scholarly journals The level of physical activity for hypertensive and diabetic patients and the damage caused by the physical exercise requirement / O nível de actividade física para doentes hipertensos e diabéticos e os danos causados pela necessidade de exercício físico

2021 ◽  
Vol 4 (3) ◽  
pp. 12636-12647
Author(s):  
Grace Fernanda Nunes ◽  
José Alberto R. Duarte ◽  
Maurilio Tiradentes Dutra ◽  
Antonio Bovolini ◽  
Michelle Matos Duarte ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Exercise ◽  
Good Health ◽  
Protective Role ◽  
Point Of View ◽  
Diabetic Patients ◽  
Activity Levels ◽  
Cardiac Damage ◽  
Damage Process ◽  
To Come

Physical exercise has been identified as a major non-pharmacological agent, assuming a protective role in the treatment of chronic non-communicable diseases, especially in hypertension and diabetes mellitus. The levels of physical activity as well as its intensity are of great impact for the full benefits to come of this practice. We know that the level of physical activity is a relevant factor for maintaining good health, however, little attention has been paid to what is established in relation to high-intensity daily exercise adjusted to cardiac damage or adaptation. The objective was to reflect on the prescription of physical activity in the treatment of hypertensive and diabetic patients and how eccentric exercise is related to the cardiomyocyte tissue in the damage process. We observed that the highest level of physical activity was associated with better quality of life, and that active patients have an 80% chance of survival when compared to sedentary ones. Thus, despite the potential benefits from the metabolic point of view, public health efforts should also focus on maintaining and protocols of physical activity levels since our study showed that intense eccentric physical activity had harmful effects at the cardiac level.

scholarly journals Differences in Dietary Habits, Physical Exercise, and Quality of Life between Patients with Obesity and Overweight

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 916
Author(s):  
Carmen Herrera-Espiñeira ◽  
Ana de Pascual y Medina ◽  
Manuel López-Morales ◽  
Paloma Díaz Jiménez ◽  
Antonia Rodríguez Ruiz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Physical Exercise ◽  
Dietary Habits ◽  
Overweight And Obesity ◽  
Diabetic Patients ◽  
Activity Levels ◽  
Cross Sectional ◽  
Obesity And Overweight

Background: Overweight and obesity differ in their repercussions on the health and health-related quality of life (HRQoL) of patients. The objective of this study was to compare physical activity levels and dietary habits before admission and HRQoL at discharge between patients with obesity and overweight. Methods: A cross-sectional study was undertaken among participants in a clinical trial on education for healthy eating and physical activity, enrolling non-diabetic patients admitted to Internal Medicine Departments. These were classified by body mass index (BMI) as having overweight (25–29.9 Kg/m2) or obesity (≥30 kg/m2). Data were gathered on sociodemographic characteristics, clinical variables (medication for anxiety/depression, Charlson Comorbidity Index, length of hospital stay), physical exercise and diet (International Physical Activity and Pardo Questionnaires), and HRQoL (EQ-5D-5L). The study included 98 patients with overweight (58.2% males) and 177 with obesity (52% males). Results: In comparison to patients with obesity, those with overweight obtained better results for regular physical exercise (p = 0.007), healthy diet (p = 0.004), and “emotional eating” (p = 0.017). No between-group difference was found in HqoL scores. Conclusion: Patients with overweight and obesity differ in healthy dietary and physical exercise behaviors. Greater efforts are warranted to prevent an increase in the BMI of patients, paying special attention to their state of mind.

scholarly journals Choroidal Thickness and Volume Modifications Induced by Aerobic Exercise in Healthy Young Adults

2020 ◽  
Author(s):  
Gema Insa-Sánchez ◽  
Lorena Fuentes-Broto ◽  
Alberto Cobos ◽  
Elvira Orduna Hospital ◽  
Francisco Segura ◽  
...  
Keyword(s):  
Physical Activity ◽  
Young Adults ◽  
Physical Exercise ◽  
Choroidal Thickness ◽  
Activity Level ◽  
Enhanced Depth Imaging ◽  
Activity Levels ◽  
Imaging Protocol ◽  
Post Exercise ◽  
Physical Activity Levels

<b><i>Introduction:</i></b> Our aim was to evaluate the changes in choroidal thickness (CT) and volume (CV) following aerobic physical exercise in healthy young adults. <b><i>Methods:</i></b> This study included 72 eyes from healthy volunteers between 22 and 37 years old. Using the International Physical Activity Questionnaire, total physical activity was computed. Measurements using an autorefractometer, ocular biometry, and spectral-domain optical coherence tomography using the Enhanced Depth Imaging protocol were taken. OCT was performed as a baseline measurement and after performing 10 min of dynamic physical exercise (3 and 10 min post-exercise). The choroidal layer was manually segmented, and the CT and CV in different areas from the Early Treatment Diabetic Retinopathy Study grid were obtained. <b><i>Results:</i></b> In healthy adults, at 3 min post-exercise, CT was higher in the subfoveal, the 3-mm nasal, and the 6-mm superior areas. Between 3 and 10 min post-exercise, the CT was reduced in all areas, and in some areas, the values were even smaller than the baseline measurements. The CV values showed changes after exercise similar to those of thickness. The total CV recovery after exercise was related to sex and physical activity level. <b><i>Conclusion:</i></b> Individuals with higher physical activity habits had greater CV at rest than those with lower physical activity levels. During exercise, healthy young people adjust CT and CV. At 3 min post-exercise, CT and CV increase. Women and individuals with greater physical activity levels reduce their total CV more than others during recovery.

COVID-19 and diabetes mellitus: potential metabolic associations

2021 ◽  
Vol 21 ◽  
Author(s):  
Pedro Henrique Abreu da Silva ◽  
Andressa Santos Garcia ◽  
Fábio Aguiar Alves ◽  
André Luis Souza dos Santos ◽  
Cátia Lacerda Sodré
Keyword(s):  
Diabetes Mellitus ◽  
Viral Entry ◽  
Molecular Mechanisms ◽  
Renin Angiotensin System ◽  
Cell Receptor ◽  
Protective Role ◽  
Infection Process ◽  
Point Of View ◽  
Diabetic Patients ◽  
Viral Binding

: The COVID-19 pandemic turned the SARS-CoV-2 into the main target of scientific research all around the world. Many advances have already been made, but there is still a long way to go to solve the molecular mechanisms related to the process of the SARS-CoV-2 infection, as well as the particularities of the disease, its course and the complex host-pathogen relationships. However, a lot has been theorized and associated with COVID-19, like the worst prognosis of the disease among individuals with some comorbidities, like diabetes mellitus. In this perspective, diabetic patients are repeatedly associated with more severe cases of COVID-19 when compared to non-diabetic patients. Even though ACE2 (angiotensin-converting enzyme 2) was recognized as the host cell receptor for both binding and entering of SARS-CoV-2 particles, it was also pointed out that this enzyme plays an important protective role against pulmonary damage. Therefore, paradoxically as it may seem, the low baseline level of this receptor in people with diabetes is directly linked to a more expressive loss of ACE2 protective effect, which could be one of the possible factors for the worst prognosis of COVID-19. Still, COVID-19 may also have a diabetogenic effect. From this point of view, the main topics that will be highlighted are (i) the mechanism of the viral entry, with special attention to the cellular receptor (ACE2) and the viral binding protein (spike), (ii) the relationship among the renin-angiotensin system, the infection process and the patients' prognosis, (iii) the glucose control and the medicines used in this event, and (iv) a brief analysis on diabetes triggered by COVID-19.

scholarly journals Saudi women’s physical activity habits during pregnancy

2020 ◽  
Vol 16 ◽  
pp. 174550652095204
Author(s):  
Abeer A Alaglan ◽  
Rania F Almousa ◽  
Arwa A Alomirini ◽  
Elaf S Alabdularazaq ◽  
Renad S Alkheder ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Exercise ◽  
Odds Ratio ◽  
A Priori ◽  
Activity Levels ◽  
Design Data ◽  
Cross Sectional ◽  
Saudi Women ◽  
Primary Health Care Centers ◽  
Exercise During Pregnancy

Background: Despite many benefits of physical exercise to women during pregnancy, the majority of Saudi women do not engage in an adequate amount of activity because of common barriers such as fatigue, lack of motivation, and childcare. The purpose of this study was to estimate the proportion of Saudi women who get adequate exercise during pregnancy as well as to evaluate their knowledge of, attitude toward, and barriers to physical exercise during pregnancy. Methods: This study had a cross-sectional design. Data were collected retrospectively (average time: 1 year after the birth), using translated questionnaires (English to Arabic), from primary health care centers and from the Maternity and Children Hospital in Qassim, Saudi Arabia. Logistic regression was employed to assess the a priori correlates of adequate exercise during pregnancy (primary outcome). Results: The sample included 274 women, who had a mean age of 31.9 years. A majority of the women thought that physical exercise during pregnancy was necessary and had high knowledge levels (mean = 77; median = 75) about types and amount of physical activity. Less than half of the women were either walking (26%) or exercising (42%) adequately (i.e. ⩾150 min/week). Age (odds ratio: 1.79), number of pregnancies (odds ratio: 2.41), attitude toward exercise (odds ratio: 2.71), and self-rated health (odds ratio: 2.50) were significant correlates of adequate exercise during pregnancy. Among those who reported no physical exercise during pregnancy ( n = 68), the following barriers were most common: tiredness (25.0%), fear (18.1%), dislike of exercise (16.7%), and lack of information (16.7%). Conclusion: For Saudi women, interventions are needed during pre-natal checkups to promote and maintain adequate physical activity levels during pregnancy.

Physical Activity Levels in a Structured Physical Exercise Community Program in Elderly

2019 ◽  
Vol 51 (Supplement) ◽  
pp. 212
Author(s):  
Renata A. Miyabara ◽  
Ovidiu Constantin Baltatu ◽  
Luciana Aparecida Campos Baltatu
Keyword(s):  
Physical Activity ◽  
Physical Exercise ◽  
Activity Levels ◽  
Community Program ◽  
Physical Activity Levels

scholarly journals Sør-Trøndelag Aktivitets-Relaterte Tiltak (START) – Samhandling for bedre helse

2011 ◽  
Vol 20 (2) ◽  
Author(s):  
Tommy Aune Rehn ◽  
Øivind Rognmo ◽  
Jan Erik Ingebrigtsen ◽  
John Tore Vik ◽  
Ulrik Wisløff
Keyword(s):  
Physical Activity ◽  
Health Policy ◽  
Exercise Capacity ◽  
Disease Incidence ◽  
Premature Death ◽  
Good Health ◽  
Population Based ◽  
English Summary ◽  
Activity Levels ◽  
National Implementation

<p>Høy forekomst av kroniske sykdommer og stigende helseutgifter representerer i lys av den kommende eldrebølgen<br />en stor samfunnsøkonomisk utfordring. Den negative helseutviklingen er i ferd med å bli et nasjonalt problem og må få konsekvenser for fremtidig norsk helsepolitikk. Fysisk inaktivitet er en livsstilsfaktor som er sterkt assosiert med lavt nivå av kondisjon, total dødelighet og død av hjerte- og karsykdom. Studier viser at selv en liten bedring i kondisjon forventes å gi betydelig økt forventet levealder og at individer som har et bra kondisjonsnivå har opptil 15 flere leveår med god helse hvor de er selvhjulpne. Økt fysisk aktivitet har en gunstig effekt på alle risikofaktorer for kronisk sykdom og tidlig død, og vi mener derfor at man bør legge til rette for å øke det generelle fysiske aktivitetsnivået i befolkningen og bedre kunnskapen om fysisk aktivitet. Økt fysisk aktivitet vil forventes å bedre folkehelsen ved å redusere sykdomsforekomst, medisinbruk og dødelighet samt øke arbeidsevnen i populasjonen, noe som igjen vil redusere de samfunnsøkonomiske utgiftene. For å lykkes med dette, har vi tatt initiativ til prosjektet ”Sør-Trøndelag Aktivitets-Relaterte Tiltak” (START), som er tenkt å være en koordinert populasjonsbasert samhandling for bedre helse gjennom økt fysisk aktivitet rettet mot alle lag i befolkningen, fra krybbe til grav. Målet er at START skal danne grunnlag for nasjonal implementering av tiltak slik at vi oppnår en helsepolitisk bærekraftig utvikling i årene som kommer. Denne artikkelen<br />beskriver START og bakgrunnen for prosjektet.</p><p>Rehn TA, Rognmo Ø, Ingebrigtsen JE, Vik JT, Wisløff U. Sør-Trøndelag Activity-Related Trial (START) –<br />Cooperation for better health. Nor J Epidemiol 2011; 20 (2): 209-216.</p><p>ENGLISH SUMMARY<br />High incidence of chronic diseases and rising health expenditure represents in light of the increasing proportion of elderly in our society a development that cannot be considered sustainable in the long run. The negative health trend is becoming a national problem and should have consequences for future Norwegian health policy. Physical inactivity is among the lifestyle factors most strongly associated with a low level of exercise capacity,<br />all-cause mortality and death from cardiovascular disease. Studies show that even a small improvement in exercise capacity offers significantly increased life expectancy and that individuals who have a good fitness level have up to 15 more years of life with good health where they are self-reliant. Increased physical activity has a beneficial effect on all risk factors for chronic disease and premature death. We believe that the overall<br />physical activity levels in the population needs to be increased and knowledge about physical activity should be improved. Increased physical activity will improve public health by reducing disease incidence, medical use and mortality as well as increasing working capacity in the population, which in turn will reduce the socioeconomic costs. To succeed with this, we have initiated the project "Sør-Trøndelag Activity-Related Trial (START), which is a coordinated population-based interaction for improved health through increased physical activity aimed at all strata of the population, from cradle to grave. The intention is that START will form the basis for national implementation of measures to ensure that we achieve a sustainable development in health policy in the years to come. This article describes START and the background for the project</p>

scholarly journals Remotely Supervised Exercise during the COVID-19 Pandemic versus in-Person-Supervised Exercise in Achieving Long-Term Adherence to a Healthy Lifestyle

2021 ◽  
Vol 18 (22) ◽  
pp. 12198
Author(s):  
Guillermo García Pérez de García Pérez de Sevilla ◽  
Olga Barceló Barceló Guido ◽  
María de la Paz De la De la Cruz ◽  
Ascensión Blanco Fernández ◽  
Lidia B.Alejo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Exercise ◽  
Healthy Lifestyle ◽  
Action Plan ◽  
World Health ◽  
Occupational Health Services ◽  
Activity Levels ◽  
University Employees ◽  
Supervised Exercise

The World Health Organization’s global action plan on workers’ health establishes that occupational health services should carry out lifestyle interventions within the workplace, to prevent the development of non-communicable diseases. The objective of the study was to compare adherence to a healthy lifestyle six months after completion of a multi-component intervention with remotely supervised physical activity during the COVID-19 pandemic versus a multi-component intervention with in-person supervised physical exercise before the COVID-19 pandemic in university employees with unhealthy habits and predisposed to change. A prospective cohort study following the “Strengthening the Reporting of Observational studies in Epidemiology” (STROBE) guidelines was conducted, with two arms. Each multi-component intervention lasted for 18 weeks, and consisted of education on healthy habits, Mediterranean Diet (MedDiet)-based workshops, and a physical exercise program. Twenty-one middle-aged sedentary university employees with poor adherence to the MedDiet completed the study. Six months after completion of the intervention, both groups increased physical activity levels, adherence to the MedDiet, eating habits, health-promoting lifestyle, health responsibility, and health-related quality of life. There were no differences between groups in any of the variables analyzed. Therefore, remotely supervised physical exercise could be adequate to achieve long-term adherence to a healthy lifestyle in the same way as conventional face-to-face intervention, at least in a population willing to change.

Effect of 10 days of bedrest on metabolic and vascular insulin action: a study in individuals at risk for type 2 diabetes

2010 ◽  
Vol 108 (4) ◽  
pp. 830-837 ◽  
Author(s):  
Mette P. Sonne ◽  
Amra C. Alibegovic ◽  
Lise Højbjerre ◽  
Allan Vaag ◽  
Bente Stallknecht ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Insulin Sensitivity ◽  
High Sensitivity ◽  
Whole Body ◽  
Diabetic Patients ◽  
Activity Levels ◽  
Type 2 Diabetic Patients ◽  
Increased Risk

Physical inactivity is a known risk factor for type 2 diabetes. We studied whole body and forearm insulin sensitivity in subjects at increased risk for type 2 diabetes [persons with low birth weight (LBW group; n = 20) and first-degree relatives to type 2 diabetic patients (FDR group; n = 13)] as well as a control (CON) group ( n = 20) matched for body mass index, age, and physical activity levels before and after 10 days of bedrest. Subjects were studied by hyperinsulinemic isoglycemic clamp combined with arterial and deep venous catheterization of the forearm. Forearm blood flow (FBF) was measured by venous occlusion plethysmography. All groups responded with a decrease in whole body insulin sensitivity in response to bedrest [CON group: 6.8 ± 0.5 to 4.3 ± 0.3 mg·min−1·kg−1( P < 0.0001), LBW group: 6.2 ± 0.5 to 4.3 ± 0.3 mg·min−1·kg−1( P < 0.0001), and FDR group: 4.3 ± 0.7 to 3.1 ± 0.3 mg·min−1·kg−1( P = 0.068)]. The percent decrease was significantly greater in the CON group compared with the FDR group (CON group: 34 ± 4%, LBW group: 27 ± 4%, and FDR group: 10 ± 13%). Forearm insulin-stimulated glucose clearance decreased significantly in the CON and LBW groups in response to bedrest; in the FDR group, clearance was very low before bedrest and no change was observed. Before bedrest, the CON and LBW groups demonstrated a significant increase in FBF during hyperinsulinemia; after bedrest, an increase in FBF was observed only in the CON group. In conclusion, bedrest induced a pronounced reduction in whole body, skeletal muscle, and vascular insulin sensitivity in the CON and LBW groups. The changes were most pronounced in the CON group. In the FDR group, insulin resistance was already present before bedrest, but even this group displayed a high sensitivity to changes in daily physical activity.

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