Diabetes, Nutrition, and Exercise

Abdelhafiz, Ahmed H.; Sinclair, Alan J.

doi:10.1016/j.cger.2015.04.011

Cited by 31 publications

(19 citation statements)

References 53 publications

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“…This is expected for an octogenarian population, because age is one of the greatest limiting factors of lifestyle changes. 23,24 Nevertheless, there was a significant reduction in alcoholism in the group assessed.…”

Section: Discussionmentioning

confidence: 85%

Multiprofessional treatment of high blood pressure in very elderly patients

Jardim¹,

Jardim²,

Souza³

et al. 2016

Arquivos Brasileiros De Cardiologia

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BackgroundAs the world population ages, patients older than 80 years, known as very elderly, are more frequently found. There are no studies in this age group aimed at analyzing the multidisciplinary intervention in the treatment of systemic arterial hypertension (SAH) and some comorbidities.ObjectivesTo assess the effect of a multidisciplinary approach in very elderly hypertensives cared for at a specialized service.MethodsLongitudinal retrospective cohort study in a multidisciplinary service specialized in the SAH treatment in the Brazilian West-Central region. Patients aged 80 years and older by June 2015 were included. Data from the first (V1) and last visit (Vf) were assessed. Anthropometric variables, blood pressure (BP), renal function, pharmacological treatment, lifestyle, comorbidities and cardiovascular events were studied, comparing data from V1 and Vf. Controlled BP was defined as systolic blood pressure (SBP) lower than 140 mm Hg and diastolic blood pressure (DBP) lower than 90 mm Hg. Statistical analyses were performed with SPSSR software, version 21.0. Values of p<0,05 were considered significant.ResultsData of 71 patients were assessed with a mean follow-up time of 15,22 years. Their mean age at V1 was 69.2 years, and, at Vf, 84.53 years, and 26.8% of them were males. There was a significant reduction in mean SBP (157.3 x 142.1 mm Hg; p<0.001) and DBP (95.1 x 77.8 mm Hg; p<0.001), with an increase in BP control rates from V1 to Vf (36.6 x 83.1%; p<0.001). The number of antihypertensive drugs used increased (1.49 x 2.85; p<0.001), with an increase in the use of angiotensin-converting enzyme inhibitors (22.5 x 46.5%; p=0.004), angiotensin II receptor blockers (4.2 x 35.2%; p<0.001) and calcium-channel blockers (18.3 x 67.6%; p<0.001). There was a reduction in total cholesterol (217.9 x 191 mg/dL; p<0.001) and LDL-cholesterol (139.6 x 119.0 mg/dL; p<0.001), but worsening of the glomerular filtration rate (62.5 x 45.4 mL/min; p<0.001).ConclusionThe multidisciplinary intervention in very elderly hypertensives increased BP control rate, with optimization of the pharmacological treatment.

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Section: Discussionmentioning

confidence: 85%

Multiprofessional treatment of high blood pressure in very elderly patients

Jardim¹,

Jardim²,

Souza³

et al. 2016

Arquivos Brasileiros De Cardiologia

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“…En este sentido, la actividad física también puede ser un mediador importante pues tiene un impacto positivo sobre el apetito (37). Por todo lo anterior, y teniendo en cuenta que tanto la sarcopenia como la DM2 se consideran dentro de los principales problemas de salud pública (38), sería fundamental incluir intervenciones tanto físicas como nutricionales junto a los tratamientos farmacológicos en este tipo de pacientes (39).…”

Section: Discussionunclassified

Relación entre calidad de vida, actividad física, alimentación, y control glucémico con la sarcopenia de adultos mayores con diabetes mellitus tipo 2.

Casals

Suárez-Cadenas

Carvajal³

et al. 2017

Nutr Hosp

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IntroducciónLa sarcopenia se define como la pérdida de masa muscular y su deterioro funcional asociado a la edad, por lo que tiene un alto impacto sobre la calidad de vida. Sin embargo, la prevalencia de la sarcopenia en diabetes mellitus tipo 2 (DM2) no está suficientemente estudiada.ObjetivosAnalizar la prevalencia de sarcopenia en mayores de 65 años con DM2 y la posible influencia de la actividad física, la alimentación, el control glucémico, el sexo, la edad y calidad de vida.MétodosParticiparon 279 pacientes (155 mujeres) de 76,6±6,27 años de edad. Se determinó el perímetro de cintura, cadera, pantorrilla y brazo, el índice de masa corporal, la fuerza de prensión manual, nivel de actividad física, el estado nutricional, la calidad de vida y el control glucémico. La sarcopenia se definió como un índice de masa muscular esquelética menor de 9,2 Kg/m2 en varones y menor de 7,4 Kg/m2 en mujeres.Resultados La prevalencia de sarcopenia en los participantes fue de un 8,33%. Hubo asociación negativa entre el nivel de sarcopenia y la calidad de vida (r =-0,130, p=0,030), actividad física (r= -0,164, p= 0,006), estado nutricional (r =-0,274, p=< 0,001), y sexo masculino (r= -0,137, p=0,022); y positiva para edad (r =0,183, p=0,002).ConclusionesLa prevalencia de la sarcopenia en DM2 es moderada. Se relaciona con importantes factores para la salud, como una menor calidad de vida, menor realización de ejercicio físico y mayor presencia de desnutrición, lo cual parece agravarse en adultos varones de edad avanzada.

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“…Aging may be associated with a number of health challenges, including adverse cardiovascular events and development of type 2 diabetes (Houterman et al., ; Abdelhafiz & Sinclair, ). A contributing factor in the progression to age‐related diseases is physiological decline, such as metabolic dysregulation of blood lipids, insulin resistance, accumulation of body fat, loss of functional capacity, and muscle strength (Arsenault et al., ; Artero et al., ; Despres, ; Laakso & Kuusisto, ).…”

mentioning

confidence: 99%

Effect of floorball training on blood lipids, body composition, muscle strength, and functional capacity of elderly men

Vorup

Pedersen

Melcher

et al. 2016

Scandinavian Med Sci Sports

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Floorball training consists of intense repeated exercise and may offer a motivating and social stimulating team activity in elderly individuals. However, the effect of floorball training in elderly adults on physiological adaptations important for health is not known. Thus, this study examined the effect of floorball training on blood lipids, muscle strength, body composition, and functional capacity of men aged 65-76 years. Thirty-nine recreational active men were randomized into a floorball group (FG; n = 22) or petanque group (PG; n = 17), in which training was performed 1 h twice a week for 12 weeks. In FG and PG, average heart rate (HR) during training was 80% and 57%, respectively, of maximal HR. In FG, plasma low-density lipoprotein (LDL) cholesterol and triglycerides were 11% and 8% lower (P < 0.05), respectively. Insulin resistance determined by homeostatic model assessment (HOMA-IR) was reduced (P < 0.05) by 18%. HR during submaximal cycling was 5% lower (P < 0.05), and maximal voluntary contraction force was 8% higher (P < 0.05). Total and visceral fat content was lowered (P < 0.05) by 5% and 14%, respectively, HR at rest was 8% lower (P < 0.05) and performance in four different functional capacity tests were better (P < 0.05) after compared to before the training period. No changes were observed in PG. In conclusion, 12 weeks of floorball training resulted in a number of favorable effects important for health and functional capacity, suggesting that floorball training can be used as a health-promoting activity in elderly men.

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Diabetes, Nutrition, and Exercise

Cited by 31 publications

References 53 publications

Multiprofessional treatment of high blood pressure in very elderly patients

Multiprofessional treatment of high blood pressure in very elderly patients

Relación entre calidad de vida, actividad física, alimentación, y control glucémico con la sarcopenia de adultos mayores con diabetes mellitus tipo 2.

Effect of floorball training on blood lipids, body composition, muscle strength, and functional capacity of elderly men

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