ABSTRACT Introduction: Physical activity is an important tool to manage systemic arterial hypertension. However, less is known about the relationship of physical activity with the number of antihypertensive drugs used by older adults. Objective: The aim of this study was to compare the number of antihypertensive drugs used by older female adults (aged ≥ 60 years) with a low level of physical activity with the number used by those with a high level of physical activity, and to verify how many participants used more than two antihypertensive drugs. Methods: Twenty-eight physically active older women with systemic arterial hypertension who participated in a physical activity program for community-dwelling older female adults were divided into two groups: participants who presented lower habitual physical activity levels were placed in group 1 and participants that presented higher habitual physical activity levels were placed in group 2, according to the Baecke questionnaire. In addition, the number of antihypertensive drugs used by participants was collected. Results: The number of prescribed antihypertensive drugs was 2.0 (median) for both groups investigated. There was no significant difference between groups regarding the number of antihypertensive tablets prescribed (p>0.05). Although there was no statistical difference, a higher proportion of participants from the lower physical activity group used more than two antihypertensive drugs. Conclusion: The level of habitual physical activity did not affect the number of antihypertensive tablets used by hypertensive elderly women. Level of evidence II; Therapeutic studies – investigation of treatment results.

RESUMEN Introducción: La actividad física es una herramienta importante para el manejo de la hipertensión arterial sistémica. Sin embargo, se sabe poco sobre la relación de la actividad física con la cantidad de medicamentos antihipertensivos utilizados por las ancianas. Objetivo: El objetivo de este estudio fue hacer una comparación entre el número de medicamentos antihipertensivos utilizados por mujeres adultas mayores (≥ 60 años) y bajo nivel de actividad física con el número utilizado por aquellas con alto nivel de actividad física, y verificar cuántas de las participantes usaron más de dos medicamentos antihipertensivos. Métodos: Veintiocho ancianas físicamente activas con hipertensión arterial sistémica que participaron en un programa de actividad física para mujeres adultas mayores residentes en la comunidad fueran divididas en dos grupos: las participantes que presentaron niveles más bajos de actividad física habitual se ubicaron en el grupo 1 y las participantes que presentaron los mayores niveles de actividad física se ubicaron en el grupo 2, según el cuestionario de Baecke. Además, se recogió el número de medicamentos antihipertensivos utilizados por las participantes. Resultados: El número de comprimidos antihipertensivos prescritos fue de 2,0 (mediana) para ambos grupos investigados. No hubo diferencia significativa entre los grupos en cuanto al número de medicamentos antihipertensivos prescritos (p>0,05). Aunque no hubo diferencia estadística, una mayor proporción de participantes del grupo de menor actividad física usó más de dos medicamentos antihipertensivos. Conclusión: El nivel de actividad física habitual no afectó el número de comprimidos antihipertensivos utilizados por las ancianas hipertensas. Nivel de evidencia II; Estudios terapéuticos: investigación de los resultados del tratamiento.

RESUMO Introdução: A atividade física é uma importante ferramenta no manejo da hipertensão arterial sistêmica. No entanto, pouco se sabe sobre a relação entre a atividade física e a quantidade de anti-hipertensivos usados por idosos. Objetivo: O objetivo deste estudo foi realizar uma comparação entre o número de anti-hipertensivos usados por idosas (≥ 60 anos) com baixo nível de atividade física com o número usado por aquelas com alto nível de atividade física, verificando quantas participantes usaram mais de dois anti-hipertensivos. Métodos: Vinte e oito idosas fisicamente ativas com hipertensão arterial sistêmica que participavam de um programa de atividade física para idosas da comunidade foram divididas em dois grupos: as participantes que apresentaram níveis mais baixos de atividade física habitual foram colocadas no grupo 1 e as participantes que apresentaram maiores níveis de atividade física foram colocados no grupo 2, de acordo com o questionário de Baecke. Ademais, coletou-se o número de medicamentos anti-hipertensivos utilizados pelas participantes. Resultados: O número de fármacos anti-hipertensivos prescritos foi de 2,0 (mediana) para ambos os grupos investigados. Não houve diferença significativa entre os grupos quanto ao número de comprimidos anti-hipertensivos prescritos (p>0,05). Embora não tenha havido diferença estatística, uma maior proporção de participantes entre o grupo de menor atividade física utilizava mais de dois anti-hipertensivos. Conclusão: O nível de atividade física habitual não afetou a quantidade de comprimidos anti-hipertensivos utilizados pelas idosas hipertensas. Nível de evidência II; Estudos terapêuticos - Investigação dos resultados do tratamento.

Abstract Aims: To describe the relationship between variables related to body composition and peak oxygen uptake ( V ˙ O 2peak) and to verify whether fat mass can affect these relationships. Methods: Eighty participants underwent cardiopulmonary exercise testing to measure V ˙ O 2peak and a body composition assessment to measure fat mass, fat free mass (FFM), and total body mass (BM). Results: There were significant relationships between V ˙ O 2peak relative to FFM (fat free mass) (mL/kgFFM/min) and absolute fat mass (kg) (r=-0.50, p<0.001) and relative fat mass (%) (r=-0.56, p<0.001). Absolute V ˙ O 2peak (L/min) had a high positive relationship with FFM (r=0.83, p<0.0001); the relationship between V ˙ O 2peak (L/min) and FFM remained high and positive even when accounting for absolute fat mass (kg) (r=0.83, p<0.001). V ˙ O 2peak relative to total body mass (mL/kgBM/min) showed a high negative relationship with relative fat mass (%) (r=-0.89, p<0.001) and a positive relationship with fat free mass (kg) (r=0.57, p<0.001), which did not change when accounting for fat mass (kg) (r=0.56, p<0.001). Conclusion: These data indicate that the physiological ability of tissue to consume oxygen ( V ˙ O 2peak in mL/kgFFM/min) is negatively associated with fat mass. Moreover, the individual’s cardiorespiratory capacity to transport oxygen for working muscles ( V ˙ O 2peak in L/min) is strongly related to absolute FFM, and this association is not affected by fat mass. Finally, a better body mass composition (high FFM and low fat mass) is important for aerobic physical fitness ( V ˙ O 2peak in mL/kgBM/min) and improved physiological ability of tissue to consume oxygen ( V ˙ O 2peak in mL/kgFFM/min).

RESUMO Objetivo: Comparar os efeitos do treinamento com Pilates e caminhada sobre os níveis de qualidade de vida, depressão e ansiedade. Métodos: Sessenta e três participantes com sobrepeso/obesidade foram divididos aleatoriamente em grupos: Controle (n = 20), Caminhada (n = 21) e Pilates (n = 22). Os grupos Pilates e caminhada realizaram oito semanas de sessões de exercício de 60 minutos 3 vezes/semana. Os níveis de qualidade de vida, depressão e ansiedade traço e estado foram avaliados antes e após oito semanas de treinamento. Resultados: Os escores de qualidade de vida, depressão e ansiedade-traço melhoraram nos grupos Pilates e caminhada. Os níveis de ansiedade-estado melhoraram apenas no grupo caminhada. Conclusão: O Pilates e a caminhada impactam positivamente os níveis de qualidade de vida, depressão e ansiedade. O método Pilates pode ser usado como um método alternativo para distúrbios do humor em indivíduos com sobrepeso e obesidade.

ABSTRACT Objective: To compare the effects of Pilates and walking on quality of life, depression, and anxiety levels. Methods: Sixty-three overweight/obese participants were randomly divided into: control (n = 20), walking (n = 21), and Pilates (n = 22) groups. Pilates and walking groups attended eight weeks of 60-minute exercise sessions three times per week. Quality of life, depression, and state- and trait-anxiety levels were evaluated before and after eight weeks of training. Results: Scores of quality of life, depression, and trait-anxiety improved in the Pilates and walking groups. State-anxiety levels improved only in the walking group. Conclusion: Pilates and walking positively impact quality of life, depression and anxiety. The Pilates method could be used as an alternative to improve mood disorders in overweight/obese individuals.

BACKGROUND: Data obtained on an isokinetic dynamometer are useful to characterize muscle status and have been reported in muscle imbalance studies in different types of sport. However, few studies have assessed elite handball players to establish reference values. OBJECTIVE: The purpose of this study was to compare, for the dominant (D) and non-dominant (ND) side, the isokinetic profile of shoulder rotator muscle strength between male handball players (H) and asymptomatic non-athletes (NA). METHOD: Isokinetic concentric and eccentric strength tests for D upper limbs were performed by the H group (n=20) and the NA group (n=12). Internal and external rotator muscle peak torque in concentric action was assessed at 60°/s and 300°/s and in eccentric action at 300°/s. We also calculated conventional balance (the ratio of external rotator peak torque to internal rotator peak torque in concentric action) and functional balance (the ratio of external rotator peak torque in eccentric action to internal rotator peak torque in concentric action). RESULTS: In the H group, dominant limbs were stronger in concentric action for external rotation at 60 and 300°/s. The conventional balance ratio for the D side was significantly lower at 60 and 300°/s for H compared to NA. The functional ratio for the D side was significantly lower at 300º/s for H compared to NA. CONCLUSIONS: Compared to asymptomatic non-athletes, handball players presented significant muscular imbalance resulting from daily sports practice, a known risk factor for shoulder injuries.

OBJETIVO: Comparar a função pulmonar de pacientes com síndrome pós-poliomielite à de pacientes com sequelas de poliomielite paralítica (sem quaisquer sinais ou sintomas de síndrome pós-poliomielite) e à de sujeitos saudáveis. MÉTODOS: Vinte e nove sujeitos do sexo masculino foram divididos em três grupos: controle, poliomielite (pacientes que sofreram de poliomielite paralítica, mas que não apresentaram síndrome pós-poliomielite) e síndrome pós-poliomielite. Os voluntários foram submetidos a avaliações da função pulmonar (espirometria e avaliação da força muscular respiratória). RESULTADOS: Os resultados da espirometria não revelaram diferenças significantes entre os grupos, à exceção da ventilação voluntária máxima, cuja média no grupo síndrome pós-poliomielite foi aproximadamente 27% mais baixa que no grupo controle (p = 0,0127). No entanto, os valores de ventilação voluntária máxima observados no grupo pós-poliomielite foram comparados aos da população brasileira e se apresentaram dentro da faixa normal. Não foram observadas diferenças significantes entre os grupos no tocante à força muscular respiratória. CONCLUSÕES: À exceção da ventilação voluntária máxima mais baixa, não houve comprometimento significante da função pulmonar em pacientes ambulatoriais com diagnóstico de síndrome pós-poliomielite quando comparados a pacientes com sequelas de poliomielite, mas sem a síndrome pós-poliomielite e a sujeitos saudáveis. Trata-se de um importante achado clínico, pois mostra que pacientes com síndrome pós-poliomielite podem apresentar função pulmonar preservada.

OBJECTIVE: To compare lung function between patients with post-poliomyelitis syndrome and those with sequelae of paralytic poliomyelitis (without any signs or symptoms of post-poliomyelitis syndrome), as well as between patients with post-poliomyelitis syndrome and healthy controls. METHODS: Twenty-nine male participants were assigned to one of three groups: control; poliomyelitis (comprising patients who had had paralytic poliomyelitis but had not developed post-poliomyelitis syndrome); and post-poliomyelitis syndrome. Volunteers underwent lung function measurements (spirometry and respiratory muscle strength assessment). RESULTS: The results of the spirometric assessment revealed no significant differences among the groups except for an approximately 27% lower mean maximal voluntary ventilation in the post-poliomyelitis syndrome group when compared with the control group (p = 0.0127). Nevertheless, the maximal voluntary ventilation values for the post-poliomyelitis group were compared with those for the Brazilian population and were found to be normal. No significant differences were observed in respiratory muscle strength among the groups. CONCLUSIONS: With the exception of lower maximal voluntary ventilation, there was no significant lung function impairment in outpatients diagnosed with post-poliomyelitis syndrome when compared with healthy subjects and with patients with sequelae of poliomyelitis without post-poliomyelitis syndrome. This is an important clinical finding because it shows that patients with post-poliomyelitis syndrome can have preserved lung function.

INTRODUCTION: Rupture of the pectoralis major muscle appears to be increasing in athletes. However, the optimal treatment strategy has not yet been established. OBJECTIVES: To compare the isokinetic shoulder performance after surgical treatment to that after non-surgical treatment for pectoralis major muscle rupture. METHODS: We assessed 33 pectoralis major muscle ruptures (18 treated non-surgically and 15 treated surgically). Horizontal abduction and adduction as well as external and internal rotation at 60 and 120 degrees/s were tested in both upper limbs. Peak torque, total work, contralateral deficiency, and the peak torque agonist-to-antagonist ratio were measured. RESULTS: Contralateral muscular deficiency did not differ between the surgical and non-surgical treatment modalities. However, the surgical group presented twice the number of athletes with clinically acceptable contralateral deficiency (<20%) for internal rotators compared to the non-surgical group. The peak torque ratio between the external and internal rotator muscles revealed a similar deficit of the external rotation in both groups and on both sides (surgical, 61.60% and 57.80% and non-surgical, 62.06% and 54.06%, for the dominant and non-dominant sides, respectively). The peak torque ratio revealed that the horizontal adduction muscles on the injured side showed similar weakness in both groups (surgical, 86.27%; non-surgical, 98.61%). CONCLUSIONS: This study included the largest single series of athletes reported to date for this type of injury. A comparative analysis of muscular strength and balance showed no differences between the treatment modalities for pectoralis major muscle rupture. However, the number of significant clinical deficiencies was lower in the surgical group than in the non-surgical group, and both treatment modalities require greater attention to the rehabilitation process, especially for the recovery of muscle strength and balance.

OBJECTIVE: Blood neurotrophins, such as the brain-derived neurotrophic factor, are considered to be of great importance in mediating the benefits of physical exercise. In this study, the effect of acute strength exercise and the involvement of small versus large muscle mass on the levels of plasma brain-derived neurotrophic factor were evaluated in healthy individuals. METHODS: The concentric strengths of knee (large) and elbow (small) flexor and extensor muscles were measured on two separate days. Venous blood samples were obtained from 16 healthy subjects before and after exercise. RESULTS: The levels of brain-derived neurotrophic factor in the plasma did not significantly increase after both arm and leg exercise. There was no significant difference in the plasma levels of the brain-derived neurotrophic factor in the arms and legs. CONCLUSION: The present results demonstrate that acute strength exercise does not induce significant alterations in the levels of brain-derived neurotrophic factor plasma concentrations in healthy individuals. Considering that its levels may be affected by various factors, such as exercise, these findings suggest that the type of exercise program may be a decisive factor in altering peripheral brain-derived neurotrophic factor.

Dois experimentos foram conduzidos com o objetivo de avaliar nutricionalmente a utilização da casca de soja na alimentação de eqüinos em crescimento. Foram utilizadas quatro dietas, uma ração testemunha e três dietas teste, nas quais a casca de soja substituiu em 33,3; 66,6 e 100% o feno de Tifton 85. No ensaio de digestibilidade, foram utilizados quatro potros, com 11 meses de idade, peso vivo médio de 350±26kg, para determinar o valor nutritivo das rações contendo diferentes níveis de casca de soja, utilizando delineamento experimental em quadrado latino (4 períodos x 4 animais). Os coeficientes de digestibilidade aparente da matéria seca, fibra bruta, fibra em detergente neutro e fibra em detergente ácido apresentaram valores de 62,48, 66,35, 79,49 e 82,77%; 66,08, 65,16, 75,41 e 74,09%; 62,59, 62,62, 75,17 e 74,05% e 61,12, 57,15, 73,34 e 72,27%, respectivamente, para as dietas testemunha e com 33,3, 66,6 e 100% de substituição do feno de Tifton 85 pela casca de soja. Os coeficientes de digestibilidade aparente da proteína bruta não apresentaram diferenças significativas (valores médios, respectivamente, de 69,67, 71,95, 74,08 e 75,03% para as dietas testemunha e com 33,3, 66,6 e 100% de substituição do feno de Tifton 85 pela casca de soja). No experimento de desempenho, foram utilizados 16 potros, com 15 meses de idade, peso vivo médio de 255,19±21,12 kg, distribuídos em um delineamento experimental inteiramente casualizado, com quatro repetições e quatro animais por unidade experimental durante 75 dias. Não foram verificados efeitos das dietas sobre as variáveis de desempenho de eqüinos em crescimento. Concluiu-se que as dietas para eqüinos podem ser formuladas com substituição total do feno de Tifton 85 pela casca de soja, sem afetar o desempenho.

Two experiments were carried out to evaluate the nutritional utilization of soybean hulls for growing horses. In the digestibility assay, four colts, averaging 11 months of age and 350±26kg, were used to determine the nutritional value of diets with soybean hulls. The experimental design was square latine (4 x 4). Four diets were used, one as a reference and three as test diets, where the soybean hulls replaced 33.3, 66.6 and 100% of the Tifton 85 hay of the reference diet. Total feces collection was used to determine the apparent digestibility coefficients of the diets. Effects on the apparent digestibility coefficient of the dry matter were observed (62.48, 66.35, 79.49 and 82.77%; 66.08, 65.16, 75.41 and 74.09%; 62.59, 62.62, 75.17 and 74.05% and 61.12, 57.15, 73.34 and 72.27%, respectively, for the test diet and the diets with 33.3, 66.6 and 100% of soybean hulls replacing the Tifton 85 hay). No effects on the apparent digestibility coefficients of crude protein were observed (69.67, 71.95, 74.08 and 75.03%, respectively, for the test diet and the diets with 33.3, 66.6 and 100% of soybean hulls replacing the Tifton 85 hay. In the development experiment, 16 colts, averaging 15 months of age and 255.19±21.12 kg, were used. A completely randomized design with four replications and four animal by each experimental unit, for a period of 75 days, was used. The trials consisted of a reference diet and three levels of substitution (33.3, 66.6 and 100%) of hay by soybean hulls, formulated to be isoprotein and isocaloric. No diet effects on the perfomance variables were observed in growing horses. It was concluded that diets for equines can be formulated with total substitution of hay for soybean hulls without affecting development.

Como os peixes vem sendo indicados como alimentos com um certo grau de excelência quanto à composição protéica, mineral e vitamínica, os autores pretenderam com o presente trabalho, verificar parte do valor nutritivo, do mandi, analisando: proteína, lípides, cinza, cálcio, fósforo total, fósforo inorgânico, ferro e vitamina A. Com a finalidade ainda de comparar os resultados obtidos para peixes "in natura" com as conservas, procedeu-se às determinações também de umidade, pH e cloreto de sódio. Cada 100 g dessa espécie de peixe pode suplementar cerca de 28% das necessidades calóricas diárias, 12% de fósforo, 69% de ferro e 22% de vitamina A.

This work was carried out on. "mandi" (Pimelodus danas Bloch) a specie of catfish from Piracicaba river, in São Paulo State, Brazil, with the purpose of knowing its chemical composition and some informations of its nutritional value. The fishes picked out in June and July, showed the following composition of the edible part: moisture 72.02 g/100 g, protein 17.93 g/100 g, lipids 9.00 g/100 g, ash 1.12 g/100 g, calcium 94.13 mg/100 g, total phosphorus 550.15 mg/100 g, inorganic phosphorus 262.93 mg/100 g, iron 7.41 mg/100 g, sodium chloride 0.30 g/100 g, vitamin A 120.10 U.I./g lipids and pH 6.80. It was showed that each 100 g of the fish flesh can supply about 12% of total phosphorus, 69% of iron, 22% of vitamin A and 28% of the caloric daily needs.