Can metabolic function and physical fitness improve without weight loss for inactive, obese, Hispanic adolescents? A feasibility study.

CONCLUSION: Expected directions of change were made for most indicators of metabolic function and body composition, but measures of physical fitness improved for all four subjects. PMID: 28350207 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research

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Conclusions/interpretationProfessional drivers, manufacturing workers and cleaners have a threefold increased risk of type 2 diabetes compared with university teachers and physiotherapists. These differences most likely reflect dramatic differences in the prevalence of lifestyle risk factors. If workplace interventions could reduce weight and increase physical activity among employees in these occupations, major health gains may be made.
Source: Diabetologia - Category: Endocrinology Source Type: research
Conclusion: A four-week home program of IMT increased strength of respiratory muscles, physical fitness and decreased the sensation of dyspnea in obese women.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
There are different instruments to assess the peak cough flow (PCF): pneumotachometer (PN) and portable peak expiratory flow-meter (PEF). On the other hand, this measure can be made using a mouthpiece or using a facemask.Aim: To compare both instruments and interfaces in the measurement of PCF in healthy adult population.Methods: A cross-sectional study was carried out in 31 healthy subjects. People with obesity, active smokers, athletes or with respiratory, severe cardiac and/or neurological pathologies, were excluded.Forced spirometry was performed to rule out altered ventilatory patterns. PCF values were taken using a P...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
Conclusion: The kinematics of the thoracoabdominal complex of obese individuals is influenced by gender and altered in obese men both at rest and after Glittre’s ADL test.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
Background: Impulse oscillometry (IOS) allows the early identification changes in lung function when compared to spirometry, and it is possible to obtain parameters of whole-breathe, inspiratory and expiratory phases. Obesity may cause changes in lung volumes and increase in resistance, but the limitation of expiratory flow, which can be identified by the difference in inspiratory-expiratory resistance (Rrs), is not described.Aims: To evaluate the Rrs of women with grade III obesity and compare it with the values obtained from eutrophic women, both with normal spirometry.Methods: Inspiratory and expiratory resistance param...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
Conclusion: Inhaler competency and adherence, breathing technique, fitness, and psychological problems are common in children with poor asthma control. Addressing these fundamental issues using an MDT specialist clinic can usually negate the need to step up medical treatment, even in children with severe asthma.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Nurses Source Type: research
Abstract OBJECTIVE: Surgical refixation intends to restore the continuity of the hamstrings and anatomically reattach the torn tendons. INDICATIONS: In patients with 2‑tendon tear/ruptur with more than 2 cm retraction or with complete 3‑tendon tears, surgical fixation should be performed. CONTRAINDICATIONS: Massive obesity, immobility. SURGICAL TECHNIQUE: Surgery is performed via a transverse skin incision in the gluteal fold. Refixation of the torn tendons is achieved by means of suture anchors on the footprint of the ischial tuberosity. POSTOPERATIVE MANAGEMENT: Postoperative treat...
Source: Operative Orthopadie und Traumatologie - Category: Orthopaedics Authors: Tags: Oper Orthop Traumatol Source Type: research
CONCLUSION: In a large cross-sectional analysis of knee OA patients scheduled for TKA, 40% of individuals reported having not received core recommended non-surgical treatments. Older individuals, men and those with less education had lower odds of having used recommended non-surgical OA treatments. PMID: 31732554 [PubMed - as supplied by publisher]
Source: J Rheumatol - Category: Rheumatology Authors: Tags: J Rheumatol Source Type: research
CONCLUSION: It is important to consider the long-term effects of obesity on arthroplasty outcomes. PMID: 31709661 [PubMed - as supplied by publisher]
Source: The Australian Journal of Rural Health - Category: Rural Health Authors: Tags: Aust J Rural Health Source Type: research
The objective of this study was to assess the effectiveness of this model in primary care. Methods and findingsWe conducted a cluster-randomised controlled trial with stepped-wedge cohort design in 6 Norwegian municipalities (clusters) between January 2015 and October 2017. The randomised order was concealed to the clusters until the time of crossover from the control to the intervention phase. The intervention was implementation of the SAMBA model, facilitated by interactive workshops for general practitioners and physiotherapists with an update on OA treatment recommendations. Patients in the intervention group attended ...
Source: PLoS Medicine - Category: Internal Medicine Authors: Source Type: research
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