THE CHANGES IN AEROBIC WORK CAPACITY OF THE STUDY PROGRAM "HEALTH CARE SPECIALIST" DURING THE ELEVEN YEARS PERIOD

Author(s):  
Voldemārs Arnis ◽  
Evita Bole ◽  
Irēna Upeniece ◽  
Indra Vīnberga ◽  
Maruta Hoferte ◽  
...  

Aerobic work capacity is one of the main indicators of physical fitness and health. Aerobic work capacity depends on many factors, both physical activity level and age and gender and other factors. Aerobic work capacity falls down under the influence of sedentary lifestyle, but it can also decrease as a result of over-intensity loads. Applicants for the study program are young people who have recently graduated from the high school and people of different ages with different sporting experiences. The purpose of the research: to explore applicants aerobic work capacity of Rīga Stradiņš University study program "Health Care Specialist” and their relation to various factors and changes in the dynamics of 11 years. A total of 731 participants (268 males and 473 women) conducted the World Health Organization Bicycle ergometer test. The average level of aerobic work capacity for health care specialist applicants will increase from 2007 to 2013, but declines relatively fast between 2014 and 2017. Over the last 6 years, aerobic work capacity has fallen sharply for men as women. Body mass index does not change significantly over 11 years. The correlation between body mass index and aerobic capacity is weak. Over the last 3 years aerobic work capacity downturn trend has been particularly pronounced for women aged 20- 29. 

2021 ◽  
Vol 13 (1) ◽  
pp. 37-42
Author(s):  
Marzena Malara ◽  
Grażyna Lutosławska ◽  
Krzysztof Mazurek ◽  
Anna Kęska ◽  
Joanna Tkaczyk

Abstract Study aim: Numerous data have indicated that body fat stores undergo complicated regulation by genetic and environmental factors, including physical activity. However, the majority of studies did not take into account this aspect of lifestyle in proposed body fat limits. In this context it seems that a more precise and reliable classification of body fat is provided by the American Council on Exercise (ACE), which distinguishes individuals not only with respect to sex but also activity level. Material and methods: A total of 793 students (312 sedentary and 481 active) volunteered to participate in the study. Among sedentary participants 147 were male and 165 female. Among active subjects 206 were male and 275 were female. Active subjects were engaged in different modes of physical activity according to the study program. In all participants body mass index (BMI) was calculated. In participants with BMI 18.5–24.9 and BMI ≥ 25 body fat was determined using four skinfold measurements. Thereafter participants were classified according to the percentage of body fat using ranges for males and females provided by the American Council on Exercise (ACE) (essential fat, athletes, fitness, average and obese fatness). Results: None of the sedentary and active males with BMI 18.5–24.9 had high (obese) fat. In contrast, in sedentary males with BMI ≥ 25 16.4% were obese vs. 1.8% of obese active ones. In sedentary females BMI from 18.5 to 24.9 did not exclude obesity, which was found in 16.9% of participants. In sedentary females with BMI ≥ 25 most of the subjects (97.1%) were obese. In contrast, in active females with BMI ≥ 25 a similar percentage of participants had average and obese fat (53.3% and 46.7, respectively). Discussion: Our study clearly demonstrated that BMI as a simple measure of body composition provides false information concerning true adiposity in physically active male and female students. A similar BMI did not exclude marked differences in the percentage of body fat in sedentary and active students.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Barbara Iyen ◽  
Stephen Weng ◽  
Yana Vinogradova ◽  
Ralph K. Akyea ◽  
Nadeem Qureshi ◽  
...  

Abstract Background Although obesity is a well-recognised risk factor for cardiovascular disease (CVD), the impact of long-term body mass index (BMI) changes in overweight or obese adults, on the risk of heart failure, CVD and mortality has not been quantified. Methods This population-based cohort study used routine UK primary care electronic health data linked to secondary care and death-registry records. We identified adults who were overweight or obese, free from CVD and who had repeated BMI measures. Using group-based trajectory modelling, we examined the BMI trajectories of these individuals and then determined incidence rates of CVD, heart failure and mortality associated with the different trajectories. Cox-proportional hazards regression determined hazards ratios for incident outcomes. Results 264,230 individuals (mean age 49.5 years (SD 12.7) and mean BMI 33.8 kg/m2 (SD 6.1)) were followed-up for a median duration of 10.9 years. Four BMI trajectories were identified, corresponding at baseline, with World Health Organisation BMI classifications for overweight, class-1, class-2 and class-3 obesity respectively. In all four groups, there was a small, stable upwards trajectory in BMI (mean BMI increase of 1.06 kg/m2 (± 3.8)). Compared with overweight individuals, class-3 obese individuals had hazards ratios (HR) of 3.26 (95% CI 2.98–3.57) for heart failure, HR of 2.72 (2.58–2.87) for all-cause mortality and HR of 3.31 (2.84–3.86) for CVD-related mortality, after adjusting for baseline demographic and cardiovascular risk factors. Conclusion The majority of adults who are overweight or obese retain their degree of overweight or obesity over the long term. Individuals with stable severe obesity experience the worst heart failure, CVD and mortality outcomes. These findings highlight the high cardiovascular toll exacted by continuing failure to tackle obesity.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
K Giesinger ◽  
JM Giesinger ◽  
DF Hamilton ◽  
J Rechsteiner ◽  
A Ladurner

Abstract Background Total knee arthroplasty is known to successfully alleviate pain and improve function in endstage knee osteoarthritis. However, there is some controversy with regard to the influence of obesity on clinical benefits after TKA. The aim of this study was to investigate the impact of body mass index (BMI) on improvement in pain, function and general health status following total knee arthroplasty (TKA). Methods A single-centre retrospective analysis of primary TKAs performed between 2006 and 2016 was performed. Data were collected preoperatively and 12-month postoperatively using WOMAC score and EQ-5D. Longitudinal score change was compared across the BMI categories identified by the World Health Organization. Results Data from 1565 patients [mean age 69.1, 62.2% women] were accessed. Weight distribution was: 21.2% BMI < 25.0 kg/m2, 36.9% BMI 25.0–29.9 kg/m2, 27.0% BMI 30.0–34.9 kg/m2, 10.2% BMI 35.0–39.9 kg/m2, and 4.6% BMI ≥ 40.0 kg/m2. All outcome measures improved between preoperative and 12-month follow-up (p < 0.001). In pairwise comparisons against normal weight patients, patients with class I-II obesity showed larger improvement on the WOMAC function and total score. For WOMAC pain improvements were larger for all three obesity classes. Conclusions Post-operative improvement in joint-specific outcomes was larger in obese patients compared to normal weight patients. These findings suggest that obese patients may have the greatest benefits from TKA with regard to function and pain relief one year post-op. Well balanced treatment decisions should fully account for both: Higher benefits in terms of pain relief and function as well as increased potential risks and complications. Trial registration This trial has been registered with the ethics committee of Eastern Switzerland (EKOS; Project-ID: EKOS 2020–00,879)


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
A. Stasinaki ◽  
D. Büchter ◽  
C.-H. I. Shih ◽  
K. Heldt ◽  
S. Güsewell ◽  
...  

Abstract Background Less than 2% of overweight children and adolescents in Switzerland can participate in multi-component behaviour changing interventions (BCI), due to costs and lack of time. Stress often hinders positive health outcomes in youth with obesity. Digital health interventions, with fewer on-site visits, promise health care access in remote regions; however, evidence for their effectiveness is scarce. Methods This randomized controlled not blinded trial (1:1) was conducted in a childhood obesity center in Switzerland. Forty-one youth aged 10–18 years with body mass index (BMI) > P.90 with risk factors or co-morbidities or BMI > P.97 were recruited. During 5.5 months, the PathMate2 group (PM) received daily conversational agent counselling via mobile app, combined with standardized counselling (4 on-site visits). Controls (CON) participated in a BCI (7 on-site visits). We compared the outcomes of both groups after 5.5 (T1) and 12 (T2) months. Primary outcome was reduction in BMI-SDS (BMI standard deviation score: BMI adjusted for age and sex). Secondary outcomes were changes in body fat and muscle mass (bioelectrical impedance analysis), waist-to-height ratio, physical capacities (modified Dordel-Koch-Test), blood pressure and pulse. Additionally, we hypothesized that less stressed children would lose more weight. Thus, children performed biofeedback relaxation exercises while stress parameters (plasma cortisol, stress questionnaires) were evaluated. Results At intervention start median BMI-SDS of all patients (18 PM, 13 CON) was 2.61 (obesity > + 2SD). BMI-SDS decreased significantly in CON at T1, but not at T2, and did not decrease in PM during the study. Muscle mass, strength and agility improved significantly in both groups at T2; only PM reduced significantly their body fat at T1 and T2. Average daily PM app usage rate was 71.5%. Cortisol serum levels decreased significantly after biofeedback but with no association between stress parameters and BMI-SDS. No side effects were observed. Conclusions Equally to BCI, PathMate2 intervention resulted in significant and lasting improvements of physical capacities and body composition, but not in sustained BMI-SDS decrease. This youth-appealing mobile health intervention provides an interesting approach for youth with obesity who have limited access to health care. Biofeedback reduces acute stress and could be an innovative adjunct to usual care.


Background: Breast Cancer is one of the leading causes of death worldwide. Pakistan alone has the highest rate of Breast Cancer than any other Asian country as approximately 90000 new cases are diagnosed every year out of which 40000 dies. Obesity is also a critical public health problem growing with every passing year in Pakistan and worldwide. Research studies are being conducted worldwide regarding the relation between the two problems. Objective: The objective of this study is to determine the prevalence of obesity in breast cancer patients in a tertiary care hospital in Karachi, Pakistan. Methods: BMI is used as a screening tool for overweight and obesity. According to World Health Organization, a body mass index (BMI) over 25 is considered overweight, and over 30 is obese. A retrospective analysis of 262 patients diagnosed with Breast Cancer during 2019 and 2020 was performed. Patients’ hospital records in Oncology were reviewed. The weight in kilograms and height in centimeters of patients were reviewed. Their BMI was calculated and recorded using the SPSS system. Results: The median BMI was 28.25 kg/m2 with an interquartile range of 25.15 - 31.99 kg/m2. Nearly 80% of the study participants had body mass index higher than normal levels (n=203, 77.5%) and out of them approximately half were overweight (n=104, 51.2%) and the remaining were obese (n=99, 48.7%). Conclusion: We conclude from our study that body mass index is positively correlated with breast cancer occurrence and thus the proportion of females having BMI >= 25 was significantly higher among patients.


2021 ◽  
Vol 8 (32) ◽  
pp. 3039-3042
Author(s):  
Lekshmi Raj Jalaja ◽  
Stuti Lohia ◽  
Priyadarsini Bentur ◽  
Ravi Ramgiri

‘Obesity’ is defined as a condition with excess body fat to the extent that health and well-being are adversely affected and uses a class system based on the body mass index (BMI), by the world health organization (WHO). Anaesthetic management of morbidly obese is challenging, as there is an increased risk of perioperative respiratory insufficiency and supplemental oxygen must be given throughout recovery period. The incidence of morbid obesity continues to grow and anaesthesiologists are exposed to obese patients presenting for various procedures. The prevalence of obesity is on the upward trend worldwide. Obesity is a multisystem disorder, involving the respiratory and cardiovascular systems, and therefore, undergoing a surgical procedure under anaesthesia may entail a considerable risk. Thus, a multidisciplinary approach is required in treating such patients. Quantification of the extent of obesity is done using the body mass index. BMI is defined as the relationship between weight and height (weight [kg] / height2 [m2 ]).


1962 ◽  
Vol 17 (1) ◽  
pp. 47-50 ◽  
Author(s):  
B. Issekutz ◽  
N. C. Birkhead ◽  
K. Rodahl

Oxygen uptake and carbon dioxide output were measured in 32 untrained subjects during exercise on the bicycle ergometer. It was shown that the work respiratory quotient (RQ) under standardized conditions can be used as a measure of physical fitness. ΔRQ (work RQ minus 0.75) increases logarithmically with the work load and maximal O2 uptake is reached at a ΔRQ value of 0.40. This observation offered the possibility of predicting the maximal O2 uptake of a person, based on the measurement of RQ during a single bicycle ergometer test at a submaximal load. For each work RQ between 0.95 and 1.15 a factor was presented, together with the aid of a simple equation, which gave a good approximation (generally better than ±10%) of the maximal O2 uptake.


2014 ◽  
Vol 3 (62) ◽  
pp. 13681-13685
Author(s):  
Sukanya Badami V ◽  
Baragundi Mahesh C ◽  
Shashikala G V ◽  
Roopa Ankad B ◽  
Umesh Ramadurga Y

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