Objective: The aim of this study was to evaluate the effects of the Pilates method on the reduction of pain, improvement of joint function, and quality of life of patients with chronic Chikungunya fever. Design: This is a randomized, controlled, blind trial for the evaluators. Setting: The study was conducted at the Advanced Laboratory in Physical Education and Health at Federal University of Pernambuco, Brazil. Subjects: A total of 51 patients were allocated randomly and divided into 2 groups: a Pilates group (26 patients) and a control group (25 patients). After 12 weeks, 4 patients in the Pilates group and 5 in the control group were lost to follow-up. Intervention: The Pilates group performed 24 Pilates method intervention sessions; the control group continued to receive standard clinical treatment at the outpatient clinic. Main measures: The main measures were as follows: visual analogue scale (VAS) for pain, functional capacity evaluated by Health Assessment Questionaire (HAQ), quality of life measured by the 12-Item Short-Form Health Survey (SF-12), and range of joint motion by goniometry. Results: After 12 weeks, patients in the Pilates group presented lower VAS ( P < 0.001), lower HAQ scores ( P < 0.001), and higher quality-of-life scores ( P < 0.001) compared with the control group. We found statistically significant results for the Pilates group in the range of movement for shoulder, knee, ankle, and lumbar spine ( P < 0.001). In the intragroup analysis, there was a significant improvement in all outcomes evaluated. Conclusion: In this study, patients undertaking Pilates method for 12 weeks had less pain, better function and quality of life, and increased range of joint movement.

BackgroundResistance and aerobic training are recommended as an adjunctive treatment for hypertension. However, the number of sessions required until the hypotensive effect of the exercise has stabilized has not been clearly established.ObjectiveTo establish the adaptive kinetics of the blood pressure (BP) responses as a function of time and type of training in hypertensive patients.MethodsWe recruited 69 patients with a mean age of 63.4 ± 2.1 years, randomized into one group of resistance training (n = 32) and another of aerobic training (n = 32). Anthropometric measurements were obtained, and one repetition maximum (1RM) testing was performed. BP was measured before each training session with a digital BP arm monitor. The 50 training sessions were categorized into quintiles. To compare the effect of BP reduction with both training methods, we used two-way analysis of covariance (ANCOVA) adjusted for the BP values obtained before the interventions. The differences between the moments were established by one-way analysis of variance (ANOVA).ResultsThe reductions in systolic (SBP) and diastolic BP (DBP) were 6.9 mmHg and 5.3 mmHg, respectively, with resistance training and 16.5 mmHg and 11.6 mmHg, respectively, with aerobic training. The kinetics of the hypotensive response of the SBP showed significant reductions until the 20th session in both groups. Stabilization of the DBP occurred in the 20th session of resistance training and in the 10th session of aerobic training.ConclusionA total of 20 sessions of resistance or aerobic training are required to achieve the maximum benefits of BP reduction. The methods investigated yielded distinct adaptive kinetic patterns along the 50 sessions.

Recebido em 28/5/09; aceito em 17/11/09; publicado na web em 2/3/10Sidastrum paniculatum (L.) Fryxell belongs to the family Malvaceae and is popularly known as "malva roxa" or "malvavisco". The phytochemical study of the hexane, CHCl 3 and EtOAc phases from the crude ethanol extract of S. paniculatum led to the isolation of six compounds: a mixture of b-sitosterol and stigmasterol, 4-methoxy-3-hydroxybenzoic acid, 4-methoxy-3-hydroxybenzaldehyde, N-trans-feruloyltyramine and kaempferol-3-O-b-D-(6''-E-p-coumaroyl) glucoside. The structural identification of the compounds was made on the basis of spectroscopic methods such as IR, 1 H and 13 C NMR with the aid of including two-dimensional techniques, besides comparison with literature data. The b-sitosterol and stigmasterol mixture showed a significant anti-inflammatory activity.

This paper reports on an investigation of racial-ethnic congruency among professional sport teams and their local markets. The study empirically tested the relationship between racial-ethnic team-market congruence and market support. Results of the research provide some support for the relevance of team and market congruency in the marketing of professional sport. Although varying by city, by North American professional sport league, and by racial-ethnic community, the results demonstrate that consumers have noticed and used their own reflections in professional baseball teams to influence their level of team support.

BackgroundSarcopenia is related to morbidity and mortality in non-dialysis Chronic Kidney Disease (ND-CKD) patients; however, the pathophysiology of sarcopenia remains unclear. The study aimed to assess the prevalence and factors associated with sarcopenia in ND-CKD individuals.MethodsWe cross-sectionally evaluated 139 prevalent ND-CKD patients attending our outpatient clinic at Hospital das Clínicas of the Federal University of Pernambuco, between April and October 2019. Patients older than 18 years old and at G3-G5 CKD stages were included. Hand grip strength, Muscle Mass appendicular Index, and Gait Speed (GS) were defined by the standards of the European Working Group on Sarcopenia in Older People 2 guideline.ResultsSarcopenia prevalence was 20.9% and severe sarcopenia 2.9%. Sarcopenic were mostly found in elderly ones (64.8 ± 13.5 years vs. 54.9 ± 12.8 years, p &lt; 0.001), revealing lower body mass index [26.1 (6.8) vs. 28.6 (6.2), p = 0.023], lower phase angle (PhA) [4.50 (1.10) vs. 5.60 (1.20), p &lt; 0.001] and lower GS [1.00 (0.50) vs. 1.40 (0.4), p &lt; 0.001]. They also presented lower serum creatinine levels [2.40 (1.50) vs. 3.0 (1.8), p = 0.032], lower Albumin-to-Creatinine Ratio [72.60 (1008.30) vs. 342.30 (1172.1), p = 0.039] and Hemoglobin levels [11.45 (1.8) vs. 12.60 (2.40), p = 0.003], and higher levels of C-reactive protein [0.2 (0.80) vs. 0.03 (0.3), p = 0.045] compared to non-sarcopenic. Under Poisson Multivariate Model, PhA [Relative precision (RP): 0.364, Confidence Interval (CI) (95%):0.259–0.511, p &lt; 0.001], Interleukin six (IL-6) [RP: 1.006, CI (95%):1.001–1.01, p = 0.02] and serum creatinine levels [RP: 0.788, CI (95%): 0.641–0.969, p = 0.024] were associated with sarcopenia.ConclusionsSarcopenia predominance was identified in our ND-CKD population, and was associated with lower PhA values, higher IL-6 levels, and lower serum creatinine levels.

Introdução: A Hipertensão Arterial (HA) é considerada um dos fatores de risco mais ostensivos para o desenvolvimento de doenças cardiovasculares. Representando no Brasil um dos problemas de saúde pública de maior prevalência na população, capaz de levar a óbito aproximadamente 40% dos indivíduos acometidos. Diante do exposto, deve-se dar uma ênfase cada vez maior à prática de exercícios físicos como fator determinante na redução da pressão arterial, resultando em Hipotensão Pós-Exercício (HPE). Objetivo: Verificar o efeito dos treinamentos aeróbio, resistido e concorrente na pressão arterial e morfologia em idosos normotensos e hipertensos. Métodos: A amostra foi composta por 300 idosos, normotensos (n=150) e hipertensos (n=150), divididos em três grupos. O Grupo 1 (G1) realizou treinamento aeróbio; o Grupo 2 (G2) treinamento resistido e o Grupo 3 (G3) treinamento concorrente. Para comparar as variáveis de cada grupo no período pré e pós-treinamento foi utilizado o teste t para amostras pareadas. O nível de significância estabelecido foi de p<0,05. Resultados: Foi observada redução da pressão arterial pós-exercício em todos os grupos, apenas para a pressão arterial sistólica, tendo efeito hipotensor para os normotensos do G1, enquanto os hipertensos obtiveram redução da pressão arterial sistólica para os três grupos. Para a morfologia não foram verificadas diferenças significativas. Conclusão: Após o término das sessões de treinamento ficou evidenciada a importância da prática regular de exercício físico, seja ele aeróbio, resistido ou concorrente, na prevenção e no combate da HA.

The purpose of this review of reviews is to assess if FIFA 11+ is effective for injury prevention in football. A search for systematic reviews published after 2014 was performed in the PubMed and PEDro databases and the included reviews were evaluated through the AMSTAR checklist. In total, four systematic reviews were included, three of them with meta-analysis. The quality of the evidence found is moderate to high quality. In conclusion, there is moderate to high evidence that using the FIFA 11+ protocol reduces the total number of injuries and specific lower limb injuries.

RESUMOIntrodução: A relação entre o tipo físico e o risco cardiovascular vem sendo estudada em diversas populações do mundo. No Brasil, estudos que avaliam esta relação são escassos, principalmente quando se trata de indivíduos que praticam atividades físicas. Objetivo: Analisar a relação do somatotipo com fatores de risco cardiovascular e razão cintura-estatura (RCEst) em praticantes de atividade física. Métodos: Trata-se de uma pesquisa descritiva com delineamento transversal. A amostra foi constituída por 280 sujeitos, usuários da pista de Cooper da Universidade Federal de Pernambuco, na cidade de Recife, PE, Brasil. Para identificação do nível de atividade física, utilizou-se a versão curta do International Physical Activity Questionnaire (IPAQ). Os indivíduos classificados como muito ativos, ativos ou irregularmente ativos A ou B, foram incluídos na amostra. Excluíram-se os sujeitos inativos fisicamente. O somatotipo foi estimado através do protocolo antropométrico de Carter e Heath (1990). Determinaram-se como fatores de risco cardiovascular o tabagismo, o consumo de bebida alcoólica e a pressão arterial (PA). Empregou-se a estatística descritiva para caracterização da amostra, em seguida, utilizou-se a Análise de Variância Multivariada (MANOVA), com nível de significância de p < 0,05. Resultados: Não foi identificada relação significativa para as variáveis tabagismo e consumo de bebida alcoólica. Na análise da PA (Pillai's trace = 0,082; F = 8,187; p < 0,05) e da RCEst (Pillai's trace = 0,298; F = 39,081; p < 0,05), verificou-se significância estatística com o somatotipo. Conclusão: O tipo físico foi positivo e significativamente relacionado com a PA e com a RCEst, demonstrando que esse indicador antropométrico pode ser utilizado para predizer precocemente o risco de desenvolvimento de doenças cardiovasculares. Palavras