Neuromuscular Excercise in Children with Down Syndrome. A Systematic Review

Objective to evaluate the effects of neuromuscular exercise, specifying the parameters and characteristics of effective interventions to improve balance, muscle strength and flexibility in children with DS between the ages of 4 and 18 years. Data Sources: A search was carried out on PubMed, PEDro, EMBASE, SCIELO, Lilacs, Cochrane library. Study Selection: The search yielded 1384 eligible articles. Randomized clinical trials were selected, and that would have reported the effectiveness in the outcomes. Data Extraction: The methodology and results of the studies were critically appraised in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes guidelines. Data Synthesis: Ten studies were included. The interventions included mechanotherapy, vibration, and use of different unstable surfaces. The exercise frequency ranged from three days to five days a week, and the duration of each session was between six and 15 minutes. The frequency was between two and three times a week for 6 and 12 weeks and the intensity was between 60% and 80% of maximum resistance (MR). Conclusion neuromuscular exercise appears to be effective for the improvement of both lower limb and chest muscle strength and balance in children over 8 years of age.

INFLUENCE OF EXERCISE PROGRAM CONTENT ON ELDERLY PERSONS WITH DIABETES MELITUS TIP 2

The research included seven original scientific papers. All of them addressed the main problem and could give an adequate answer. The aim of this study was to determine the impact of exercise content on people with type 2 diabetes mellitus (DM) and the importance of this activity on the health of people with this problem. The selection of works from 2002 to 2019 was taken as a method. We conclude that the physical activity of people with DM is partially limited due to the specificity of the disease. Special attention should be paid to side effects, especially hypoglycemia. Exercise frequency should be at least three days a week for aerobic activities and two days a week for resistance activities. The risk of hypoglycemia is increased, glycemic control in this population is more difficult to achieve. The goals of DM management in the elderly should be set differently for each patient.

Metaphorical Perceptions of Academicians and Engineers on the Conceptions of Game and Exercise: The Case of Boston, Massachusetts

Games and exercises, which have an important place in the life of the individual in every developmental period of humans as a social being contribute to the communication and interaction of the individual with the environment, to the development of social cognitive skills such as problem-solving, analytical thinking, creative thinking, and reasoning as well as positively affecting the physical and mental development. Individuals, who try to survive in a mentally and physically challenging and demanding work pace or by being inactive for a long time in front of a computer screen, spend their energy through games, exercises, and physical activities, and can be discharged by relaxing. In this respect, it is possible to evaluate the entire games, exercises, and physical activities as a driving force to gather energy again after a tiring work tempo or as a source of motivation to move away from mental and physical fatigue. It is considered that performing activities such as exercises and playing games by individuals, considering them as a way of life and evaluating the factors, which keep individuals away from these activities, can be possible by explaining individual perceptions on these issues. In the light of these data, the meanings and values associated with the concepts of games and exercises by academics and engineers who live in different cultural structures, who cannot allocate adequate time for games and exercises in a compulsory work tempo, or who can acquire internal and external motivation via games and exercises as well as exercise frequency and playing times. The present study was conducted to examine the perceptions of academics and engineers on the concepts of game and exercise via metaphor analysis in June 2019 with the participation of scientists, academicians, and engineers who participated in the 2019 International Microwave Symposium (IMS) at the Boston Convention and Exhibition Center in Boston, MA, USA, which was held with the participation of many scientists, academicians, and engineers from all over the world as a total of 135 participants, 56 women and 79 men, who agreed to participate in the study voluntarily, made up the study group. The metaphor analysis form that was prepared by the researcher was used in obtaining the data to reveal the perceptions of the participants about the concepts of game and exercise. The participants were asked to complete the statements with the statements of “Game is like … because …” and “Exercise is like … because …” in addition to their age, gender, nationality, residence, occupation, perceived income status, and educational status. After the data were analyzed, various metaphors for the concepts of game and exercise were detected. Also, different game playing times and exercise frequencies emerged as a result of the self-evaluation of each participant.

Puberty Status Modifies the Effects of Genetic Variants, Lifestyle Factors and Their Interactions on Adiponectin: The BCAMS Study

BackgroundHypoadiponectinemia has been associated with various cardiometabolic disease states. Previous studies in adults have shown that adiponectin levels were regulated by specific genetic and behavioral or lifestyle factors. However, little is known about the influence of these factors on adiponectin levels in children, particularly as mitigated by pubertal development.MethodsWe performed a cross-sectional analysis of data from 3,402 children aged 6-18 years from the Beijing Child and Adolescent Metabolic Syndrome (BCAMS) study. Pubertal progress was classified as prepubertal, midpuberty, and postpuberty. Six relevant single nucleotide polymorphisms (SNPs) were selected from previous genome-wide association studies of adiponectin in East Asians. Individual SNPs and two weighted genetic predisposition scores, as well as their interactions with 14 lifestyle factors, were analyzed to investigate their influence on adiponectin levels across puberty. The effect of these factors on adiponectin was analyzed using general linear models adjusted for age, sex, and BMI.ResultsAfter adjustment for age, sex, and BMI, the associations between adiponectin levels and diet items, and diet score were significant at prepuberty or postpuberty, while the effect of exercise on adiponectin levels was more prominent at mid- and postpuberty. Walking to school was found to be associated with increased adiponectin levels throughout puberty. Meanwhile, the effect of WDR11-FGFR2-rs3943077 was stronger at midpuberty (P = 0.002), and ADIPOQ-rs6773957 was more effective at postpuberty (P = 0.005), while CDH13-rs4783244 showed the strongest association with adiponectin levels at all pubertal stages (all P < 3.24 × 10-15). We further found that effects of diet score (Pinteraction = 0.022) and exercise (Pinteraction = 0.049) were stronger in children with higher genetic risk of hypoadiponectinemia, while higher diet score and exercise frequency attenuated the differences in adiponectin levels among children with different genetic risks.ConclusionsOur study confirmed puberty modulates the associations between adiponectin, and genetic variants, lifestyle factors, and gene-by-lifestyle interactions. These findings provide new insight into puberty-specific lifestyle suggestions, especially in genetically susceptible individuals.

CONFIDENCE LEVEL OF A MOTION FEEDBACK SYSTEM FOR ANALYZING EXERCISE TRAINING EFFICACY

The increase in aged population is a global trend. Inculcating healthy behaviors such as regular exercises in the elderly has a significant impact on the financial and medical burden globally. Moreover, air pollution and the outbreak of the coronavirus disease 19 (COVID-19) pose a serious threat to public health. In order to improve the health conditions of the population, this study developed a motion feedback system named MoveV that can be used for several indoor training exercises. This system provides instant motion feedback by synchronizing exercise training videos on the website using a motion analysis algorithm that is applicable on smartphones, and a cloud database platform is used to record health behaviors. Feature extraction is performed based on force intensity, motion velocity, and exercise direction. The resultant accuracy of the motion feedback system was tested by a motion science expert and presented as the confidence level. For perfect movement, a confidence level of up to 90.5% was achieved, indicating that the MoveV system was able to record users’ exercise frequency and distinguish whether the user was performing well in the exercise movements. The proposed system is convenient and does not incur additional expenditure by purchasing any new device. Furthermore, it provides visual and voice feedback, companionship, and exercise motivation to the users, all of which are important factors when using online exercise platforms.

Evaluasi Penggunaan Learning Management System Sebagai Alat Bantu Pembelajaran Matematika Sekolah Dasar

Teaching and learning activities need to be interactive to increase children’s interest in learning. With the utilization of technology, there are so many learning tools had been made. One of them is Moodle. Moodle is a learning management system (LMS) application to support learning activity on electronic based (e-learning). The purpose of this research is to implement Moodle as LMS for mathematics learning on primary school children. By using Moodle, the lessons are delivered interactively for children to learn. This research will find out the influence of using this application towards the test score before and after using the application. T-Test analysis will be applied to analyze the differences. Besides analyzing the test score, questionnaires for the children who test the application will be given to know the effect of using the application for them. Based on the evaluation result using T-Test analysis, there were not any significant differences, but there were enhancements in average, highest, and lowest scores, along with the decrease in standard deviation. The result of correlation coefficient calculation between exercise frequency and quiz result was 0.2162, which meant that the correlation was weak or almost no correlation. Based on the questionnaire result, this application is considered helping children in understanding the subject.

Health, lifestyle behaviours, and well-being of International Masters field hockey athletes

The purpose of this study was to describe and compare health status, lifestyle behaviours, and well-being of athletes from three world regions competing in the 2018 Masters Field Hockey World Cup. A total of 465 athletes (180 men, 284 women, 1 other) from 21 countries, aged 35 to 76 years, completed the Health and Well-being of Masters Field Hockey Athletes survey. Most participants rated their health as “very good” or “excellent”, had no major health conditions nor medication use, had a healthy BMI, and experienced varying levels of stress. No significant differences between the regions were found in health status. Participants had healthy dietary habits overall, with significant differences between the regions in fruit, vegetable, and water consumption. Most participants reported ≥7 hours of sleep per night and varying amounts of restless sleep. Just under half of the participants reported sitting five or more hours per day, with no significant differences between the regions. While significant differences were found in exercise frequency, participants across all regions were physically active. Participants reported high levels of flourishing, with some significant differences found between the regions. While some regional differences were found, International Masters field hockey athletes in general practise healthy lifestyle behaviours and reported excellent overall health and well-being.

Therapeutic Exercise to Improve Motor Function Among Children with Down Syndrome Aged 0 to 3 Years: A Systematic Literature Review

Objective: To determine the effect of therapeutic exercises on the motor function of children with Down syndrome (DS) aged 0 to 3 years.Data Sources: A search was carried out on PubMed, PEDro, EMBASE, SCIELO, Lilacs, Cochrane library without publication date restrictions for the terms.Study Selection: The search yielded 1384 eligible articles, which were screened by 2 reviewers. RCTs that would have evaluated the effectiveness of therapeutic exercise were selected, and that would have reported the effectiveness in the outcomes.Data Extraction: The methodology and results of the studies were critically appraised in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes guidelines. Data Synthesis: Six studies were included. Two types of therapeutic exercises, aerobic and neuromuscular, were identified. A therapeutic aerobic exercise was performed using the treadmill, while a neuromuscular exercise was done using unstable surfaces. The exercise frequency ranged from three days to five days a week, and the duration of each session was between six and 15 minutes. Conclusion: There is moderate to high evidence to support that therapeutic exercise promotes the occurrence of motor patterns such as gait patterns and enhances the motor skills of children with DS aged 0 to 3 years.

Spatial Usage and Circadian Rhythm for Older Adults in the Community in Taiwan

Objective measure of lifestyle of the older adults living in the community is void in the literature. To obtain both objective and subjective measurements to ascertain mobile and day and night lifestyle of older adults living in the community, and to build lifestyle model of older adults in the community by sociodemographic character. This study is a cross-sectional research. 200 over-50-year older adults who own smartphone and live in southern Taiwan were interviewed. Wrist accelerometers to detect behavioral circadian rhythm, GPS app in smartphone to survey mobility, and questionnaire to assess psychological and social status. Preliminary finding of six participants (2 men and 4 women) was analyzed. Data show that participants about 60 years old have large discrepancies in comparison with participants in their 50s: lower sleep efficiency (73 vs 83), earlier Most active 10 hour midpoint (11.48vs 14.13 hour), higher interdaily variability (0.84 vs 0.75), wake after sleep onset (100.39vs 47.78 minutes), and higher exercise frequency (4.33 vs 1.66 times per week). In addition, men have more chronic disease, bigger waistline (103.5 vs 77.5 cm), higher BMI (30 vs 22.5), lower middle to vigorous physical activity time (39 vs 79 minutes), and more total sleep time (356 vs 317 minutes). Age and sex seem to be significant factors determining lifestyle of older adults. Other sociodemographic parameters will be further analyzed.