GEOMETRIA ÓSSEA E ATIVIDADE FÍSICA EM CRIANÇAS E ADOLESCENTES: REVISÃO SISTEMÁTICA

RESUMO Objetivo: Verificar a influência da prática de atividade física e/ou esportes na geometria óssea de crianças e adolescentes saudáveis. Fonte de dados: Foi realizada uma revisão sistemática, utilizando como referência o método Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Foram utilizadas as bases de buscas PubMed, Biblioteca Regional de Medicina/Literatura Latino-Americana e do Caribe em Ciências da Saúde (BIREME/LILACS) e Scientific Electronic Library Online (SciELO), para levantamento de artigos publicados de 2006 a 2016, e os seguintes descritores: “Bone geometry” AND (Sport* OR Exercise* OR “Physical Activity”). Síntese dos dados: Após a seleção, foram incluídos 21 artigos. A maioria dos estudos demonstrou que a prática de atividade física e/ou esportes foi benéfica do ponto de vista da geometria e densidade mineral óssea; apenas dois estudos apresentaram valores dos parâmetros ósseos dos indivíduos controles melhores do que os praticantes de natação. As atividades físicas e esportes encontrados foram: ginástica artística (n=7), ginástica rítmica (n=2), tênis (n=1), futebol (n=3), capoeira (n=1), natação (n=4), ciclismo (n=1), atividades com saltos (n=2), estudos relacionando atividade física com pico de torque isocinético (n=1), atividade física em geral, tempo presente ou passado, mensurado por questionário (n=4) e aulas adicionais de educação física (n=2). Conclusões: Dentre os esportes e atividades físicas encontradas, a ginástica, o futebol e a prática de atividade física mais intensa avaliada por questionário resultaram em geometria óssea melhor em comparação à não prática de atividade física, enquanto que a natação e exercícios de saltos não influenciaram a geometria óssea. Portanto, atividades esportivas com sobrecarga corporal, avaliadas como mais intensas e mais frequentes, exercem efeito benéfico sobre a geometria óssea.

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Quality Assessment of Systematic Reviews on Platform-Switching vs Platform-Matched Implants: An Overview

Journal of Oral Implantology ◽

10.1563/aaid-joi-d-19-00114 ◽

2020 ◽

Vol 46 (2) ◽

pp. 153-162

Author(s):

Joel Ferreira Santiago ◽

Cleidiel Aparecido Araújo Lemos ◽

Jéssica Marcela de Luna Gomes ◽

Fellippo Ramos Verri ◽

Sandra Lucia Dantas Moraes ◽

...

Keyword(s):

Quantitative Analysis ◽

Systematic Reviews ◽

Meta Analysis ◽

Mean Difference ◽

Quality Analysis ◽

Electronic Library ◽

Implant Abutment ◽

Bone Preservation ◽

Platform Switching ◽

Meta Analyses

The objective of this study was to perform a quality analysis of systematic reviews with meta-analyses that focused on the comparison of platform-switching (implant-abutment mismatching) and platform-matched (PM) implants. The assessment of multiple systematic reviews (AMSTAR) and Glenny (Checklist) Scales were used to qualify the studies. PubMed, Scientific Electronic Library Online (SciELO), Web of Science (formerly ISI Web of Knowledge), and Cochrane databases were searched, by topic, for systematic reviews on dental implants with switching platforms. A total of 8 systematic reviews, including 7 studies with meta-analyses, were selected. The AMSTAR scale indicated a high (n = 6) to moderate (n = 2) score for the included studies. The quantitative analysis indicated that platform-switching implants preserved more bone tissue when compared with platform-matched implants (6 meta-analyses; P < .001, smaller mean difference: −0.29 mm, 95% CI: −0.38, −0.19 and greater mean difference: −0.49 mm, 95% CI: −0.73, −0.26). Quantitative analysis based on 7 systematic reviews with meta-analysis indicated positive peri-implant bone preservation for implants restored with an implant-abutment mismatching (PSW). Further, there is evidence to improve the design of current systematic reviews. Future systematic reviews in this thematic area should consider searches in gray literature and different databases and include only randomized controlled clinical studies.

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The effectiveness of sedentary behaviour interventions on sitting time and screen time in children and adults: an umbrella review of systematic reviews

International Journal of Behavioral Nutrition and Physical Activity ◽

10.1186/s12966-020-01009-3 ◽

2020 ◽

Vol 17 (1) ◽

Author(s):

Phuong Nguyen ◽

Long Khanh-Dao Le ◽

Dieu Nguyen ◽

Lan Gao ◽

David W. Dunstan ◽

...

Keyword(s):

Physical Activity ◽

Children And Adolescents ◽

Sedentary Behaviour ◽

Systematic Reviews ◽

Screen Time ◽

Sitting Time ◽

Age Group ◽

Umbrella Review ◽

Occupational Sitting ◽

Meta Analyses

Abstract Background There is increasing concern about the time people spend in sedentary behaviour, including screen time, leisure and occupational sitting. The number of both primary research studies (published trials) and reviews has been growing rapidly in this research area. A summary of the highest level of evidence that provides a broader quantitative synthesis of diverse types of interventions is needed. This research is to articulate the evidence of efficacy of sedentary behaviour interventions to inform interventions to reduce sitting time. The umbrella review, therefore, synthesised systematic reviews that conducted meta-analyses of interventions aiming at reducing sedentary behaviour outcomes across all age group and settings. Method A systematic search was conducted on six databases (MEDLINE Complete, PsycINFO, CINAHL, Global Health via EBSCOhost platform, EMBASE, and Cochrane Central Register of Systematic Reviews). Included articles were systematic reviews with meta-analysis of interventions aiming at reducing sedentary behaviour (screen time, sitting time or sedentary time) in the general population across all age group. Results Seventeen reviews met the inclusion criteria (7 in children and adolescent, 10 in adults). All reviews of sedentary behaviour interventions in children and adolescents investigated intervention effectiveness in reducing screen time. Six out of 11 meta-analyses (reported in 7 reviews) showed small but significant changes in viewing time. All reviews of sedentary behaviour interventions in office workplaces indicated substantial reduction in occupational sitting time (range: 39.6 to 100 min per 8-h workday). Sub-group analyses reported a trend favouring environmental change components such as sit-stand desks, active permissive workstations etc. Meta-analyses indicated that sedentary behaviour interventions were superior to physical activity alone interventions or combined physical activity and sedentary behaviour interventions in reducing sitting time. Conclusion The current systematic reviews and meta-analyses supported sedentary behaviour interventions for reducing occupational sitting time in particular, with small changes seen in screen time in children and adolescents. Future research should explore approaches to maintaining behaviour change beyond the intervention period and investigate the potential of sedentary behaviour reduction interventions in older age groups in non-occupational settings.

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Reproducibility of systematic literature reviews on food, nutrition, physical activity and endometrial cancer

Public Health Nutrition ◽

10.1017/s1368980007001334 ◽

2008 ◽

Vol 11 (10) ◽

pp. 1006-1014 ◽

Cited By ~ 4

Author(s):

RL Thompson ◽

EV Bandera ◽

VJ Burley ◽

JE Cade ◽

D Forman ◽

...

Keyword(s):

Physical Activity ◽

Endometrial Cancer ◽

Study Design ◽

Systematic Reviews ◽

Meta Analysis ◽

Case Series ◽

Case Control Studies ◽

Food Nutrition ◽

Search And Selection ◽

Meta Analyses

AbstractObjectiveDespite the increasing dependence on systematic reviews to summarise the literature and to issue public health recommendations, the formal assessment of the reliability of conclusions emerging from systematic reviews has received little attention. The main goal of the present study was to evaluate whether two independent centres, in two continents, draw similar conclusions regarding the association of food, nutrition and physical activity and endometrial cancer, when provided with the same general instructions and with similar resources.DesignThe assessment of reproducibility concentrated on four main areas: (1) paper search and selection; (2) assignment of study design; (3) inclusion of ‘key’ papers; and (4) individual studies selected for meta-analysis and the summary risk estimate obtained.ResultsIn total 310 relevant papers were identified, 166 (54 %) were included by both centres. Of the remaining 144 papers, 72 (50 %) were retrieved in the searches of one centre and not the other (54 in centre A, 18 in centre B) and 72 were retrieved in both searches but regarded as relevant by only one of the centres (52 in centre A, 20 in centre B). Of papers included by both centres, 80 % were allocated the same study design. Agreement for inclusion of cohort-type and case–control studies was about 63 % compared with 50 % or less for ecological and case series studies. The agreement for inclusion of 138 ‘key’ papers was 87 %. Summary risk estimates from meta-analyses were similar.ConclusionsTransparency of process and explicit detailed procedures are necessary parts of a systematic review and crucial for the reader to interpret its findings.

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E‐&mHealth interventions targeting nutrition, physical activity, sedentary behavior, and/or obesity among children: A scoping review of systematic reviews and meta‐analyses

Obesity Reviews ◽

10.1111/obr.13331 ◽

2021 ◽

Author(s):

Chelsea L. Kracht ◽

Melinda Hutchesson ◽

Mavra Ahmed ◽

Andre Matthias Müller ◽

Lee M. Ashton ◽

...

Keyword(s):

Physical Activity ◽

Sedentary Behavior ◽

Systematic Reviews ◽

Scoping Review ◽

Meta Analyses

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Efeitos dos exercícios físicos no sono de pacientes com síndrome da fibromialgia: revisão sistemática

ConScientiae Saúde ◽

10.5585/conssaude.v13n2.4700 ◽

2014 ◽

Vol 13 (2) ◽

pp. 298-304

Author(s):

Ricardo De Azevedo Klumb Steffens ◽

Alexandro Andrade ◽

Felippe Grisard ◽

Fábio Hech Dominski ◽

Pedro De Orleans Casagrande

Keyword(s):

Systematic Reviews ◽

Tai Chi ◽

Electronic Library ◽

Evidence Database ◽

Meta Analyses

Introdução: Um dos tratamentos recomendados para a síndrome da fibromialgia é a prática de exercício físico, o qual mantido regularmente pode melhorar a qualidade do sono desta população. Objetivo: Verificar por meio de revisão sistemática na literatura os efeitos dos exercícios físicos no sono de pacientes com fibromialgia. Métodos: Foi realizada uma revisão sistemática nas bases eletrônicas de dados Scientific Electronic Library Online (SciELO), PubMed, Physiotherapy Evidence Database (PEDro) e Science Direct. O processo de revisão seguiu as diretrizes propostas pelo protocolo PRISMA (Group Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Resultados: Foram identificados 44 estudos, destes nove atenderam os critérios de inclusão e foram selecionados. Ocorreu melhora significativa na qualidade do sono para pacientes com fibromialgia que realizaram exercícios aeróbios, alongamentos musculares, fortalecimento muscular, exercício em piscina e tai chi. Conclusões: Os exercícios físicos pesquisados melhoraram a qualidade do sono em pacientes com síndrome da fibromialgia.

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Gestão do conhecimento na assistência pelo enfermeiro perioperatório: revisão sistemática

Health Residencies Journal - HRJ ◽

10.51723/hrj.v3i14.362 ◽

2022 ◽

Vol 3 (14) ◽

pp. 1004-1031

Author(s):

Renata Mendes Borges ◽

Iara Gévila Lima Silva ◽

Ruanna Lopes Ferreira ◽

Ruth Silva Matos ◽

Jacqueline Ramos de Andrade Antunes Gomes ◽

...

Keyword(s):

Systematic Reviews ◽

Cochrane Library ◽

Prisma Statement ◽

Meta Analyses ◽

De Medicina

Introdução:A gestão do conhecimento contribui para o empoderamento da prática do enfermeiro perioperatório, e auxilia na caracterização do papel estratégico do na assistência em saúde.Objetivo: Examinar a evidência científica disponível referente à gestão do conhecimento por parte do enfermeiro perioperatório e analisar os desfechos dessas pesquisas. Método: Revisão sistemática conduzido conforme a metodologia PreferredReportingItems for Systematic Reviews and Meta-Analyses (PRISMA Statement), busca nas bases de dados Medical LiteratureandRetrieval System Online via PUBMED, Literatura Latino-Americana e do Caribe em Ciências da Saúde via Biblioteca Regional de Medicina, Cochrane Library e Scielo no período de 02 a 25 de setembro de 2018.Resultados:Do total de 1419 artigos, 12 estudos foram considerados nesta revisão sistemática. Os estudos incluídos no geral, não ofereceram tratamentos abrangentes sobre enfermeiros perioperatórios e sua posição estratégica na gestão do conhecimento, por isso foram analisados observando outras perspectivas.Conclusão: Enfermeiros perioperatórios possuem posição estratégica na gestão do conhecimento, havendo diferenças na qualidade da assistência aos pacientes, quando comparadas a assistência em saúde geral.

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Associations between the built environment and obesity: an umbrella review

International Journal of Health Geographics ◽

10.1186/s12942-021-00260-6 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Thao Minh Lam ◽

Ilonca Vaartjes ◽

Diederick E. Grobbee ◽

Derek Karssenberg ◽

Jeroen Lakerveld

Keyword(s):

Physical Activity ◽

Built Environment ◽

Systematic Reviews ◽

Fast Food ◽

Weight Status ◽

Natural Experiments ◽

Umbrella Review ◽

Environmental Characteristics ◽

Cross Sectional ◽

Meta Analyses

Abstract Background In the past two decades, the built environment emerged as a conceptually important determinant of obesity. As a result, an abundance of studies aiming to link environmental characteristics to weight-related outcomes have been published, and multiple reviews have attempted to summarise these studies under different scopes and domains. We set out to summarise the accumulated evidence across domains by conducting a review of systematic reviews on associations between any aspect of the built environment and overweight or obesity. Methods Seven databases were searched for eligible publications from the year 2000 onwards. We included systematic literature reviews, meta-analyses and pooled analyses of observational studies in the form of cross-sectional, case–control, longitudinal cohort, ecological, descriptive, intervention studies and natural experiments. We assessed risk of bias and summarised results structured by built environmental themes such as food environment, physical activity environment, urban–rural disparity, socioeconomic status and air pollution. Results From 1850 initial hits, 32 systematic reviews were included, most of which reported equivocal evidence for associations. For food- and physical activity environments, associations were generally very small or absent, although some characteristics within these domains were consistently associated with weight status such as fast-food exposure, urbanisation, land use mix and urban sprawl. Risks of bias were predominantly high. Conclusions Thus far, while most studies have not been able to confirm the assumed influence of built environments on weight, there is evidence for some obesogenic environmental characteristics. Registration: This umbrella review was registered on PROSPERO under ID CRD42019135857.

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Physical Activity and Academic Achievement: An Umbrella Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17165972 ◽

2020 ◽

Vol 17 (16) ◽

pp. 5972

Author(s):

Ana Barbosa ◽

Stephen Whiting ◽

Philippa Simmonds ◽

Rodrigo Scotini Moreno ◽

Romeu Mendes ◽

...

Keyword(s):

Physical Activity ◽

Academic Achievement ◽

Children And Adolescents ◽

Latin American ◽

Systematic Reviews ◽

School Age Children ◽

Cochrane Library ◽

School Age ◽

Umbrella Review ◽

Meta Analyses

Background: This umbrella review aimed to summarise the evidence presented in systematic reviews and meta-analyses regarding the effect of physical activity on academic achievement of school-age children and adolescents. Methods: A comprehensive electronic search for relevant systematic reviews and meta-analyses were performed in Pubmed, Cochrane Library, Web of Science, Scopus, and Latin American and Caribbean of Health Sciences Information System, and reference lists of the included studies, from inception to May 2020. Studies were included if they were systematic reviews or meta-analyses, included school-age children or adolescents, the intervention included physical activity, and the outcome was the academic achievement. Two independent authors screened the text of potentially eligible studies and assessed the methodological quality of the studies using the AMSTAR 2 tool. Results: Forty-one systematic reviews and meta-analyses that examined the effects of physical activity on children and adolescents’ academic achievement were identified. Overall, the systematic reviews reported small positive or mixed associations between physical activity and academic achievement. From meta-analyses, it was observed that physical activity had null or small-to-medium positive effects on academic achievement. Chronic physical activity showed a medium positive effect on academic achievement, and acute physical activity did not demonstrate benefits. Conclusions: Physical activity seems not to be detrimental to school-age children and adolescents’ academic achievement, and may, in fact, be beneficial.

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Os riscos associados pelo uso não orientado de anabolizantes hormonais

Research Society and Development ◽

10.33448/rsd-v10i14.22552 ◽

2021 ◽

Vol 10 (14) ◽

pp. e551101422552

Author(s):

Denise Santos de Souza ◽

Ederson Ferreira de Souza ◽

Swemy Oliveira Pereira

Keyword(s):

Systematic Reviews ◽

Electronic Library ◽

Meta Analyses

Introdução: A testosterona, o chamado hormônio masculino, é o andrógeno mais importante do corpo. Nos homens, a maior parte da testosterona é produzida nos testículos pelas células de Leydigin. Nas mulheres, os níveis de testosterona são muito mais baixos do que nos homens. No entanto, também tem um efeito importante no corpo feminino. A regulação hormonal da testosterona é mantida e controlada pelo eixo hipotálamo-hipófise-gônada. Objetivo: Evidenciar os riscos associados ao uso não orientado dos esteroides anabolizantes andrógenos para fins de hipertrofia muscular. Métodos: Refere-se a uma revisão sistemática, com o uso da técnica Preferred Reporting Items for Systematic Reviews and Meta-analyses (Prisma). A pesquisa bibliográfica foi realizada nas bases de dados: Medline (via PubMed), Scientific Electronic Library Online (Scielo) e na Biblioteca Virtual da Saúde (BVS), publicados entre 2014 e 2021 com objetivos exploratórios e abordagem qualitativa. Utilizou-se como descritores: esteroides anabolizantes androgênicos e testosterona, esteroides anabolizantes androgênicos e uso indiscriminado, esteroides anabolizantes androgênicos e efeitos adversos, uso indiscriminado e testosterona, efeitos adversos e testosterona. Resultados: Inicialmente selecionou-se 56 estudos nas bases de dados PUBMED, Scielo e BVS, após uma leitura mais detalhada elegeu-se 9 artigos utilizados nesse artigo. Como resultado do uso de andrógenos a longo prazo, os testículos podem ser significativamente reduzidos. Conclusões: Os efeitos negativos do uso de anabolizantes esteróides não desaparecem totalmente após a suspensão do seu uso, entre os efeitos indesejáveis como o risco de acometimento de doenças cardiovasculares, masculinazação em mulheres, hipertrofia muscular e lesões hepáticas entre outras.

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