6 research outputs found
2 nd Brazilian Consensus on Chagas Disease, 2015
Full text linkAbstract Chagas disease is a neglected chronic condition with a high burden of morbidity and mortality. It has considerable psychological, social, and economic impacts. The disease represents a significant public health issue in Brazil, with different regional patterns. This document presents the evidence that resulted in the Brazilian Consensus on Chagas Disease. The objective was to review and standardize strategies for diagnosis, treatment, prevention, and control of Chagas disease in the country, based on the available scientific evidence. The consensus is based on the articulation and strategic contribution of renowned Brazilian experts with knowledge and experience on various aspects of the disease. It is the result of a close collaboration between the Brazilian Society of Tropical Medicine and the Ministry of Health. It is hoped that this document will strengthen the development of integrated actions against Chagas disease in the country, focusing on epidemiology, management, comprehensive care (including families and communities), communication, information, education, and research
Predictive Models of Muscle Strength in Older People with Type 2 Diabetes Mellitus
No full textMateus Medeiros Leite,1 Ivo Vieira de Sousa Neto,2 Maurílio Tiradentes Dutra,3 Silvana Schwerz Funghetto,1 Alessandro de Oliveira Silva,4 Izabel Cristina Rodrigues da Silva,1 Luciano Ramos de Lima,5 Marina Morato Stival1 1Graduate Program in Health Sciences and Technologies, University of Brasilia, Faculty of Ceilândia, Brasilia, Brazil; 2School of Physical Education and Sport of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil; 3Federal Institute of Education, Science and Technology of Brasília, Brasilia, Brazil; 4Physical Education Department, University Center of Brasilia - UniCEUB, Brasilia, Brazil; 5Nursing Course, University of Brasilia, Faculty of Ceilândia, Brasilia, BrazilCorrespondence: Mateus Medeiros Leite, University of Brasilia, Graduate Program in Health Sciences and Technologies, Faculty of Ceilândia, Brasilia, Brasilia, Federal District, Brazil – Campus Universitario, s/n, Centro Metropolitano, Brasília, 72220-275, Brazil, Tel + 55 61 998541966, Email [email protected]: To propose predictive models for absolute muscle strength (AMS) of elderly people with type 2 Diabetes Mellitus (DM2) in primary health care.Patients and Methods: The cross-sectional study was conducted with 138 elderly diabetics. The AMS was measured by a JAMAR® hydraulic handgrip dynamometer, determined by the sum of both hands. The following indices were evaluated: waist-to-height ratio (WHtR), body mass index (BMI), Lipid Accumulation Product (LAP), Triglyceride/High Density Lipoprotein (TG/HDL) ratio and platelet/lymphocyte ratio (PLR). Multiple linear regression was used in the statistical analysis.Results: The final regression model indicated 66.4% (R²=0.66) of the variation in AMS. WHtR decreased AMS by 41.1% (β = − 0.19; t = − 3.70; p < 0.001), while PLR by 11.3% (β = − 0.12; t = − 2.36; p = 0.020). Male sex increased AMS by 10.6% (β = 0.32; t = 4.16; p < 0.001), and lean mass (LM) by 0.89% (β = 0.46; t = 6.03; p < 0.001).Conclusion: WHtR and PLR predicted a decrease, while male sex and LM predicted an increase in AMS. It is suggested that these markers be used as screening measures for variation in AMS in older adults with DM2. These results have relevant practical application in primary health care since the markers are easy to use.Keywords: handgrip strength, obesity, diabetes mellitus, inflammation, primary health car
Similar hypotensive responses to resistance exercise with and without blood flow restriction
No full textLow intensity resistance exercise (RE) with blood flow restriction (BFR) has gained attention in the literature due to the beneficial effects on functional and morphological variables, similar to those observed during traditional RE without BFR, while the effects of BFR on post-exercise hypotension remain unclear. The aim of the present study was to compare the blood pressure (BP) response of trained normotensive individuals to RE with and without BFR. In this cross-over randomized trial, eight male subjects (23.8 ± 4 years, 74 ± 3 kg, 174 ± 4 cm) completed two exercise protocols: traditional RE (3 x 10 repetitions at 70% one-repetition maximum [1-RM]) and low intensity RE (3 x 15 repetitions at 20% 1-RM) with BFR. Blood pressure measurements were performed after 15 min of seated rest (0), immediately after and 10 min, 20 min, 30 min, 40 min, 50 min and 60 min after the experimental sessions. Similar hypotensive effects for systolic BP (SBP) were observed for both protocols (P 0.05) and no statistically significant difference for diastolic BP (P > 0.05). These results suggest that in normotensive trained individuals, both traditional RE and RE with BFR induce hypotension for SBP, which is important to prevent cardiovascular disturbances
Blood pressure response to resistance training in hypertensive and normotensive older women
No full textDahan da Cunha Nascimento,1,2 Cristiane Rocha da Silva,1 Renato Valduga,1,3 Bruno Saraiva,1 Ivo Vieira de Sousa Neto,4 Amilton Vieira,4 Silvana Schwerz Funghetto,4 Alessandro Oliveira Silva,5 Samuel da Cunha Oliveira,1 Guilherme Borges Pereira,1 Jefrey M Willardson,6 Jonato Prestes11Programa de Pós-Graduação em Educação Física, Universidade Católica de Brasília, Brasília, Brazil; 2Centro Universitário do Distrito Federal (UDF), Brasília, Brazil; 3Centro Universitário Unieuro, Brasília, Brazil; 4Universidade de Brasília (UNB), Brasília, Brazil; 5Centro Universitário de Brasília (UNICEUB), Brasília, Brazil; 6Health and Human Performance Department, Rocky Mountain College, Billings, MT, USAPurpose: The purpose of the present study was to identify the variability of blood pressure response to a 10-week resistance training (RT) program in hypertensive and normotensive elderly women.Participants and methods: Twenty-seven untrained hypertensive and 12 normotensive elderly women participated in the present study. A whole-body RT program was performed on two nonconsecutive days per week for 10 weeks. The responsiveness of resting systolic blood pressure (SBP) was determined based on the percent decline between the pre- and post-training time points T1 and T4. The term responders were used to describe subjects who exhibited a percent SBP decline ≥−2.58% and the term nonresponders for subjects who exhibited a percent SBP decline <−2.58%, respectively.Results: Both the responders and nonresponders in the hypertensive group presented significant changes in SBP (−7.83 ± 5.70 mmHg vs 3.78 ± 7.42 mmHg), respectively. Moreover, the responders and nonresponders in the normotensive group presented significant changes in SBP as well (−8.58 ± 5.52 mmHg vs 5.71 ± 3.84 mmHg).Conclusion: SBP presents a heterogeneous response to a controlled RT program in hypertensive and normotensive elderly women. A different modality of training and additional therapies should be used for nonresponders in order to decrease resting SBP.Keywords: resistance training, exercise, hypertension, responsiveness, elderly, obesit
