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The Impact of COVID-19-Related Mitigation Measures on the Health and Fitness Status of Primary School Children in Austria: A Longitudinal Study with Data from 708 Children Measured before and during the Ongoing COVID-19 Pandemic. Sports (Basel) 2022; 10:sports10030043. [PMID: 35324652 PMCID: PMC8949892 DOI: 10.3390/sports10030043] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 03/01/2022] [Accepted: 03/07/2022] [Indexed: 12/10/2022] Open
Abstract
The COVID-19-related closing of schools and sport facilities resulted in major changes to daily routines worldwide. It was the aim of this study to investigate the impact of COVID-19-related mitigation measures on the health and fitness status of primary school children in Austria. Seven hundred and eight primary school children (7–10 years old) participated in the longitudinal study. Data on height, weight, waist circumference, and fitness were collected before (September 2019) and during the course of the COVID-19 pandemic (June 20, September 20, March 21, June 21). A significant increase in EQUI BMIAUT (ηp2 = 0.087) and significant changes (ηp2 = 0.355) in waist circumference were found. Cardiorespiratory endurance (ηp2 = 0.440) and action speed (ηp2 = 0.221) decreased dramatically following lockdowns/school closures. In contrast, muscle strength showed no significant changes. The COVID-19-related mitigation measures intended to contain a communicable disease resulted in an acceleration of the pre-existing pandemic of overweight and obesity. The adverse combination of increasing BMI and the loss of physical fitness is likely to result in long-term negative effects on the health status of growing and developing individuals. Health professionals should therefore not only support further longitudinal observations of this “non-communicable disease” but also support intervention programs to reverse this worrying side-effect of COVID-19-associated containment policies.
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Sørlie V, De Soysa AK, Hyldmo AA, Retterstøl K, Martins C, Nymo S. Effect of a ketogenic diet on pain and quality of life in patients with lipedema: The LIPODIET pilot study. Obes Sci Pract 2021; 8:483-493. [PMID: 35949278 PMCID: PMC9358738 DOI: 10.1002/osp4.580] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Revised: 11/23/2021] [Accepted: 12/06/2021] [Indexed: 11/06/2022] Open
Affiliation(s)
- Vilde Sørlie
- Department of Nutrition Institute of Basic Medical Sciences Faculty of Medicine University of Oslo Oslo Norway
| | - Ann Kristin De Soysa
- Department of clinical nutrition and speech pathology Clinic of Clinical Services St. Olav Hospital—Trondheim University Hospital Norway
| | - Åsne Ask Hyldmo
- Centre of Obesity research and innovation Clinic of Surgery St. Olav Hospital —Trondheim University Hospital Norway
| | - Kjetil Retterstøl
- Department of Nutrition Institute of Basic Medical Sciences Faculty of Medicine University of Oslo Oslo Norway
| | - Catia Martins
- Centre of Obesity research and innovation Clinic of Surgery St. Olav Hospital —Trondheim University Hospital Norway
- Centre for Obesity Research Department of Clinical and Molecular Medicine Faculty of Medicine Norwegian of Science and Technology Trondheim Norway
| | - Siren Nymo
- Department of clinical nutrition and speech pathology Clinic of Clinical Services St. Olav Hospital—Trondheim University Hospital Norway
- Centre for Obesity Research Department of Clinical and Molecular Medicine Faculty of Medicine Norwegian of Science and Technology Trondheim Norway
- Namsos Hospital Clinic of Surgery Nord‐Trondelag Hospital Trust Norway
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Hausswirth C, Marquet LA, Nesi X, Slattery K. Two Weeks of High-Intensity Interval Training in Combination With a Non-thermal Diffuse Ultrasound Device Improves Lipid Profile and Reduces Body Fat Percentage in Overweight Women. Front Physiol 2019; 10:1307. [PMID: 31695621 PMCID: PMC6818470 DOI: 10.3389/fphys.2019.01307] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Accepted: 09/30/2019] [Indexed: 02/06/2023] Open
Abstract
This study evaluated the effectiveness of an innovative strategy which combined low-frequency ultra sound (LOFU) with high-intensity interval training (HIIT) to improve physical fitness and promote body fat loss in overweight sedentary women. A placebo controlled, parallel group randomized experimental design was used to investigate the efficacy of a 2-week combined LOFU and HIIT program (3 sessions per week). Participants were allocated into either the Experimental HIIT group (HIITEXP, n = 10) or Placebo HIIT group (HIITPLA, n = 10). Baseline exercise testing (maximal oxygen uptake, lower limb strength and substrate oxidation test), dietary assessment, anthropometric measures and blood sampling were completed in week 1 and repeated in week 4 to determine changes following the program (Post-HIIT). During each training session, the HIITEXP and HIITPLA groups wore a non-thermal diffuse ultrasound belt. However, the belt was only switched on for the HIITEXP group. Delta change scores were calculated for body weight, body fat percentage (Fat%), muscle mass, V.O2max, hip and waist circumferences, and all lipid variables from Baseline to Post-HIIT. Statistical analysis was completed using a repeated-measures factorial analysis of variance by group (HIITPLA and HIITEXP) and time (Baseline and Post-HIIT). Results showed significant improvements in maximal oxygen uptake (HIITEXP; Baseline 24.7 ± 5.4 mL kg–1 min–1, Post-HIIT 28.1 ± 5.5 mL kg–1 min–1 and HIITPLA; Baseline 28.4 ± 5.9 mL kg–1 min–1, Post-HIIT 31.4 ± 5.5 mL kg–1 min–1) for both groups. Significant decreases in Fat% (HIITEXP; Baseline 32.7 ± 3.2%, Post-HIIT 28.9 ± 3.5% and HIITPLA; Baseline 28.9 ± 3.5%, Post-HIIT 28.9 ± 3.4% kg), waist circumference (HIITEXP; Baseline 95.8 ± 9.6 cm, Post-HIIT 89.3 ± 8.9 cm and HIITPLA; Baseline 104.3 ± 3.5 cm, Post-HIIT 103.6 ± 3.4 cm) and triglycerides (HIITEXP; −29.2%, HIITPLA; −6.7%) were observed in the HIITEXP group only. These results show that HIIT combined with LOFU was an effective intervention to improve body composition, lipid profile, and fitness. This combined strategy allowed overweight, sedentary women to achieve positive health outcomes in as little as 2 weeks.
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Affiliation(s)
- Christophe Hausswirth
- Laboratoire Motricité Humaine Expertise Sport Santé, University of Côte d'Azur, Nice, France.,BeScored Institute, Sophia Antipolis, France.,Human Performance Research Centre, University of Technology Sydney, Ultimo, NSW, Australia
| | | | - Xavier Nesi
- BeScored Institute, Sophia Antipolis, France
| | - Katie Slattery
- Human Performance Research Centre, University of Technology Sydney, Ultimo, NSW, Australia
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Savacini MB, Bueno DT, Molina ACS, Lopes ACA, Silva CN, Moreira RG, Almeida S, Guidi RM, Sant'Ana E, Liebano RE. Effectiveness and Safety of Contrast Cryolipolysis for Subcutaneous-Fat Reduction. Dermatol Res Pract 2018; 2018:5276528. [PMID: 30631345 PMCID: PMC6304526 DOI: 10.1155/2018/5276528] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2018] [Accepted: 10/22/2018] [Indexed: 11/17/2022] Open
Abstract
Cryolipolysis is the noninvasive treatment of localized fat through cold-induced panniculitis. The purpose of the present study was to evaluate the safety and efficacy of contrast cryolipolysis for subcutaneous-fat reduction. Contrast cryolipolysis mixes the principles of conventional cryolipolysis and periods of heating in accordance with the contrast lipocryolysis process. Twenty-one subjects aged 34 ± 9 years were treated with contrast cryolipolysis in the regions of abdomen and flanks through the Polarys® device. Anthropometry, standardized photographs, measurements with a skinfold caliper, and diagnostic ultrasounds were performed at the baseline and during follow-ups at 30, 60, and 90 days after the treatment. The safety assessments included laboratory testing and monitoring of the adverse events. The level of significance for all tests was set at P < 0.05. No significant differences in weight and body mass index were found. The waist measurements at the baseline and 30-day follow-up had significant differences, as did the measurements at the 30-day and 60-day follow-ups. The skinfold and ultrasound measurements were significantly reduced in the treated areas in all the time points compared to the baseline. The laboratory results showed no significant changes from baseline. Temporary adverse effects were resolved spontaneously. This study confirmed that contrast cryolipolysis is safe and effective in reducing the fat layer and improving body contouring.
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Affiliation(s)
| | | | | | | | - Caroline Nogueira Silva
- Clinical Laboratory of the Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
- Research, Development & Innovation Department IBRAMED, Ibramed Research Group (IRG), Amparo, Brazil
- Human Development and Technologies. Universidade Estadual Paulista (UNESP), Brazil
| | - Renata Gomes Moreira
- Clinical Laboratory of the Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
- Research, Development & Innovation Department IBRAMED, Ibramed Research Group (IRG), Amparo, Brazil
| | - Stephani Almeida
- Clinical Laboratory of the Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
- Research, Development & Innovation Department IBRAMED, Ibramed Research Group (IRG), Amparo, Brazil
| | - Renata Michelini Guidi
- Clinical Laboratory of the Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
- Research, Development & Innovation Department IBRAMED, Ibramed Research Group (IRG), Amparo, Brazil
- Electrical Engineering Department, Faculty of Medical Sciences, University of Campinas (Unicamp), Brazil
| | - Estela Sant'Ana
- Clinical Laboratory of the Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
- Research, Development & Innovation Department IBRAMED, Ibramed Research Group (IRG), Amparo, Brazil
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Jiang J, Cui J, Yang X, Wang A, Mu Y, Dong L, Wang S, Gaisano H, Dou J, He Y. Neck Circumference, a Novel Indicator for Hyperuricemia. Front Physiol 2017; 8:965. [PMID: 29238304 PMCID: PMC5712816 DOI: 10.3389/fphys.2017.00965] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2017] [Accepted: 11/13/2017] [Indexed: 12/16/2022] Open
Abstract
Background: Waist circumference has been correlated with the risk of hyperuricemia. Whether neck circumference is also associated with hyperuricemia has not been assessed. This study aimed to investigate whether neck circumference is associated with hyperuricemia. Methods: This study population from Beijing is part of the larger China-wide Risk Evaluation of Cancers in Chinese Diabetic Individuals: a lONgitudinal (REACTION) study. For this Beijing sub-center cross-sectional study, a total of 8971 subjects were recruited. Gender-specific multivariable-adjusted regression analyses were conducted to analyze the association of neck circumference and waist circumference with hyperuricemia and the association of neck circumference with serum uric acid levels in the non-hyperuricemia population. Results: After adjusting for confounding variables, regression analyses showed that neck circumference was positively associated with hyperuricemia [OR, 2.61 (1.86–3.67) for males and 3.27 (2.53–4.22) for females] in both genders; further, neck circumference was also positively associated with serum uric acid levels in non-hyperuricemia subjects [b, 2.58 (1.76–3.39) for males and 4.27 (3.70–4.84) for females] in both genders. Additionally, we demonstrated that neck circumference was similar to waist circumference in terms of the strength of association (OR, 3.03 for waist circumference vs. 2.61 for neck circumference in males, and 3.50 vs. 3.27 for females) with hyperuricemia and the ability to predict hyperuricemia (AUC, 0.63 for waist circumference vs. 0.61 for neck circumference in males, and 0.66 vs. 0.66 in females). Conclusion: Neck circumference is positively and independently associated with hyperuricemia in both genders and is also associated with serum uric acid levels in the non-hyperuricemia population.
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Affiliation(s)
- Jiajia Jiang
- Department of Epidemiology and Biostatistics, School of Public Health, Capital Medical University, Beijing, China
| | - Jia Cui
- Department of Endocrinology, Chinese PLA General Hospital, Beijing, China
| | - Xinghua Yang
- Department of Epidemiology and Biostatistics, School of Public Health, Capital Medical University, Beijing, China
| | - Anping Wang
- Department of Endocrinology, Chinese PLA General Hospital, Beijing, China
| | - Yiming Mu
- Department of Endocrinology, Chinese PLA General Hospital, Beijing, China
| | - Liguang Dong
- Department of Endocrinology, Peking University Shougang Hospital, Beijing, China
| | - Shuyu Wang
- Beijing Institute of Hypertension, Beijing, China
| | - Herbert Gaisano
- Departments of Medicine and Physiology, University of Toronto, Toronto, ON, Canada
| | - Jingtao Dou
- Department of Endocrinology, Chinese PLA General Hospital, Beijing, China
| | - Yan He
- Department of Epidemiology and Biostatistics, School of Public Health, Capital Medical University, Beijing, China.,Municipal Key Laboratory of Clinical Epidemiology, Beijing, China
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Assyov Y, Gateva A, Tsakova A, Kamenov Z. A comparison of the clinical usefulness of neck circumference and waist circumference in individuals with severe obesity. Endocr Res 2017; 42:6-14. [PMID: 27050332 DOI: 10.3109/07435800.2016.1155598] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
UNLABELLED Purpose/Aim: Neck circumference (NC) is an emerging anthropometric parameter that has been proposed to reflect metabolic health. The aim of the current study was to compare its clinical usefulness to waist circumference (WC) in the assessment of individuals with severe obesity. MATERIALS AND METHODS A total of 255 subjects participated in the study. All anthropometric measurements were done by a single medical professional. Biochemical measurements included oral glucose-tolerance tests (OGTTs), fasting insulin, lipids, and hepatic enzymes. RESULTS The mean age of the participants was 49 ± 12 years with the mean body mass index (BMI) of 36.9 ± 6.2 kg/m2. Correlation analyses revealed that while WC was better associated with adiposity parameters, it was of little use in comparison to NC with regard to metabolic outcomes. In men, NC was positively associated with fasting plasma glucose, fasting insulin, FINDRISC scores. ROC analyses showed NC was better in distinguishing type 2 diabetes (AUC = 0.758; p < 0.001), insulin resistance (AUC = 0.757; p = 0.001), metabolic syndrome (AUC = 0.724; p < 0.001), and hypertension (AUC = 0.763; p = 0.001). Similar correlations were observed in women. Using binary logistic regression, we determined that a NC of ≥35 cm in women and ≥38 cm in men are valuable cut-off values to use in the everyday practice. CONCLUSION In individuals with severe obesity, NC performs better than WC in the assessment of metabolic health.
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Affiliation(s)
- Yavor Assyov
- a Clinic of Endocrinology , University Hospital "Alexandrovska", Medical University - Sofia , Bulgaria
| | - Antoaneta Gateva
- a Clinic of Endocrinology , University Hospital "Alexandrovska", Medical University - Sofia , Bulgaria
| | - Adelina Tsakova
- b Central Clinical Laboratory , University Hospital "Alexandrovska", Medical University - Sofia , Bulgaria
| | - Zdravko Kamenov
- a Clinic of Endocrinology , University Hospital "Alexandrovska", Medical University - Sofia , Bulgaria
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Neck and waist circumference biomarkers of cardiovascular risk in a cohort of predominantly African-American college students: a preliminary study. J Acad Nutr Diet 2013; 114:107-16. [PMID: 24051106 DOI: 10.1016/j.jand.2013.07.005] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2012] [Accepted: 06/24/2013] [Indexed: 12/14/2022]
Abstract
Receiver operating characteristic curves were constructed to assess the value of measuring neck and waist circumference and waist-to-hip ratio (WHR) as biomarkers of metabolic syndrome in college students (18 to 25 years of age). Participants (n=109) were 92% black, 62.4% female, 45.9% overweight or obese, and 20.2% prehypertensive or hypertensive. Overall, 41 (37.6%) students had one or more risk factors for metabolic syndrome. Percent body fat, assessed using whole-body air-displacement plethysmography, was positively correlated (P<0.0001) with neck and waist circumference (as measured at the midpoint between the right lower rib and suprailiac crest; hereafter "midpoint"). Neck circumference correlated with low-density lipoprotein cholesterol (P ≤ 0.02) and both neck circumference and waist circumference-midpoint correlated with insulin (P ≤ 0.001) and triglycerides (P ≤ 0.002). The best-fit cutoffs were ≥ 83 cm waist circumference-midpoint and ≥ 88 cm waist circumference measured at the suprailiac crest for percent body fat in men and ≥ 75 cm waist circumference-midpoint for metabolic syndrome in women. The proportion of overweight and prehypertensive individuals among self-described healthy students underscores the need for screening tools that identify those who might benefit most from health interventions. Waist circumference-midpoint provides a simple yet sensitive method for the estimation of percent body fat and metabolic syndrome risk in primarily African-American college students. The novel use of neck circumference should be further investigated.
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Joob B, Wiwanitkit V. Waist circumference cutoff and metabolic syndrome. Indian J Endocrinol Metab 2012; 16:475-476. [PMID: 22629530 PMCID: PMC3354871 DOI: 10.4103/2230-8210.95731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Beuy Joob
- Sanitation 1 Medical Academic Center, Bangkok, Thailand
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Randomized Sham-Controlled Trial to Evaluate the Safety and Effectiveness of a High-Intensity Focused Ultrasound Device for Noninvasive Body Sculpting. Plast Reconstr Surg 2011; 128:253-262. [DOI: 10.1097/prs.0b013e3182174278] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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