Objective: We investigated the associations between physical activity (PA) and cardiorespiratory fitness (CRF) with vascular health phenotypes in community-dwelling older adults.Methods: This cross-sectional study included 82 participants (66.8 ± 5.2 years; 81% females). Moderate-to-vigorous physical activity (MVPA) was assessed using accelerometers, and CRF was measured using the distance covered in the 6-min walk test (6MWT). The vascular health markers were as follows: i) arterial function measured as aortic pulse wave velocity (aPWV) estimated using an automatic blood pressure device; and ii) arterial structure measured as the common carotid intima-media thickness (cIMT). Using a combination of normal cIMT and aPWV values, four groups of vascular health phenotypes were created: normal aPWV and cIMT, abnormal aPWV only, abnormal cIMT only, and abnormal aPWV and cIMT. Multiple linear regression was used to estimate the beta coefficients (β) and their respective 95% confidence intervals (95% CI) adjusting for BMI, and medication for diabetes, lipid, and hypertension, sex, age, and blood pressure.Results: Participants with abnormal aPWV and normal cIMT (β = −53.76; 95% CI = −97.73—−9.78 m; p = 0.017), and participants with both abnormal aPWV and cIMT (β = −71.89; 95% CI = −125.46—−18.31 m; p = 0.009) covered less distance in the 6MWT, although adjusting for age, sex and blood pressure decreased the strength of the association with only groups of abnormal aPWV and cIMT covering a lower 6MWT distance compared to participants with both normal aPWV and cIMT (β = −55.68 95% CI = −111.95–0.59; p = 0.052). No associations were observed between MVPA and the vascular health phenotypes.Conslusion: In summary, poor CRF, but not MVPA, is associated with the unhealthiest vascular health phenotype (abnormal aPWV/cIMT) in older adults.

Introduction:The surgical procedure is used for the treatment of external and internal injuries and diseases, performed through operations. In this context, the plastic surgery has the purpose of artificially reconstructing a part of the body. Among the various types of surgical interventions, lipoabdominoplasty is more accomplished, correcting the aesthetic and functional deformities of the abdomen, adding a better and more harmonious abdominal contour. Objective: To analyze the effect of the application of the low power laser in the repair of the cicatricial dehiscence in the postoperative period of lipoabdominoplasty in one patient. Methodology: A 25-year-old female patient who underwent lipoabdominoplasty surgery sought physical therapy in March 2017. She had cicatricial dehiscence, and started the pharmacological and physiotherapeutic treatment with low-power laser, AsGa, 12 s, 6J, non-contact. Results: It was observed improvement of the dehiscence progressively, with reduction of the local inflammation, reorganization of the tissue and closure of the wound, presenting in the end only the surgical scar. Conclusion: This study demonstrated positive effect of laser therapy, recovering the injured tissue, signaling a new non-invasive approach to a safe and beneficial treatment.

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