Variation of bone mineral density induced by exercise in postmenopausal women

OBJETIVO: Evaluar la variación de la densidad mineral ósea (DMO) en columna lumbar (CL) y cuello femoral (CF).MÉTODO: 77 mujeres con osteopenia y menopausia, formaron cuatro grupos. Dos con ejercicio físico: uno tratamiento de estrógeno/Calcitonina (n=16), y otro ingesta de Calcio/Vitamina D (n=7). Dos sin ejercicio físico, uno tratamiento estrógeno/Calcitonina (n=27) y otro ingesta Calcio/Vitamina D (n=27). El ejercicio consistió en Fuerza Muscular (65% a 75% de 1RM) y multisaltos de baja a moderada intensidad. La DMO se midió mediante absorciometría. RESULTADOS: En ANOVA 2x2 se encontró homogeneidad (p<0,05) en la DMO tanto en CL y CF entre los tratamientos farmacológicos y nutricionales, heterogeneidad entre los grupos activos y sedentarios (CL p<0,05, CF p<0,01) y heterogeneidad en la interacción (p<0,01) de ambos tratamientos con el ejercicio físico. CONCLUSIONES: El ejercicio físico programado junto con los tratamientos habituales conduce a un mayor incremento de la DMO de en mujeres postmenopáusicasOBJECTIVE: Assess the variation of Bone Mineral Density (BMD) in Lumbar Spine (LS) and Femoral Neck (FN). METHOD: 77 postmenopausal women with osteopenia. Four groups, two groups with exercise: one Estrogen/Calcitonin treatment (n=16), another supplement Calcium/Vitamin D (n=7); two groups without exercise, one Estrogen/Calcitonin treatment (n=27), and another supplement Calcium/Vitamin D (n=27). The exercise program consisted of resistance training (65% to 75% 1RM) and multi-jumps of low-to-moderate intensity. The BMD was evaluated by absorptiometry. RESULTS. ANOVA 2x2, homogeneity (p<0,05) in the BMD in both LS and FN between the pharmacological and nutritional treatments, and heterogeneity between the active and sedentary groups (LS p <0,05, FN p<0,01) as also in the interaction (p<0,01) of the pharmacological/nutritional treatments with the physical exercise were found. CONCLUSION. Physical exercise program with the usual treatments, lead to a greater increase in the BMD of LS and FN in postmenopausal wome

Effects of resistance training program on muscle mass and muscle strength and the relationship with cognition in Older Women

The aim of this study was to study the effects of a resistance training programme on Maximal Dynamic Strength (MDS) and muscle morphology of the upper limbs (UL) and lower limbs (LL), as well as to analyse their association with cognition, in a population of older women. The study had a duration of 24 months and a total of 93 Chilean older women participated. The participants were divided into two groups: The Physical Activity Group (PAG, n = 45, age (X ± SD) 77.93 ± 3.54 years), and the Sedentary Group (SG, n = 48, age (X ± SD) 77.71 ± 3.41 years). The PAG carried out a muscle strength training routine twice per week. The following variables were evaluated: Muscle function through maximal dynamic strength (1RM), muscle morphology through arm and calf circumference (AC and CC, respectively), and cognition (Mini Mental State Examination: MMSE). The results show that the SG recorded significant decreases (percent changes; p < 0.05) in the analysed variables: MMSE (-3.5%), MDS in UL (-3.3%), MDS in LL (-4.1%), AC (-4.5%), CC (-4.1%), and BMI (-3.1%). However, the PAG improved significantly in all the analysed variables except in BMI: MMSE (3.9%), MDS in UL (3.6%), MDS in LL (3.5%), AC (1.8%), and CC (2.5%). Moreover, there was a significant association (p < 0.05) between the changes in the muscle strength variables and the changes in cognition level. Therefore, it can be concluded that a two-year muscle strength training programme (load intensity between 30-55% 1RM) in older women improves Maximal Dynamic Strength in UL and LL, as well as muscle mass in arms and calves. Furthermore, it can be asserted that the changes in muscle strength levels could predict the changes in the levels of cognition in older women. © 2021 by the authors. Licensee MDPI, Basel, Switzerland

Protective effect of Phlebodium Decumanum on muscle fatigue induced by exercise in untrained subjects

El objetivo de este estudio ha sido comprobar si el consumo de un preparado a partir de Phlebodium Decumanum tiene efectos protectores sobre la fatiga muscular inducida por el ejercicio intenso, valorada mediante marcadores biológicos como las enzimas CK y LDH. El estudio se realizó con una muestra de 31 sujetos sanos que se distribuyeron aleatoriamente en dos grupos. (Grupo PD: consumieron Phlebodium Decumanum); n=18; edad: 22,1±1,81 años, peso 74,21±8,74 kg), y (Grupo P: consumieron placebo n=13; edad: 22,5 ± 1,63 años; peso 78±12,5 kg). Ambos grupos fueron sometidos a un programa de entrenamiento de condición física general durante un mes, a razón de tres sesiones semanales. Se hicieron medidas pre y postratamiento de CK y LDH. Los resultados obtenidos mostraron aumentos significativos de CK en el grupo G.P (pretest 158±80,1, postest 254±158,1; p<0,05), mientras que en el grupo G.PD se observó una disminución de los niveles plasmáticos de dicha enzima, próxima a la significación estadística (pretest 176,3±93,8, postest 149,6±66; p=0,08). Los niveles de LDH plasmáticos aumentaron significativamente en ambos grupos, aunque el incremento fue menor en el grupo G.PD (pretest 295,8±64,4; postest 324,1±48,1; p<0,01) que en el G.P (pretest 295,7±65, postest 336,2±63; p<0,05). Por tanto, se puede concluir que el producto estudiado (Phlebodium Decumanum) tiene un efecto amortiguador frente al daño muscular inducido por el ejercicio intenso, en base al mejor perfil enzimático evidenciado tras el periodo de entrenamiento en el grupo G.PD.Actividad Física y DeporteMedicin

Efficacy of progressive versus severe energy restriction on body composition and strength in concurrent trained women

Purpose This study evaluated the concurrent training (CT) effect in combination with either progressive energy restriction (PER) or severe energy restriction (SER) on body composition and strength-related variables in resistance-trained women. Methods Fourteen women (29.5 ± 3.8 years; 23.8 ± 2.8 kg·m −2 ) were randomly assigned to a PER (n = 7) or SER (n = 7) group. Participants performed an 8-week CT program. Pre- and post-intervention measures of fat mass (FM) and fat-free mass (FFM) were assessed by dual-energy X-ray absorptiometry and strength-related variables were assessed through 1-repetition maximum (in the squat and bench press) and countermovement jump. Results Significant reductions in FM were observed in PER and SER (Δ = − 1.7 ± 0.4 kg; P = < 0.001; ES = − 0.39 and Δ = − 1.2 ± 0.6 kg; P = 0.002; ES = − 0.20, respectively). After correcting FFM for fat-free adipose tissue (FFAT), no signifi- cant differences for this variable were found either in PER (Δ = − 0.3 ± 0.1; P = 0.071; ES = − 0.06) or in SER (Δ = − 0.2 ± 0.1; P = 0.578; ES = − 0.04). There were no significant changes in the strength-related variables. No between-group differences were found in any of the variables. Conclusion A PER has similar effects to a SER on body composition and strength in resistance-trained women performing a CT program. Given that PER is more flexible and thus may enhance dietary adherence, it might be a better alternative for FM reduction compared to SER.Funding for open access publishing: Universidad Málaga/ CBUA. Funding for open access charge: Universidad de Málaga / CBU

Personality traits in patients with cluster headache: a comparison with migraine patients

Background: Cluster headache (CH) has been associated with certain personality traits and lifestyle features, but there are few studies assessing personality profiles in CH. We aimed to analyze personality traits in patients with CH, and to compare them with those found in migraine. Methods: We included all consecutive patients with CH attending 5 outpatient offices between January and December 2013. Personality traits were evaluated using the Salamanca screening test, a validated inventory assessing 11 personality traits grouped in 3 clusters. We analyzed the test results in this population, and compared them with those of a migraine population previously assessed with the same test. Results: Eighty patients with CH (75 men, 5 women; mean age, 43.2 ± 9.9 years) were recruited. The reference population consisted of 164 migraine patients (30 men, 134 women; mean age 36.4 ± 12.7 years). In CH patients, the most frequent personality traits were anancastic (52.5 %), anxious (47.5 %), histrionic (45 %), schizoid (42.5 %), impulsive (32.5 %) and paranoid (30 %). When compared to migraine patients, paranoid (p < 0.001; x2 test), and schizoid traits (p = 0.007; x2 test) were significantly more prevalent in CH patients. In logistic regression analysis the paranoid trait was significantly associated with CH (p = 0.001; OR: 3.27, 95 % CI 1.66–6.43]). Conclusion: According to the Salamanca screening test, personality traits included in cluster A (odd or eccentric disorders) are more prevalent in CH patients than in a population of migraineurs. Larger studies are needed to determine whether certain personality traits are related to CH

Morbidity, outcomes and cost-benefit analysis of wildlife rehabilitation in Catalonia (Spain)

Background There are few studies of careful examination of wildlife casualties in Wildlife Rehabilitation Centers. These studies are essential for detecting menaces to wild species and providing objective criteria about cost-benefit of treatments in those centers. The release rate is considered the main outcome indicator, but other parameters such as length of stay at the center and a cost-benefit index expressed as number of released animals per euro and day, could be used as reliable estimators of the rehabilitation costs. Methodology A retrospective study based on 54772 admissions recorded from 1995-2013 in the database of the Wildlife Rehabilitation Center of Torreferrussa (Catalonia, NW Spain) assessed the morbidity, outcomes and cost-benefits of the rehabilitation practices. Results Three hundred and two species were included: 232 birds (n = 48633), 37 mammals (n = 3293), 20 reptiles (n = 2705) and 13 amphibians (n = 141). The most frequent causes of admission were: 39.8% confiscation of protected species (89.4% passerines), 31.8% orphaned young animals (35.3% swifts, 21.7% diurnal raptors and owls) and 17.4% trauma casualties (46.7% raptors and owls). The highest proportion of releases was found in the captivity confiscation category [87.4% passerines (median time of stay: 12 days)], followed by the orphaned category [78% owls (66 days), 76.5% diurnal birds of prey (43 days), 75.6% hedgehogs (49 days), 52.7% swifts (19 days) and 52% bats (55 days)]. For the trauma group, 46.8% of releases were hedgehogs (44 days) and 25.6% owls (103 days). As regards the cost-benefit index, the trauma casualties and infectious diseases had the worse values with 1.3 and 1.4 released animals/euro/day respectively, and were particularly low in raptors, waders, marine birds and chiroptera. On the contrary, captivity (4.6) and misplacement (4.1) had the best index, particulary in amphibian, reptiles and passerines. Conclusions/significance Cost-benefit studies including the release rate, the time of stay at the center and the costbenefit index should be implemented for improving management efficiency of the Wildlife Rehabilitation Centers

Revista de Vertebrados de la Estación Biológica de Doñana

Relación longitud-peso y condición del Barbo de Sclater (Barbus barbus sclateri G.), en el río Guadiato, Córdoba, España.Estudio biométrico y biológico de la tortuga mora (Testudo graeca) en la Reserva Biológica de Doñana, HuelvaEtograma del lagarto de Tenerife, Gallotia galloti galloti (Sauria-LacertidaeOrganización temporal en las comunidadesde avesAlimentación y relaciones tróficas entre los paseriformes en paso otoñal por una localidad de Andalucía centralVariación anual de régimen alimenticio y densidad de población de dos estrigiformes:sus causaslas Adeidas en la cuenca del Duero.Niveles de contaminantes organoclorados y metales pesados en huevos de aves de las Marismas del Guadalquivir, 1975Alimentación primaveral de la garcilla bueyera.la reproducción de un ave parásita: el tordomirlo (Molothrus bonariensis) en los llanos de Apure (Venezuela)Estructuras de sexos y edades en una poblaciónde conejos (Oryctolagus cunicuLus l.) de Andalucía OccidentaParámetros de gregarismo del gamo (Dama dama) en el Coto de Doñana.Primeros datos sobre la distribución de Cobitis calderoni Bacescu, 1961 (pisces, cobitidae) en la Península IbéricaSobre la existencia de Telestes soufia Risso, 1826 y Leuciscus leuciscus L. 1758 en España.La distrtibución de Hemidactylus turciscus en la provincia de Córdoba.Predación de Vipera latastei sobre Mustela nivalis.Sobre las poblaciones de Podarcis en el macizo del GuadarramaDatos sobre la reproducción de Lacerta vivipara en la cordillera CantábricaCasos de melanismo en Natrix natrix y Malpolon monspessulanusMedidas máximas para Coluber hippocrepis LUna nueva población de Lacerta sicula rafinesque para el norte de España.Captura de la barnacla carinegra, Branta bernicla en la costa mediterránea Europea.Datos sobre la dieta frugívora del mirlo (Turdus merula) en dos localidades del sur de EspañaLa ocupación de nidos de Hirundo daurica.La invasión de Hirunda daurica Temm. en la Península IbéricaHíbridos de anátidas en las marismas del GuadalquiviDatos sobre la reproducción de Alouatta seniculus en los Llanos de VenezuelaPeer reviewe

JAK inhibition reduces SARS-CoV-2 liver infectivity and modulates inflammatory responses to reduce morbidity and mortality

Using AI, we identified baricitinib as having antiviral and anticytokine efficacy. We now show a 71% (95% CI 0.15 to 0.58) mortality benefit in 83 patients with moderate-severe SARS-CoV-2 pneumonia with few drug-induced adverse events, including a large elderly cohort (median age, 81 years). An additional 48 cases with mild-moderate pneumonia recovered uneventfully. Using organotypic 3D cultures of primary human liver cells, we demonstrate that interferon-α2 increases ACE2 expression and SARS-CoV-2 infectivity in parenchymal cells by greater than fivefold. RNA-seq reveals gene response signatures associated with platelet activation, fully inhibited by baricitinib. Using viral load quantifications and superresolution microscopy, we found that baricitinib exerts activity rapidly through the inhibition of host proteins (numb-associated kinases), uniquely among antivirals. This reveals mechanistic actions of a Janus kinase-1/2 inhibitor targeting viral entry, replication, and the cytokine storm and is associated with beneficial outcomes including in severely ill elderly patients, data that incentivize further randomized controlled trials

Effectiveness and safety of first-generation protease inhibitors in clinical practice: Hepatitis C virus patients with advanced fibrosis

AIM: To evaluates the effectiveness and safety of the first generation, NS3/4A protease inhibitors (PIs) in clinical practice against chronic C virus, especially in patients with advanced fibrosis. METHODS: Prospective study and non-experimental analysis of a multicentre cohort of 38 Spanish hospitals that includes patients with chronic hepatitis C genotype 1, treatment-nai¨ve (TN) or treatment-experienced (TE), who underwent triple therapy with the first generation NS3/4A protease inhibitors, boceprevir (BOC) and telaprevir (TVR), in combination with pegylated interferon and ribavirin. The patients were treatment in routine practice settings. Data on the study population and on adverse clinical and virologic effects were compiled during the treatment period and during follow up. RESULTS: One thousand and fifty seven patients were included, 405 (38%) were treated with BOC and 652 (62%) with TVR. Of this total, 30% (n = 319) were TN and the remaining were TE: 28% (n = 298) relapsers, 12% (n = 123) partial responders (PR), 25% (n = 260) null-responders (NR) and for 5% (n = 57) with prior response unknown. The rate of sustained virologic response (SVR) by intention-to-treatment (ITT) was greater in those treated with TVR (65%) than in those treated with BOC (52%) (P < 0.0001), whereas by modified intention-to-treatment (mITT) no were found significant differences. By degree of fibrosis, 56% of patients were F4 and the highest SVR rates were recorded in the non-F4 patients, both TN and TE. In the analysis by groups, the TN patients treated with TVR by ITT showed a higher SVR (P = 0.005). However, by mITT there were no significant differences between BOC and TVR. In the multivariate analysis by mITT, the significant SVR factors were relapsers, IL28B CC and non-F4; the type of treatment (BOC or TVR) was not significant. The lowest SVR values were presented by the F4-NR patients, treated with BOC (46%) or with TVR (45%). 28% of the patients interrupted the treatment, mainly by non-viral response (51%): this outcome was more frequent in the TE than in the TN patients (57% vs 40%, P = 0.01). With respect to severe haematological disorders, neutropaenia was more likely to affect the patients treated with BOC (33% vs 20%, P = 0.0001), and thrombocytopaenia and anaemia, the F4 patients (P = 0.000, P = 0.025, respectively). CONCLUSION: In a real clinical practice setting with a high proportion of patients with advanced fibrosis, effectiveness of first-generation PIs was high except for NR patients, with similar SVR rates being achieved by BOC and TVR