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Pereira LMB, Ruas HMS, de Freitas Filho W, Alves WSM, Dias GO, Durães CP, Monteiro-Junior RS, Santos SHS, Farias LC, Guimarães ALS, Haikal DSA, Cardoso CM, de Paula AMB. Older adults, appendicular anthropometric measurements, and poor functional performance are predictors of sarcopenia in individuals with head and neck squamous cell carcinoma. Support Care Cancer 2024; 32:82. [PMID: 38175289 DOI: 10.1007/s00520-023-08254-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 12/11/2023] [Indexed: 01/05/2024]
Abstract
OBJECTIVE To identify predictors of sarcopenia (demographical, anthropometric measurements, tumor-related clinical characteristics, performance status, and serum C-reactive protein (CRP) and albumin levels in individuals with head and neck squamous cell carcinoma (HNSCC). MATERIAL AND METHODS This cross-sectional study selected diagnosed with HNSCC (n = 125). Sarcopenia was defined as low muscle strength and low physical performance. Association between sarcopenia and anthropometric assessments (weight, height, body mass index, triceps skinfold, mid-upper arm circumference [MUAC], mid-upper arm muscle circumference, mid-upper arm fat area [UFA], mid-upper arm bone free muscle area, calf circumference, and appendicular skeletal muscle mass and index), tumor clinical characteristics (anatomical site, tumor size, and cervical metastasis), performance status scale (Eastern Cooperative Oncology Group Performance Status [ECOG-PS]), and CRP and albumin levels was analyzed using binary logistic regression models. RESULTS The diagnosis of sarcopenia was identified in 28 (22.4%) individuals with HNSCC. Being an older adult increases the odds of association with sarcopenia in individuals with HNSCC (odds ratio [OR] = 1.05). Increments in MUAC measurement reduce the odds of association with sarcopenia (OR = 0.69), while the increase in the UFA measurement increases the odds of association with sarcopenia (OR = 1.33). Poor ECOG-PS scores increase the odds of association with sarcopenia in individuals with HNSCC (OR = 5.54). CONCLUSION Early identification of easy-to-perform, cost-effective predictors of sarcopenia tends to favor the implementation of personalized therapeutic and supportive interventions in individuals with HNSCC.
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Affiliation(s)
- Luciana Mara Barbosa Pereira
- Health Research Laboratories, Programa de Pós-Graduação em Ciências da Saúde, Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros (UNIMONTES), Avenida Cula Mangabeira No 562. Bairro Santo Expedito, Montes Claros, Minas Gerais, 39401-001, Brazil
| | - Hérika Maria Silveira Ruas
- Health Research Laboratories, Programa de Pós-Graduação em Ciências da Saúde, Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros (UNIMONTES), Avenida Cula Mangabeira No 562. Bairro Santo Expedito, Montes Claros, Minas Gerais, 39401-001, Brazil
| | - Walter de Freitas Filho
- Health Research Laboratories, Programa de Pós-Graduação em Ciências da Saúde, Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros (UNIMONTES), Avenida Cula Mangabeira No 562. Bairro Santo Expedito, Montes Claros, Minas Gerais, 39401-001, Brazil
| | - Wislene Sarajane Moreira Alves
- Health Research Laboratories, Programa de Pós-Graduação em Ciências da Saúde, Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros (UNIMONTES), Avenida Cula Mangabeira No 562. Bairro Santo Expedito, Montes Claros, Minas Gerais, 39401-001, Brazil
- Head and Neck Surgery and Oncology Center, Fundação de Saúde Hospital Dilson de Quadros Godinho, Montes Claros, Minas Gerais, 39400-292, Brazil
| | - Gabrielle Oliveira Dias
- Health Research Laboratories, Programa de Pós-Graduação em Ciências da Saúde, Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros (UNIMONTES), Avenida Cula Mangabeira No 562. Bairro Santo Expedito, Montes Claros, Minas Gerais, 39401-001, Brazil
| | - Cristina Paixão Durães
- Health Research Laboratories, Programa de Pós-Graduação em Ciências da Saúde, Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros (UNIMONTES), Avenida Cula Mangabeira No 562. Bairro Santo Expedito, Montes Claros, Minas Gerais, 39401-001, Brazil
- Head and Neck Surgery and Oncology Center, Fundação de Saúde Hospital Dilson de Quadros Godinho, Montes Claros, Minas Gerais, 39400-292, Brazil
| | - Renato Sobral Monteiro-Junior
- Health Research Laboratories, Programa de Pós-Graduação em Ciências da Saúde, Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros (UNIMONTES), Avenida Cula Mangabeira No 562. Bairro Santo Expedito, Montes Claros, Minas Gerais, 39401-001, Brazil
- Department of Physical Education, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, Minas Gerais, 39401-001, Brazil
| | - Sérgio Henrique Sousa Santos
- Health Research Laboratories, Programa de Pós-Graduação em Ciências da Saúde, Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros (UNIMONTES), Avenida Cula Mangabeira No 562. Bairro Santo Expedito, Montes Claros, Minas Gerais, 39401-001, Brazil
- Departament of Food Engineering, Institute of Agricultural Sciences, Universidade Federal de Minas Gerais (UFMG), Montes Claros, Minas Gerais, 39404-547, Brazil
| | - Lucyana Conceição Farias
- Health Research Laboratories, Programa de Pós-Graduação em Ciências da Saúde, Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros (UNIMONTES), Avenida Cula Mangabeira No 562. Bairro Santo Expedito, Montes Claros, Minas Gerais, 39401-001, Brazil
- Department of Dentistry, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, Minas Gerais, 39401-001, Brazil
| | - André Luiz Sena Guimarães
- Health Research Laboratories, Programa de Pós-Graduação em Ciências da Saúde, Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros (UNIMONTES), Avenida Cula Mangabeira No 562. Bairro Santo Expedito, Montes Claros, Minas Gerais, 39401-001, Brazil
- Department of Dentistry, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, Minas Gerais, 39401-001, Brazil
| | - Desirée Sant Ana Haikal
- Health Research Laboratories, Programa de Pós-Graduação em Ciências da Saúde, Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros (UNIMONTES), Avenida Cula Mangabeira No 562. Bairro Santo Expedito, Montes Claros, Minas Gerais, 39401-001, Brazil
- Department of Dentistry, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, Minas Gerais, 39401-001, Brazil
| | - Cláudio Marcelo Cardoso
- Health Research Laboratories, Programa de Pós-Graduação em Ciências da Saúde, Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros (UNIMONTES), Avenida Cula Mangabeira No 562. Bairro Santo Expedito, Montes Claros, Minas Gerais, 39401-001, Brazil
- Head and Neck Surgery and Oncology Center, Fundação de Saúde Hospital Dilson de Quadros Godinho, Montes Claros, Minas Gerais, 39400-292, Brazil
| | - Alfredo Mauricio Batista de Paula
- Health Research Laboratories, Programa de Pós-Graduação em Ciências da Saúde, Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros (UNIMONTES), Avenida Cula Mangabeira No 562. Bairro Santo Expedito, Montes Claros, Minas Gerais, 39401-001, Brazil.
- Department of Dentistry, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, Minas Gerais, 39401-001, Brazil.
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De Boni RB, Mota JC, Schuch FB, Pires DA, Matias TS, Monteiro-Junior RS, Deslandes AC, Silva DR, Moura HF, Galvão-Coelho N, de Jesus-Moraleida FR, Kapciznki F, Balanzá-Martinez V. U-SMILE: a brief version of the Short Multidimensional Inventory on Lifestyle Evaluation. Trends Psychiatry Psychother 2023. [PMID: 37856650 DOI: 10.47626/2237-6089-2023-0722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 10/06/2023] [Indexed: 10/21/2023]
Abstract
INTRODUCTION Lifestyle Medicine comprises six domains: diet, substance use, physical activity, stress management, social connection, and sleep. The comprehensive assessment of lifestyle is challenging, but the "Short Multidimensional Inventory on Lifestyle Evaluation" (SMILE) was developed to fill out this gap. In this paper, we describe the development and the psychometric properties (internal consistency, concurrent and convergent validity) of a shorter version of the SMILE among university students. METHODS Data from a cross-sectional study including 369 students from 10 Brazilian universities were used. Considering a theoretical nomological net, we performed exploratory factor analysis to obtain the most parsimonious, interpretable and good-fitting model. RESULTS The final model was called U-SMILE, comprised 24 items, and presented acceptable internal consistency (Cronbach's α = 0.73, McDonald's ω = 0.79). To evaluate the concurrent validity of the U-SMILE, we compared it to the original SMILE and found a high correlation between the instruments (Spearman's r= 0.94). Furthermore, we evaluated convergent validity by examining the U-SMILE correlation with the PHQ-9 (Spearman's r= -0.517), and GAD-7 (Spearman's r= -0.356), two validated instruments to screen for depression and anxiety, respectively. DISCUSSION Our findings suggest that the U-SMILE is a valid instrument for assessing lifestyle among university students. We recommend that the use of U-SMILE to evaluate overall lifestyle scores rather than individual domain scores. Finally, we discuss the importance of clarifying the definitions of lifestyle and related constructs in future research.
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Affiliation(s)
- Raquel B De Boni
- Institute of Scientific and Technological Communication and Information in Health (ICICT), Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, Brazil
| | - Jurema C Mota
- Institute of Scientific and Technological Communication and Information in Health (ICICT), Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, Brazil
| | - Felipe Barreto Schuch
- Federal University of Santa Maria, Department of Sports Methods and Techniques, Santa Maria, Brazil. Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Daniel Alvarez Pires
- Graduate Program in Human Movement Sciences, Federal University of Pará, Castanhal, Brazil
| | - Thiago Sousa Matias
- Federal University of Santa Catarina, Department of Physical Education, Florianópolis, Brazil
| | - Renato Sobral Monteiro-Junior
- Postgraduate Program in Health Sciences and Study and Research Group of Neuroscience, Exercise, Health and Sport, Physical Education Department, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
| | - Andrea C Deslandes
- Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Danilo R Silva
- Federal University of Sergipe, Department of Physical Education, São Cristóvão, Brazil
| | | | - Nicole Galvão-Coelho
- Department of Physiology and Behavior, Federal University of Rio Grande do Norte, Brazil
| | | | - Flavio Kapciznki
- Instituto Nacional de Ciência e Tecnologia Translacional em Medicina (INCT-TM), and Bipolar Disorder Program, Laboratory of Molecular Psychiatry, Hospital de Clínicas de Porto Alegre (HCPA), and Department of Psychiatry, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Vicent Balanzá-Martinez
- Teaching Unit of Psychiatry and Psychological Medicine, Department of Medicine, University of Valencia, CIBERSAM, Valencia, Spain
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Paiva Prudente T, Oliva HNP, Oliva IO, Mezaiko E, Monteiro-Junior RS. Effects of Physical Exercise on Cerebral Blood Velocity in Older Adults: A Systematic Review and Meta-Analysis. Behav Sci (Basel) 2023; 13:847. [PMID: 37887497 PMCID: PMC10604216 DOI: 10.3390/bs13100847] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Revised: 10/10/2023] [Accepted: 10/12/2023] [Indexed: 10/28/2023] Open
Abstract
As the older population grows, there is an increasing interest in understanding how physical exercise can counteract the changes seen with aging. The benefits of exercise to general health, and especially to the cardiovascular system, have been a topic of discussion for decades. However, there is still a need to elucidate the effects of training programs on the cerebrovascular blood velocity in older people. This systematic review and meta-analysis aimed to investigate the effect of physical exercise on the cerebral blood velocity in older people (PROSPERO CRD42019136305). A search was performed on PubMed, Web of Science, EBSCO, ScienceDirect, and Scopus from the inception of this study to October 2023, retrieving 493 results, of which 26 were included, analyzing more than 1000 participants. An overall moderate risk of bias was found for the studies using the Cochrane risk-of-bias tools for randomized and non-randomized clinical trials. The pooled results of randomized trials showed that older people who underwent physical exercise presented a statistically significant increase in cerebral blood velocity (3.58; 95%CI = 0.51, 6.65; p = 0.02). This result indicates that physical exercise is important to help maintain cerebral health in older adults.
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Affiliation(s)
- Tiago Paiva Prudente
- School of Medicine, Universidade Federal de Goiás, Goiânia 74690-900, GO, Brazil;
| | - Henrique Nunes Pereira Oliva
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06510, USA;
- Postgraduation Programme of Health Sciences, Universidade Estadual de Montes Claros, Montes Claros 39401-089, MG, Brazil
| | - Isabela Oliveira Oliva
- School of Medicine, Centro Universitario FIPMoc (UNIFIPMoc), Montes Claros 39408-007, MG, Brazil;
| | - Eleazar Mezaiko
- School of Dentistry, Universidade Federal de Goiás, Goiânia 74690-900, GO, Brazil;
| | - Renato Sobral Monteiro-Junior
- Postgraduation Programme of Health Sciences, Universidade Estadual de Montes Claros, Montes Claros 39401-089, MG, Brazil
- Postgraduation Programme of Neurology/Neuroscience, Universidade Federal, Niterói 24020-141, RJ, Brazil
- Research and Study Group in Neuroscience, Exercise, Health and Sport—GENESEs, Physical Education Department, Universidade Estadual de Montes Claros, Montes Claros 39401-089, MG, Brazil
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Leão LL, Valadares WGDA, Silva NSSE, Duarte SFP, de Paula AMB, Haikal DSA, Santos SHS, Soares J, Cruz J, Santos J, Teixeira GL, Monteiro-Junior RS. Increased Depression and the Worsening of Depressive Symptoms Associated with Physical Inactivity during the COVID-19 Pandemic: A Two-Phase Cross-Sectional Study. Behav Sci (Basel) 2023; 13:bs13040340. [PMID: 37102854 PMCID: PMC10135763 DOI: 10.3390/bs13040340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Revised: 04/07/2023] [Accepted: 04/13/2023] [Indexed: 04/28/2023] Open
Abstract
The COVID-19 pandemic has increased the incidence of depression and other mental disorders in the general population, influenced by various individual and contextual factors. Physical activity (PA) interventions offer a promising approach to mitigating the negative mental health effects of the pandemic. This study aims to analyze the association between PA and depressive symptoms. A total of 785 individuals aged 37.4 ± 13.2 years (72.5% female) were evaluated at two different time points: the first between 2018 and 2019, and the second during the COVID-19 pandemic in 2020. Depressive symptoms, demographic, and socioeconomic data were assessed using the Beck Depression Inventory to estimate depressive symptoms. Frequency analysis and binary and multinomial regression were employed for data analysis. The prevalence of mild depressive symptoms increased from 23.1% before the pandemic to 35.1% during the pandemic. Our findings reveal that practicing PA before the pandemic was a protective factor (OR: 0.19; 95% CI: 0.13, 0.30; p < 0.001) against mild depressive symptoms. Additionally, individuals who continued to practice PA during the pandemic had a lower chance of presenting mild (OR: 0.21; 95% CI: 0.15, 0.30) and moderate/severe (OR: 0.15; 95% CI: 0.08, 0.27) symptoms. Furthermore, our study shows that PA, which was already a protective factor before the pandemic, remained protective during the pandemic, even for those with the highest levels of depression.
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Affiliation(s)
- Luana Lemos Leão
- Graduate Program in Health Sciences, Centre of Biological Sciences and Health, State University of Montes Claros, Montes Claros 39401-089, MG, Brazil
| | - Weslley Gomes de Araújo Valadares
- Graduate Program in Health Sciences, Centre of Biological Sciences and Health, State University of Montes Claros, Montes Claros 39401-089, MG, Brazil
- Instituto de Pesquisa e Extensão em Saúde-INPES, Vitória da Conquista 45020-750, BA, Brazil
| | - Nayra Suze Souza E Silva
- Graduate Program in Health Sciences, Centre of Biological Sciences and Health, State University of Montes Claros, Montes Claros 39401-089, MG, Brazil
| | | | - Alfredo Maurício Batista de Paula
- Graduate Program in Health Sciences, Centre of Biological Sciences and Health, State University of Montes Claros, Montes Claros 39401-089, MG, Brazil
| | - Desirée Sant Ana Haikal
- Graduate Program in Health Sciences, Centre of Biological Sciences and Health, State University of Montes Claros, Montes Claros 39401-089, MG, Brazil
| | - Sérgio Henrique Sousa Santos
- Graduate Program in Health Sciences, Centre of Biological Sciences and Health, State University of Montes Claros, Montes Claros 39401-089, MG, Brazil
- Food Engineering Department, Instituto de Ciências Agrárias, Universidade Federal de Minas Gerais, Montes Claros 39404-547, MG, Brazil
| | - Jeane Soares
- Department of Psychology, UniFG University Center, Guanambi 46430-000, BA, Brazil
| | - Joelton Cruz
- Department of Psychology, UniFG University Center, Guanambi 46430-000, BA, Brazil
| | - Jordana Santos
- Department of Psychology, UniFG University Center, Guanambi 46430-000, BA, Brazil
| | - Gustavo Leal Teixeira
- Language Department, Instituto de Ciências Agrárias, Universidade Federal de Minas Gerais, Montes Claros 39404-547, MG, Brazil
| | - Renato Sobral Monteiro-Junior
- Graduate Program in Health Sciences, Centre of Biological Sciences and Health, State University of Montes Claros, Montes Claros 39401-089, MG, Brazil
- Department of Neurology, School of Medicine, Universidade Federal Fluminense, Niterói 24220-000, RJ, Brazil
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Monteiro-Junior RS, David IR, Mendes IHR, Coutinho LA, Júnior BJM, Oliva HNP. Cortical Brain Response to Acute Bouts of Exercise in Patients with Severe Psychiatric Disorders: Report of Three Cases. Explor Res Hypothesis Med 2023; 000:000-000. [DOI: 10.14218/erhm.2023.00011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/03/2023]
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Coutinho LA, Leão LL, Cassilhas RC, de Paula AMB, Deslandes AC, Monteiro-Junior RS. Alzheimer's disease genes and proteins associated with resistance and aerobic training: An in silico analysis. Exp Gerontol 2022; 168:111948. [PMID: 36087875 DOI: 10.1016/j.exger.2022.111948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2022] [Revised: 08/31/2022] [Accepted: 09/02/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Exercise appears to be a viable intervention for maintaining cognitive function and regaining functional autonomy, and perhaps even contributing to a slower progression of Alzheimer's Disease (AD). OBJECTIVE To explore different neuroplasticity pathways modulated by aerobic and strength training, determine whether signaling pathways overlapped for each specific training method (aerobic and strength training), and evaluate whether there is a functional relationship between APOE and APP gene expression with aerobic training modulated by BDNF; and strength training modulated by IGF-1. METHODS An in silico analysis was performed to analyze the connection between exercise types and neuroplasticity as a protective factor in AD. The platform provides a protein-protein interaction network translated into known and predicted interactions. A score > 0.70 was determined as high confidence and the network was considered significant when the Protein-Protein Interaction Enrichment was <0.01. RESULTS Multiple functional associations considered significant between the analyzed proteins. The results of our gene network model support that exercise, both aerobic and strength, can modulate genes that affect hippocampal neuroplasticity and neurogenesis, which may delay cognitive decline and Alzheimer's related symptoms. CONCLUSION The investigation about the functional association of aerobic training via BDNF in the modulation of APP, APOE, and MAPT genes in the hippocampus seems to be established, while strength training seems to induce the production of IGF-1 and IGF-1R, modulating AKT1.
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Affiliation(s)
| | - Luana Lemos Leão
- Postgraduate Program of Health Sciences, State University of Montes Claros, Montes Claros, MG, Brazil
| | - Ricardo Cardoso Cassilhas
- Physical Education Department, Federal University of the Valleys of Jequitinhonha and Mucuri (UFVJM), Diamantina, MG, Brazil; Multicenter Post Graduation Program in Physiological Sciences (PMPGCF), UFVJM, Brazilian Society of Physiology, Diamantina, MG, Brazil; Postgraduate Program in Health Sciences (PPGCS), UFVJM, Diamantina, MG, Brazil
| | | | | | - Renato Sobral Monteiro-Junior
- Physical Education and Sport Department, State University of Montes Claros, Montes Claros, MG, Brazil; Postgraduate Program of Health Sciences, State University of Montes Claros, Montes Claros, MG, Brazil.
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Felício LFF, Leão LL, Souza EHEE, Machado FSM, Laks J, Deslandes AC, Paula AMBD, Monteiro-Junior RS. Cognitive abilities of institutionalized older persons with depressive symptoms. J bras psiquiatr 2022. [DOI: 10.1590/0047-2085000000383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
ABSTRACT Objective To determine the level of association between depressive symptoms and cognitive abilities of institutionalized older adults. Methods This is a cross-sectional study that enrolled 69 older adults, living in a long-term care facility. Investigation of depressive symptoms in all individuals was performed using the geriatric depression scale. Cognitive verbal fluency, digit span forward (DSF) and backward (DSB) tests, and two-minute stationary gait, sit-to-stand test, and six-minute walk test were performed to assess their association with depressive symptoms. Results Depressive symptoms were identified in 35 individuals. Worse cognition and physical performances were associated with the presence of depressive symptoms – Mini-Mental State Examination [t (61) = 2.36; p < 0.05] and Stationary gait test of two minutes [t (53) = 3.12; p < 0.05]. Short-term memory and working memory tests presented worse results in individuals with depressive symptoms (DSF: U = 402.00; p < 0.05 e DSB: U = 341,00; p < 0.05). Older adults with scores below normal in DSF were 5 times more likely to exhibit depressive symptoms. Conclusion The importance of physical, cognitive and social intervention strategies in long-term care facilities for the older adults is highlighted, in order to privilege autonomy. Notably, there is an association between deficits in short-term memory and the presence of depressive symptoms in older adults. Therefore, prospective studies are suggested to investigate the cause-effect relationship of this association with the institutionalization of older adults.
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Affiliation(s)
| | | | | | | | - Jerson Laks
- Federal University of Rio de Janeiro, Brazil
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Plácido J, de Almeida CAB, Ferreira JV, de Oliveira Silva F, Monteiro-Junior RS, Tangen GG, Laks J, Deslandes AC. Spatial navigation in older adults with mild cognitive impairment and dementia: A systematic review and meta-analysis. Exp Gerontol 2022; 165:111852. [DOI: 10.1016/j.exger.2022.111852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Revised: 04/03/2022] [Accepted: 05/23/2022] [Indexed: 11/04/2022]
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de Lima NS, De Sousa RAL, Amorim FT, Gripp F, Diniz E Magalhães CO, Henrique Pinto S, Peixoto MFD, Monteiro-Junior RS, Bourbeau K, Cassilhas RC. Moderate-intensity continuous training and high-intensity interval training improve cognition, and BDNF levels of middle-aged overweight men. Metab Brain Dis 2022; 37:463-471. [PMID: 34762211 DOI: 10.1007/s11011-021-00859-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 10/23/2021] [Indexed: 10/19/2022]
Abstract
The prevalence of overweight and obesity is increasing worldwide, which has been associated with poor cognitive outcomes. Participating in regular physical exercise may also improve cognition, and levels of brain-derived neurotrophic factor (BDNF), but the optimal exercise prescription remains to be elucidated. The purpose of the present study is to compare the effects of moderate intensity continuous training (MICT) and high intensity interval training (HIIT) on cognition, and serum BDNF levels in middle-aged and overweight men. Twenty-five sedentary, overweight men participated in the 8-week training intervention. Subjects were randomized into MICT (n = 12) or HIIT (n = 13) and performed exercise sessions 3x/week for 8-weeks. Cognitive function, and serum BDNF levels were assessed pre- and post-intervention. Statistical analysis was carried out using the Graph Pad Prism 7.0, and the level of significance was set at 5%. Significant improvements were observed in cognitive test scores, and BDNF levels in MICT and HIIT groups (p < 0.05). There were no significant differences in cognitive function between MICT and HIIT. The present study implicates that 8 weeks of MICT or HIIT may be a very useful non-pharmacological treatment option to improve cognitive function, and BDNF levels in middle-aged overweight men.
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Affiliation(s)
- Neumir Sales de Lima
- Physical Education Department, Federal University of the Valleys of Jequitinhonha and Mucuri (UFVJM), Rodovia MGT 367 - Km 583, n° 5000, Diamantina, MG, CEP 39100-000, Brazil
- Neuroscience and Exercise Study Group (Grupo de Estudos em Neurociências e Exercício - GENE), UFVJM, Diamantina, MG, Brazil
- Multicenter Post Graduation Program in Physiological Sciences (PPGMCF), UFVJM, Brazilian Society of Physiology, Diamantina, MG, Brazil
| | - Ricardo Augusto Leoni De Sousa
- Physical Education Department, Federal University of the Valleys of Jequitinhonha and Mucuri (UFVJM), Rodovia MGT 367 - Km 583, n° 5000, Diamantina, MG, CEP 39100-000, Brazil
- Neuroscience and Exercise Study Group (Grupo de Estudos em Neurociências e Exercício - GENE), UFVJM, Diamantina, MG, Brazil
- Multicenter Post Graduation Program in Physiological Sciences (PPGMCF), UFVJM, Brazilian Society of Physiology, Diamantina, MG, Brazil
| | | | - Fernando Gripp
- Physical Education Department, Federal University of the Valleys of Jequitinhonha and Mucuri (UFVJM), Rodovia MGT 367 - Km 583, n° 5000, Diamantina, MG, CEP 39100-000, Brazil
- Multicenter Post Graduation Program in Physiological Sciences (PPGMCF), UFVJM, Brazilian Society of Physiology, Diamantina, MG, Brazil
| | - Caíque Olegário Diniz E Magalhães
- Physical Education Department, Federal University of the Valleys of Jequitinhonha and Mucuri (UFVJM), Rodovia MGT 367 - Km 583, n° 5000, Diamantina, MG, CEP 39100-000, Brazil
- Neuroscience and Exercise Study Group (Grupo de Estudos em Neurociências e Exercício - GENE), UFVJM, Diamantina, MG, Brazil
- Multicenter Post Graduation Program in Physiological Sciences (PPGMCF), UFVJM, Brazilian Society of Physiology, Diamantina, MG, Brazil
| | - Samuel Henrique Pinto
- Physical Education Department, Federal University of the Valleys of Jequitinhonha and Mucuri (UFVJM), Rodovia MGT 367 - Km 583, n° 5000, Diamantina, MG, CEP 39100-000, Brazil
- Neuroscience and Exercise Study Group (Grupo de Estudos em Neurociências e Exercício - GENE), UFVJM, Diamantina, MG, Brazil
- Multicenter Post Graduation Program in Physiological Sciences (PPGMCF), UFVJM, Brazilian Society of Physiology, Diamantina, MG, Brazil
| | - Marco Fabrício Dias Peixoto
- Physical Education Department, Federal University of the Valleys of Jequitinhonha and Mucuri (UFVJM), Rodovia MGT 367 - Km 583, n° 5000, Diamantina, MG, CEP 39100-000, Brazil
- Neuroscience and Exercise Study Group (Grupo de Estudos em Neurociências e Exercício - GENE), UFVJM, Diamantina, MG, Brazil
- Post Graduation Program in Health Sciences (PPGCS), UFVJM, Diamantina, MG, Brazil
| | - Renato Sobral Monteiro-Junior
- Physical Education and Sport Department, State University of Montes Claros, Montes Claros, MG, Brazil
- Graduate Program of Health Sciences, State University of Montes Claros, Montes Claros, MG, Brazil
| | - Kelsey Bourbeau
- Department of Health, Exercise & Sports Sciences, University of New Mexico, Albuquerque, USA
| | - Ricardo Cardoso Cassilhas
- Physical Education Department, Federal University of the Valleys of Jequitinhonha and Mucuri (UFVJM), Rodovia MGT 367 - Km 583, n° 5000, Diamantina, MG, CEP 39100-000, Brazil.
- Neuroscience and Exercise Study Group (Grupo de Estudos em Neurociências e Exercício - GENE), UFVJM, Diamantina, MG, Brazil.
- Multicenter Post Graduation Program in Physiological Sciences (PPGMCF), UFVJM, Brazilian Society of Physiology, Diamantina, MG, Brazil.
- Post Graduation Program in Health Sciences (PPGCS), UFVJM, Diamantina, MG, Brazil.
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10
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Monteiro-Junior RS, Santos IRD, Machado FS. Intra- and inter-rater reliability of brain's activation area measurement on imagej: An easy and low-cost method for cognitive and neurophysiological studies. Alzheimers Dement 2022. [PMID: 34971093 DOI: 10.1002/alz.058591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
BACKGROUND Neuroimage is an important resource in cognitive neuroscience1 but its analysis is complex and requires reliable and affordable procedures. The present study sought to determine the intra- and inter-rater reliability of brain´s activation area of neuroimages obtained derived from an integrated EEG system equipment. METHOD The study follows the Declaration of Helsinki. Fifteen cerebral cortex images were obtained through Neurometry v6 (Bioevolution® , Brazilian National Health Surveillance Agency registration 81403519002)2,3 from 15 individuals above 60 years, who consented to participate of the study. This device consists of a 19-channel EEG (10-20 system). Amplitude of brain waves (delta, theta, alpha, beta, and gamma) are automatically processed, filtered and analyzed with Math Library MtxVec, LAPACK and Math Kernel BLAS with codes Streaming SIMD (SSE2, SSE3 and SSE4)2 . The neuroimages display different colors according to the amplitude of brain waves: brown/blue (low activation), green/yellow (moderate activation), and orange/red (high activation)2 . Images retrieved were exported and analyzed with the ImageJ software (National Institutes of Health, Bethesda, Maryland, USA) in 3 phases: 1st An experienced researcher (RSMJ) standardized Broadmann´s area as the region of interest (ROI); 2nd The researcher specified the brain´s activation area in accordance with colored regions (brown, blue, green, yellow, orange, and red) in the Broadmann´s area 10 (BA10) covering 1,391 pixels. Colors were covered using 2 ImageJ tools (polygon and freehand selections). In order to calculate the colored area of interest, pixels quantification was performed with a 400% magnification filter (Figure 1). The procedure was repeated 24h later for the intra-rater reliability; 3rd An inexperienced assessor (IRDS) independently performed the same procedure of the 2nd phase. Intraclass Correlation Coefficients (ICC3,1 and ICC3,k )4 were calculated to determine the intra- and inter-rater reproducibility. Typical Error of Measurement (TEM=SD∑difference between measures÷√2)5 was also calculated to quantify typical deviations from the right measure. RESULTS Intra- and inter-rater reliability were excellent (ICC=0.99, p<0.01) and good (ICC=0.82, p<0.01), respectively (Table 1). TEM varied from 4 to 17%. CONCLUSION Quantification of the brain´s activation area of neuroimages derived from Neurometry v6 using the ImageJ ROI is highly reliable, independently of the assessor´s experience.
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Affiliation(s)
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- State University of Montes Claros, Montes Claros, Brazil
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11
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Alves MR, Engedal K, Laks J, Rodrigues VD, Carneiro LSF, Alves Rodrigues ACDM, de Paula AMB, Monteiro-Junior RS. Acute response of prefrontal cortex in institutionalized older adults undergoing a single exergames session. IBRO Neurosci Rep 2021; 11:8-12. [PMID: 34939060 PMCID: PMC8664699 DOI: 10.1016/j.ibneur.2021.04.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 03/13/2021] [Accepted: 04/14/2021] [Indexed: 11/20/2022] Open
Abstract
Virtual reality-based exercise (exergames) improves cognition of the elderly but the neurophysiological effects are poorly understood. The hypothesis herein established is that an ultrafast neurophysiological adaptation occurs in prefrontal cortex of elderly after completion of a single exergames session. To reinforce the aforementioned hypothesis, individuals living in a Long-Term Care Home (LTCH) participated in the study and were randomly allocated into two groups (Virtual Reality Group, VRG, n = 5; and Active Control Group, ACG n = 5). VRG performed six exercises with exergames and ACG performed exercises with the same VRG movements but with no virtual reality. Assessment of frontal cortical activity at rest and during cognitive testing via electroencephalographic activity (EEG) was performed before and immediately after the intervention. Significant decrease in relative power of EEG (RPEEG) Beta brainwave (−29 ± 18%) in the left prefrontal cortex of VRG compared to ACG (4 ± 9%) (p = 0.007). A slight improvement on semantic fluency in VRG (ES=0.21) was noted. An ultrafast prefrontal cortical adaptation may occur as an effect of a single exergames session, causing a small improvement on cognition of institutionalized elderly.
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Affiliation(s)
- Mariana Rocha Alves
- Post-Graduate Program of Medicine (Neurology/Neuroscience), Federal Fluminense University, Niterói, Rio de Janeiro, Brazil
| | - Knut Engedal
- Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway
| | - Jerson Laks
- Psychiatry Institute, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Vinícius Dias Rodrigues
- Department of Physical Education, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
| | - Lara S F Carneiro
- Higher Institute of Educational Sciences (ISCE, Douro), Penafiel, Portugal.,University Institute of Maia (ISMAI), Maia, Portugal.,Research Centre in Sports Sciences, Health Sciences and Human Development, CIDESD, GERON Research Community, Portugal
| | | | - Alfredo Maurício B de Paula
- Post-graduate Program of Health Sciences, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
| | - Renato Sobral Monteiro-Junior
- Post-Graduate Program of Medicine (Neurology/Neuroscience), Federal Fluminense University, Niterói, Rio de Janeiro, Brazil.,Post-graduate Program of Health Sciences, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
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12
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Fagundes DF, Costa MT, Alves BBDS, Carneiro LSF, Nascimento OJM, Leão LL, Guimarães ALS, Paula AMBD, Monteiro-Junior RS. Dementia among older adults living in long-term care facilities: an epidemiological study. Dement Neuropsychol 2021; 15:464-469. [PMID: 35509803 PMCID: PMC9018080 DOI: 10.1590/1980-57642021dn15-040007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Accepted: 06/20/2021] [Indexed: 05/31/2023] Open
Abstract
Institutionalization has been associated with social isolation, psychological and cognitive changes, and decreased levels of physical activity in older adults.
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Affiliation(s)
- Daniel Ferreira Fagundes
- Centro de Ciências Biológicas e da Saúde, Brazil; Programa de Pós-graduação em Neurologia, Brazil
| | | | | | - Lara Souza Fernandes Carneiro
- Departamento de Ciências da Educação Física e Desporto, Portugal; Centro de Investigação em Desporto, Saúde e Desenvolvimento Humano, Portugal
| | | | | | | | | | - Renato Sobral Monteiro-Junior
- Centro de Ciências Biológicas e da Saúde, Brazil; Programa de Pós-graduação em Neurologia, Brazil; Programa de Pós-graduação em Ciências da Saúde, Brazil
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13
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Sousa RALD, Lima NSD, Amorim FT, Gripp F, Magalhães CODE, Pinto SH, Dias-Peixoto MF, Monteiro-Junior RS, Bourbeau K, Cassilhas RC. Endurance and high-intensity interval training improve the levels of anxiety and quality of life in overweight men. ACTA ACUST UNITED AC 2021; 67:1177-1181. [PMID: 34669866 DOI: 10.1590/1806-9282.20210608] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 07/18/2021] [Indexed: 11/22/2022]
Affiliation(s)
- Ricardo Augusto Leoni De Sousa
- Universidade Federal dos Vales do Jequitinhonha, Departamento de Educação Física - Diamantina (MG), Brazil.,Universidade Federal dos Vales do Jequitinhonha, Grupo de Estudos em Neurociência e Exercício - Diamantina (MG), Brazil.,Universidade Federal dos Vales do Jequitinhonha, Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas, Sociedade Brasileira de Fisiologia - Diamantina (MG), Brazil
| | - Neumir Sales de Lima
- Universidade Federal dos Vales do Jequitinhonha, Departamento de Educação Física - Diamantina (MG), Brazil.,Universidade Federal dos Vales do Jequitinhonha, Grupo de Estudos em Neurociência e Exercício - Diamantina (MG), Brazil.,Universidade Federal dos Vales do Jequitinhonha, Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas, Sociedade Brasileira de Fisiologia - Diamantina (MG), Brazil
| | - Fabiano Trigueiro Amorim
- University of New Mexico, Department of Health, Exercise & Sports Sciences - Albuquerque (NM), Estado Unidos
| | - Fernando Gripp
- Universidade Federal dos Vales do Jequitinhonha, Departamento de Educação Física - Diamantina (MG), Brazil.,Universidade Federal dos Vales do Jequitinhonha, Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas, Sociedade Brasileira de Fisiologia - Diamantina (MG), Brazil
| | - Caíque Olegário Diniz E Magalhães
- Universidade Federal dos Vales do Jequitinhonha, Departamento de Educação Física - Diamantina (MG), Brazil.,Universidade Federal dos Vales do Jequitinhonha, Grupo de Estudos em Neurociência e Exercício - Diamantina (MG), Brazil.,Universidade Federal dos Vales do Jequitinhonha, Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas, Sociedade Brasileira de Fisiologia - Diamantina (MG), Brazil
| | - Samuel Henrique Pinto
- Universidade Federal dos Vales do Jequitinhonha, Departamento de Educação Física - Diamantina (MG), Brazil.,Universidade Federal dos Vales do Jequitinhonha, Grupo de Estudos em Neurociência e Exercício - Diamantina (MG), Brazil.,Universidade Federal dos Vales do Jequitinhonha, Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas, Sociedade Brasileira de Fisiologia - Diamantina (MG), Brazil
| | - Marco Fabrício Dias-Peixoto
- Universidade Federal dos Vales do Jequitinhonha, Departamento de Educação Física - Diamantina (MG), Brazil.,Universidade Federal dos Vales do Jequitinhonha, Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas, Sociedade Brasileira de Fisiologia - Diamantina (MG), Brazil.,Universidade Federal dos Vales do Jequitinhonha, Programa de Pós-Graduação em Ciências da Saúde - Diamantina (MG), Brazil
| | - Renato Sobral Monteiro-Junior
- Universidade Estadual de Montes Claros, Departamento de Educação Física e Esporte - Montes Claros (MG), Brazil.,Universidade Estadual de Montes Claros, Programa de Pós-Graduação em Ciências da Saúde - Montes Claros (MG), Brazil
| | - Kelsey Bourbeau
- University of New Mexico, Department of Health, Exercise & Sports Sciences - Albuquerque (NM), Estado Unidos
| | - Ricardo Cardoso Cassilhas
- Universidade Federal dos Vales do Jequitinhonha, Departamento de Educação Física - Diamantina (MG), Brazil.,Universidade Federal dos Vales do Jequitinhonha, Grupo de Estudos em Neurociência e Exercício - Diamantina (MG), Brazil.,Universidade Federal dos Vales do Jequitinhonha, Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas, Sociedade Brasileira de Fisiologia - Diamantina (MG), Brazil.,Universidade Federal dos Vales do Jequitinhonha, Programa de Pós-Graduação em Ciências da Saúde - Diamantina (MG), Brazil
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14
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Barbosa EDO, Rodrigues ACDMA, Rodrigues VD, Pereira EL, Leao LL, Paula AMBD, Nascimento O, Monteiro-Junior RS. Move and play yourself: exergame preserves cognition of older adults as much as aerobic and strength training. J bras psiquiatr 2021. [DOI: 10.1590/0047-2085000000333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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15
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Leão LL, Engedal K, Monteiro-Junior RS, Tangen GG, Krogseth M. Malnutrition Is Associated With Impaired Functional Status in Older People Receiving Home Care Nursing Service. Front Nutr 2021; 8:684438. [PMID: 34195219 PMCID: PMC8236523 DOI: 10.3389/fnut.2021.684438] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Accepted: 05/10/2021] [Indexed: 12/23/2022] Open
Abstract
Objective: This study aimed to explore the magnitude and significance of associations among nutritional status, functional status, comorbidities, age, and gender in older adults receiving assistance from the in-home nursing care service. Method: In this cross-sectional study, 210 home-dwelling persons 65 years or older who received in-home nursing care service were evaluated. Demographic variables, nutritional status, comorbidities, and the dependency levels of activities of daily living were analyzed. To assess the correlation among the factors that influence nutritional status, a theoretical model was developed and adjusted using the path analysis model. Results: The primary finding is that functional status is directly associated with nutritional status (β = 0.32; p < 0.001) and severity of comorbidities is indirectly associated with nutritional status (β = −0.07; p < 0.017). Conclusion: The elicited outcomes in this study reinforce the concept that nutritional status is linked with functional status in older adults receiving in-home care nursing service.
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Affiliation(s)
- Luana Lemos Leão
- Graduate Program of Health Sciences, State University of Montes Claros, Montes Claros, Brazil
| | - Knut Engedal
- Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway.,Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway
| | - Renato Sobral Monteiro-Junior
- Graduate Program of Health Sciences, State University of Montes Claros, Montes Claros, Brazil.,Graduate Program of Medicine (Neurology/Neuroscience), Federal Fluminense University, Rio de Janeiro, Brazil
| | - Gro Gujord Tangen
- Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway.,Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway
| | - Maria Krogseth
- Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway.,Old Age Psychiatry Research Network, Telemark Hospital Trust and Vestfold Hospital Trust, Tønsberg, Norway.,Department of Nursing and Health Sciences, University of South-Eastern Norway, Drammen, Norway
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16
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Oliveira LM, Evangelista E Souza EH, Alves MR, Carneiro LSF, Fagundes DF, de Paula AMB, Engedal K, Nascimento OJM, Monteiro-Junior RS. 2D Virtual Reality-Based Exercise Improves Spatial Navigation in Institutionalized Non-robust Older Persons: A Preliminary Data Report of a Single-Blind, Randomized, and Controlled Study. Front Neurol 2021; 11:609988. [PMID: 33584510 PMCID: PMC7874171 DOI: 10.3389/fneur.2020.609988] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 12/15/2020] [Indexed: 11/13/2022] Open
Abstract
Background: Spatial navigation is a prodromal dementia marker. Exercise used alongside virtual reality improves many cognitive functions, but effects on spatial navigation are still unclear. Objective: To investigate the effect of virtual reality-based physical exercise with 2D exergames on spatial navigation in institutionalized non-robust older persons. Method: A total of 14 older persons (aged ≧ 60) were randomly allocated to the exergame (EG) and active control (ACG) groups. EG performed exercises with 2D exergames, while the ACG used the same movements as the EG, but without the use of virtual reality. Spatial navigation was assessed through the Floor Maze Test, where the immediate maze time (IMT) and delayed maze time (DMT) were recorded. Results: Spatial navigation was enhanced in EG participants compared to ACG individuals. A significant (p = 0.01) IMT reduction between groups was observed, while DMT time without prior planning was significantly different at the significance threshold (p = 0.07). Conclusions: Virtual reality-based exercise improves the spatial navigation of institutionalized non-robust older persons. This study should be replicated to confirm the findings reported herein. Clinical Trial Registration: This study was registered in the Brazilian Registry of Clinical Trials (Protocol RBR-8dv3kg - https://ensaiosclinicos.gov.br/rg/RBR-8dv3kg).
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Affiliation(s)
- Luciana Mendes Oliveira
- Graduate Program of Medicine (Neurology/Neurosciences), Federal Fluminense University, Niterói, Brazil
| | | | - Mariana Rocha Alves
- Graduate Program of Medicine (Neurology/Neurosciences), Federal Fluminense University, Niterói, Brazil
| | | | - Daniel Ferreira Fagundes
- Graduate Program of Medicine (Neurology/Neurosciences), Federal Fluminense University, Niterói, Brazil
| | | | - Knut Engedal
- Norwegian Advisory Unit for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway
| | - Osvaldo J M Nascimento
- Graduate Program of Medicine (Neurology/Neurosciences), Federal Fluminense University, Niterói, Brazil
| | - Renato Sobral Monteiro-Junior
- Graduate Program of Medicine (Neurology/Neurosciences), Federal Fluminense University, Niterói, Brazil.,Graduate Program of Health Sciences, Montes Claros State University, Montes Claros, Brazil
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17
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Souza OTD, Machado FSM, Carneiro LSRDSF, Rodrigues VD, Silva CSDOE, Leão LL, Monteiro-Junior RS. Acute effects of 2D exergame on cognitive functions and frontal cortical activity. Rev Bras Ciênc Esporte 2021. [DOI: 10.1590/rbce.43.e011720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT This study aims to evaluate the effect of an exercise with a 2D virtual reality session on the cognition and cortical activity of young males. This is a randomized controlled trial with ten men aged 18 to 23 years. They were randomly assigned under two conditions: 1) exercise session with 2D virtual reality games and 2) control, which consisted of watching a two-episode video of a comic TV show. Cognition and frontal cortical activity were assessed immediately before and after the intervention, using the Mindset, performing the Digit Span Test, semantic verbal fluency, and executive function. Executive function improved with the exergame session (p=0.025). Exergames partially promote an immediate increase in the executive function of young people.
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18
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Leão LL, Felício LFF, Engedal K, Tangen GG, Kristiansen KM, Santos SHS, de Paula AMB, Monteiro-Junior RS. The Link between Exercise and Homocysteine in the Alzheimer's Disease: A Bioinformatic Network Model. CNS Neurol Disord Drug Targets 2021; 20:814-821. [PMID: 34852739 DOI: 10.2174/1871527320666210706122618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 02/15/2021] [Accepted: 03/08/2021] [Indexed: 06/13/2023]
Abstract
Elevated peripheral expression of homocysteine (Hcy) is associated with an increased risk of coronary heart disease and stroke, diabetes, and cancer. It is also associated with cognitive impairment as it has been reported that high levels of Hcy cause cognitive dysfunction and memory deficit. Among several etiological factors that contribute to the pathogenesis of neurodegenerative diseases, including Alzheimer's disease (AD), Hcy seems to directly contribute to the generation of neurotoxicity factors. This study aims to hypothesize the molecular mechanism by which exercise can reduce the risk of neurological complications promoted by hyperhomocysteinemia (HHcy), and discuss how exercise could reduce the risk of developing AD by using bioinformatics network models. According to the genes network, there are connections between proteins and amino acids associated with Hcy, exercise, and AD. Studies have evidenced that exercise may be one of several processes by which acid nitric availability can be maximized in the human body, which is particularly important in reducing cell loss and tau pathology and, thereby, leading to a reduced risk of complications associated with HHcy and AD.
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Affiliation(s)
- Luana Lemos Leão
- Graduate Program of Health Sciences, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
| | | | - Knut Engedal
- Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway
| | - Gro Gujord Tangen
- Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway
| | - Kari Midtbø Kristiansen
- Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway
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19
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Xavier-Rocha TB, Carneiro L, Martins GC, Vilela-JÚnior GDB, Passos RP, Pupe CCB, Nascimento OJMD, Haikal DS, Monteiro-Junior RS. The Xbox/Kinect use in poststroke rehabilitation settings: a systematic review. Arq Neuropsiquiatr 2020; 78:361-369. [PMID: 32520231 DOI: 10.1590/0004-282x20200012] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Accepted: 12/15/2019] [Indexed: 11/22/2022]
Abstract
BACKGROUND Active games based on virtual reality have been widely used in the rehabilitation of many clinical conditions. However, studies on the use of Xbox/Kinect are rare, and technology application in stroke treatment is not clear yet. OBJECTIVE To verify the outcomes (O) analyzed in randomized controlled trials (C; S) that investigated the use of Xbox/Kinect (I) in patients with stroke (P). METHODS This is a systematic literature review that meets PRISMA standards and the eligibility criteria according to the PICOS strategy. The search procedure was performed by two researchers. The research strategy was repeated in case of divergence. Effect size was calculated by Cohen's formula and Hopkins rank. The risk of individual bias was assessed using PEDro Score and Higgins Classification. RESULTS The main outcomes were postural balance and activities of daily living, with four studies addressing these variables. However, only one study showed the effect of Xbox/Kinect intervention on balance as large, as in two other studies evaluating manual dexterity and depression, respectively. CONCLUSION The greater use of Xbox/Kinect in treating patients after stroke is in recovery of balance and motor function, and the evidence support its application. These findings enable the use of virtual reality technology through Xbox/Kinect in rehabilitation programs, focusing on postural balance and motor skills. However, conclusive results are still not possible. Therefore, caution in the use of this technology is required.
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Affiliation(s)
- Túlio Brandão Xavier-Rocha
- Universidade Federal Fluminense, Programa de Pós-Graduação em Neurociências/Neurologia, Rio de Janeiro RJ, Brasil.,Centro Universitário FIPMoc, Montes Claros MG, Brasil
| | - Lara Carneiro
- Higher Institute of Educational Sciences, Penafiel, Portugal.,University Institute of Maia, Maia, Portugal.,Research Centre in Sports Sciences, Health Sciences and Human Development, CIDESD, GERON Research Community, Portugal
| | - Gustavo Celestino Martins
- Universidade Metodista de Piracicaba, Programa de Pós-Graduação em Ciências do Movimento Humano, São Paulo SP, Brasil
| | | | - Ricardo Pablo Passos
- Universidade Metodista de Piracicaba, Programa de Pós-Graduação em Ciências do Movimento Humano, São Paulo SP, Brasil
| | - Camila Castelo Branco Pupe
- Universidade Federal Fluminense, Programa de Pós-Graduação em Neurociências/Neurologia, Rio de Janeiro RJ, Brasil
| | | | - Desirée Sant'Ana Haikal
- Universidade Estadual de Montes Claros, Programa de Pós-Graduação em Ciências da Saúde, Montes Claros MG, Brasil
| | - Renato Sobral Monteiro-Junior
- Universidade Federal Fluminense, Programa de Pós-Graduação em Neurociências/Neurologia, Rio de Janeiro RJ, Brasil.,Universidade Estadual de Montes Claros, Programa de Pós-Graduação em Ciências da Saúde, Montes Claros MG, Brasil
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20
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Freitas AS, Silveira MF, Santana JJFD, D'Ângelo MFSV, Haikal DS, Monteiro-Junior RS. NEW REFERENCE PARAMETERS FOR BODY MASS INDEX IN CHILDREN AGED SIX TO TEN YEARS. ACTA ACUST UNITED AC 2020; 39:e2019129. [PMID: 32756759 PMCID: PMC7401500 DOI: 10.1590/1984-0462/2021/39/2019129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2019] [Accepted: 08/07/2019] [Indexed: 11/28/2022]
Abstract
Objective: To determine new body mass index (BMI) reference values to classify the
nutritional status of children aged six to ten years old from the city of
Montes Claros (state of Minas Gerais), Southeast Brazil. Methods: The sample consisted of 3,863 individuals from both genders. Body mass and
height were measured to determine the BMI. We adopted the Lambda, Mu, and
Sigma (LMS) method to obtain the cut-off points. After that, each stratum
curve was smoothed using quartic polynomials by gender. Average
interpolation was used to determine the biannual distribution values. We
calculated the 3rd, 85th, and 95th centiles
to classify underweight, overweight, and obesity, respectively, according to
gender and age. Results: After tabulating the LMS parameters at biannual intervals by gender, we
plotted a graphic with seven centiles of BMI distribution and calculated the
new BMI parameters for children aged 6-10 years old from the city of Montes
Claros. The cut-off values for underweight, overweight, and obesity
classification were, respectively, 17.5, 25 and 30 kg/m2. Conclusions: For the studied children, the use of traditional BMI references may result
in the overestimation of underweight and underestimation of overweight and
obesity. Studies should be carried out with periodic updates, respecting the
characteristics of each location in order to use BMI reference values to
classify the nutritional status of children and adolescents.
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Monteiro-Junior RS. New connections, new horizons: Jornal Brasileiro de Psiquiatria and Neuroscience. J bras psiquiatr 2020. [DOI: 10.1590/0047-2085000000272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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22
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Almeida CABD, Figueiredo LFDS, Plácido J, Silva FDO, Maciel-Pinheiro PDT, Monteiro-Junior RS, Deslandes AC, Laks J. Floor Maze Test as a predictor of cognitive decline in older adults living in nursing homes. J bras psiquiatr 2020. [DOI: 10.1590/0047-2085000000271] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
ABSTRACT Objective Long-term care facilities (LTCF) are associated with an increased risk of cognitive decline and impairment in spatial navigation abilities. Recent studies have demonstrated that spatial navigation as a complex skill, involving cognitive and motor functions, emerging as a new marker for the progression of dementia. The present study aims to compare spatial navigation in healthy, institutionalized, and AD elderly subjects. Methods In a cross-sectional study, we evaluated 78 elderly individuals (healthy = 37, AD = 22, institutionalized = 19) using the Mini-Mental State Examination (MMSE), Floor Maze Test (FMT) and 8-foot-up-and-gotest (8UG) to assess global cognitive function, spatial navigation and motor function, respectively. Results In the FMT, the immediate maze time (IMT) and delay maze time (DMT) were significantly shorter in the healthy group than those of the institutionalized and AD groups ( X 2 = 31.23; p < 0.01) and ( X 2 = 41.21; p < 0.01), while there were no significant differences between the AD and institutionalized groups in terms of the DMT and MMSE results. However, the institutionalized group showed worse results in terms of IMT (p < 0.01) and 8UG (p < 0.01) than those in the dementia group. Conclusion Our results indicate that both institutionalized older people and patients with Dementia have a deficit in the spatial navigation ability, cognitive functions and motor skills. We should consider that there might be a possibility of underdiagnosis in institutionalized older people.
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Affiliation(s)
| | | | | | | | | | | | | | - Jerson Laks
- Federal University of Rio de Janeiro, Brazil; University Center UniCBE, Brazil
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23
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Monteiro-Junior RS. COVID-19: Thinking about further mental and neurological disorders. Med Hypotheses 2020; 143:109894. [PMID: 32492561 PMCID: PMC7258814 DOI: 10.1016/j.mehy.2020.109894] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 05/17/2020] [Accepted: 05/27/2020] [Indexed: 11/04/2022]
Affiliation(s)
- Renato Sobral Monteiro-Junior
- Postgraduate Program of Health Sciences, Montes Claros State University, Montes Claros, Minas Gerais, Brazil; Head of the Neuroscience of Exercise Institute, Aroldo Tourinho Hospital, Minas Gerais, Brazil.
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24
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Rodrigues ACDMA, Tinini RCDR, Gatica-Rojas V, Deslandes AC, Pereira EL, de Rezende LF, Maillot P, Cassilhas RC, Monteiro-Junior RS. Motor-cognitive dual-task performance of older women evaluated using Wii Balance Board. Aging Clin Exp Res 2020; 32:907-912. [PMID: 31332739 DOI: 10.1007/s40520-019-01270-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2019] [Accepted: 07/04/2019] [Indexed: 11/25/2022]
Abstract
BACKGROUND Single- and dual-tasks are influenced by age-related impaired postural balance. Aim of this study was to analyze the Center of Pressure (CoP) oscillation during static balance in the presence or absence of cognitive task on older women. METHODS Thirty-one healthy older women were assessed in a stand quiet position with open/closed eyes (single-task, OE and CE) and with cognitive task (dual-task, DT) through Wii Balance Board. Sway area, total displacement and CoP oscillation (CO) based on the number of times that CoP traveled through anteroposterior and mediolateral directions. Friedman test was used to compare OE, CE and DT. Dual-task interference percentage was used to quantify the cognitive load on balance whereas Spearman correlation coefficient was used to assess the association of cognitive domains and CO. RESULTS The CO was significantly higher in DT than in single-tasks and participants were unable to maintain their limits of stability in mediolateral direction. The cost of DT interference was 30.5%, which is partially explained by the deviation of attention from postural control to spatial and temporal orientation. CONCLUSION Our findings show that cognitive load during DT impairs balance in mediolateral direction, thus indicating the use of WBB to assess cognitive interference on postural control.
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Affiliation(s)
- Ana Carolina de Mello Alves Rodrigues
- Postgraduate Program of Health Sciences (PPGCS), State University of Montes Claros, Montes Claros, MG, Brazil
- Department of Physiotherapy, Faculty Santo Agostinho, Montes Claros, MG, Brazil
| | | | - Valeska Gatica-Rojas
- Human Motor Control Laboratory, Department of Human Movement Sciences, Faculty of Health Sciences, Interdisciplinary Excellence Research Program On Healthy Aging (PIEI-ES), Universidad de Talca, Talca, Chile
| | - Andréa Camaz Deslandes
- Post-Graduation Program of Psychiatry and Mental Health, Psychiatry Institute, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Ester Liberato Pereira
- Departament of Physical Education, State University of Montes Claros, Montes Claros, MG, Brazil
| | - Luiz Fernando de Rezende
- Postgraduate Program of Health Sciences (PPGCS), State University of Montes Claros, Montes Claros, MG, Brazil
| | - Pauline Maillot
- Université Paris Descartes, Sorbonne Paris Cité, Laboratoire TEC EA 3625, Paris, France
| | - Ricardo Cardoso Cassilhas
- Department of Physical Education, Federal University of Vales Do Jequitinhonha E Mucuri (UFVJM), Diamantina, MG, Brazil
| | - Renato Sobral Monteiro-Junior
- Postgraduate Program of Health Sciences (PPGCS), State University of Montes Claros, Montes Claros, MG, Brazil.
- Departament of Physical Education, State University of Montes Claros, Montes Claros, MG, Brazil.
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25
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Cordeiro HIP, de Mello Alves Rodrigues AC, Alves MR, Gatica-Rojas V, Maillot P, de Moraes Pimentel D, de Rezende LF, Rodrigues VD, de Fátima Matos Maia M, Carneiro LSF, Monteiro-Junior RS. Exercise with active video game or strength/balance training? Case reports comparing postural balance of older women. Aging Clin Exp Res 2020; 32:543-545. [PMID: 31124058 DOI: 10.1007/s40520-019-01219-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2019] [Accepted: 05/08/2019] [Indexed: 01/01/2023]
Affiliation(s)
| | - Ana Carolina de Mello Alves Rodrigues
- Physical Activity, Physiotherapy, and Health Office (CAFS), Montes Claros, Minas Gerais, Brazil
- Graduate Program of Health Sciences, Universidade Estadual de Montes Claros, Montes Claros, Minas Gerais, Brazil
| | - Mariana Rocha Alves
- Graduate Program of Neurology, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
| | | | - Pauline Maillot
- UFR de Sciences et Techniques des Activités Physiques et Sportives de Paris, Université Paris Descartes, Paris, France
| | - Daniel de Moraes Pimentel
- Physical Education and Sport Department, Universidade Estadual de Montes Claros, Av. Rui Barbosa, 126, Campus Universitário Professor Darcy Ribeiro, Vila Mauricéia, Montes Claros, Minas Gerais, Brazil
| | - Luiz Fernando de Rezende
- Graduate Program of Health Sciences, Universidade Estadual de Montes Claros, Montes Claros, Minas Gerais, Brazil
| | - Vinícius Dias Rodrigues
- Physical Education and Sport Department, Universidade Estadual de Montes Claros, Av. Rui Barbosa, 126, Campus Universitário Professor Darcy Ribeiro, Vila Mauricéia, Montes Claros, Minas Gerais, Brazil
| | - Maria de Fátima Matos Maia
- Physical Education and Sport Department, Universidade Estadual de Montes Claros, Av. Rui Barbosa, 126, Campus Universitário Professor Darcy Ribeiro, Vila Mauricéia, Montes Claros, Minas Gerais, Brazil
| | - Lara S F Carneiro
- Research Centre in Sports Sciences, Health Sciences and Human Development, CIDESD, GERON Research Community, Vila Real, Portugal
- University Institute of Maia, ISMAI, Maia, Portugal
| | - Renato Sobral Monteiro-Junior
- Physical Activity, Physiotherapy, and Health Office (CAFS), Montes Claros, Minas Gerais, Brazil.
- Physical Education and Sport Department, Universidade Estadual de Montes Claros, Av. Rui Barbosa, 126, Campus Universitário Professor Darcy Ribeiro, Vila Mauricéia, Montes Claros, Minas Gerais, Brazil.
- Graduate Program of Neurology, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil.
- Human Motor Control Laboratory, Universidad de Talca, Talca, Maule, Chile.
- Graduate Program of Health Sciences, Universidade Estadual de Montes Claros, Montes Claros, Minas Gerais, Brazil.
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26
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Sousa JN, Paraíso AF, Andrade JMO, Lelis DF, Santos EM, Lima JP, Monteiro-Junior RS, D'Angelo MFSV, de Paula AMB, Guimarães ALS, Santos SHS. Oral gallic acid improve liver steatosis and metabolism modulating hepatic lipogenic markers in obese mice. Exp Gerontol 2020; 134:110881. [PMID: 32084535 DOI: 10.1016/j.exger.2020.110881] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2019] [Revised: 02/14/2020] [Accepted: 02/16/2020] [Indexed: 12/13/2022]
Abstract
INTRODUCTION Gallic acid (GA) is a natural endogenous polyphenol found in a variety of fruits, vegetables and wines, with beneficial effects on the energetic homeostasis. AIM The present study aimed to investigate oral gallic acid effects on liver steatosis and hepatic lipogenesis markers in obese mice evaluating new possible molecular related mechanisms. METHODS Twenty-four Swiss male mice were divided into four groups and fed for 60 days with standard diet (ST), standard diet plus gallic acid (ST + GA), high-fat diet (HFD), and high-fat diet plus gallic acid (HFD + GA). We evaluated the relationship between body weight, food intake and serum levels of total cholesterol, triglycerides, insulin, aspartate and alanine transaminases. Liver histology was analyzed by hematoxylin and eosin staining. These results were accompanied by bioinformatics analyses. The acetyl-CoA carboxylase (ACC), sterol regulatory element binding protein-1 (SREBP-1) and fatty acid synthase (FAS) expression was assessed by quantitative real-time reverse transcriptase PCR (qRT-PCR). RESULTS The main findings of the present study showed that GA reduced liver steatosis, body weight and plasma insulin levels. Analyzes of hepatic steatosis related genes expression showed that ACC and FAS mRNA were significantly suppressed in liver of HFD + GA mice. These data was corroborated by bioinformatics analysis. CONCLUSION These data suggest an important clinical application of GA in the prevention and treatment of liver diseases.
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Affiliation(s)
- Jaciara Neves Sousa
- Laboratory of Health Science, Post graduate Program in Health Science, Universidade Estadual de Montes Claros (Unimontes), Minas Gerais, Brazil
| | | | - João Marcus Oliveira Andrade
- Laboratory of Health Science, Post graduate Program in Health Science, Universidade Estadual de Montes Claros (Unimontes), Minas Gerais, Brazil; Departament of Nursing, Faculdades Santo Agostinho, Montes Claros, Minas Gerais, Brazil
| | - Deborah Farias Lelis
- Laboratory of Health Science, Post graduate Program in Health Science, Universidade Estadual de Montes Claros (Unimontes), Minas Gerais, Brazil
| | - Eloá Mangabeira Santos
- Laboratory of Health Science, Post graduate Program in Health Science, Universidade Estadual de Montes Claros (Unimontes), Minas Gerais, Brazil; Departament of Nursing, Faculdades Santo Agostinho, Montes Claros, Minas Gerais, Brazil
| | - Juliana Pinto Lima
- Institute of Agricultural Sciences (ICA), Food Engineering, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | - Renato Sobral Monteiro-Junior
- Laboratory of Health Science, Post graduate Program in Health Science, Universidade Estadual de Montes Claros (Unimontes), Minas Gerais, Brazil
| | | | - Alfredo Mauricio Batista de Paula
- Laboratory of Health Science, Post graduate Program in Health Science, Universidade Estadual de Montes Claros (Unimontes), Minas Gerais, Brazil
| | - André Luiz Sena Guimarães
- Laboratory of Health Science, Post graduate Program in Health Science, Universidade Estadual de Montes Claros (Unimontes), Minas Gerais, Brazil
| | - Sérgio Henrique Sousa Santos
- Laboratory of Health Science, Post graduate Program in Health Science, Universidade Estadual de Montes Claros (Unimontes), Minas Gerais, Brazil; Institute of Agricultural Sciences (ICA), Food Engineering, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.
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27
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Leão LL, Tangen G, Barca ML, Engedal K, Santos SHS, Machado FSM, de Paula AMB, Monteiro-Junior RS. Does hyperglycemia downregulate glucose transporters in the brain? Med Hypotheses 2020; 139:109614. [PMID: 32087490 DOI: 10.1016/j.mehy.2020.109614] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2019] [Revised: 01/30/2020] [Accepted: 02/05/2020] [Indexed: 12/11/2022]
Abstract
Diabetes is a metabolic condition associated with hyperglycemia manifested by the elevation of blood glucose levels occurring when the pancreas decreases or stops the production of insulin, in case of insulin resistance or both. The current literature supports that insulin resistance may be responsible for the memory decline associated with diabetes. Glucose transporters (GLUTs) are a family of proteins involved in glucose transport across biological membranes. GLUT-1 and GLUT-3 are involved in glucose delivery to the brain. Evidence suggests that both transporters are downregulated in chronic peripheral hyperglycemia. Here we show the mechanisms of glucose transport and its influence on cognitive function, including a hypothesis of how peripheral hyperglycemia related genes network interactions may lead to glucose transporters downregulation and its possible consequences.
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Affiliation(s)
- Luana Lemos Leão
- Post-graduate Program of Health Sciences, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
| | - Gro Tangen
- Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway
| | - Maria Lage Barca
- Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway
| | - Knut Engedal
- Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway
| | - Sérgio Henrique S Santos
- Post-graduate Program of Health Sciences, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil; Institute of Agricultural Sciences, Universidade Federal de Minas Gerais, Brazil
| | - Frederico Sander M Machado
- Post-graduate Program of Health Sciences, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
| | - Alfredo Maurício B de Paula
- Post-graduate Program of Health Sciences, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
| | - Renato Sobral Monteiro-Junior
- Post-graduate Program of Health Sciences, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil; Post-Graduate Program of Medicine (Neurology/Neuroscience), Federal Fluminense University, Niterói, Rio de Janeiro, Brazil; Neuroscience of Exercise Institute, Aroldo Tourinho Hospital, Montes Claros, MG, Brazil.
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28
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Ferreira JV, Araujo NBD, Oliveira FD, Plácido J, Anna PS, Monteiro-Junior RS, Marinho V, Laks J, Deslandes A. Dual task in healthy elderly, depressive and Alzheimer’s disease patients. J bras psiquiatr 2019. [DOI: 10.1590/0047-2085000000247] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
ABSTRACT Objective To investigate whether the DT performance can be affected by the diagnosis of major depressive disorder (MDD) and Alzheimer’s disease (AD). Methods Cross-sectional data with 108 individuals [Healthy (HE) = 56, MDD =19, AD = 33] aged 60 and older of both sexes diagnosis with AD, MDD, and HE without a clinical diagnosis of mental disorders, residents of the city of Rio de Janeiro. DT performance, was measured by mean velocity (m/s), DT cost and the number of evoked words (DTanimals). One-way ANOVA was used to compare groups. In addition, a logistic regression was used to verify the association between the performance in the DT variables and the risk of MD and AD, controlled by age and scholarity. Results There was a significant difference between the HE and AD groups in the DT variables. The worst performance in the DTC and DTanimals variables increased risk of AD, regardless of age and scholarity (DTC, OR = 5.6, 95% CI = 1.4-22.2, p = 0.01 and DTanimals, OR = 3.6, 95% CI = 0.97-14.0, p = 0.05). Conclusion The ability to perform two tasks simultaneously appears to be impaired in patients with Alzheimer’s disease, and unaffected by the major depressive disorder.
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Affiliation(s)
| | | | | | | | | | | | | | - Jerson Laks
- Federal University of Rio de Janeiro, Brazil
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29
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Costa MTS, Vieira LP, Barbosa EDO, Mendes Oliveira L, Maillot P, Otero Vaghetti CA, Giovani Carta M, Machado S, Gatica-Rojas V, Monteiro-Junior RS. Virtual Reality-Based Exercise with Exergames as Medicine in Different Contexts: A Short Review. Clin Pract Epidemiol Ment Health 2019; 15:74. [PMID: 31929825 PMCID: PMC6935943 DOI: 10.2174/1745017901915010074] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Marcos Túlio Silva Costa
- Department of Internal Medicine, Faculty of Medicine, State University of Montes Claros, Montes Claros, Brazil
| | - Lanna Pinheiro Vieira
- Department of Internal Medicine, Faculty of Medicine, State University of Montes Claros, Montes Claros, Brazil
| | | | - Luciana Mendes Oliveira
- Department of Physical Education, State University of Montes Claros, Montes Claros, Brazil.,Departament of Neurology, Faculty of Medicine, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
| | - Pauline Maillot
- UFR de Sciences et Techniques des Activités Physiques et Sportives de Paris, Université Paris Descartes, Paris, France
| | | | | | - Sérgio Machado
- Departament of Physical Activity Science, Universidade Salgado de Oliveira, Niterói, Rio de Janeiro, Brazil
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Plácido J, Ferreira JV, Oliveira F, Santana P, Monteiro-Junior RS, Laks J, Deslandes AC. Functional Capacity, Cognition And Spatial Navigation In Older Adults With Mild Cognitive Impairment. Med Sci Sports Exerc 2019. [DOI: 10.1249/01.mss.0000560820.62989.b8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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31
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Araujo JL, Plácido J, Ferreira JV, Oliveira F, Monteiro-Junior RS, Laks J, Deslandes AC. Accuracy Of Dual Task To Distinguish Elderly With Alzheimer's From Healthy Controls. Med Sci Sports Exerc 2019. [DOI: 10.1249/01.mss.0000563053.68854.5d] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Plácido J, Ferreira JV, de Oliveira F, Sant'Anna P, Monteiro-Junior RS, Laks J, Deslandes AC. Association among 2-min step test, functional level and diagnosis of dementia. Dement Neuropsychol 2019; 13:97-103. [PMID: 31073385 PMCID: PMC6497027 DOI: 10.1590/1980-57642018dn13-010011] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Aerobic capacity declines significantly throughout life, beginning at the age of 30 years and accelerating from 60 years, where a decline of 17% per decade is expected thereafter. Objective To investigate the association between aerobic capacity and a diagnosis of mild cognitive impairment (MCI), mild AD or moderate AD in older adults, considering the risk classification of functional loss of the Step test. Methods In this cross-sectional study, 93 patients (age >60 years) were evaluated (Healthy=36; MCI=18, AD=39). The step test was used to assess aerobic capacity, while overall cognitive status was measured using the MMSE. The groups were divided according to the risk classifications of functional loss into below or above the standard cut-off point for aerobic capacity. Results Subjects in the functional loss risk group were approximately ten to fourteen times more likely to be diagnosed with mild (OR:10.7; p=0.001) or moderate (OR.=14.7; p=0.002) AD than their fitter counterparts. Low aerobic fitness was also associated with the MCI condition (OR=4.5; p=0.05), but only after controlling for educational level, age and sex. In the overall sample (N=93), there was an association between aerobic capacity and MMSE performance (R2=0.35; p<0.001) after controlling for confounding variables. Conclusion low aerobic capacity was associated with cognitive decline, and older adults at risk of functional loss on the STEP test had greater chance of being diagnosed with MCI or AD after controlling for age, sex and education.
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Affiliation(s)
- Jessica Plácido
- BSc, Laboratory of Neuroscience of exercise (LANeX), Institute of Psychiatry, Federal University of Rio de Janeiro (UFRJ), RJ, Brazil
| | - José Vinicius Ferreira
- MSc, Laboratory of Neuroscience of exercise (LaNEx), Institute of Psychiatry, Federal University of Rio de Janeiro (UFRJ), RJ, Brazil
| | - Felipe de Oliveira
- BSc, Laboratory of Neuroscience of exercise (LaNEx), State University of Rio de Janeiro (UERJ), RJ, Brazil
| | - Paula Sant'Anna
- BSc, Laboratory of Neuroscience of exercise (LaNEx), Institute of Psychiatry, Federal University of Rio de Janeiro (UFRJ), RJ, Brazil
| | | | - Jerson Laks
- MD, PhD, Professor, Institute of Psychiatry, Federal University of Rio de Janeiro (UFRJ), RJ, Brazil
| | - Andrea C Deslandes
- PhD, Professor, Laboratory of Neuroscience of exercise (LaNEx), Institute of Psychiatry, Federal University of Rio de Janeiro (UFRJ), RJ, Brazil
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Costa MTS, Vieira LP, Barbosa EDO, Mendes Oliveira L, Maillot P, Otero Vaghetti CA, Giovani Carta M, Machado S, Gatica-Rojas V, Monteiro-Junior RS. Virtual Reality-Based Exercise with Exergames as Medicine in Different Contexts: A Short Review. Clin Pract Epidemiol Ment Health 2019; 15:15-20. [PMID: 30972138 PMCID: PMC6407662 DOI: 10.2174/1745017901915010015] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Revised: 12/08/2018] [Accepted: 12/24/2018] [Indexed: 04/30/2023]
Abstract
There is enough evidence that, nowadays, the sedentary lifestyle is one of the major health problems worldwide, linked to many chronic diseases, including mental comorbidities, systemic hypertension, metabolic dysregulation, and cancer. Although health societies recommend engagement to physical activities, there is an overwhelming number of people remaining sedentary, even knowing the health benefits of regular exercises. One of the main factors that justifies this scenario is the lack of motivation, which is a barrier to people intended to start new habits for health. Considering this previous information, new alternatives for exercises may help people engage in a healthier lifestyle. Technology has contributed to this with devices that allow movements based on virtual reality approaches, including the exergames. These are games available even in commercial devices, as video-games, that allow people to work with different physical components. Furthermore, exergames add cognitive gain through its dual-task characteristic. Moreover, due to the combination of these benefits, they are feasible to acquire, and easy to use. Exergames are not only a potential strategy to reduce sedentary lifestyle but also a good method to improve health gains and rehabilitation in different populations and pathological conditions: older adults, stroke survivors, and Parkinson's disease. In this review, we aim to demonstrate some conditions that literature supports the intervention with exergames due to its physical and cognitive benefits. Furthermore, at the end of this review, we also explore the neurobiological mechanisms behind virtual-reality based exercises.
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Affiliation(s)
- Marcos Túlio Silva Costa
- Department of Internal Medicine, Faculty of Medicine, State University of Montes Claros, Montes Claros, Brazil
| | - Lanna Pinheiro Vieira
- Department of Internal Medicine, Faculty of Medicine, State University of Montes Claros, Montes Claros, Brazil
| | | | - Luciana Mendes Oliveira
- Department of Physical Education, State University of Montes Claros, Montes Claros, Brazil
- Departament of Neurology, Faculty of Medicine, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
| | - Pauline Maillot
- UFR de Sciences et Techniques des Activités Physiques et Sportives de Paris, Université Paris Descartes, Paris, France
| | | | | | - Sérgio Machado
- Departament of Physical Activity Science, Universidade Salgado de Oliveira, Niterói, Rio de Janeiro, Brazil
| | | | - Renato Sobral Monteiro-Junior
- Department of Physical Education, State University of Montes Claros, Montes Claros, Brazil
- Address correspondence to this author at the Department of Physical Education, State University of Montes Claros, Montes Claros, Brazil; Tel: +55383229-8000; E-mail:
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Medeiros MRB, de Mello Alves Rodrigues AC, Alves MR, Silva RCFE, Felício LFF, Carneiro LSF, Fagundes DF, Machado S, Monteiro-Junior RS. Bibliometrics of CNS & Neurological Disorders - Drug Targets: An International Evolution Along Time. CNS Neurol Disord Drug Targets 2018; 18:239-244. [PMID: 30588889 DOI: 10.2174/1871527318666181227123924] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2018] [Revised: 12/08/2018] [Accepted: 12/12/2018] [Indexed: 11/22/2022]
Abstract
OBJECTIVE AND METHOD To investigate trends in the scientific evolution of the journal CNS & Neurological Disorders - Drug Targets in the neuroscience scope, we compared the contribution of publications between this journal and others from different geographical regions of the world. To track research output we conducted a bibliometric analysis of neuroscience research based on the SCimago Journal and Country Rank® from 2003 to 2017. Journal rankings were verified according to the following inclusion criteria: journals publishing the neuroscience scope and sub-areas; geographical location and journal trajectory. Additionally, the total number of original, peer-reviewed and conference articles was analyzed using bibliometric tools. RESULTS Results showed that Europe, North America and the Middle East have been the greatest contributors of neuroscience publications. Nevertheless, there is a huge discrepancy in the number of journals per region. Until 2017, Europe was on top with 85 journals in the neuroscience field. Moreover, research on neuroscience displayed a swift expanding trend, with significant growth in recent years. CONCLUSION In spite of CNS & Neurological Disorders - Drug Targets being a recent journal, it is an international journal emphasizing quality and innovations, and it is a hallmark on the scientific production in neuroscience. Research articles on the scope of the potential role of endocannabinoid systems in central appetite control and in obesity management and the potential of minocycline use in schizophrenia are paramount examples of innovation. Final results will help scientific researchers to know the current interests in neuroscience and provide useful information for further investigation and publication strategies.
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Affiliation(s)
| | | | - Mariana Rocha Alves
- Departament of Physical Education, State University of Montes Claros, Montes Claros, Brazil
| | | | | | - Lara S F Carneiro
- Research Centre in Sports Sciences, Health Sciences and Human Development, CIDESD, GERON Research Community, Portugal.,University Institute of Maia, ISMAI, Maia, Portugal
| | - Daniel Ferreira Fagundes
- Post-Graduate Programo of Health Sciences, State University of Montes Claros, Montes Claros, Brazil
| | - Sérgio Machado
- Universidade Salgado de Oliveira, Niteroi, Rio de Janeiro, Brazil
| | - Renato Sobral Monteiro-Junior
- Post-Graduate Programo of Health Sciences, State University of Montes Claros, Montes Claros, Brazil.,Departament of Physical Education, State University of Montes Claros, Montes Claros, Brazil.,Federal Fluminense University, Rio de Janeiro, Brazil
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Monteiro-Junior RS, de Tarso Maciel-Pinheiro P, da Matta Mello Portugal E, da Silva Figueiredo LF, Terra R, Carneiro LSF, Rodrigues VD, Nascimento OJM, Deslandes AC, Laks J. Effect of Exercise on Inflammatory Profile of Older Persons: Systematic Review and Meta-Analyses. J Phys Act Health 2018; 15:64-71. [PMID: 28771081 DOI: 10.1123/jpah.2016-0735] [Citation(s) in RCA: 70] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND Inflammatory cytokines and acute phase proteins increase with aging, promoting a chronic low-grade inflammation. Studies have shown a positive effect of exercise on inflammatory markers in older persons. Interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), and C-reactive protein (CRP) are the main biomarkers investigated. However, it is unclear if exercise could decrease all these biomarkers. PURPOSE The aim was to analyze the effect of chronic exercise on IL-6, TNF-α, and CRP levels in older persons. METHODS Preferred Reporting Items in Systematic Reviews and Meta-analyses guidelines were adopted. Original articles that investigated the effect of chronic exercise on inflammatory profile of the elderly persons were eligible for this review. The databases PubMed, PEDro, EBSCO, and BioMed Central were searched. Three reviewers evaluated each publication for reducing bias. Data about IL-6, TNF-α, and CRP were collected and analyzed. A standardized mean difference based on estimated pooled effect size was calculated considering heterogeneity index (I2) and random effect. RESULTS Seventy-six studies were retrieved from databases, and 8 of them were analyzed. IL-6 and CRP levels decreased after chronic exercise (overall effect P < .05). CONCLUSION Regular exercise decreases IL-6 and CRP levels in older persons. The effect of exercise on TNF-α remains unclear.
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Monteiro-Junior RS, Rodrigues VD, Campos C, Paes F, Murillo-Rodriguez E, Maranhão-Neto GA, Machado S. The Role of Physical Activity on Mood State and Functional Skills of Elderly Women. Clin Pract Epidemiol Ment Health 2017; 13:125-133. [PMID: 29238389 PMCID: PMC5712650 DOI: 10.2174/1745017901713010125] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2017] [Revised: 07/24/2017] [Accepted: 08/14/2017] [Indexed: 01/08/2023]
Abstract
Introduction: Ageing is associated with several physical, psychological and behavioral changes. These changes are closely related with global health and functional capacity in the elderly. Mood disturbances are common among the elderly and may significantly increase apathy, resulting in decreased habitual physical activity levels. Materials and Methods: The purpose of this cross-sectional study was to evaluate the mood state and functional motor capacities of elderly women engaged in a public physical activity program in Brazil and compare them with physically inactive elderly. Thirty elderly women were included in the study and categorized into two groups: physically active group, composed of participants enrolled on a public physical activity program (n = 16, 69±5 years) and physically inactive group (n = 14, 68±4 years). Total mood disturbance was assessed using the Profile of Mood States, whereas functional motor capacity was evaluated with the Sitting and Rising test. Independent t test and Mann-Whitney U] were used to compare groups. Results: The physically active group had lower total mood disturbance (p=0.02), confusion (p<0.01), tension (p<0.01), hostility (p=0.05) and fatigue (p=0.01) compared to the physically inactive group. There were no group differences regarding vigor, depression and sitting and rising performance (p>0.05). Conclusion: Lack of difference in functional motor capacity between the physically active and inactive elderly may be explained by the absence of exercise systematization in these programs.
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Affiliation(s)
- Renato Sobral Monteiro-Junior
- Physical Education and Sport Department, State University of Montes Claros, Minas Gerais, Brazil.,Post Graduation Program of Health Sciences, State University of Montes Claros, Minas Gerais, Brazil
| | - Vinicius Dias Rodrigues
- Physical Education and Sport Department, State University of Montes Claros, Minas Gerais, Brazil.,Post Graduation Program of Health Sciences, State University of Montes Claros, Minas Gerais, Brazil
| | - Carlos Campos
- Laboratory of Panic and Respiration (LABPR), Institute of Psychiatry of Federal University of Rio de Janeiro (IPUB/UFRJ), RJ - Brazil
| | - Flávia Paes
- Laboratory of Panic and Respiration (LABPR), Institute of Psychiatry of Federal University of Rio de Janeiro (IPUB/UFRJ), RJ - Brazil
| | - Eric Murillo-Rodriguez
- Laboratorio de Neurociencias Moleculares e Integrativas, Escuela de Medicina, División Ciencias de la Salud, Universidad Anáhuac Mayab, Yucatán, Mexico
| | - Geraldo A Maranhão-Neto
- Physical Activity Sciences Postgraduate Program - Salgado de Oliveira University, Niterói, Brazil
| | - Sergio Machado
- Laboratory of Panic and Respiration (LABPR), Institute of Psychiatry of Federal University of Rio de Janeiro (IPUB/UFRJ), RJ - Brazil.,Laboratory of Physical Activity Neuroscience (LABNAF), Physical Activity Sciences Postgraduate Program (PGCAF), Salgado de Oliveira University (UNIVERSO), Niterói, RJ - Brazil.,Intercontinental Neuroscience Research Group, Brazil
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Monteiro-Junior RS, Figueiredo LFDS, Maciel-Pinheiro PDT, Abud ELR, Engedal K, Barca ML, Nascimento OJM, Laks J, Deslandes AC. Virtual Reality-Based Physical Exercise With Exergames (PhysEx) Improves Mental and Physical Health of Institutionalized Older Adults. J Am Med Dir Assoc 2017; 18:454.e1-454.e9. [PMID: 28238675 DOI: 10.1016/j.jamda.2017.01.001] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2017] [Accepted: 01/04/2017] [Indexed: 11/29/2022]
Affiliation(s)
- Renato Sobral Monteiro-Junior
- Physical Education and Sport Department, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil; Post-graduation Program of Medicine (Neurology-Neuroscience), Federal Fluminense University, Niterói, RJ, Brazil; Neuroscience Laboratory of Exercise (UERJ), Rio de Janeiro, RJ, Brazil; Post-graduation Program of Health Sciences, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
| | - Luiz F da S Figueiredo
- Neuroscience Laboratory of Exercise (UERJ), Rio de Janeiro, RJ, Brazil; Post-graduation Program of Translational Biomedicine - Biotrans, Unigranrio, Duque de Caxias, RJ, Brazil
| | - Paulo de T Maciel-Pinheiro
- Post-graduation Program of Medicine (Neurology-Neuroscience), Federal Fluminense University, Niterói, RJ, Brazil; Neuroscience Laboratory of Exercise (UERJ), Rio de Janeiro, RJ, Brazil; Institute of Physical Education, Federal Fluminense University, Niterói, RJ, Brazil
| | | | - Knut Engedal
- Norwegian Advisory Unit for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway
| | - Maria Lage Barca
- Norwegian Advisory Unit for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway
| | - Osvaldo J M Nascimento
- Post-graduation Program of Medicine (Neurology-Neuroscience), Federal Fluminense University, Niterói, RJ, Brazil
| | - Jerson Laks
- Post-graduation Program of Translational Biomedicine-Biotrans, Unigranrio, Duque de Caxias, RJ, Brazil; Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Andrea C Deslandes
- Neuroscience Laboratory of Exercise (UERJ), Rio de Janeiro, RJ, Brazil; Institute of Physical Education and Sport, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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Monteiro-Junior RS, de Souza CP, Lattari E, Rocha NBF, Mura G, Machado S, da Silva EB. Wii-Workouts on Chronic Pain, Physical Capabilities and Mood of Older Women: A Randomized Controlled Double Blind Trial. CNS Neurol Disord Drug Targets 2016; 14:1157-64. [PMID: 26556092 DOI: 10.2174/1871527315666151111120131] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2015] [Accepted: 11/01/2015] [Indexed: 11/22/2022]
Abstract
Chronic Low Back Pain (CLBP) is a public health problem and older women have higher incidence of this symptom, which affect body balance, functional capacity and behavior. The purpose of this study was to verifying the effect of exercises with Nintendo Wii on CLBP, functional capacity and mood of elderly. Thirty older women (68 ± 4 years; 68 ± 12 kg; 154 ± 5 cm) with CLBP participated in this study. Elderly individuals were divided into a Control Exercise Group (n = 14) and an Experimental Wii Group (n = 16). Control Exercise Group did strength exercises and core training, while Experimental Wii Group did ones additionally to exercises with Wii. CLBP, balance, functional capacity and mood were assessed pre and post training by the numeric pain scale, Wii Balance Board, sit to stand test and Profile of Mood States, respectively. Training lasted eight weeks and sessions were performed three times weekly. MANOVA 2 x 2 showed no interaction on pain, siting, stand-up and mood (P = 0.53). However, there was significant difference within groups (P = 0.0001). ANOVA 2 x 2 showed no interaction for each variable (P > 0.05). However, there were significant differences within groups in these variables (P < 0.05). Tukey's post-hoc test showed significant difference in pain on both groups (P = 0.0001). Wilcoxon and Mann-Whitney tests identified no significant differences on balance (P > 0.01). Capacity to Sit improved only in Experimental Wii Group (P = 0.04). In conclusion, physical exercises with Nintendo Wii Fit Plus additional to strength and core training were effective only for sitting capacity, but effect size was small.
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Manochio JP, Lattari E, Portugal EMM, Monteiro-Junior RS, Paes F, Budde H, de Tarso Veras Farinatti P, Arias-Carrión O, Wegner M, Carta MG, Mura G, Ferreira Rocha NB, Almada LF, Nardi AE, Yuan TF, Machado S. From Mind to Body: Is Mental Practice Effective on Strength Gains? A Meta-Analysis. CNS Neurol Disord Drug Targets 2016; 14:1145-51. [PMID: 26556071 DOI: 10.2174/1871527315666151111125847] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2015] [Accepted: 11/01/2015] [Indexed: 11/22/2022]
Abstract
Mental practice is an internal reproduction of a motor act (whose intention is to promote learning and improving motor skills). Some studies have shown that other cognitive strategies also increase the strength and muscular resistance in healthy people by the enhancement of the performance during dynamic tasks. Mental training sessions may be primordial to improving muscle strength in different subjects. The aim of this study was to systematically review and meta-analiyze studies that assessed whether mental practice is effective in improving muscular strength. We conducted an electronic-computed search in Pub-Med/Medline and ISI Web of Knowledge, Scielo and manual searchs, searching papers written in English between 1991 and 2014. There were 44 studies in Pub-Med/Medline, 631 in ISI Web of Knowledge, 11 in Scielo and 3 in manual searchs databases. After exclusion of studies for duplicate, unrelated to the topic by title and summary, different samples and methodologies, a meta-analysis of 4 studies was carried out to identify the dose-response relationship. We did not find evidence that mental practice is effective in increasing strength in healthy individuals. There is no evidence that mental practice alone can be effective to induce strength gains or to optimize the training effects.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Sergio Machado
- Laboratory of Panic and Respiration, Institute of Psychiatry (IPUB) - - Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
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Portugal EMM, Vasconcelos PGT, Souza R, Lattari E, Monteiro-Junior RS, Machado S, Deslandes AC. Aging process, cognitive decline and Alzheimer`s disease: can strength training modulate these responses? CNS Neurol Disord Drug Targets 2016; 14:1209-13. [PMID: 26556087 DOI: 10.2174/1871527315666151111121749] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2015] [Accepted: 01/01/2015] [Indexed: 11/22/2022]
Abstract
Some evidence shows that aerobic training can attenuate the aging effects on the brain structures and functions. However, the strength exercise effects are poorly discussed. Thus, in the present study, the effects of strength training on the brain in elderly people and Alzheimer`s disease (AD) patients were revised. Furthermore, it a biological explanation relating to strength training effects on the brain is proposed. Brain atrophy can be related to neurotransmission dysfunction, like oxidative stress, that generates mitochondrial damage and reduced brain metabolism. Another mechanism is related to amyloid deposition and amyloid tangles, that can be related to reductions on insulin-like growth factor I concentrations. The brain-derived neurotrophic factor also presents reduction during aging process and AD. These neuronal dysfunctions are also related to cerebral blood flow decline that influence brain metabolism. All of these alterations contribute to cognitive impairment and AD. After a long period of strength training, the oxidative stress can be reduced, the brain-derived neurotrophic factor and insulin-like growth factor I serum concentrations enhance, and the cognitive performance improves. Considering these results, we can infer that strength training can be related to increased neurogenesis, neuroplasticity and, consequently, counteracts aging effects on the brain. The effect of strength training as an additional treatment of AD needs further investigation.
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Affiliation(s)
- Eduardo Matta Mello Portugal
- Instituto Brasileiro de Medicina e Reabilitação, Rua Corrêa Dutra, 126, Catete, 22210-050, Rio de Janeiro, RJ, Brazil.
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Abstract
Abstract Introduction: The low resistance of the erector spinae has been seen as a risk factor for developing chronic low back pain. The test of the erector spinae muscle endurance advocated by Biering-Sorensen has been used to assess the strength of the erector spinae muscle. Modifications of the measuring instrument require reliability studies. Objective: To evaluate the measurement of the erector spinae muscle endurance and the standard error of measurement (SEM) of the modified Biering-Sorensen test of erector spinae in women with chronic low back pain. Methods: Forty-eight sedentary women, aged 52 ±7, suffering from chronic low back pain, were tested. The position adopted was the prone position without the trunk on the examining table. Fixations were performed with straps at the ankles, knees and pelvis. The patient was instructed to maintain the shoulder blades in contact with the stadiometer as long as possible. The measurement was repeated, with measures 15 minutes apart. Results: Considering the confidence limits of Bland & Altman, - 40 and 68 seconds, the SEM was13 seconds and SEM% was 22. The ICC = 0.87 with p = 0.001. The first test was equal to 54 ± 36 seconds, and the retest = 67 ± 40 seconds. Conclusion: The endurance test of the erector spinae showed moderate reliability. Therefore, we suggest that, despite its applicability in clinical practice, the results should be interpreted carefully because the differences in mean erector spinae endurance of up to 13 seconds may be related to measurement error.
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Rubini EDC, Pereira FD, Monteiro-Junior RS, Zaidan P, Souza CPD, Silva EBD. Critical analysis of the drafting of physical therapy randomized controlled trials published in Portuguese. Fisioter mov 2016. [DOI: 10.1590/0103-5150.029.002.ao21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Introduction: randomized controlled trials are high quality studies. Many problems related to the drafting of these studies have been identified and consequently various national and international journals, in an attempt to improve this writing, have adopted the Consolidated Standards of Reporting Trials recommendations. Regarding the studies written specifically by physical therapists, until now, the quality of the drafting in Portuguese has been unknown. Aim: To critically analyze the drafting of RCTs in the area of physical therapy, published in Portuguese, in relation to the CONSORT recommendations. Materials and Methods: On 17th Oct, 2012, 548 RCTs in Portuguese were recovered from the MEDLINE and PEDro databases, which were divided among four evaluators who, after reading the abstracts, selected those related to physical therapy. Of these studies, 78 RCTs were related to physical therapy, which were divided among the four evaluators for the analysis of the drafting according to the CONSORT recommendations. The four evaluators who participated in this study previously obtained a median kappa above 70% when their analyses were compared to the analyses of the evaluator considered the gold standard due to having greater experience. Results: The quantity of items of the CONSORT recommendations according to year of publication was very small, corresponding to a mean of 43% of the items in the articles analyzed. Conclusion: The results make very clear the need to improve the quality of the drafting of the RCTs related to physical therapy in Portuguese and to include more rigorous methodological procedures, such as sample size, randomization and blinding. The dissemination and adoption of the CONSORT recommendations by physical therapy researchers would, without doubt, be a big step towards improving this quality.
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Monteiro-Junior RS, Vaghetti CAO, Nascimento OJM, Laks J, Deslandes AC. Exergames: neuroplastic hypothesis about cognitive improvement and biological effects on physical function of institutionalized older persons. Neural Regen Res 2016; 11:201-4. [PMID: 27073355 PMCID: PMC4810966 DOI: 10.4103/1673-5374.177709] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Exergames can be considered a dual task because the games are performed by a man-videogame interface, requiring cognitive and motor functions simultaneously. Although the literature has shown improvements of cognitive and physical functions due to exergames, the intrinsic mechanisms involved in these functional changes have still not been elucidated. The aims of the present study were (1) to demonstrate the known biological mechanisms of physical exercise regarding muscle adaptation and establish a relationship with exergames; and (2) to present a neurobiological hypothesis about the neuroplastic effects of exergames on the cognitive function of institutionalized older persons. These hypotheses are discussed.
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Affiliation(s)
- Renato Sobral Monteiro-Junior
- Physical Education and Sport Department of the Universidade Estadual de Montes Claros, Minas Gerais, Brazil; Post Graduation Program (PhD) in Medicine (Neurology-Neuroscience), Universidade Federal Fluminense, Niterói, Brazil; Neuroscience Laboratory of Exercise, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | | | | | - Jerson Laks
- Programa de Pós-graduação em Biomedicina Translacional - Biotrans, Universidade Unigranrio, Brazil; Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil; Centro de Estudos e Pesquisa do Envelhecimento, Instituto Vital Brasil, Rio de Janeiro, Brazil
| | - Andrea Camaz Deslandes
- Institute of Physical Education and Sport, Universdiade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil; Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil; Neuroscience Laboratory of Exercise, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
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Matta Mello Portugal E, Cevada T, Sobral Monteiro-Junior R, Teixeira Guimarães T, da Cruz Rubini E, Lattari E, Blois C, Camaz Deslandes A. Neuroscience of exercise: from neurobiology mechanisms to mental health. Neuropsychobiology 2014; 68:1-14. [PMID: 23774826 DOI: 10.1159/000350946] [Citation(s) in RCA: 153] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2012] [Accepted: 03/24/2013] [Indexed: 11/19/2022]
Abstract
The neuroscience of exercise is a growing research area that is dedicated to furthering our understanding of the effects that exercise has on mental health and athletic performance. The present study examined three specific topics: (1) the relationship between exercise and mental disorders (e.g. major depressive disorder, dementia and Parkinson's disease), (2) the effects of exercise on the mood and mental health of athletes, and (3) the possible neurobiological mechanisms that mediate the effects of exercise. Positive responses to regular physical exercise, such as enhanced functional capacity, increased autonomy and improved self-esteem, are frequently described in the recent literature, and these responses are all good reasons for recommending regular exercise. In addition, physical exercise may improve both mood and adherence to an exercise program in healthy individuals and might modulate both the performance and mental health of athletes. Exercise is associated with the increased synthesis and release of both neurotransmitters and neurotrophic factors, and these increases may be associated with neurogenesis, angiogenesis and neuroplasticity. This review is a call-to-action that urges researchers to consider the importance of understanding the neuroscience of physical exercise and its contributions to sports science.
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