The effect of a multidisciplinary physical activity intervention on the body composition and physical fitness of obese children

AIM

The aim was to determine the effect of a physical activity, diet, and behaviour modification intervention of 13 weeks, 3x per week for 60 minutes on the body composition and physical fitness of overweight and obese children.

METHODS

A convenience sample of 37 subjects with a mean age of 11 years (±0.99) was used, where 20 subjects (13 girls; seven boys) took part in the intervention and 17 (11 girls; six boys) formed part of the control group. Body composition (height, body mass, skinfolds, circumferences, body fat percentage, and body mass index) and health-promoting physical fitness (cardiorespiratory endurance, flexibility, muscular strength, and muscular endurance) were analysed using the Fitnessgram and the Bruininks-Oseretsky Test of Motor Proficiency-II during baseline, after the intervention programme, and after a follow-up period of three months.

RESULTS

The results showed statistical (P<0.05) and practical significant (d>0.2) improvement in the body composition of the group, after participation in the intervention, with a sustainable effect, three months later on body fat percentage and the subscapular skinfold. Muscular strength and flexibility improved significantly after the intervention, but with no sustainable effect.

CONCLUSION

It is concluded that a multi-disciplinary obesity intervention can improve the body composition profile and the health-related physical fitness of young obese children, although the effect will not be sustainable without ongoing, controlled intervention.

Veterinary extension on sampling techniques related to heartwater research

Heartwater, a tick-borne disease caused by Ehrlichia ruminantium, is considered to be a significant cause of mortality amongst domestic and wild ruminants in South Africa. The main vector is Amblyomma hebraeum and although previous epidemiological studies have outlined endemic areas based on mortalities, these have been limited by diagnostic methods which relied mainly on positive brain smears. The indirect fluorescent antibody test (IFA) has a low specificity for heartwater organisms as it cross-reacts with some other species. Since the advent of biotechnology and genomics, molecular epidemiology has evolved using the methodology of traditional epidemiology coupled with the new molecular techniques. A new quantitative real-time polymerase chain reaction (qPCR) test has been developed for rapid and accurate diagnosis of heartwater in the live animal. This method can also be used to survey populations of A. hebraeum ticks for heartwater. Sampling whole blood and ticks for this qPCR differs from routine serum sampling, which is used for many serological tests. Veterinary field staff, particularly animal health technicians, are involved in surveillance and monitoring of controlled and other diseases of animals in South Africa. However, it was found that the sampling of whole blood was not done correctly, probably because it is a new sampling technique specific for new technology, where the heartwater organism is much more labile than the serum antibodies required for other tests. This qPCR technique is highly sensitive and can diagnose heartwater in the living animal within 2 hours, in time to treat it. Poor sampling techniques that decrease the sensitivity of the test will, however, result in a false negative diagnosis. This paper describes the development of a skills training programme for para-veterinary field staff, to facilitate research into the molecular epidemiology of heartwater in ruminants and eliminate any sampling bias due to collection errors. Humane handling techniques were also included in the training, in line with the current focus on improved livestock welfare.

Development of an analytical method for the evaluation of N,N-dimethylformamide in dosage form design

N,N-Dimethylformamide (DMF) is a well-known chemical entity that is extensively used for pharmaceutical, biomedical and chemical applications. Previous research identified the need for the development of an effective dosage form for the systemic delivery of DMF due to its unique antiviral properties. For purposes of quality control and evaluation during pharmaceutical product development, development of an analytical method was required. A gas chromatographic (GC) method was developed with a flame-ionization detector (FID) on a carbowax packed glass column. 2-Methoxyethanol was used as internal standard. The analytical method proved to be capable of separating DMF and 2-methoxyethanol adequately within a relatively short runtime of 2.5 min. The analytical method described was primarily developed for use in dissolution studies of DMF containing delivery systems. Various physicochemical properties of candidate internal standard materials were correlated with the observed retention times of these compounds. The best correlation (r2 = 0.8077) was obtained between the boiling point and the retention time of the compounds for the current application. The boiling point of an internal standard candidate material may thereforebe useful in predicting the retention time of that compound under similar conditions.

Household smoking and bronchial hyperresponsiveness in children with asthma

This study investigated whether household environmental tobacco smoke (ETS) exposure is associated with increased bronchial hyperresponsiveness (BHR) in children with asthma. Two hundred forty-nine children, ages 7-11 years, sampled from a larger group with reported asthma or multiple asthma symptoms identified in a community survey in Cape Town, underwent histamine challenge testing and had urinary cotinine measured. Parents were interviewed for information on smoking habits and a variety of covariates. Children with asthma whose mothers smoked had a lower frequency of BHR than asthmatic children of nonsmoking mothers, particularly if the mother smoked > or = 15 cigarettes daily. BHR was also less common among children sharing a house with four or more smokers vs. fewer or none. BHR was unrelated to paternal smoking. In contrast, FEV1 was lower among children whose mothers currently smoked. The findings do not support a mechanism whereby ETS exposure aggravates existing childhood asthma by increasing BHR. This association may be masked, however, by the degree to which mothers of asthmatic children adjust their smoking. The results are consistent with an adverse effect of maternal smoking on lung function in asthmatic children.

Structure of carotid artery in baboon and rat and differences in their response to endothelial denudation angioplasty

BACKGROUND

Most studies dealing with vascular response to injury have been conducted using rodent and rabbit models, although it is expected that the response to injury in these species is dissimilar from man.

AIMS

Here we compare the structure of native carotid artery in rat and baboon and the response of these vessels to endothelial denudation angioplasty.

METHODS

In both species, the carotid is a musculoelastic artery. Only baboon carotid has a distinct intima, correlating in size with the weight of male baboons. Complete endothelial denudation of left carotid was performed on eight male baboons and 24 male rats by applying an equivalent pull force with a Fogarthy catheter. The animals were sacrificed prior to and 15 min and 2, 3, 4, 7, 14 and 28 days postinjury, one baboon and three rats per time point.

RESULTS

Re-endothelialization in the baboon was complete already on day 4, whereas in the rat it was still incomplete on day 28. The proliferative response to injury was far smaller in the baboon than in the rat, the intimal area increased only by 5-fold in baboon compared with 25-fold in rat, and the number of intimal nuclei by 4-fold in baboon compared with 12-fold in rat. Complete compensatory remodelling of the lumen size occurred in the baboon, whereas in the rat remodelling remained incomplete. The cell types participating in the response were, however, similar: deposition of thrombocytes on denuded luminal surface, expression of alpha-actin by intimal cells, and lack of any significant white cell infiltration in the denuded intima.

CONCLUSIONS

Baboon carotids are very different from rat carotids both in their native structure and in their response to injury. With the limited amount of information available from human vessels, baboon carotids closely resemble human carotids in both respects.

Risk factors for childhood asthma and wheezing. Importance of maternal and household smoking

To identify modifiable risk factors for wheezing illness in childhood, the associations between current asthma or wheezing and factors such as household smoking, damp and dietary salt preference were measured in a questionnaire-based prevalence study of schoolchildren 7 to 9 yr of age in Cape Town. In a random sample of 15 schools, questionnaires were completed by parents of 1,955 children, from which 368 cases and 294 controls were selected on the basis of reported asthma diagnosis or symptoms. Urinary cotinine concentrations were measured, and the parents were interviewed. An exposure-response relationship between the urinary cotinine creatinine ratio and asthma/wheeze was observed. In multivariate analysis, predictors of asthma/wheeze were hay fever (odds ratio [OR] - 5.30; 95% confidence interval [CI] = 3.16 to 8.89), eczema (OR = 2.19; 95% CI = 1.33-3.62), parental asthma (OR = 1.77; 95% CI = 1.11 to 2.84), absence of paternal contribution to income (OR = 1.72; 95% CI = 1.17 to 2.54), maternal smoking in pregnancy (OR = 1.87; 95% CI = 1.25 to 2.81), and each additional household smoker (OR = 1.15; 95% CI = 1.01 to 1.30). Findings were similar, with higher odds ratios for most variables, except number of household smokers, when the group was restricted to children with parent-reported asthma. The findings confirm that household smoking is an important modifiable risk factor in asthma/wheeze among young schoolchildren, and they suggest that maternal smoking in pregnancy and current household exposure are independent contributors to this effect.

Changes in WGA-lectin binding sites on sperm during epididymal transit in the Chacma baboon (Papio ursinus) and the vervet monkey (Cercopithecus aethiops)

Epididymal maturation of sperm entails molecular changes to the sperm plasma membrane. These changes are reflected by changes in lectin binding. The wheat germ agglutinin (WGA) lectin was used, since it binds to acetylglucosamine and sialic acid, which are involved in sperm function. The objective was to study changes in WGA-lectin binding during epididymal passage and in the ejaculate of the Chacma baboon and vervet monkey. The intensity and location of lectin binding on sperm from the ejaculate and the caput, corpus, and cauda epididymidis of 5 adult males from each species were studied. In both baboon and monkey sperm, the acrosomal region had the highest intensity stain and the equatorial region had the lowest intensity. Significant differences in staining of the different regions of sperm were found for the different epididymal sites and the ejaculate of both species. It was concluded that changes in the molecular composition of the sperm membrane, taking place during epididymal maturation, can at least in part be monitored by studying WGA-lectin binding on sperm. The changes noted are probably important for the organization of a membrane of the correct molecular conformation and mandatory for complete sperm function.

Prevalence and reliability of asthma symptoms in primary school children in Cape Town

BACKGROUND

Childhood asthma is believed to be a serious problem in Cape Town, South Africa. This study aimed to measure the prevalence and reliability of asthma symptoms and reported asthma in Cape Town schoolchildren aged mainly 7 and 8 years, and to assess underdiagnosis.

METHOD

A questionnaire was completed by parents of 1955 children, followed by 620 personal interviews repeating the questions.

RESULTS

The prevalence of recent wheeze (previous 12 months) (26.8%) was high by international comparison, but not that of reported asthma (10.8%). Among children with more than 12 recent attacks of wheeze, only 60% were reported as asthmatic and 55% as receiving regular treatment. Symptom prevalences varied with the respondent's familial relationship to the child. On some questions the interview produced higher wheeze prevalences than the self-administered questionnaire. Repeatability of questions varied: asthma over (kappa = 0.69), recent wheeze (kappa = 0.59), and recent sleep disturbance by wheeze (kappa = 0.56) were the most reliable.

CONCLUSIONS

Prevalence based on symptom reports may vary with the respondent and between self- and interviewer-administered questionnaires. Also, certain questions currently proposed for childhood asthma questionnaires may be unreliable. Nevertheless, it can be concluded that the prevalence of wheeze is high in this population, and that underdiagnosis and undertreatment of asthma are a problem.

Differential sperm motility scoring and sperm ATP concentrations

Sperm motility is one of the most important parameters in semen analysis. In this study the motility scoring method of Hellinga was used. Adenosine triphosphate (ATP) is the main energy source used by the sperm flagellum to initiate and propagate forward motility. This study was conducted to evaluate the interrelationships between sperm ATP and differential motility. The differential motility method supplemented the conventional by which the quantitative and qualitative motility were estimated. There was a good correlation between the differential motility scoring method and sperm [ATP], although the latter did not necessarily improve the diagnostic capacity.

Interaksieprosesontleding in verpleging

Nursing is a humanistic science which concerns itself with man in need. Nursing has also long been recognised as a science with its own defined scientific knowledge unique to nursing. In order that nursing could grow as a science it was necessary to delve into other humanistic sciences for knowledge relevant to nursing. This knowledge should be incorporated into nursing in order to contribute to development of scientific nursing theory. This knowledge should also be applied to the advantage of nursing. In this article the use of certain methods and techniques normally used in group dynamics, a branch of Sociology, and how these methods and techniques can be usefully applied to nursing, are speculated on. Attention is given to the possibility of the application of Bales’s technique of interaction process analysis to various fields of nursing.