scholarly journals Modern approaches to physical therapy of men 30-40 years old with obesity of the II degree at the sanatorium stage

Author(s):  
A. Prima ◽  
R. Yu. Poltorapavlo

The article substantiates the physical therapy of men 30-40 years old with obesity of the second degree at the sanatorium stage. From today's point of view, obesity is recognized as a chronic disease that is complex, multifactorial and includes environmental (social and cultural), genetic, physiological, metabolic, behavioral, and psychological components. The disease most often occurs when overeating high-calorie foods containing fats and carbohydrates. Primary obesity, alimentary, is especially exacerbated by low physical activity. The tasks of therapeutic physical culture in obesity are: stimulation of metabolism in the body, activating redox processes and increasing energy consumption; weight loss; improving the function of the cardiovascular and respiratory systems, musculoskeletal system; increasing the body's adaptation to exercise. Physical therapy programs include: change of eating style (correction to gradually develop a stereotype of healthy eating by optimizing calories and diet); increase of household and training physical activity (morning hygienic gymnastics, fitness yoga, cardio training, strength training, Nordic walking); corporate and auricular acupuncture (effects on biologically active points of the body and ears to suppress hunger and thirst, reduce discomfort during a period of limited nutrition, improve the functioning of internal organs affected by weight gain); improvement of psycho-emotional state (conducting autogenic trainings, psycho-emotional support); developing a conscious active attitude to the process of weight loss (explanatory talks on the complications of obesity, the peculiarities of weight loss, explaining the impact of physical rehabilitation); massage (lymphatic drainage, general, abdominal cavity) in order to accelerate the removal of excess fluid, recovery after exercise, improve the functioning of internal organs.

Author(s):  
Małgorzata Paprocka-Borowicz ◽  
Mona Wiatr ◽  
Maria Ciałowicz ◽  
Wojciech Borowicz ◽  
Agnieszka Kaczmarek ◽  
...  

Stroke is a high-risk factor for depression. Neurological rehabilitation is greatly difficult and often does not include treatment of depression. The post-stroke depression plays an important role in the progress of treatment, health, and the life of the patient. The appropriate treatment of depression could improve the quality of life of the patient and their family. The study aimed to evaluate the impact of physical activity and socio-economic status of the patient on the effectiveness of recovery from depression and the severity of the symptoms of depression. The study was conducted with 40 patients after stroke aged 42–82 years, and included 10 women and 30 men who were hospitalized for two weeks. The severity of depression/anxiety (D/A) symptoms were evaluated two times; at admission and after two weeks of physical therapy. The hospital anxiety and depression scale (HADS) questionnaire was used for this purpose. Socio-economic status was evaluated by several simple questions. It was revealed that physical therapy has a positive influence on mental state. The severity of D/A symptoms after stroke is related to the financial status of the patients (2 = 11.198, p = 0.024). The state of health (2 = 20.57, p = 0.022) and physical fitness (2 = 12.95, p = 0.044) changed the severity of symptoms of anxiety and depressive disorders. The kinesiotherapy in the group of patients with post-stroke depression had positive effects; however, economic and health conditions may influence the prognosis of the disease.


Author(s):  
Timothy Brusseau ◽  
Ryan Burns

The purpose of this study was to examine the impact of summer breaks on the body composition and cardiovascular fitness of elementary school children who participated in a multi-year school-based physical activity intervention. Participants were 404 children who had their height and weight measured and completed the Progressive Aerobic Cardiovascular Endurance Run (PACER) during physical education classes at the beginning and end of the school year for three consecutive years. To examine the effects of time on health-related fitness data, general linear mixed effects models were employed. The results indicate that there was a trend toward an increase in body mass index (BMI) after the summer of 2015 (p = 0.958), and a significant increase in BMI after the summer of 2016 compared to time point 1 (p < 0.001). For PACER laps, there were trends toward decreases in PACER laps after the summers of 2015 (p = 0.515) and 2016 (p = 0.073). Summer breaks tended to attenuate the BMI and PACER lap improvements that were observed during the intervention. While school-based physical activity programming has had some successes in improving health-related fitness markers, the loss of these improvements over the summer is of concern to both practitioners and researchers. It is clear that additional efforts are needed to limit obesogenic behaviors during the summer months.


2021 ◽  
Vol 12 ◽  
pp. 215013272110477
Author(s):  
Oscar H. Del Brutto ◽  
Robertino M. Mera ◽  
Denisse A. Rumbea ◽  
Pedro Pérez ◽  
Bettsy Y. Recalde ◽  
...  

Background: Information on the body composition of inhabitants of remote communities during the SARS-CoV-2 pandemic is limited. Using a longitudinal population-based study design, we assessed the association between SARS-CoV-2 infection and changes in body composition. Methods: Community-dwelling older adults living in a rural Ecuadorian village received body composition determinations before and 1 year after the pandemic as well as serological tests for detection of SARS-CoV-2 antibodies. The independent association between SARS-CoV-2 infection and abnormalities in body composition at follow-up was assessed by fitting linear mixed models for longitudinal data. Results: Of 327 enrolled individuals, 277 (85%) received baseline and follow-up body composition determinations, and 175 (63%) of them became SARS-CoV-2 seropositive. Overall, diet and physical activity deteriorated during the follow-up. Multivariate random-effects generalized least squares regression models that included the impact of time and seropositivity on follow-up body composition, showed that neither variable contributed to a worsening in body composition. Multivariate logistic regression models disclosed that the serological status at follow-up cannot be predicted by differences in body composition and other baseline covariates. Conclusions: Study results suggest no increased susceptibility to SARS-CoV-2 infection among older adults with abnormal body composition and no significant changes as a result of worse physical activity and dietary habits or seropositivity during the length of the study. Together with a previous study in the same population that showed decrease in hand-grip strength after SARS-CoV-2, results confirm that dynapenia (and not sarcopenia) is associated with SARS-CoV-2 infection in older adults.


2016 ◽  
Vol 31 (6) ◽  
pp. 484-490 ◽  
Author(s):  
Jamal H. Essayli ◽  
Jessica M. Murakami ◽  
Rebecca E. Wilson ◽  
Janet D. Latner

Purpose: To explore the psychological impact of weight labels. Design: A double-blind experiment that randomly informed participants that they were “normal weight” or “overweight.” Setting: Public university in Honolulu, Hawai‘i. Participants: Normal-weight and overweight female undergraduates (N = 113). Measures: The Body Image States Scale, Stunkard Rating Scale, Weight Bias Internalization Scale, Positive and Negative Affect Schedule, General Health question from the 12-item Short Form Health Survey, modified version of the Weight Loss Methods Scale, and a manipulation check. Analysis: A 2 × 2 between-subjects analysis of variance explored the main effects of the assigned weight label and actual weight and interactions between assigned weight label and actual weight. Results: Significant main effects of the assigned weight label emerged on measures of body dissatisfaction, F(1, 109) = 12.40, p = .001, [Formula: see text] = 0.10, internalized weight stigma, F(1, 108) = 4.35, p = .039, [Formula: see text] = .04, and negative affect, F(1, 108) = 9.22, p = .003, [Formula: see text] = .08. Significant assigned weight label × actual weight interactions were found on measures of perceived body image, F(1, 109) = 6.29, p = .014, [Formula: see text] = .06, and perceived health, F(1, 109) = 4.18, p = .043, [Formula: see text] = .04. Conclusion: A weight label of “overweight” may have negative psychological consequences, particularly for overweight women.


2020 ◽  
Vol 31 (1) ◽  
Author(s):  
Alan Camargo Silva ◽  
Maria Isabel Brandão de Souza Mendes ◽  
Sílvia Maria Agatti Lüdorf

The purpose of this study was to explore the meanings of supplement use among those who engage in physical activity in fitness centers. A qualitative study was carried out based on 67 questionnaires answered on the internet by practitioners of physical training. There was also an observation of the groups in the Facebook, the dynamic and other aspects such as discussions, messages, profiles and images. It was detected that physical activity practitioners care more about the quantity of substances ingested than any other factor that may lead them to suffer certain health risks. They believe that so-called "excesses" may cause diseases to the internal organs. Although the participants believe that their own consumption of supplements does not compromise their health, a biomedical authority is crucial for them to recognize whether or not they are at risk. The consumption of supplements can vary depending on what is understood to be excessive and which risks may compromise the body. There are many motivations for managing these substances. Health risks should not be analyzed solely from a biomedical perspective, but also addressed by the socio-cultural logic of the perceptions and meanings attributed by the subjects to the body and the management thereof.


2021 ◽  
Author(s):  
Kuat Oshakbayev ◽  
Gulnara Bedelbayeva ◽  
Meruyert Gazaliyeva ◽  
Bibazhar Dukenbayeva ◽  
Attila Tordai ◽  
...  

Abstract Background: The hypothesis that metabolic rate is inversely correlated with lifespan has long been debating. Another area of controversy is an evidence of a relationship between metabolic rate and time perception, and aging. Aim: to study the impact of overweight and food intake on metabolic rate, time-flow perception, chronic diseases, aging, lifespan; difficulties in weight loss.Methods: Design: a systematic review. Setting and Participants: Web of Science, Scopus, Science Direct, Kopernio, PubMed, Mendeley were searched for articles published from January 1979 until March 2020. The study bases on a viewpoint supported by a systematic literature review of 3612 articles published worldwide.Results: In total, 107 full-text articles were assessed for eligibility. From them, 25 articles were excluded with reasons. Overweight and food intake are the main causes of accelerating metabolic rate. By age, the body should less calorie intake due to decreasing metabolic rate. Body capability to gain weight is integral indicator of body energy reserve that depletes after weight gain. Increased metabolic rate creates a delayed time-flow perception and accelerates aging. Metabolic rate and lifespan are inversely correlated. Weight loss is a good tool to delay aging and increase lifespan. Very-low-calorie diets and to manage metabolic intoxication should use at weight loss.Conclusions: The findings support overweight with overeating increases metabolic rate that in turn delays time-flow perception, increases disease, accelerates aging, limits lifespan. For weight loss has to manage a very-low-calorie diet.


2020 ◽  
Vol 21 (2) ◽  
pp. 3-12
Author(s):  
A.A. Skalny ◽  

Currently, there is no doubt about the prevailing influence of the level of physical activity of an individual on the functional state of the body. However, the available literature data on the impact of physical stress on the body's supply of trace elements and their distribution in tissues are largely contradictory. This review of available literature data provides an insight into the relationship between physical activity and microelement homeostasis. The influence of human physical activity on the exchange of toxic (lead, cadmium, Nickel, etc.) and essential trace elements, such as iron, selenium, copper, cobalt, chromium, and zinc is reviewed. Based on the analyzed works, it is concluded that in order to correct the metabolic and microelement status of a person during physical activity, the most reasonable and necessary is the modulation of homeostasis of zinc and selenium.


Author(s):  
V. O. Velichko

Analysis of literature data and the results of our own research show that even with intensive rearing of animals with the use of balanced feeding and keeping them in accordance with the technology - it is almost impossible to avoid stress. And especially, excessive man-made load on agroecosystems also has a negative impact on animal life. Factors that cause a decrease in immune status and the emergence of immune pathology in animals include: industrial technology of animal husbandry, chemicalization in crop and livestock production, man-made pressure, dietary imbalance in nutrients and biologically active substances. This increases the impact on the body of heavy metals, which displace nutrients from body tissues, in particular trace elements and replace them in metabolic processes, which is a potential prerequisite for the development of oxidative stress. The mechanism of development of stress reaction of an organism is closely connected with activity of POL (lipid peroxidation) and depression of antioxidant potential. Under these conditions, the ability of the organism to mobilize protective and adaptive capabilities in response to the action of negative factors becomes especially important. Keeping productive animals in adverse conditions, unbalanced feeding are components of immobilization stress, which reduces their productivity, affects reproductive function, metabolic and functional disorders, reducing nonspecific and specific resistance of the organism (Fedoruk & Kravtsiv, 2003; Velychko, 2008; Velychko, 2011). Under conditions of man-caused load on the environment, respectively, and animals – it is promising to develop effective methods for regulating the activity of the enzymatic system of antioxidant protection with the help of biologically active substances, in particular trace elements. The results of research confirm that this has a positive effect on the formation of productive and adaptive properties of animals. The system of antioxidant protection is a necessary part of non-specific reactions of the organism, a component of the processes of its adaptation to environmental conditions, a component of normal life, a factor in maintaining homeostasis. Widespread immunodeficiency and elucidation of the main links of their pathogenesis have exacerbated the problem of regulating disorders of the immune system. Therefore, knowledge of the patterns of formation of the immune status of animals, especially in the early postnatal period, is important in the development of methods for the correction of immunodeficiency, antioxidant protection.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A12-A12
Author(s):  
Eldin Dzubur ◽  
Roberta James ◽  
Bimal Shah ◽  
Tejaswi Kompala

Abstract Background: Modern digital health interventions targeting weight loss employ multiple evidence-based strategies, including nutrition tracking, coaching, and activity monitoring, providing users with choice as they set and achieve their own goals. Still, limited research exists on the partial effects of each component of such interventions, and whether participants choose to use all of the features of a program. The objective of this study was to test the individual components of a fully-featured digital health lifestyle intervention as predictors of weight loss in a single statistical model. Methods: Participants in the study (N=25,273) were enrolled in the Livongo for Weight Loss program as part of their employee wellness benefit across 57 states/territories of the US from April, 2019 to January, 2021. Participants received a cellular-connected scale to use daily in the program; they were asked to track their eating via the app and physical activity via smartphones or wearables. Additionally, participants could engage with coaches voluntarily or by receiving feedback from coaches on their recorded food logs. A mixed-effects generalized linear model was used to test the effects of scale usage, physical activity, human telephonic coaching, and food logs without and without coaching feedback on the percent weight loss the following month. Predictors were disaggregated into between- and within-subject components to understand the impact of each component relative to one’s own mean. The month in the program and whether or not that month occurred during the COVID-19 pandemic were entered as time-varying covariates. Baseline age, gender, and BMI were entered as time-invariant covariates. Results: Participants were 45% male and had average age of 54.3 years old (SD =11.4), with an average BMI of 33.10 kg/m2 (SD: 6.2). On average, participants were enrolled in the program for 10.4 months (SD: 5.1). Each additional use of the scale above one’s own average was associated with an overall 7.4% weight loss (z=21.06,p&lt;0.001). Similarly, each additional minute of moderate-vigorous physical activity (MVPA) above one’s own average was associated with an overall 2.4% weight loss (z=3.14, p&lt;0.01). Lastly, coaching and food logging with coaching feedback at a frequency above one’s own average were associated with approximately a 6% weight loss throughout the program (z=3.08 and 2.35, respectively; p&lt;0.05 for both). Conclusion: We found that frequency of use of a scale in a weight loss intervention was most predictive of weight loss, followed by human coaching interaction and physical activity. However, food logging without feedback did not significantly impact weight loss among participants. Additional work is needed to understand drivers associated with increased utilization of beneficial program features, including optimizing the use of coaching, which offers great benefit, but may be costly to scale.


Author(s):  
Anhelina Korobchenko

The article considers the types of readiness of specialists in physical therapy and occupational therapy to use health-preserving technologies in professional activities, which are determined by: scientific knowledge about the nature, patterns, features, principles, purpose, objectives and content of work to restore public health and implement such technologies. The main indicator of the effectiveness of specialist training is the psychological, pedagogical, professional, practical, social, personal and physical readiness of a specialist in physical therapy and occupational therapy to work to restore the health of the socio-component of our society. It is shown that the main property of a specialist in physical therapy and occupational therapy is a generalized ability to think pedagogically, which implies that the teacher has analytical, prognostic, design and reflexive skills. Features of both practical and professional readiness of the specialist are external (subject) skills, which include organizational and communication skills. The main types of readiness (professional, personal, psychological, physical, social, pedagogical and practical) of specialists in physical therapy and occupational therapy to use health technology in professional activities are described; the peculiarities of use in working with patients when compiling rehabilitation programs based on the International Classification are indicated. functioning, limitation of life and health, which aims to define a unified and standardized language and schemes for describing health and health-related conditions, which introduces the definition of the components of health and some related to health, components of well-being (in particular, such as education and work). This classification has moved away from the classification of "disease consequences" and has become a classification of "health components". The components of health determine the components of health, while the "consequences" focus on the impact of disease or other health conditions on the end result. The international classification of functioning, limitation of life and health is not nosologically oriented, but takes into account changes in health without regard to the facts, at the time of the examination. This classification is focused not only on the severity of the consequences of diseases, it for the first time emphasizes the adaptive and compensatory capabilities of the body, the importance of maximum involvement of people with special educational needs in public life, which deal with physical therapists and occupational therapists activities.


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