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Handgrip strength accuracy as discriminator of functional independence in centenarian women 握力准确度作为百岁妇女功能独立性的判别因子
Q4 Medicine Pub Date : 2020-06-24 DOI: 10.1590/1980-0037.2020v22e57447
Artur Rodrigues Fortunato, Raquel Ester Lima da Silva, G. Mazo
Abstract The aim of this study was to verify and compare handgrip strength (HS) with activities of the daily living (ADL) and to identify the cutoff point of HGS in the prediction of independence in ADL of centenarians. Twenty-four centenarians with mean age of 101.67 ± 2.80 years participated in the study. Subjects were asked about marital status, schooling (years), diseases, hearing difficulties and activities of the daily living (Katz scale), to classify functional independence. Handgrip strength of the right hand (HSR) and left hand (HSL) (mean of the three measures of each hand) was evaluated by means of manual dynamometer. The U Mann Whitney test was applied to compare HSR and HSL with functions of ADL. To identify the cutoff point (sensitivity and specificity) of the right and left HGS of centenarians in the prediction of independence in functions of ADL, the Received Operating Characteristic (ROC) Curves were used. The following cutoff points were used: 11 Kgf for HSR (sensitivity = 66.7%, specificity = 100%, ROC curve = 0.778) and 9 Kgf for HSL (sensitivity = 66.7%, specificity = 77.8%, curve ROC = 0.730) to predict independence in performing the "bathing" function; 11 Kgf for HSR for the "continence" function (sensitivity = 83.3%, specificity = 66.7%, ROC curve = 0.712); and 9 Kgf for HSL for "transfer" function (sensitivity = 80%, specificity = 71.4%, ROC curve = 0.786). For these functions, sensitivity and specificity presented values greater than 66%. On all these functions, sensitivity showed values higher than 46% and specificity 77%. Minimum HSR is required to perform functions of ADL independently. The best HSR cutoff point to predict independence of subjects differs according to functions of activities of the daily living and hand evaluated.
摘要本研究的目的是验证和比较握力(HS)与日常生活活动(ADL),并确定HGS在预测百岁老人ADL独立性中的截止点。24名平均年龄为101.67±2.80岁的百岁老人参与了研究。询问受试者的婚姻状况、受教育年限、疾病、听力障碍和日常生活活动(Katz量表),对功能独立性进行分类。右手握力(HSR)和左手握力(HSL)(每只手的三个测量值的平均值)通过手动测功仪进行评估。采用U Mann - Whitney检验比较HSR和HSL与ADL的功能。为了确定百岁老人左右HGS预测ADL功能独立性的截断点(敏感性和特异性),采用接收工作特征曲线(Received Operating Characteristic, ROC)。采用以下截断点:HSR为11 Kgf(敏感性= 66.7%,特异性= 100%,ROC曲线= 0.778),HSL为9 Kgf(敏感性= 66.7%,特异性= 77.8%,曲线ROC = 0.730)预测“洗澡”功能的独立性;11 Kgf用于高铁的“节制”功能(敏感性= 83.3%,特异性= 66.7%,ROC曲线= 0.712);HSL的“传递”函数为9 Kgf(敏感性= 80%,特异性= 71.4%,ROC曲线= 0.786)。这些功能的敏感性和特异性均大于66%。在所有这些功能上,敏感性高于46%,特异性高于77%。独立执行ADL功能所需的最低高铁。预测受试者独立性的最佳HSR截断点根据日常生活活动功能和手的评估而有所不同。
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引用次数: 0
Analysis of the execution of core tactical principles and technical efficiency of primary school futsal players 小学五人制足球运动员核心战术原则执行与技术效率分析
Q4 Medicine Pub Date : 2020-06-24 DOI: 10.1590/1980-0037.2020v22e65221
Lucas Shoiti Carvalho Ueda, V. M. Menegassi, A. Avelar, Leandro Rechenchosky, Fernando Lazaretti Onorato Silva, P. H. Borges
Abstract The study aimed to analyze the core tactical offensive principles and technical efficiency of primary school futsal players. Thirty-three students from a school in Paraná participated in the study. The System of Tactical Assessment in Soccer (FUT-SAT) and the System of Notational Analysis in Small-sided Soccer Games were used for tactical-technical analysis. It was found that the tactical principle “offensive coverage" was most frequently executed by the primary school futsal players (p = 0.01), followed by "width and length" without ball (p < 0.01). Moderate and strong significant correlations were identified between the execution frequency of the core tactical principles “penetration”, “offensive coverage”, “width and length without ball”, “offensive unity” and efficiency in technical skills (from r = 0.43 to r = 0.82, p < 0.05). It is concluded that there is a model of playing near the game center in the presented age group, and that the efficiency of executing technical skills is associated with tactical behavior in game situation.
摘要本研究旨在分析小学五人制足球运动员的核心战术进攻原则和技术效率。来自帕拉纳岛一所学校的33名学生参与了这项研究。运用足球战术评估系统(FUT-SAT)和小方足球比赛符号分析系统进行战术技术分析。发现小学五人制足球运动员最常执行的战术原则是“进攻覆盖”(p = 0.01),其次是“宽度和长度”(p < 0.01)。战术核心原则“突破”、“进攻覆盖”、“无球宽长”、“进攻统一”的执行频率与技战术效率呈中、强显著相关(r = 0.43 ~ r = 0.82, p < 0.05)。结果表明:本年龄段儿童存在着靠近游戏中心的游戏模式,技术技能的执行效率与游戏情境中的战术行为相关。
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引用次数: 4
Association between body adiposity index and cardiovascular risk factors in teachers 教师体脂指数与心血管危险因素的关系
Q4 Medicine Pub Date : 2020-06-24 DOI: 10.1590/1980-0037.2020v22e59010
Renata Aparecida Rodrigues de Oliveira, O. C. Moreira, R. J. Mota Júnior, J. Marins
Abstract Body adiposity index (BAI) is a relatively recent evaluation method for the diagnosis of overweight and obesity, which takes into account simple measures. The aim of this study was to verify the association between BAI and cardiovascular risk factors in teachers. A cross-sectional study was conducted with 495 teachers from the city of Viçosa-MG. BAI, body mass index (BMI), abdominal circumference (AC), waist-to-hip ratio (WtHR), body fat percentage (%BF), systolic and diastolic blood pressure, fasting glucose, total cholesterol and triglycerides were evaluated. Associations between BAI (independent variable) and other variables (dependent variable) were evaluated through simple linear regression. Of the total participants, 32.12% presented high BAI and higher anthropometric, blood pressure and biochemical values (p<0.05). Higher percentage of high BAI was observed among men and with advancing age. Linear regression analysis showed positive association between BAI and other anthropometric measurements (p<0.001), with glucose (R²=0.024; p=0.001) and total cholesterol (R²=0.028; p<0.001). BAI was positively associated with the other anthropometric measures (BMI, %BF, AC and WtHR), and with the glucose and total cholesterol of evaluated teachers. Higher BAI was observed among men and with advancing age.
体脂指数(Body adifat index, BAI)是一种较新的诊断超重和肥胖的评价方法,它考虑了简单的措施。本研究的目的是验证教师的BAI与心血管危险因素之间的关系。一项横断面研究对来自维萨拉萨- mg市的495名教师进行了调查。测定BAI、体重指数(BMI)、腹围(AC)、腰臀比(WtHR)、体脂率(%BF)、收缩压和舒张压、空腹血糖、总胆固醇和甘油三酯。通过简单线性回归评估BAI(自变量)与其他变量(因变量)之间的相关性。32.12%的受试者出现高BAI和较高的人体测量值、血压和生化值(p<0.05)。高BAI的比例在男性和年龄越大越高。线性回归分析显示BAI与其他人体测量值呈正相关(p<0.001),与血糖呈正相关(R²=0.024;p=0.001)和总胆固醇(R²=0.028;p < 0.001)。BAI与其他人体测量指标(BMI, %BF, AC和WtHR)以及被评估教师的葡萄糖和总胆固醇呈正相关。男性和年龄越大,BAI越高。
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引用次数: 1
Sources of self-efficacy for motor learning in children: systematic literature review in clinical trials 儿童运动学习自我效能感的来源:临床试验的系统文献综述
Q4 Medicine Pub Date : 2020-06-24 DOI: 10.1590/1980-0037.2020v22e60255
S. Oliveira, Mariana Gurian Manzini, M. Figueiredo, Claudia Maria Simões Martinez
Abstract This study aimed to verify the effects of intervention models on the motor activity of children elaborated from the self-efficacy theory. The systematic review of randomized controlled clinical trials with the PRISMA strategy was used. Sixteen studies were descriptively analyzed and revealed that knowledge based on the self-efficacy theory related to motor activity has been more frequently integrated into broad intervention programs in the school environment, collectively applied, stimulating aspects related to children's health and prevention of childhood obesity. Important results were obtained in the development of self-efficacy and motor activity stimulation; however, results are not conclusive regarding the mediation among these variables. Contributions for intervention programs are detailed in this manuscript, allowing the visualization of strategies to build a mastery context, favoring the establishment of an adequate concept of motor self-efficacy in children and the development of self-regulation skills.
摘要本研究旨在验证从自我效能理论出发的干预模式对儿童运动活动的影响。采用PRISMA策略对随机对照临床试验进行系统评价。对16项研究进行了描述性分析,发现基于自我效能理论的运动活动相关知识更频繁地整合到学校环境的广泛干预计划中,集体应用,刺激与儿童健康和预防儿童肥胖相关的方面。在自我效能感的发展和运动活动刺激方面取得了重要的结果;然而,对于这些变量之间的中介,结果并不是结论性的。本文详细介绍了对干预计划的贡献,使策略可视化以建立掌握情境,有利于建立儿童运动自我效能感的适当概念和自我调节技能的发展。
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引用次数: 1
Acute effects of graduated compression stockings on oxidative stress and muscle damage markers in garbage collectors: a randomized, crossover-controlled trial 分级压缩袜对垃圾收集者氧化应激和肌肉损伤标志物的急性影响:一项随机、交叉对照试验
Q4 Medicine Pub Date : 2020-06-24 DOI: 10.1590/1980-0037.2020v22e70607
Aline M Araujo, R. K. Cardoso, R. Orcy, F. Stefanello, M. Freitas, P. S. Oliveira, M. S. Soares, R. Spanevello, A. Rombaldi
Abstract Intense physical activity can increase oxidative stress and muscle damage in, causing fatigue and injury. Graduated compression stockings (GCS) can decrease these deleterious effects. The aim was to determine the acute effects of GCS on muscle damage and oxidative stress (OS) in garbage collectors. Thirteen garbage collectors, 25.4±5.2 years, participated using GCS or placebo stockings. Blood samples were collected at pre and post a working day and after 16 hours of rest. Markers of OS and muscle damage were evaluated. Two-way ANOVA (two conditions and two moments) was used for the analysis of the outcomes No significant differences were found for creatine kinase, catalase and glutathione peroxidase between the time and groups. There was a significant difference for the total thiol content and superoxide dismutase only in the control group (pre and post, p = 0.004). The use of GCS exerted acute protection against the increase of markers of OS, but did not contribute to attenuate muscle damage.
激烈的体育活动可增加氧化应激和肌肉损伤,引起疲劳和损伤。分级压缩袜(GCS)可以减少这些有害的影响。目的是确定GCS对垃圾收集者肌肉损伤和氧化应激的急性影响。13名垃圾收集者,年龄25.4±5.2岁,使用GCS或安慰剂袜。在一个工作日前后和休息16小时后采集血样。评估OS和肌肉损伤指标。采用双因素方差分析(two -way ANOVA,两个条件和两个时刻)对结果进行分析,肌酸激酶、过氧化氢酶和谷胱甘肽过氧化物酶在时间和组间无显著差异。总硫醇含量和超氧化物歧化酶仅在对照组中有显著差异(p = 0.004)。GCS的使用对OS标记物的增加具有急性保护作用,但无助于减轻肌肉损伤。
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引用次数: 0
Perception on facilitators and benefits of participation in body practice groups 对参与身体练习小组的促进者和益处的看法
Q4 Medicine Pub Date : 2020-06-24 DOI: 10.1590/1980-0037.2020v22e60330
C. Franke, Moane Marchesan Krug
Abstract The practice of physical activity has been considered as an important factor in the area of public health, as it helps in the prevention and treatment of various diseases. Thus, understanding the facilitators for participation and benefits from healthy lifestyle can contribute to population awareness. The aim of this study was to analyze facilitators for body practice and benefits perceived by participants of body practice groups of two basic family health units of Santa Rosa/RS. This qualitative research included 25 participants. Data were obtained by the focal group technique. Motivation/incentive, mainly linked to family support, the pedagogical practice of the Physical Education professional, good health status and social life were aspects considered facilitators for adherence to body practice groups. Physical and psychological gains, prevention and control of diseases, lifestyle changes, cognitive improvement and decreased use of medications were pointed as benefits. Motivating participants to participate in body practice programs is an important factor for adherence and participation in these activities can provide biopsychosocial benefits that can contribute to health promotion and quality of life of users of basic family health units.
体育活动的实践被认为是公共卫生领域的一个重要因素,因为它有助于预防和治疗各种疾病。因此,了解促进参与的因素和健康生活方式的好处有助于提高人们的认识。本研究的目的是分析圣罗莎/RS两个基本家庭保健单位的身体练习组参与者对身体练习的促进因素和益处的感知。这项定性研究包括25名参与者。数据采用焦点组技术获取。动机/激励,主要与家庭支持、体育专业人员的教学实践、良好的健康状况和社会生活有关,被认为是促进参加身体练习小组的因素。身体和心理上的改善、疾病的预防和控制、生活方式的改变、认知能力的提高和药物使用的减少被认为是有益的。激励参与者参加身体锻炼计划是坚持的一个重要因素,参与这些活动可以提供生物心理社会效益,有助于促进基本家庭保健单位用户的健康和生活质量。
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引用次数: 1
Association of cardiorespiratory fitness, physical activity level, and sedentary behavior with overweight in adolescents 青少年心肺健康、身体活动水平和久坐行为与超重的关系
Q4 Medicine Pub Date : 2020-06-24 DOI: 10.1590/1980-0037.2020v22e60449
Marcelo Jannuzzi Franceschin, G. Veiga
Abstract Physical activity and sedentary behavior promote opposite effects on overweight and obesity, in adolescents; however little is known of their combined impact on these outcomes. We aimed to investigate if there were any associations between overweight, and physical activity level, cardiorespiratory fitness, and sedentary behavior, both as isolated variables and in combination. Data of 1,015students from two public and four private schools from the metropolitan area of Rio de Janeiro, Brazil were analyzed. Overweight was classified according to body mass index, whereas physical activity level was assessed by the International Physical Activity Questionnaire (IPAQ), cardiorespiratory fitness by a 9-minute test (T9), and sedentary behavior by a self-completed questionnaire, considering the time spent watching television as the main indicator. Associations were examined by binary logistic regression analysis. Odds ratios (ORs) and 95% confidence intervals (95%CIs) were used to measure the magnitude of the associations. IBM SPSS Statistics version 20 was used for all statistical analyses. Adolescents with poor cardiorespiratory fitness (OR=3.71; 95%CI=1.30-10.6) and a high degree of sedentary behavior (OR=1.73; 95%CI=1.24-2.42) had a bigger chance of being overweight. However the combination of these two categories in the same individual was not statistically associated with overweight. The study indicates that both sedentary behavior and poor performance on cardiorespiratory fitness test are significantly independent associated with overweight in adolescents.
体育活动和久坐行为对青少年超重和肥胖的影响相反;然而,人们对它们对这些结果的综合影响知之甚少。我们的目的是调查超重与身体活动水平、心肺健康和久坐行为之间是否存在任何关联,无论是作为孤立变量还是组合变量。本文分析了巴西首都里约热内卢两所公立学校和四所私立学校的1015名学生的数据。超重按体重指数分类,身体活动水平采用国际身体活动问卷(IPAQ)评估,心肺健康采用9分钟测试(T9)评估,久坐行为采用自填问卷评估,以看电视的时间为主要指标。通过二元逻辑回归分析检验相关性。比值比(ORs)和95%置信区间(95% ci)用于测量相关性的大小。所有统计分析均使用IBM SPSS Statistics version 20。青少年心肺功能差(OR=3.71;95%CI=1.30-10.6)和高度的久坐行为(OR=1.73;95%CI=1.24-2.42)超重的可能性更大。然而,在同一个人中,这两种类型的组合与超重没有统计学上的联系。研究表明,久坐行为和心肺功能测试成绩不佳与青少年超重有显著的独立关系。
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引用次数: 3
Low level of physical activity and sedentary behaviour in elderly: a systematic review of the parameters 老年人低水平的身体活动和久坐行为:参数的系统回顾
Q4 Medicine Pub Date : 2020-06-24 DOI: 10.1590/1980-0037.2020v22e60810
O. Lins-Filho, M. M. Braga, Tatiane Melo Lima, Daniela K S Ferreira
Abstract Sedentary behavior tends to increase with aging and several studies have focused on analyzing the components which may influence this pattern of behavior. Indirect and direct measuring have been used to determine the relative parameters to this phenomenon while there is no consensus about which parameter should be adopted to conceptualize sedentary behavior, making difficulty to establish comparisons among the studies on this population. The aim of this study was to systematically review the characterization of low level of physical activity and sedentary behavior in studies with older people. Electronic search on Scielo, LILACS, MEDLINE, PubMed, and ISI Web of Knowledge was carried out. Selection of the studies included: original manuscripts, with elderly analyzing sedentary behavior or low-level pf physical activity through direct and indirect measure. Search initially screened 190 manuscripts yielding 10 relevant studies. Questionnaire, self-reported questionnaire and accelerometer were the instruments used in the studies. Sedentary behavior or low level of physical activity was characterized by analyzing sitting time, physical activity on leisure time, counts per minute, engaging in moderate or vigorous intensity during day or performing physical activities with MET <1.5. There is no standardization of the parameters adopted to characterize sedentary behavior on studies, generating divergent results and making it difficult to establish comparisons.
久坐行为倾向于随着年龄的增长而增加,一些研究集中在分析可能影响这种行为模式的因素。间接和直接测量已被用于确定这一现象的相关参数,但对于应该采用哪种参数来概念化久坐行为尚无共识,因此难以在该人群的研究中建立比较。本研究的目的是系统地回顾老年人研究中低水平体育活动和久坐行为的特征。在Scielo、LILACS、MEDLINE、PubMed和ISI Web of Knowledge上进行了电子检索。研究选择包括:原始手稿,老年人通过直接和间接测量分析久坐行为或低水平的身体活动。搜索最初筛选了190篇论文,其中包括10项相关研究。问卷、自述问卷和加速度计是研究中使用的工具。久坐行为或低水平的身体活动通过分析坐着时间、闲暇时间的身体活动、每分钟计数、白天从事中等或剧烈强度或进行MET <1.5的身体活动来表征。研究中用于表征久坐行为的参数没有标准化,产生了不同的结果,难以建立比较。
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引用次数: 1
What is the contribution of each physical activity domain to total physical activity in adolescents? 每个体育活动领域对青少年总体体育活动的贡献是什么?
Q4 Medicine Pub Date : 2020-06-24 DOI: 10.1590/1980-0037.2020v22e70170
Josiene Oliveira Couto, Raphael H O Araújo, E. C. M. Silva, N. M. M. Soares, Antônio Evaldo dos Santos, R. J. S. Silva
Abstract The present study aimed to verify the contribution of different physical activity domains to “total physical activity” in Brazilian adolescents. This is a cross-sectional study using secondary data from the third edition of the National School Health Survey - PeNSE, 2015. The sample consisted of 100,497 adolescents of both sexes enrolled in the 9th grade of elementary schools. A linear regression model was used to verify how much each domain contributed to total physical activity, considering gender, type of municipality and region. The domain with the largest contribution to “total physical activity” regardless of sociodemographic and environmental variables was “extra-school physical activity” (R2 = 0.60), followed by “active commuting” (R2 = 0.34), and finally “Physical Education classes” (R2 = 0.23). The contribution of the different domains varied by gender, type of municipality and region, and it was concluded that “extra-school physical activity” make the greatest contribution to “total physical activity”, followed by “active commuting” and “Physical Education classes”. In addition, variation was observed in the contribution of domains by gender, type of municipality and region.
摘要本研究旨在验证不同体育活动领域对巴西青少年“总体育活动”的贡献。这是一项横断面研究,使用了2015年第三版全国学校健康调查(PeNSE)的二手数据。样本包括100,497名就读于小学九年级的男女青少年。考虑到性别、城市类型和地区,使用线性回归模型验证每个领域对总体力活动的贡献。无论社会人口统计学和环境变量如何,对“总体力活动”贡献最大的领域是“课外体力活动”(R2 = 0.60),其次是“积极通勤”(R2 = 0.34),最后是“体育课程”(R2 = 0.23)。不同领域的贡献因性别、城市类型和地区而异,结论是“课外体育活动”对“总体育活动”的贡献最大,其次是“积极通勤”和“体育课程”。此外,根据性别、城市类型和地区的不同,域的贡献也有所不同。
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引用次数: 4
Treinamento funcional: uma atualização conceitual 功能培训:概念更新
Q4 Medicine Pub Date : 2020-06-24 DOI: 10.1590/1980-0037.2020v22e72646
M. E. D. Silva-Grigoletto, Antônio Gomes de Resende-Neto, C. Teixeira
Resumo O treinamento funcional (TF) tem crescido em popularidade, porém tal crescimento ainda ocorre de forma desorganizada e multifacetada. Assim, uma atualização conceitual se faz necessário, especialmente, baseado na maneira como o TF tem sido aplicado na maioria das pesquisas. Nesse contexto, o TF tem sido compreendido como aquele que objetiva o aprimoramento sinérgico, integrado e equilibrado de diferentes capacidades físicas para garantir eficiência e segurança durante o desempenho de tarefas cotidianas, sendo baseado nos princípios do treinamento, sobretudo, no princípio da especificidade. As sessões de TF devem focar no aprimoramento de padrões básicos de movimento, estimular adequadamente a força em diversas situações, a potência muscular e a capacidade cardiorrespiratória, ativar frequentemente músculos estabilizadores e incluir atividades complexas, respeitando critérios de segurança e eficácia.
摘要功能训练越来越受欢迎,但这种发展仍然以一种无组织和多方面的方式发生。因此,概念上的更新是必要的,特别是基于TF在大多数研究中的应用方式。在此背景下,st被理解为一种基于训练原则,特别是特异性原则,旨在协同、综合和平衡不同身体能力的提高,以确保日常任务执行中的效率和安全。st课程应侧重于改善基本的运动模式,在各种情况下适当刺激力量,肌肉力量和心肺能力,经常激活稳定肌肉,包括复杂的活动,尊重安全和有效性的标准。
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引用次数: 6
期刊
Revista Brasileira de Cineantropometria e Desempenho Humano
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