scholarly journals IMPROVING THE HEALTH OF CHILDREN IN SUMMER HEALTH-IMPROVING INSTITUTIONS OF THE ASTRAKHAN REGION

2021 ◽  
Vol 6 (8(58)) ◽  
pp. 25-27
Author(s):  
N.V. Sibiryakova ◽  
E. Agogho

One of the urgent problems of medicine and education is the issue of recreation and health improvement of the children’s population, including in the summer, vacation time. The summer period is one of the important stages of recreation and recreation for children and adolescents, when it is possible to cover the largest number of students with a system of recreational activities. To assess the effectiveness of health improvement, the following indicators were studied in dynamics: height, body weight, arm muscle strength and lung vital capacity. According to the results of the study conducted at the beginning and at the end of the shift, the total effectiveness of recovery is: pronounced health effect – 210 (90.1%), weak health effect – 23 (9.9%), no health effect – 0%. Thus, the study of the improvement and strengthening of children’s health in connection with environmental factors makes it possible to increase the effectiveness of measures aimed at improving the quality of the environment and the health of the younger generation.

2022 ◽  
Vol 20 (1) ◽  
Author(s):  
Matthew F. Smout ◽  
Gian Mauro Manzoni ◽  
Sofia Tamini ◽  
Nicoletta Marazzi ◽  
Alessandra De Col ◽  
...  

Abstract Background Fatigue is a frequent complaint amongst children and adolescents with obesity, and it interferes with adherence to dietary and exercise regimes that could reduce obesity. The present study evaluated the effect of an inpatient 3-week body weight reduction program on body weight and fatigue. Method One hundred children and adolescents with obesity (64% female; aged 11–18 years) undertook an inpatient program of personalized diet, daily exercise, education, and counselling. Results The sample evidenced a mean reduction in body mass (females: ΔM = 4.3 (sd = 2.1) kg, p < .001), males: ΔM = 6.2 (sd = 2.6) kg, p < .001), BMI standard deviation score (females: ΔM = 0.17 (sd = 0.07), males: ΔM = 0.24 (sd = 0.08), p < .001) and fatigue (females: ΔM = 7.8 (sd = 9.7), males: ΔM = 5.0 (sd = 6.9), p < .001) as measured by the Pediatric Quality of Life Multidimensional Fatigue Scale (PedsQL-MFS) and improvements on the Attention problems subscale of the Youth Self Report (total sample: ΔM = 0.89 (sd = 2.44), p < .001). Reliable change analyses revealed fatigue changes were achieved by up to 34% females and 17% males, but the majority did not achieve reliable change and changes in fatigue were not correlated with changes in body mass. Conclusions The program achieved clinically significant improvements in some children and adolescents. Future studies should explore predictors of treatment responsiveness. Trial registration Observational study. Not registered.


Author(s):  
Danilo de Macêdo Moura ◽  
Suenny Marrocos de Lima Moura ◽  
Alessandra Feitosa Gonçalves ◽  
Maria Alessandra Sipriano da Silva ◽  
Georgia Freire Paiva Winkeler ◽  
...  

Background: Chronic Obstructive Pulmonary Disease (COPD) treatment includes a multidisciplinary approach, with physiotherapy a prominent role that promotes a positive impact on the quality of life (QOL) of these patients. Objective: To analyze the effects of physiotherapeutic interventions on QOL, lung volumes and capacities, and respiratory muscle strength in COPD patients. Methods: 17 subjects participated in the study, randomly divided into 2 groups: 1) Maneuvers: 62.7 ± 15.4 years, 1.65 ± 0.12 m, 81.4 ± 18.2 kg, body Mass Index (BMI) 29.9± 5.0 kg/m2 ; 2) Threshold: 64.4 ± 11.2 years, 1.58 ± 0.08 m, 70.7 ± 9.4 kg, BMI 28.6 ± 3.7 kg/m2 , with COPD, without neurological, musculoskeletal, cardiovascular or cognitive impairment, which made it impossible to participate in the physiotherapeutic intervention programs. QOL was analyzed using the Saint George Hospital questionnaire on Respiratory Disease (SGRQ); spirometry and respiratory muscle strength were analyzed by manovacuometry using a pneumotachograph. Data were analyzed in SPSS (20.0), Student’s t-test (paired) and Wilcoxon test were used for pre and post-intervention comparison of the SGRQ domains and total score, Vital Capacity (VC), Forced Vital Capacity (FVC), Forced Expiratory Volume (FEV1 ), Maximal Inspiratory Pressure (MIP) and Maximal Expiratory Pressure (MEP); and Student’s t-tests (independent) and Mann-Whitney were used in the intergroup comparison, all with a significance level of 5%. Results: There was a significant difference in both groups (P<0.05) in the pre- and post-intervention comparison of the three domains (Symptoms, Activities and Psychosocial Impact) and total SGRQ score, but this did not occur with spirometric variables. In the manovacuometry, the Wilcoxon test showed a significant difference in the pre and post-intervention values of MIP and MEP. Conclusion: Improved QOL and MIP and MEP muscle strength of all COPD patients was observed, regardless of the groups Maneuvers or Threshold.


2021 ◽  
Vol 28 (2) ◽  
pp. 193-199
Author(s):  
Mihai IONESCU ◽  
◽  
Radu Mihail MIRICA ◽  
Razvan IOSIFESCU ◽  
Andrei VACARASU ◽  
...  

Introduction: Obesity is currently an endemic problem worldwide largely caused by an environment that promotes excessive food consumption and discourages physical activity. The sources of obesity are directly related to two areas: genetic and environmental factors, which constantly interact in the regulation of body weight. Aim: Through this research, it was aimed to evaluate the typical profile of the individual who uses metabolic surgery and the degree of physical and psychological satisfaction after such an intervention. Materials and methods: The patients introduced in the study are from personal cases, in number of about 1130, operated during 9 years. Of these, 122 represented the basis for the analysis and had to answer 37 questions in a preoperative questionnaire and 34 questions in a postoperative one and we extracted 15 questions from each of the questionnaire. Results: Statistics show that there was an improvement in quality of life as reported by 77.78% of interviewers, libido and sexual quality were improved in 44% of the included patients and a level of stress considered responsible for food hyperapetitis in only about 43% of respondents. Conclusions: Improving the quality of life is directly related to weight loss. In addition, there is a correlation between improving the quality of life and improving sex life or increasing the frequency of exercise. Metabolic surgery must be understood with all the benefits it generates.


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 912.1-912
Author(s):  
S. Baglan Yentur ◽  
D. C. Saraç ◽  
F. Sarİ ◽  
N. G. Tore ◽  
H. Satiş ◽  
...  

Background:Ankylosing Spondylitis (AS) is a chronic, inflammatory rheumatic disease that effects primarily axial spine. Reduction in flexibility and mobility is important factors that can cause muscle weakness, impairment quality of life, reduction of exercise tolerance and pulmonary capacity with the progression of AS.Objectives:The purpose of this study was to investigate the effects of pilates exercises on mobility, quality of life and respiratory muscle strength in patients with AS.Methods:Forty patients with AS were randomly divided into two groups as pilates group and control group. Pilates group was performed pilates exercises and control group performed conventional exercises at home for 8 weeks, 3 days a week. Main outcome measures were maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP). Secondary outcome measures were Forced Vital Capacity (FVC), Forced expiratory volume in one second/Forced Vital Capacity (FEV1/FVC), chest expansion, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Metrology Index (BASMI) and Ankylosing Spondylitis Quality of Life Questionnaire (ASQoL), 6 minutes walk test (6MWT). All participants were assessed by a blind assessor before and after the study.Results:Thirty-six AS patients (n=19 in the pilates group, n= 17 in the control group) completed the study. In the pilates group, respiratory muscle strength, FEV1/FVC, chest expansion, BASDAI, BASMI, ASQoL and 6MWT showed significant improvements at 8thweek (p<0.05), while inspiratory muscle strength, FEV1/FVC, chest expansion and 6MWT showed significant improvements in the control group at 8thweek compared to baseline (p<0.05). Although the pilates group had better outcomes for all parameters compared to the control group, significant differences were only observed in MIP and MEP.Conclusion:Pilates method is an effective method for improving respiratory parameters, spinal mobility, disease activity and quality of life. Additionally, pilates training is found to be superior compared to conventional exercise training in improving respiratory muscle strength.References:[1] Sampaio-Barros PD, Cerqueira EMF, Rezende SM, Maeda L, Conde RA, Zanardi VA et al. Pulmonary involvement in ankylosing spondylitis. Clinical rheumatology. 2007;26(2):225-30.[2] Ozdem OY, Inanici F, Hascelik Z. Reduced vital capacity leads to exercise intolerance in patients with ankylosing spondylitis. European journal of physical and rehabilitation medicine. 2011;47(3):391-7.[3] Altan L, Korkmaz N, Dizdar M, Yurtkuran M. Effect of Pilates training on people with ankylosing spondylitis. Rheumatology international. 2012;32(7):2093-9.Disclosure of Interests:None declared


2020 ◽  
Vol 134 (18) ◽  
pp. 2447-2451
Author(s):  
Anissa Viveiros ◽  
Gavin Y. Oudit

Abstract The global prevalence of obesity has been rising at an alarming rate, accompanied by an increase in both childhood and maternal obesity. The concept of metabolic programming is highly topical, and in this context, describes a predisposition of offspring of obese mothers to the development of obesity independent of environmental factors. Research published in this issue of Clinical Science conducted by Litzenburger and colleagues (Clin. Sci. (Lond.) (2020) 134, 921–939) have identified sex-dependent differences in metabolic programming and identify putative signaling pathways involved in the differential phenotype of adipose tissue between males and females. Delineating the distinction between metabolically healthy and unhealthy obesity is a topic of emerging interest, and the precise nature of adipocytes are key to pathogenesis, independent of adipose tissue volume.


2020 ◽  
Vol 35 (2) ◽  
pp. 111-118
Author(s):  
Md Rizwanul Ahsan ◽  
Sabrina Makbul ◽  
Probir Kumar Sarkar

Background: Now a days unhealthy lifestyle primarily responsible for the dramatic increase obesity among children and adolescents. Objective: The purpose of the study is to see the effects of a multidisciplinary lifestyle intervention to reduce obese children and adolescents. The main outcome was cardiometabolic risk based on the waist-to-height ratio (WHTR) measurement. Secondary outcomes were (1) changes in body composition; (2) adherence to a Mediterranean diet; and (3) physical performance. Methods: The study involved 64 overweight/obese children or adolescents conducted at Dhaka Shishu Hospital from October 2017 to September 2018. The intervention was multidisciplinary including nutrition, exercise, and psychological aspects based on a family-based approach; it was delivered for six months for children and three months for adolescents. Before and after the intervention, several anthropometric measures height, body weight, body mass index (BMI), waist circumference, and body composition, cardiometabolic risk index waist-to-height ratio (WHTR), and dietary habits of the participants and their families were evaluated. In addition, a set of functional motor fitness tests was performed to evaluate physical performance measures. Results: After the intervention both children and adolescents showed a significant reduction in body weight, BMI, waist circumference, fat mass, and WHTR index and an improvement of fat-free mass, adherence to the Mediterranean diet, and physical fitness performance. Conclusion: A short term family-based multidisciplinary approach is effective in ameliorating the health status, dietary habits, and physical performance in children and adolescents. DS (Child) H J 2019; 35(2) : 111-118


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