scholarly journals Impact of ageing on female metabolic flexibility: a cross-sectional pilot study in over-60 active women

2022 ◽  
Author(s):  
Jordi Monferrer-Marín ◽  
Ainoa Roldán ◽  
Pablo Monteagudo ◽  
Iván Chulvi-Medrano ◽  
Cristina Blasco-Lafarga
Keyword(s):  
Older Women ◽  
Muscle Power ◽  
Ventilatory Threshold ◽  
Pain Scale ◽  
Metabolic Flexibility ◽  
Physical Status ◽  
Cross Sectional ◽  
Oxidation Rates ◽  
Metabolic Inflexibility ◽  
The Impact

Abstract Background Ageing influences the metabolic flexibility, albeit the physical status could determine this relationship. This cross-sectional study aims to describe and analyse the metabolic flexibility/inflexibility in a group of active older women, together with the impact of ageing and physical status on their oxidation rates and maximal fat oxidation (MFO). Methods Fifteen volunteers (69.00±6.97 years) from 24 women, completed an incremental cycling test until the second ventilatory threshold. Intensity increased 10W each 3min–15sec, starting at 30W. Gas exchange, heart rate, rate of perceived effort, pain scale and muscle power were registered, together with lactate. VO2 and VCO2 were considered for Fat and CHO oxidation (FATox & CHOox; Frayn’s equation) at the intensities 60%, 80% and 100% from the peak of power in the test (P100). Psychophysiological parameters were compared at MFO/FATmax and P100, together with the main correlation analyses, with and without P100 and VO2 as covariates. Results FATox was low at MFO (0.13; 95%CI [0.09-0.17] g·min−1·kg; 5.61 [3.59-7.63] g·min−1·kg FFM), with a shifting down and leftward of a short oxidation-rate curves. CHOox and FATox were both low for a reduced power with age (77.14±18.58 W & 39.29±9.17 W at P100 and MFO respectively), pointing to metabolic inflexibility in older women despite being active. Notwithstanding, the negative correlation between age and MFO (r=-0.54, p=0.04; R2=0.29) disappeared when normalized with P100 (r=-0.17, p=0.53), which was in turn strongly and negatively associated to age (r=-0.85, p<0.005; R2=0.72). P100 was also positive and moderately associated to MFO (r=0.71, p=0.01; R2=0.50). Conclusions Despite the inflexibility with age, physical status (i.e., larger muscular power) suggest a key role in the preservation of the metabolic health with aging in active women.

scholarly journals Impact of Moderate Aerobic Training on Physical Capacities of Hypertensive Obese Elderly

2019 ◽  
Vol 5 ◽  
pp. 233372141985969 ◽  
Author(s):  
Raphael Miranda Ramos ◽  
Hélio José Coelho-Júnior ◽  
Ricardo Yukio Asano ◽  
Raul Cosme Ramos Prado ◽  
Rodrigo Silveira ◽  
...  
Keyword(s):  
Older Women ◽  
Aerobic Training ◽  
Muscle Power ◽  
Aerobic Power ◽  
Exercise Group ◽  
Moderate Intensity ◽  
Control Group ◽  
Limb Muscle ◽  
Physical Capacities ◽  
The Impact

The association of old age and chronic conditions, such as hypertension and obesity, can lead to larger decreases in the physical capacities of elderly, compared with their healthy counterparts. Physical exercise has been demonstrated to be efficient in postponing this phenomenon, mainly strength training. However, little is known about the effect of aerobic training on this condition. The aim of this work was to investigate the impact of 12 weeks of moderate-intensity aerobic training on the physical capacities of hypertensive obese older women. Aerobic power, lower limb muscle power, upper limb muscle strength, endurance, and flexibility of 19 hypertensive obese elders were evaluated. Afterward, patients were blindly randomized into control group (CG) and exercise group (EG). EG underwent three sessions/week of 60 min of moderate-intensity aerobic training, during 12 weeks. EG showed increases in VO2max compared with CG ( p = .03) and increases in flexibility compared with basal moment (+21.6%; p = .01) after 12 weeks, whereas CG did not show any significant alterations. Moderate aerobic training is capable of inducing increases in maximal aerobic power and flexibility in hypertensive obese elderly. However, other essential physical capacities associated with independence in elderly people (i.e., muscle power and strength) were not responsive to this kind of protocol.

Effect of contrasted levels of habitual physical activity on metabolic flexibility

2013 ◽  
Vol 114 (3) ◽  
pp. 371-379 ◽  
Author(s):  
Audrey Bergouignan ◽  
Edwina Antoun ◽  
Iman Momken ◽  
Dale A. Schoeller ◽  
Guillemette Gauquelin-Koch ◽  
...  
Keyword(s):  
Physical Activity ◽  
Metabolic Diseases ◽  
Bed Rest ◽  
Normal Weight ◽  
Activity Level ◽  
Habitual Physical Activity ◽  
Metabolic Flexibility ◽  
Sedentary Behaviors ◽  
Cross Sectional ◽  
Metabolic Inflexibility

The factors regulating the body's ability to switch from fat to carbohydrate oxidation in response to fuel availability changes, or metabolic flexibility (MF), are currently intensively investigated in the context of metabolic diseases. Although numerous metabolic diseases are associated with sedentary behaviors and metabolic inflexibility, the effect of habitual physical activity level (PAL) on MF regulation is surprisingly poorly known. We investigated how PAL affects MF in cross-sectional and interventional studies. MF was assessed in 44 subjects: normal-weight and overweight sedentary men submitted to 2 mo of exercise at current recommendations, normal-weight active men submitted to 1 mo of reduced PAL and normal-weight women submitted to 1 mo of bed rest, with or without exercise. MF was evaluated, before and after interventions, following two standard meals as the relationship between individual mathematical variances in insulin and nonprotein respiratory quotient (NPRQ) daily kinetics. Daily NPRQ and insulin variances differed according to habitual PAL ( P = 0.002 and P = 0.009, respectively); active subjects had higher variances in NPRQ for lower variances in insulin than sedentary subjects, indicating a better MF. Detraining increased insulin variance ( P = 0.009) and decreased NPRQ variance ( P = 0.003), while training tended to have opposite effects. Insulin and NPRQ variances were negatively related along the PAL continuum ( R2 = 0.70, P < 0.001). Variance in NPRQ was also positively related to PAL ( R2 = 0.52, P < 0.001). By assessing MF with mathematical surrogates in conditions of daily pattern in meal's intake, we showed that habitual PAL is associated with MF status, and that MF is modulated by changes in PAL.

scholarly journals Impacto da dor, estado antropométrico e fatores associados em pacientes com enxaqueca

2020 ◽  
Vol 34 (4) ◽  
pp. 396-401
Author(s):  
Luana de Oliveira Leite ◽  
Lorraine Lacerda Brasil Souza ◽  
Júlia Canto e Sousa ◽  
Sara Factum Dutra
Keyword(s):  
Waist Circumference ◽  
Physical Inactivity ◽  
Pain Scale ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
High Waist Circumference ◽  
Female Sex ◽  
Clinical Pain ◽  
The Impact ◽  
Anthropometric Status

Introduction: Migraine is a chronic neurological disease which has various etiological factors. It is important to highlight the importance of studies involving patients with migraine, as it generates significant limitations in quality of life. Objectives: To evaluate the association among pain impact, anthropometric status and others factors in migraine patients. Methods: Quantitative and descriptive, cross-sectional and secondary-based study, developed in a Clinical School of Pharmacy of the city of Salvador-BA, with patients treated with migraine diagnosis, from April 2018 to March 2019, of 20 years old or more. Information was gathered about demographic, socioeconomic, anthropometric, lifestyle, clinical, pain impact [by Migraine Disability Assessment (MIDAS) and Headache Impact Test-6 questionnaires (HIT-6)] and pain intensity (visual pain scale). Logistic regression models were used to evaluate the factors associated with the pain impact with a value of p≤0.05. Results: Of the 40 patients evaluated, 87.5% were female, the average age detected was 40.35 ± 12.6 years. There was a prevalence of sedentary (87.5%), overweight (55%), high waist circumference (68.4%), intestinal constipation (35%) and lactose intolerance (28.2%); high impact on daily activities: 62.5% (HIT-6) and 69.6% (MIDAS). Higher body mass index (BMI) and waist circumference (WC) averages were identified in patients with substantial/severe pain impact (p = 0.03 and p = 0.06, respectively) compared to those with no/some impact. The chances of greater impact of pain through HIT-6 seem to be associated with overweight (p = 0.04), female sex (p = 0.62) and physical inactivity (p = 0.89). Conclusion: Anthropometric status was associated with the impact of migraine. Overweight and female sex are related to migraine occurrence, and together with physical inactivity seem to influence the pain impact.

scholarly journals Sarcopenia Is Negatively Related to High Gravitational Impacts Achieved From Day-to-day Physical Activity

2017 ◽  
Vol 73 (5) ◽  
pp. 652-659 ◽  
Author(s):  
April Hartley ◽  
Celia L Gregson ◽  
Kimberly Hannam ◽  
Kevin C Deere ◽  
Emma M Clark ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Women ◽  
Lower Limb ◽  
Muscle Power ◽  
Negative Relationship ◽  
Community Dwelling ◽  
Muscle Size ◽  
Skeletal Health ◽  
Cross Sectional ◽  
Reduced Physical Activity

Abstract Background Sarcopenia has been associated with reduced physical activity (PA). We aimed to determine if sarcopenia, and specific components of muscle size, function, and physical performance, are associated with high impacts achieved during habitual PA, as these are related to bone strength in community-dwelling older women. Methods Participants were older women from the Cohort of Skeletal Health in Bristol and Avon. We defined sarcopenia using the EWGSOP criteria. Lower limb peak muscle power and force were assessed using Jumping Mechanography (JM). High vertical impacts were assessed by tri-axial accelerometry (at least 1.5g above gravity). Cross-sectional associations were analyzed by linear regression, adjusting for age, height and weight (or fat mass for models including appendicular lean mass index), comorbidities, smoking, alcohol, and Index of Multiple Deprivation. Results Our analyses included 380 participants, with mean age 76.7 (SD 3.0) years; 242 (64%) also completed JM. In age-adjusted analysis, a negative relationship was observed between severity of sarcopenia and high, but not medium or low, impacts (p = .03 for trend). Regarding components of sarcopenia underlying this relationship, multivariable analyses revealed that gait speed (β 1.47 [95% CI 1.14, 1.89], [β-1] reflects the proportionate increase in high impacts per SD increase in exposure) and peak force (1.40 [1.07, 1.84]) were independently associated with high impacts. Conclusions Older women with sarcopenia experienced fewer bone-strengthening high impacts than those with presarcopenia or without sarcopenia. To increase bone strengthening activity in older women, interventions need to improve both lower limb muscle force and walking speed.

Association of Mild Anemia and Executive Cognitive Function Impairment in High Functioning Community-Dwelling Older Women.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 3552-3552
Author(s):  
Paulo H.M. Chaves ◽  
Linda P. Fried ◽  
Michelle Carlson
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Older Women ◽  
The Elderly ◽  
Forced Expiratory Volume ◽  
Community Dwelling ◽  
Cross Sectional ◽  
High Functioning ◽  
Mild Anemia ◽  
The Impact

Abstract Background: Anemia in the elderly is common and may be associated with atypical clinical presentations. Although the impact of severe anemia on cognition has been studied in patients with cancer, less is known about the association of mild anemia on cognitive function in the elderly. Executive cognitive functioning (ECF) refers to the execution of complex activities that involve a set of higher-order cognitive abilities primarily dependent on the frontal lobes. ECF plays a major role in the maintenance of the functional status of older adults. Knowledge about potentially modifiable risk factors for ECF impairment in older adults is limited. The goal of this study was to test the hypothesis that mild anemia is associated with ECF impairment in high functioning, community-dwelling older women. Methods: Cross-sectional analysis of baseline data from the Women’s Health and Aging Study (WHAS) II, 1994–1996, Baltimore, MD. WHAS II is a population-based study of 436 cognitively intact (Mini-Mental State Exam >24) and highly physically functioning women aged 70–80 years. The analytic sample included 364 subjects with Hb >10 g/dL and the following ECF test components: Trail Making Tests part B (TMTB) - primary outcome - and part A (TMTA), and the difference TMTB-TMTA. Multivariate polytomous logistic regression models were used to model the relationship between performance (based on tertiles) on each ECF test as a function of Hb, while controlling for age, education, cardiovascular disease, and a number of other potential confounders, such as hypertension, diabetes, depressive symptoms, calculated creatinine clearance, forced expiratory volume in the first second, thyroid stimulating hormone, total cholesterol levels, body mass index, walking speed, and prevalent mobility difficulty. Results: Subjects with mild anemia (Hb 10–12 g/dL) performed worst in all ECF tests; i.e., the percentage of subjects in the best performance tertile for each test was lowest for those with Hb within 10–12 g/dL. Estimates from multivariate models revealed that, as compared to those with Hb≥12 g/dL, those with Hb within 10–12 g/dL were substantially less likely to be in the best performance tertile of the TMTB [odds ratio (OR).23, 95% confidence interval (CI):.06–.86; p=.029], TMTA (OR.27, 95%CI:.07–.98; p=.047), and TMTB-TMTA (OR.30, 95%CI:.10–.89; p=.031), even after comprehensive adjustment. Conclusion: In this cross-sectional study, mild anemia was an independent risk factor for prevalent ECF impairment in high functioning community-dwelling older women. This raises the hypothesis that correction of mild anemia could potentially provide an opportunity for prevention of cognitive and functional decline in older adults. To test this hypothesis, prospective observational studies and clinical trials are warranted.

scholarly journals Impact of driving duration on hand muscle strength in people who commute for work

2019 ◽  
Vol 6 (11) ◽  
pp. 4892
Author(s):  
Latha Sannasi
Keyword(s):  
Muscle Power ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Health Issues ◽  
Common People ◽  
Cross Sectional ◽  
Hand Grip ◽  
Hand Muscle ◽  
The Impact

Background: Urbanization has brought a lot of health issues in the citizens. Commuting for work has become more common. People around the world use different means of commute like public transport or driving a car to work. The increase in time of commute may be associated with many health hazards. In this study we try to study the impact of driving duration on hand muscle power.Methods: A prospective cross sectional study was conducted in a tertiary care hospital. About 32 persons who drive car for their work participated in this study after giving their consent. Subjects grouped in to two categories long commuters, who drive for greater or equal to one hour and short commuters less than one hour. Muscle power tested on two occasions immediately after driving and four hour after driving with a help of hand grip dynamometer. Demographic details were collected. The two groups compared for muscle power and body mass index (BMI).Results: The long commuters had less muscle power in comparison with short commuters and it was significant. The average BMI of long commuters was in obesity range were as the average BMI of short commuter is less and it was statistically significant.Conclusions: Driving for greater than one hour is associated with obesity and reduced muscle power immediately after driving. 

Fitness Policies Within the Fire Service: A Pilot Investigation of Exercise Adherence on Fitness Outcomes Among Rural Firefighters

2021 ◽  
pp. 155982762110115
Author(s):  
Bridget F. Melton ◽  
Greg Ryan ◽  
Ronald L. Snarr ◽  
Macy Weeks ◽  
Emily Langford ◽  
...  
Keyword(s):  
Muscular Strength ◽  
Muscle Power ◽  
Vertical Jump ◽  
Exercise Adherence ◽  
Fire Service ◽  
Cardiovascular Fitness ◽  
Adherence Rate ◽  
Cross Sectional ◽  
Convenience Sample ◽  
The Impact

The purpose of this study was to investigate the adherence to departmental fitness policies and to evaluate the impact of on-duty firefighters’ adherence to fitness outcomes. This cross-sectional designed study utilized a convenience sample of 40 career firefighters from one department in rural southeast Georgia. Onsite gym attendance logs were recorded during a 10-month period. Firefighters were classified as lowest (0-16 sessions), low (17-30 sessions), moderate (31-44 sessions), or high (45+ sessions) adherence for analyses based on gym attendance. The fitness outcomes were retrieved from required annual fitness testing, including measurements of muscular strength (1RMest leg press and 1RMest bench press), muscular endurance (pushup), muscle power (vertical jump), cardiovascular fitness (submaximal treadmill), mobility (functional movement screen), and flexibility (shoulder elevation). Only 12.5% (n = 5) of firefighters complied with the department’s fitness policy of a minimum 75% adherence rate. Furthermore, there were significant differences (P ≤ .05) between various muscular strength, endurance, and flexibility between adherence rates. This study indicated that firefighters that complied more with the fitness policies were more physically fit than those that did not. Considerations should be made to promote and enforce departmental fitness policies to ensure that firefighters can physically perform their responsibilities.

scholarly journals A Comparison of Pain Scale on Neonates in a Top Refferal Hospital in Indonesia

2021 ◽  
Vol 5 (1) ◽  
pp. 126-135
Author(s):  
Nenty Septiana ◽  
Yeni Rustina ◽  
Defi Efendi
Keyword(s):  
Pain Management ◽  
Pain Assessment ◽  
Assessment Tool ◽  
Cross Sectional Study ◽  
Pain Scale ◽  
Assessment Scale ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Expert Nurses ◽  
The Impact

Background: Pain assessment scale in neonates is the cornerstones of pain management so that the impact of pain can be prevented to maximize neonatal growth and development.Purpose: This study aimed to identify the most appropriate pain assessment scale used for neonates in Indonesia.Methods: A cross sectional study design was used in 30 neonates hospitalized using Neonatal Infant Pain Scale (NIPS), Neonatal infant Acute Pain Assessment Scale (NIAPAS) and Pain Assessment Tool (PAT). Pain assessment was performed by nurses (n=30) and expert nurses (n=5) participated in the validation of scales. Statistical analysis using validity (content, construct and concurrent validity) and reliability (inter-rater reliability and internal consistency) test.Results: NIPS instrument have excellent validity, reliability, and feasibility value compared with NIAPAS and PAT.Conclusion: NIPS was shown a valid, reliable, and practical scale for assessing pain in neonates. It allows nurses to identifying pain and help to provide of appropriate pain management

Multidisciplinary team decision is rare and decreasing in percutaneous vascular interventions despite positive impact on in-hospital outcomes

VASA ◽  
2019 ◽  
Vol 48 (3) ◽  
pp. 262-269 ◽  
Author(s):  
Christian-Alexander Behrendt ◽  
Tilo Kölbel ◽  
Thea Schwaneberg ◽  
Holger Diener ◽  
Ralf Hohnhold ◽  
...  
Keyword(s):  
Multidisciplinary Team ◽  
Positive Impact ◽  
Cross Sectional Study ◽  
Invasive Treatment ◽  
Cross Sectional ◽  
Hospital Outcomes ◽  
Vascular Intervention ◽  
Medical Specialties ◽  
Team Decision ◽  
The Impact

Abstract. Background: Worldwide prevalence of peripheral artery disease (PAD) is increasing and peripheral vascular intervention (PVI) has become the primary invasive treatment. There is evidence that multidisciplinary team decision-making (MTD) has an impact on in-hospital outcomes. This study aims to depict practice patterns and time changes regarding MTD of different medical specialties. Methods: This is a retrospective cross-sectional study design. 20,748 invasive, percutaneous PVI of PAD conducted in the metropolitan area of Hamburg (Germany) were consecutively collected between January 2004 and December 2014. Results: MTD prior to PVI was associated with lower odds of early unsuccessful termination of the procedures (Odds Ratio 0.662, p < 0.001). The proportion of MTD decreased over the study period (30.9 % until 2009 vs. 16.6 % from 2010, p < 0.001) while rates of critical limb-threatening ischemia (34.5 % vs. 42.1 %), patients´ age (70 vs. 72 years), PVI below-the-knee (BTK) (13.2 % vs. 22.4 %), and rates of severe TASC C/D lesions BTK (43.2 % vs. 54.2 %) increased (all p < 0.001). Utilization of MTD was different between medical specialties with lowest frequency in procedures performed by internists when compared to other medical specialties (7.1 % vs. 25.7 %, p < 0.001). Conclusions: MTD prior to PVI is associated with technical success of the procedure. Nonetheless, rates of MTD prior to PVI are decreasing during the study period. Future studies should address the impact of multidisciplinary vascular teams on long-term outcomes.

Factors Influencing Academic Stress on Students of University of Economics and Business - Vietnam National University

2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Nham Phong Tuan ◽  
Nguyen Ngoc Quy ◽  
Nguyen Thi Thanh Huyen ◽  
Hong Tra My ◽  
Tran Nhu Phu
Keyword(s):  
Academic Stress ◽  
Stress Factors ◽  
Negative Effects ◽  
Cross Sectional ◽  
Stress Scale ◽  
Perceptions And Attitudes ◽  
National University ◽  
Questionnaire Surveys ◽  
The University ◽  
The Impact

The objective of this study is to investigate the impact of seven factors causing academic stress on students of University of Economics and Business - Vietnam National University: Lack of leisure time, Academic performance, Fear of failure, Academic overload, Finances, Competition between students, Relationships with university faculty. Based on the results of a practical survey of 185 students who are attending any courses at the University of Economics and Business - Vietnam National University, the study assesses the impact of stress factors on students. The thesis focuses on clarifying the concept of "stress" and the stress level of students, while pointing out its negative effects on students. This study includes two cross-sectional questionnaire surveys. The first survey uses a set of 16 questions to assess students’ perceptions and attitudes based on an instrument to measure academic stress - Educational Stress Scale for Adolescents (ESSA). The second survey aims to test internal consistency, the robustness of the previously established 7-factor structure. Henceforth, the model was brought back and used qualitatively, combined with Cronbach’s Alpha measurement test and EFA discovery factor analysis. This study was conducted from October 2019 to December 2019. From these practical analyzes, several proposals were made for the society, the school and the students themselves.

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