. P. Fuentes","doi":"10.18176/ARCHMEDDEPORTE.00011","DOIUrl":"https://doi.org/10.18176/ARCHMEDDEPORTE.00011","url":null,"abstract":"Objective: to investigate the association of risk factors for the development of cardiovascular diseases in students from 11 to 16 years old in different contexts. Material and method: Sample composed by students of Cáceres - Spain (n = 165) and Paranavaí - Brazil (n = 237). Body Mass Index, level of physical activity, blood pressure, total cholesterol, low- and high-density lipoproteins, triglycerides and fasting blood glucose were analyzed. For the analysis of variables, the Kolmogorov-Smirnov tests, Student t, Mann-Whitney U, Chi-square, and Odds Ratio were used, with a 95% confidence interval, a value of p <0.05 was considered statistically significant. Results: Spanish students have higher average values of age, physical activity level, obesity in general, low- and high-density lipoproteins and fasting blood glucose (p <0.05). Brazilians had a greater accumulation of risk factors compared to the Spanish, specifically only 8.5% of Brazilians are exempt from RF compared to 28.2% of Spanish. It is observed that there is a higher prevalence of two RFs (G-BRA: 40.7% vs. G-ESP: 24.2%); and three or more RF (G-BRA 27.0% vs. G-ESP: 13.7%), considering a value of p <0.001. Being more active was associated with HDL levels among Brazilians. Although Spanish students had a higher prevalence of general obesity, they were more active. Conclusion: Spanish students showed better results in physical activity levels, fasting glucose concentration, high and low density lipoproteins, in addition to a lower number cardiovascular risk factors, despite being mainly from public schools; with higher average age and higher general obesity prevalence, compared to Brazilians","PeriodicalId":38936,"journal":{"name":"Archivos de Medicina del Deporte","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48962566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-28DOI: 10.18176/ARCHMEDDEPORTE.00017
Diego Fernández-Lázaro, J. Mielgo-Ayuso, M. Asensio, Alfredo Córdova Martínez, Alberto Caballero-García, C. Fernandez-Lázaro
Introduction: Chronic kidney disease (CKD) is a general term for heterogeneous disorders that affect the structure and function of the kidney. Complications of CKD significantly limit exercise (Ex) tolerance by reducing functional capacity, endurance, and strength. However, the practice of regular Ex contributes to delaying the progression of CKD and stimulating improvements in health-related quality of life (HRQOL). Ex performed during the period of hemodialysis may be the best option when stimulating adherence and being under medical supervision. The purpose of the paper is to examine the effectiveness of intradialytic (iHD) Ex on health outcomes in patients with CKD by identifying the most appropriate component of Ex. Material and method: Systematic review, based on PRISMA guidelines, performing a structured search in Medline, SciELO and Cochrane Library Plus databases. Publications from the last 5 years relating iHD Ex and CKD up to 31 December 2019 were included. The methodological quality of the articles was evaluated using the McMaster critical review form. Results: We found 7 articles that described increases in endurance, upper and lower limb muscle strength, and HRQL of CKD patients providing emotional, social and psychological improvements. In addition, iHD Ex is able to control oxidative stress, inflammation, improve the lipid profile and stimulate endothelial progenitor cells, which together reduce the risk of mortality associated with multiple comorbidities in CKD patients, especially cardiovascular ones. Conclusions:Ex provides improvements in physical function and capacity, HRQL and biological markers. Aerobic Ex, muscle strength Ex and combined Ex programs are used.
{"title":"Intradialytic physical exercise in chronic kidney disease: a systematic review of health outcomes","authors":"Diego Fernández-Lázaro, J. Mielgo-Ayuso, M. Asensio, Alfredo Córdova Martínez, Alberto Caballero-García, C. Fernandez-Lázaro","doi":"10.18176/ARCHMEDDEPORTE.00017","DOIUrl":"https://doi.org/10.18176/ARCHMEDDEPORTE.00017","url":null,"abstract":"Introduction: Chronic kidney disease (CKD) is a general term for heterogeneous disorders that affect the structure and function of the kidney. Complications of CKD significantly limit exercise (Ex) tolerance by reducing functional capacity, endurance, and strength. However, the practice of regular Ex contributes to delaying the progression of CKD and stimulating improvements in health-related quality of life (HRQOL). Ex performed during the period of hemodialysis may be the best option when stimulating adherence and being under medical supervision. The purpose of the paper is to examine the effectiveness of intradialytic (iHD) Ex on health outcomes in patients with CKD by identifying the most appropriate component of Ex. Material and method: Systematic review, based on PRISMA guidelines, performing a structured search in Medline, SciELO and Cochrane Library Plus databases. Publications from the last 5 years relating iHD Ex and CKD up to 31 December 2019 were included. The methodological quality of the articles was evaluated using the McMaster critical review form. Results: We found 7 articles that described increases in endurance, upper and lower limb muscle strength, and HRQL of CKD patients providing emotional, social and psychological improvements. In addition, iHD Ex is able to control oxidative stress, inflammation, improve the lipid profile and stimulate endothelial progenitor cells, which together reduce the risk of mortality associated with multiple comorbidities in CKD patients, especially cardiovascular ones. Conclusions:Ex provides improvements in physical function and capacity, HRQL and biological markers. Aerobic Ex, muscle strength Ex and combined Ex programs are used.","PeriodicalId":38936,"journal":{"name":"Archivos de Medicina del Deporte","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43136126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-28DOI: 10.18176/ARCHMEDDEPORTE.00014
J. Moreno, Sandra Sánchez Jorge, Davinia Vicente Campos, L. Berlanga
Introduction:The confinement experienced during the COVID-19 pandemic in Spain for more than two months,could severely affect the condition and quality of life of patients suffering from chronic musculoskeletal pain. Taking into account the analgesic effects that physical exercise can generate, a large part of the population has carried out some kind of physical exercise at home as a mechanism for pain control, during this period. Objective:The objective of this study was to know the type and dosage of the exercise performed, as well as the perception of the patient ́s pain during the confinament period. Material and method: An ad hoc survey by a Google Form was conducted in 86 patients to find out the health status of the patients, the type of exercise they performed and the dossage of the exercise, as well as whether they had perceived a reduction in their pain during the period of confinement. Results:The pain intensity was reduced significantly (p = 0.001) when some kind of exercise was done. Strength exercise exclusively was chosen by 51% of the population, and the frequencies and session time were not significantly different bet-ween the subjects who felt a reduction in pain and those who did not. Conclusion:A schedule of physical exercise 4 days a week, for at least 50 minutes and with intensities around 77% of HR-máx of aerobic or strength training would be recommended in patients with chronic pain, as a strategy for pain reduction. The results of our study do not advise, for patients with chronic pain, combined therapy sessions, regardless of the primary location of the pain.
{"title":"Analgesic effects of physical exercise in patients with chronic musculoskeletal pain during confinement by the COVID -19 pandemic","authors":"J. Moreno, Sandra Sánchez Jorge, Davinia Vicente Campos, L. Berlanga","doi":"10.18176/ARCHMEDDEPORTE.00014","DOIUrl":"https://doi.org/10.18176/ARCHMEDDEPORTE.00014","url":null,"abstract":"Introduction:The confinement experienced during the COVID-19 pandemic in Spain for more than two months,could severely affect the condition and quality of life of patients suffering from chronic musculoskeletal pain. Taking into account the analgesic effects that physical exercise can generate, a large part of the population has carried out some kind of physical exercise at home as a mechanism for pain control, during this period. Objective:The objective of this study was to know the type and dosage of the exercise performed, as well as the perception of the patient ́s pain during the confinament period. Material and method: An ad hoc survey by a Google Form was conducted in 86 patients to find out the health status of the patients, the type of exercise they performed and the dossage of the exercise, as well as whether they had perceived a reduction in their pain during the period of confinement. Results:The pain intensity was reduced significantly (p = 0.001) when some kind of exercise was done. Strength exercise exclusively was chosen by 51% of the population, and the frequencies and session time were not significantly different bet-ween the subjects who felt a reduction in pain and those who did not. Conclusion:A schedule of physical exercise 4 days a week, for at least 50 minutes and with intensities around 77% of HR-máx of aerobic or strength training would be recommended in patients with chronic pain, as a strategy for pain reduction. The results of our study do not advise, for patients with chronic pain, combined therapy sessions, regardless of the primary location of the pain.","PeriodicalId":38936,"journal":{"name":"Archivos de Medicina del Deporte","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45775231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-03DOI: 10.18176/archmeddeporte.0003
GJ Lorenzo González, J. Toro Prieto-Puga, T. Teresa Seoane Pillado, E. Fernández Windscheid
Introduction: Recent studies have reported differences in sweat rate (SR) in laser class (LC) sailors under extreme environmental conditions (EC). This study aimed to determine a ‘standard-like’ SR in junior Laser 4.7 sailors under ‘not-extreme’ weather conditions to achieve an adequate fluid replacement rate for training and racing sessions. Additionally, we analysed the hypothetical relationship between SR and certain environmental factors, not just considering them as independent variables, but also including them as a whole factor, usually known as ‘windchill’ (WCh). Material and method: Nine male elite junior Laser 4.7 class athletes were included in this descriptive study. They were monitored during the entire year of training and racing sessions, including national and international championships. Body mass changes as well as their food and fluid intake were measured for each sailor before and after sailing to estimate SR, absolute body mass change, and percentage body mass variation for all the sessions. Athletes were asked to maintain “ab libitum” fluid and food intake during the study. Environmental temperature, wind speed, and relative humidity were measured. Results: Significant differences (p = 0.012) were observed between training and racing sessions with respect to SR, 0.18 (±0.14) L.h−1 vs. 0.23 (± 0.12 L.h−1). Environmental temperature and WCh during racing showed an inverse relationship with SR. Discussion: This result suggests that increased fluid and food intake are required under cold weather conditions to maintain the ‘target’ weight during the competitions and improve performance.
{"title":"Sweat rate and environmental factors in junior Laser class sailors","authors":"GJ Lorenzo González, J. Toro Prieto-Puga, T. Teresa Seoane Pillado, E. Fernández Windscheid","doi":"10.18176/archmeddeporte.0003","DOIUrl":"https://doi.org/10.18176/archmeddeporte.0003","url":null,"abstract":"Introduction: Recent studies have reported differences in sweat rate (SR) in laser class (LC) sailors under extreme environmental conditions (EC). This study aimed to determine a ‘standard-like’ SR in junior Laser 4.7 sailors under ‘not-extreme’ weather conditions to achieve an adequate fluid replacement rate for training and racing sessions. Additionally, we analysed the hypothetical relationship between SR and certain environmental factors, not just considering them as independent variables, but also including them as a whole factor, usually known as ‘windchill’ (WCh). Material and method: Nine male elite junior Laser 4.7 class athletes were included in this descriptive study. They were monitored during the entire year of training and racing sessions, including national and international championships. Body mass changes as well as their food and fluid intake were measured for each sailor before and after sailing to estimate SR, absolute body mass change, and percentage body mass variation for all the sessions. Athletes were asked to maintain “ab libitum” fluid and food intake during the study. Environmental temperature, wind speed, and relative humidity were measured. Results: Significant differences (p = 0.012) were observed between training and racing sessions with respect to SR, 0.18 (±0.14) L.h−1 vs. 0.23 (± 0.12 L.h−1). Environmental temperature and WCh during racing showed an inverse relationship with SR. Discussion: This result suggests that increased fluid and food intake are required under cold weather conditions to maintain the ‘target’ weight during the competitions and improve performance.","PeriodicalId":38936,"journal":{"name":"Archivos de Medicina del Deporte","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47098059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}