scholarly journals Influence of overweight on functional capacity of physically active older women

Author(s):  
Akeline Santos de Almeida ◽  
Patrícia Almeida Fontes ◽  
Jamille Mendonça Reinaldo ◽  
Maria de Lourdes Feitosa Neta ◽  
Ricardo Aurélio Carvalho Sampaio ◽  
...  

Abstract Aging comprises a dynamic and progressive process, characterized by physiological and functional changes. Among these changes, increase in body fat is considered relevant, since it can leads to impaired physical fitness and augmented cardiometabolic risks. Considering this, the objective of this study was to evaluate the influence of overweight on functional capacity of physically active older women. A field survey was performed with 24 older women who practiced physical exercise. Participants were submitted to anamnesis, anthropometric measures (i.e., body mass and height); the Senior Fitness test; sit and reach flexibility test; and handgrip strength test. Pearson’s correlation test and multivariate logistic regression were used to verify the association between overweight and functional capacity. It was observed that hip flexibility (R=-0.494, p=0.014) and flexibility of the lower limbs (i.e., sit and reach test) showed negative correlation with the body mass index (R=-0.446, p=0.02); and after the multivariate logistic regression, negative correlation of lower limbs flexibility (B=-0,035, p=0,014) and the body mass index was observed. Thus, higher the body mass index among participants, lower hip flexibility they presented.

2021 ◽  
pp. 000313482110241
Author(s):  
Christine Tung ◽  
Junko Ozao-Choy ◽  
Dennis Y. Kim ◽  
Christian de Virgilio ◽  
Ashkan Moazzez

There are limited studies regarding outcomes of replacing an infected mesh with another mesh. We reviewed short-term outcomes following infected mesh removal and whether placement of new mesh is associated with worse outcomes. Patients who underwent hernia repair with infected mesh removal were identified from 2005 to 2018 American College of Surgeons-National Surgical Quality Improvement Program database. They were divided into new mesh (Mesh+) or no mesh (Mesh-) groups. Bivariate and multivariate logistic regression analyses were used to compare morbidity between the two groups and to identify associated risk factors. Of 1660 patients, 49.3% received new mesh, with higher morbidity in the Mesh+ (35.9% vs. 30.3%; P = .016), but without higher rates of surgical site infection (SSI) (21.3% vs. 19.7%; P = .465). Mesh+ had higher rates of acute kidney injury (1.3% vs. .4%; P = .028), UTI (3.1% vs. 1.3%, P = .014), ventilator dependence (4.9% vs. 2.4%; P = .006), and longer LOS (8.6 vs. 7 days, P < .001). Multivariate logistic regression showed new mesh placement (OR: 1.41; 95% CI: 1.07-1.85; P = .014), body mass index (OR: 1.02; 95% CI: 1.00-1.03; P = .022), and smoking (OR: 1.43; 95% CI: 1.05-1.95; P = .025) as risk factors independently associated with increased morbidity. New mesh placement at time of infected mesh removal is associated with increased morbidity but not with SSI. Body mass index and smoking history continue to contribute to postoperative morbidity during subsequent operations for complications.


2005 ◽  
Vol 4 (3) ◽  
pp. 265-269 ◽  
Author(s):  
Amélia C. Seidel ◽  
Fausto Miranda Jr. ◽  
Yara Juliano ◽  
Neil F. Novo

OBJECTIVE: This study has been designed to correlate the diameter of the greater saphenous vein in different levels of the lower limbs with the body mass index of each individual to determine a possible relation between them. METHODS: Fifty-two lower limbs in 26 volunteers (six males and 20 females) without a chronic venous disease record, aged 21-68 were evaluated. Prior to color-flow duplex scanning the body mass index was defined. The deep and superficial venous systems and perforator veins were assessed as described in the literature. The diameter of the greater saphenous vein was measured with ultrasound longitudinal imaging in seven different levels. For the statistical analysis, Student t test for paired data and Spearman test were used. RESULTS: The difference observed in saphenous venous in the second and third levels when compared to the lower right and left limbs was not considered significant and a single group was formed to correlate with body mass index. The correlation was considered statistically irrelevant. CONCLUSION: By correlating the diameters of the greater saphenous vein with the body mass index of each individual it was noted that the relation between them is not significant, therefore it can be assumed that tall thin individuals can have greater saphenous vein with similar diameter as short fat individuals.


Retos ◽  
2021 ◽  
Vol 43 ◽  
pp. 135-142
Author(s):  
Felipe Andrés Hermosilla Palma ◽  
Luis Felipe Castelli de Campos ◽  
Marco Cossio Bolaños ◽  
Cristian Luarte Rocha ◽  
Grimanés Medina Monsalve ◽  
...  

  Objetivo: El objetivo del presente estudio es de comparar la velocidad de marcha (VM), fuerza de tren superior (PM) y el Índice de Masa Corporal (IMC) en mujeres mayores que participan de forma regular en talleres de actividad física, según rango de edad, así como, verificar la asociación entre Edad, IMC y PM con VM en 10 metros. Metodología: Participaron voluntariamente 85 mujeres (70,1±6,9años) vinculadas al programa de talleres de adulto mayor del IND de la región de Ñuble. Las participantes fueron categorizadas según rango de edad (grupo total [GT], 60-64, 65-69, 70-74, 75-79 y 80-84 años). Se evaluó el peso corporal y la estatura para el cálculo de IMC, la fuerza de tren superior con la prueba de prensión manual (PM) en la mano dominante y la VM en 10 metros. Resultados: Los principales resultados apuntan que la VM fue significativamente inferior para el grupo de 80-84 años comparados a los grupos GT (p<0.03), 60-64 (p<0.00) y de 65-69 años (p<0.03). El grupo 70-74 años fueron significativamente más lento que el de 60-64 años (p<0.02). La relación entre VM y PM para el grupo analizado fue positiva, baja y no significativa (r=0,20, p<0.06). Por fin, la Edad y el IMC resultaron en un modelo estadísticamente significativo [F(2,82)=13,784; p<0.001; R2=0.252, EE = 0,204m/s] para predicción de la VM. Conclusión: En general, concluimos que la VM se reduce en grupos con edades mayores y que la PM no presenta la misma tendencia, además que la Edad y el IMC son predictores de VM en mujeres mayores.  Abstract. The aim of this study is to compare the gait speed (VM), manual pressure force (PM) and the Body Mass Index (IMC) in older women who participate regularly in physical activity programs, according to age, as well as, to verify the association between Age, IMC and PM with MV in 10 meters. 85 older women (70.1 ± 6.9 years) from the physical activity program of the National Sports Institute of the Ñuble / Chile region voluntarily participated in the study. The participants were categorized according to age range (total group [GT], 60-64, 65-69, 70-74, 75-79 and 80-84 years). Body weight and height were evaluated for the calculation of IMC, upper body strength with the manual grip test (PM) in the dominant hand and the MV in 10 meters. Results: The main results indicate that MV was significantly lower for the 80-84 year-old group compared to the GT (p <0.03), 60-64 (p <0.00) and 65-69 years (p < 0.03). The 70-74 year group were significantly slower than the 60-64 year group (p <.024). The relationship between MV and PM for the analyzed group was positive, low and not significant (r = 0.20, p <0.06). Finally, Age and BMI resulted in a statistically significant model [F (2,82) = 13,784; p <0.001; R2 = 0.252, SE = 0.204m / s] for prediction of MV. Conclusion: In general, we conclude that MV decreased in older age groups and that PM does not present the same trend and that Age and IMC are predictors of MV in older women.


2020 ◽  
Vol 11 (Vol.11, no.3) ◽  
pp. 379-385
Author(s):  
Elisabeta ANTONESCU ◽  
Sînziana Călina SILIŞTEANU ◽  
Maria TOTAN

Introduction. Osteoarthritis is considered a complex biopsychosocial condition, with consequences for the patient, the family, society and public health. Age is considered the main risk factor in the occurrence of osteoarthritis. Studies show that 2 out of 3 obese individuals associate knee osteoarthritis whereas the incidence of the latter increases at the same time with increasing body mass index. Obesity contributes to the initiation of the process of osteoarthritis by the mechanical overload of the joint, causing cartilage damage with increasing horizontal cracks and the increased incidence of the osteophites in the knee. Purpose. We conducted a study in patients with knee osteoarthritis and body mass index with normal and high values, evaluating pain, functional capacity and maximum travel distance by applying electrotherapy and kinesiotherapy. Material and method. We studied a number of 68 patients diagnosed with knee osteoarthritis, who received as therapy electrotherapy and physiotherapy. The VAS scale, the WOMAC scale, the joint balance and the Lequesne scale were used to evaluate patients.The objectives of the study were: pain reduction, improved postural control and coordination, control of the gravity center, correction of alignment at the lower limbs, re-education of gait, obtaining a body mass index as close to normal. Results and discussions.The total group of patients was homogeneous according to age and gender. The evaluation of patients based on scales recorded superior values in the study group, with statistically significant results, worth p <0.05, which means that the hypothesis was validated. Conclusions. The use of the recovery treatment was individualized and took into account the condition of the affection, the body mass index, the ability of patients' mobility and algic symptoms.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
R Marinheiro ◽  
L Parreira ◽  
P Amador ◽  
D Mesquita ◽  
J Farinha ◽  
...  

Abstract Background It is recommended to consider obstructive sleep apnoea (OSA) screening in atrial fibrillation (AF) patients with risk factors, due to the strong evidence of an association between these two entities. Excessive supraventricular ectopic activity (ESVEA) has been proposed to be a risk factor for AF. However, strong evidence between ESVEA and OSA has not been established. Objective We aimed to determine if ESVEA is associated with moderate to severe OSA since its treatment may prevent AF. Methods We studied patients who performed polysomnography and 24-hour Holter monitoring. Patients with atrial fibrillation were excluded. ESVEA was defined as more than 30 PACs per hour (frequent PACs) or runs of >4 consecutive PACs. The circadian pattern of PACs was also evaluated. Sleeping hours were used to define “nocturnal”. Moderate to severe OSA was defined when polyssonography demonstrated a apnoea/hypopnoea index (AHI) >15. We examined the association between ESVEA and moderate to severe OSA during wakefulness and sleep. Results We studied 290 patients [median age 65 (55–72) years, 62% males, body mass index (BMI) 30 (27–34)]. 112 (38%) had moderate to severe OSA. Median AHI was 11 (5–24) and mean oxygen saturation was 94% (92–95). Median PACs was 35 (9–117) and 29 patients (10%) had frequent PACs. Runs of >4PACs occurred in 114 patients (39%). Forty-three patients (15%) had predominant nocturnal PACs and 42 (14%) had nocturnal runs of PACs. Multivariate logistic regression analysis demonstrated only nocturnal PACs were associated with moderate to severe OSA (p=0.027) (table 1). Multivariate logistic regression Odds Ratio 95% Confidence Interval p-value Male gender 4.49 2.48–8.17 <0.001 Body mass index (kg/m2) 1.09 1.03–1.15 0.002 Nocturnal PACs 4.12 1.17–14.46 0.027 Variables not included in the model: age, number of PACs/h, frequent PACs (>30 PAcs/hour), runs of PACs (>4 consecutive PACs), nocturnal frequent PACs and nocturnal runs of PACs. Conclusion OSA screening in patients presenting with nocturnal PACs should be routinely considered, especially in male and obese. Treating moderate to severe OSA patients with CPAP has a potential benefit in preventing ESVEA and consequently AF.


Author(s):  
NORBERT CSABA LUKÁCS

ABSTRACT. Introduction. Obesity is one of the 21st century major health challenges. Adipose tissue is distributed in different proportions in the human body depending on where it is located in the body. The purpose of the research. This study aims to determine the relationship between body mass index, skeletal muscle, subcutaneous and visceral adipose tissue in case of first year students of Partium Christian University from Oradea. Subjects and methods. The research included a sample group of 112 students. The analysis of the body composition was performed using the method of bioelectrical impedance. Results. The registered data reveal that 23% of the subjects were overweight or obese and 15% had a low percentage of skeletal muscle. Conclusions. In case of both genders there is a significant negative correlation between the percentage of skeletal muscle and subcutaneous adipose tissue and a significant negative correlation between the percentage of skeletal muscle and visceral adipose tissue.


Author(s):  
Н.Б. Панкова ◽  
И.Б. Алчинова ◽  
О.И. Ковалёва ◽  
М.А. Лебедева ◽  
М.Ю. Карганов

Проведен анализ связи латентных периодов простой сенсомоторной реакции на световой стимул (ЛПРC) и индекса массы тела (ИМТ) у подростков 15-17 лет. Распределение подростков на группы проведено в зависимости от их возраста (15, 16 и 17 лет), пола (юноши и девушки), а также величины ИМТ. В каждой половозрастной группе рассчитывали медиану и стандартное отклонение для ИМТ, средними считали величины от Me-1SD до Me+1SD, величины до (или равные) Me-1SD считали низким ИМТ, свыше (или равные) Me+1SD - высоким ИМТ. Показано, что во всех половозрастных группах подростки, различающиеся по величине ИМТ, реагируют на световой стимул с одинаковыми латентными периодами. При этом существуют гендерные различия по величине ЛРРС (юноши реагируют быстрее). В ряде случаев между ИМТ и ЛПРC выявлены корреляционные связи: у 16-летних девушек и 17-летних юношей выявлена отрицательная корреляционная связь ЛПРC с их ростом (более высокие подростки быстрее реагируют на стимул); у 16-летних юношей обнаружена отрицательная корреляция ЛПРC с массой тела и ИМТ (более крупные юноши быстрее реагируют на сигнал). Relations between the latent periods of the simple sensorimotor reaction to the light stimulus (LPRS) and the body mass index (BMI) in the adolescents aged 15-17 years were analyzed.The distribution of adolescents into groups was based on their age (15, 16 and 17 years), gender (boys and girls), and the value of BMI. In each sex-age group, the median and standard deviation for BMI were calculated, the mean values from Me-1SD to Me+1SD were interpreted as normal, the values up to (or equal to) Me-1SD were considered as low BMI, over (or equal) Me+1SD - as high BMI.It is shown that in all sex-age groups the adolescents, which differing in value of the body mass index react to a light stimulus with equal latency periods. However, there are gender differences in the latent periods of a simple sensorimotor reaction to a light stimulus (young men react more quickly).In a number of cases, correlation relationships have been revealed between BMI and LPRS: 16-year-old girls and 17-year-olds have negative correlation of LPRS with their growth (higher adolescents respond more quickly to stimulus); 16-year-olds have a negative correlation of LPRS with body weight and BMI (larger boys react more quickly to the signal).


2014 ◽  
Vol 43 (1) ◽  
pp. 191-198 ◽  
Author(s):  
Anna Zwierzchowska ◽  
Marta Głowacz ◽  
Agnieszka Batko-Szwaczka ◽  
Joanna Dudziňska-Griszek ◽  
Aleksandra Mostowik ◽  
...  

Abstract The enforced sedentary lifestyle and muscle paresis below the level of injury are associated with adipose tissue accumulation in the trunk. The value of anthropometric indicators of obesity in patients with spinal cord injuries has also been called into question. We hypothesized that the Body Mass Index recommended by the WHO to diagnose obesity in general population has too low sensitivity in case of wheelchair rugby players. The study group comprised 14 wheelchair rugby players, aged 32.6 ± 5.1 years, who had sustained CSCI (paralysis of lower limbs and upper extremities). The research tool was the Tanita Viscan visceral and trunk fat analyzer AB140 using the abdominal bioelectrical impedance analysis (BIA) to estimate the visceral fat level (Vfat) and trunk fat percentage (Tfat). The AB140 analyzer also allowed the measurement of body composition of those individuals who could not assume an upright position. Our analyses revealed high and very high correlation coefficients between Vfat and WC (r=0.9), WHtR (r=0.7) and Tfat (r=0.9) whereas the correlation between Vfat and the BMI was weak, especially in the subgroup with Vfat < 13.5% ( r=0.2). The subgroup with Vfat>13.5 exhibited a moderate-level relationship between the BMI and visceral fat increase. It was concluded that the BMI had a low sensitivity for predicting obesity risk in wheelchair rugby players after CSCI. The sensitivity of WC measurement was higher and thus, it may be stated that it constitutes an objective tool for predicting obesity risk in post-CSCI wheelchair rugby players.


Author(s):  
Raquel Vaquero-Cristóbal ◽  
Mario Albaladejo-Saura ◽  
Ana E. Luna-Badachi ◽  
Francisco Esparza-Ros

Changes in body composition and specifically fat mass, has traditionally been used as a way to monitor the changes produced by nutrition and training. The objective of the present study was to analyse the differences between the formulas used to estimate fat mass and to establish the existing relationship with the body mass index and sums of skinfolds measurement in kinanthropometry. A total of 2458 active adults participated in the study. Body mass index (BMI) and skinfolds were measured, and the Kerr, Durnin-Womersley, Faulkner and Carter equations were used to assess fat mass. Significant differences were found between all the formulas for the percentage of fat mass, ranging from 10.70 ± 2.48 to 28.43 ± 5.99% (p < 0.001) and fat mass from 7.56 ± 2.13 to 19.89 ± 4.24 kg (p < 0.001). The correlations among sums of skinfolds and the different equations were positive, high and significant in all the cases (r from 0.705 to 0.926 p < 0.001), unlike in the case of BMI, were the correlation was lower and both positive or negative (r from −0.271 to 0.719; p < 0.001). In conclusion, there were differences between all the formulas used to estimate fat mass; thus, for the evaluation of fat mass with kinanthropometry of an active adult, the use of the same formula is recommended on all occasions when the results are going to be compared or when an athlete is compared with a reference.


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