CONCURRENT VALIDITY OF A PICTORIAL RATING OF PERCEIVED EXERTION SCALE FOR BENCH STEPPING EXERCISE

PURPOSE: To develop and validate a modified OMNI Rating of Perceived Exertion (RPE) scale for use during bench stepping exercise (OMNI-BS); and to examine the reliability of this scale. METHODS: Thirty females (age: 19.8±1.8yrs) undertook two experimental trials, separated by 7 days. Concurrent validity was established by examining the relation between the physiological criterion variables, oxygen consumption ( O2) and heart rate (HR), with the concurrent variable, RPE from OMNI-BS, during load incremental and load intermittent trials. The load incremental test consisted of 3-min stages. During the first stage subjects stood in front of the bench (resting measurement). Subsequently subjects stepped up and down on the bench at 120 beats per minute. The test was terminated owing to subject fatigue. Exercise intensity increased as bench height increased every 3-min. The intermittent test consisted of three, 3-min, exercise bouts, that reproduced exercise stages I (low intensity), III (moderate intensity), and V (high intensity) performed in the load incremental test. The order of these three exercise bouts was counterbalanced. Test re-test reliability between trials of the OMNI-BS RPE scale was examined by comparing RPEs obtained during stages I, III, and V. RESULTS: Intraclass Correlation analysis from the load incremental and load intermittent trials indicated a strong positive association between RPE and O2 (r=0.96 and r=0.95) and HR (r=0.95 and r=0.95). Test re-test reliability also demonstrated a strong positive association of RPEs between trials (r=0.95) for the entire data set. However, separate correlation analysis conducted on each of the three stages indicated the following associations: 1) stage I: low intensity; r=0.475; p=0.009; 2) stage III: moderate intensity; r=0.559; p=0.002; and 3) stage V: high intensity; r=0.793, p<0.001. The Bland-Altman method indicated a moderate level of agreement in RPE between trials. CONCLUSION: Concurrent validity and test re-test reliability for the OMNI-BS RPE scale were established for adult females performing bench stepping exercise

Cardiovascular disease, chronic kidney disease, and diabetes mortality burden of cardiometabolic risk factors from 1980 to 2010: A comparative risk assessment

Background: High blood pressure, blood glucose, serum cholesterol, and BMI are risk factors for cardiovascular diseases and some of these factors also increase the risk of chronic kidney disease and diabetes. We estimated mortality from cardiovascular diseases, chronic kidney disease, and diabetes that was attributable to these four cardiometabolic risk factors for all countries and regions from 1980 to 2010. Methods: We used data for exposure to risk factors by country, age group, and sex from pooled analyses of population-based health surveys. We obtained relative risks for the effects of risk factors on cause-specific mortality from meta-analyses of large prospective studies. We calculated the population attributable fractions for each risk factor alone, and for the combination of all risk factors, accounting for multicausality and for mediation of the effects of BMI by the other three risks. We calculated attributable deaths by multiplying the cause-specific population attributable fractions by the number of disease-specific deaths. We obtained cause-specific mortality from the Global Burden of Diseases, Injuries, and Risk Factors 2010 Study. We propagated the uncertainties of all the inputs to the final estimates. Findings: In 2010, high blood pressure was the leading risk factor for deaths due to cardiovascular diseases, chronic kidney disease, and diabetes in every region, causing more than 40% of worldwide deaths from these diseases; high BMI and glucose were each responsible for about 15% of deaths, and high cholesterol for more than 10%. After accounting for multicausality, 63% (10·8 million deaths, 95% CI 10·1-11·5) of deaths from these diseases in 2010 were attributable to the combined effect of these four metabolic risk factors, compared with 67% (7·1 million deaths, 6·6-7·6) in 1980. The mortality burden of high BMI and glucose nearly doubled from 1980 to 2010. At the country level, age-standardised death rates from these diseases attributable to the combined effects of these four risk factors surpassed 925 deaths per 100 000 for men in Belarus, Kazakhstan, and Mongolia, but were less than 130 deaths per 100 000 for women and less than 200 for men in some high-income countries including Australia, Canada, France, Japan, the Netherlands, Singapore, South Korea, and Spain. Interpretation: The salient features of the cardiometabolic disease and risk factor epidemic at the beginning of the 21st century are high blood pressure and an increasing effect of obesity and diabetes. The mortality burden of cardiometabolic risk factors has shifted from high-income to low-income and middle-income countries. Lowering cardiometabolic risks through dietary, behavioural, and pharmacological interventions should be a part of the global response to non-communicable diseases. Funding: UK Medical Research Council, US National Institutes of Health. © 2014 Elsevier Ltd

Association of Adiposity, Cardiorespiratory Fitness and Exercise Practice with the Prevalence of Type 2 Diabetes in Brazilian Elderly Women

Background: Diabetes incidence in people with advanced age is increasing at an alarming rate, and for this reason the screening of high-risk individuals such as elderly women is critically important. Objective: To analyze the association of adiposity, cardiorespiratory fitness and exercise practice with type 2 diabetes (T2D) in elderly Brazilian women. Methods: Participated of this cross sectional study 1,059 elderly women (mean 69.5 yr; SD 6.1), who self-reported family history of cardiovascular disease, smoking status, hypertension, and T2D diagnosed previously by a physician. The following independent variables were assessed: exercise practice, body mass index, waist circumference, and cardiorespiratory fitness. Logistic regression analysis was used to investigate the association between each independent variable with T2D using adjusted-models. Results: T2D prevalence was 16%. General and central adiposity were directly associated with T2D, whereas cardiorespiratory fitness was inversely related with T2D. The joint effect of exercise practice and central adiposity showed that inactive women had higher odds ratio for T2D when compared with active ones, within the same WC group. Inactive women with WC &#8805; 94.0 cm had an odds ratio of 5.8 (95%IC 1.3-25.3). Conclusions: A direct positive association was found between general and central adiposity, as well as an inverse relation between CRF and exercise practice with T2D. Elderly women who practice exercise regularly had lower odds for T2D. Health professionals should encourage individuals of all ages to engage on regular exercise practice, which could reduce body fatness and may be beneficial in reducing the prevalence of T2D in older ages.</p