This study aims to assess the effects of a 16-week multidisciplinary program of obesity treatment on the control of metabolic syndrome (MS) and dyslipidemia in obese adolescents. Eighty-six adolescents aged 10-18 years were allocated in either the intervention group (IG; n = 44) or control group (CG; n = 42). IG was submitted to a multidisciplinary intervention based on cognitive behavioral therapy that aimed to modify eating habits and exercise behavior. We analyzed, before and after the intervention period, anthropometric parameters, body composition, bone mineral density, cardiorespiratory fitness, blood pressure, glucose, insulin, and lipid profile of the subjects. MS was classified according to International Diabetes Federation (2007) and the presence of dyslipidemia according to Back et al. (Arq Bras Cardiol 85:4-36, 2005). In the beginning of the intervention, the median number (range) of risk factors for MS present was 2.0 (0.0-5.0) in the IG and 2.0 (0.0-4.0) in the CG. After the intervention, this parameter reduced significantly in the IG (1.0 (0.0-5.0); p = 0.004) while no change was observed in the CG (2.0 (0.0-4.0); p = 0.349). In addition, we observed improvements in body mass index, waist circumference, hip circumference, maximal oxygen uptake, absolute and relative body fat, systolic blood pressure, diastolic blood pressure, and total cholesterol in the IG which was not identified in the CG. Conclusio n: We suggest that a 16-week multidisciplinary intervention based on cognitive behavioral therapy was adequate to reduce risk factors for MS in obese adolescents.

O objetivo deste estudo foi analisar o perfil morfológico de culturistas brasileiros de elite que competiram no XXVII Campeonato Brasileiro de Culturismo-Musculação. Um total de 28 atletas (27,0 ± 7,4 anos; 78,2 ± 8,7kg; 170,1 ± 6,9cm), do sexo masculino, foram voluntariamente estudados. Medidas antropométricas (massa corporal, estatura, espessura de dobras cutâneas, perímetros e diâmetros) foram coletadas de todos os sujeitos no período da manhã, no dia da competição. Os valores estimados da composição corporal dos atletas foram os seguintes: gordura corporal relativa, 5,8 ± 0,5%; massa corporal magra, 73,6 ± 8,2kg; massa muscular, 54,3 ± 6,7kg; área muscular do braço, 108,51 ± 15,19cm². Por outro lado, o somatótipo médio encontrado foi: endomorfia, 1,11 ± 0,29; mesomorfia, 8,26 ± 0,67; ectomorfia, 0,95 ± 0,53 (mesomorfo balanceado). Além de os culturistas apresentarem elevados níveis de desenvolvimento muscular (~70%) e baixos depósitos de gordura corporal, verificou-se uniformidade nos acúmulos de gordura localizada. A predominância do componente mesomorfo confirmou a estrutura muscular acentuadamente desenvolvida encontrada nos atletas investigados. Portanto, os resultados do presente estudo demonstram que atletas de culturismo de elite apresentam no dia da competição grande volume muscular, bem como excelente definição muscular, proporcionalidade e simetria.

The differences between self-report of overweight adolescent and perceptions of their parents about the HRQoL of their children are influenced by adolescent gender and age and parent gender.

The introduction of Highly Active Antiretroviral Therapy (HAART) has deeply changed the course of HIV infection with increase in survival and improvement in quality of life as well as partial restoration of the immune system. After about ten years from the HAART use, the effects of combination treatment / virus started to come out. Among these, we can mention changes in lipid metabolism with hypertriglyceridemia, hypercholesterolemia, insulin resistance, hyperglycemia and redistribution of body fat as risk factors for cardiovascular disease. Observational studies with people living with HIV / AIDS evidence that when an individual finds out that he/she is an HIV/AIDS patient, he/she end ups feeling fear or shame, reducing hence social circle, work and leisure activities, and becomes isolated at home or in small groups which have common identity of HIV / AIDS patients. The purpose of this work was to evaluate the relationship between the level of habitual physical activity and recreation of people living with HIV / AIDS and its relation with metabolic changes. The patients were classified into active and sedentary, using the Habitual Physical Activity questionnaire proposed by Baecke and validated for HIV / AIDS patients. Classification was conducted according to the recommendations of the American College of Sports Medicine. Metabolism was assessed through plasma levels of glucose, total cholesterol, HDL-cholesterol, LDL-cholesterol and triglycerides, using commercial kits. The sample consisted of 65 HIV patients who used HAART for at least five years. 64.6% were classified as sedentary and 35.4% as active. The study shows a direct relationship between physical activity level and higher levels of HDL -cholesterol in HIV / AIDS. HDL -Cholesterol is a lipoprotein of cardiovascular protection and, although other assessed parameters have not shown difference, these results highlight the need for additional studies on risk factors and physical activity for HIV / AIDS enabling proposals for specific interventions for these patients.

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MethodologyThe present study was characterized as sectional descriptive study. Descriptive statistics were obtained using the software Spss version 20. Researchers did not interact with the population, what ruled out the need for authorization from the ethics committee to conduct research with humans. We analyzed the official documents offered by BHU, tabulated the numbers and analyzed for this research. The data were presented in absolute and relative frequency. The data collected refer to a municipality with 12 thousand inhabitants, with excess weight estimated for the Brazilian population in 53.8%, of which 18.9% are overweight. 3 This district was subdivided in two areas and the documentary analysis was referring to the reports of January to May of 2016 in relation to the remedies of one of these subareas. From the obtained data, a set of these was formed, making possible the establishment of an epidemiological profile of the region. After the collection, the data was analyzed by a multi-professional team made up of researchers from the areas of Biomedicine, Physical Education, Pharmacy, Dentistry and Psychology. The analysis statistical of the data of treatments occurred in level descriptive, frequency and percentage level, presenting data only in absolute and Adv Obes Weight Manag Control. 2018;8(4):213-218. AbstractThe objective of this study was to verify the demand of services and medicines at a basic health unit in the city of Maringa from the estimate of the frequency of excess weight adults estimated in 53.8%, of which 18.9% are overweight. It was a descriptive study, focusing on the epidemiological context of BHU, the percentage statistics of the frequency of treatments in relation to chronic diseases of the region, the most distributed medications, the nutrition picture of children in care of the BHU, the main dental procedures occurred in the unit and the percentage of alcoholists in the region. The results showed a large number of cases of diabetes and hypertension in the BHU with a rate of 4.2% and 13.2% of prevalence respectively. The most sought remedies in this unit are precisely those related o these diseases with 58.95% for those of hypertension and 12.76% for those related to diabetes. And with all this study and result, we can see that the situation in this small region is not out of the expectation, since we know that Brazil lately is undergoing an epidemiological transition, associated with diabetes and hypertension.

of subjects achieving 5% of weight loss, 0.2% were categorized on EOSS stage 0, 3% were categorized on stage 1, 85% were categorized on stage 2, and 11% on stage 3 (p<0.001). Median of weight loss was not associated with improvement in the EOSS stage (p¼0.38). EOSS improvement was positively associated with having type 2 diabetes on visit 1 (p¼0.02) and with better functional status (p¼0.002), and negatively associated with mental health stage 3 (p<0.001). Conclusion: With moderate weight loss, global health was improved in a multidisciplinary obesity treatment. Functional and mental factors need to be adressed additionally to medical treatments.