Exercise Archives - Revista Brasileira de Ginecologia e Obstetrícia

  • Original Article

    Effect of Combined Training on Body Image, Body Composition and Functional Capacity in Patients with Breast Cancer: Controlled Clinical Trial

    Revista Brasileira de Ginecologia e Obstetrícia. 2023;45(5):242-252

    Summary

    Original Article

    Effect of Combined Training on Body Image, Body Composition and Functional Capacity in Patients with Breast Cancer: Controlled Clinical Trial

    Revista Brasileira de Ginecologia e Obstetrícia. 2023;45(5):242-252

    DOI 10.1055/s-0043-1770126

    Views10

    Abstract

    Objective

    Evaluate the effect of combined training on body image (BI), body composition and functional capacity in patients with breast cancer. As also the relationship of BI with body composition and functional capacity.

    Methods

    This was a Controlled Clinical Trial study, this study including 26 patients with breast cancer (30 to 59 years). The training group (n = 13) underwent 12 weeks of training, including three 60-min sessions of aerobic exercise and resistance training, and two sessions of flexibility training per week; each flexibility exercise lasted 20s. The Control Group (n = 13) received only the standard hospital treatment. Participants were evaluated at baseline and after 12 weeks. BI (primary outcomes) was assessed using the Body Image After Breast Cancer Questionnaire; Body composition was estimated with the indicators: Body mass index; Weight, Waist hip Ratio; Waist height ratio; Conicity index; Reciprocal ponderal index; Percentage of fat; Circumference of the abdomen and waist; Functional capacity by cardiorespiratory fitness (cycle ergometer) and strength (manual dynamometer). The statistic was performed in the Biostatistics and Stata 14.0 (α = 5%).

    Results

    The patients in the training group showed a reduction in the limitation dimension (p = 0.036) on BI, However, an increase in waist circumference was observed in both groups. In addition an increase in VO2max (p < 0.001) and strength in the right (p = 0.005) and left arms (p = 0.033).

    Conclusion

    Combined training demonstrates to be an effective and non-pharmacological strategy to patients with breast cancer, with improvement on BI and functional capacity, changing related variables negatively when there is no physical training.

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    Effect of Combined Training on Body Image, Body Composition and Functional Capacity in Patients with Breast Cancer: Controlled Clinical Trial
  • Original Article

    Exercise and Physical Activity Levels and Associated Factors Among High-Risk Pregnant Women

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(4):360-368

    Summary

    Original Article

    Exercise and Physical Activity Levels and Associated Factors Among High-Risk Pregnant Women

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(4):360-368

    DOI 10.1055/s-0042-1743099

    Views21

    Abstract

    Objective

    To assess the levels of physical activity and exercise practice, and examine the associated maternal characteristics; as well as the anxiety levels of high-risk pregnant women.

    Methods

    A cross-sectional study conducted with pregnant women at a High-risk Prenatal Clinic (HRPC) in a tertiary maternity. Pregnant women of 18 to 40-years-old, with a single fetus, and with gestational age up to 38 weeks were included. The level of physical activity and exercise practice of the study’s participants were investigated using the Pregnancy Physical Activity Questionnaire (PPAQ). Maternal sociodemographic, anthropometric, and medical data were investigated using a specific form. For anxiety levels, the short version of the State-Trait Anxiety Inventory (STAI) was applied. We used the Student t-test, chi-square test, odds ratio (OR) with 95% confidence interval (95% CI) and multiple logistic regression. The significance level was 5%.

    Results

    Among the 109 pregnant women included, 82 (75.2%) were classified as sedentary/little active. The higher energy expenditure were for domestic activities (133.81±81.84 METs), followed by work-related activities (40.77±84.71 METs). Only 19.3% women exercised during pregnancy (4.76±12.47 METs), with slow walking being the most reported exercise. A higher level of education was the most important factor associated with women being moderately or vigorously active (OR=29.8; 95% CI 4.9-117.8). Nulliparity (OR=3.1; 95% CI 1.0-9.1), low levels of anxiety (OR=3.6; 95% CI 1.2-10.7), and unemployment (OR=4.8; 95% CI 1.1-19.6) were associated with the practice of exercise during pregnancy.

    Conclusion

    Most women with high-risk pregnancies exhibited a sedentary pattern, with low prevalence of physical exercise practice. Recognizing factors that hinder the adoption of a more physically active lifestyle is essential for an individualized guidance regarding exercise during pregnancy.

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  • Original Article

    Is Moderate Intensity Exercise during Pregnancy Safe for the Fetus? An Open Clinical Trial

    Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(9):531-538

    Summary

    Original Article

    Is Moderate Intensity Exercise during Pregnancy Safe for the Fetus? An Open Clinical Trial

    Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(9):531-538

    DOI 10.1055/s-0039-1697035

    Views14

    Abstract

    Objective

    To determine the effect of treadmill walking on maternal heart rate (MHR) and cardiotocographic parameters (basal fetal heart rate [FHR], active fetal movements [AFM], number of accelerations and decelerations, and short-term variation [STV] and long-term variation [LTV] of fetal heart rate) in pregnant women at 36 weeks.

    Methods

    A nonrandomized, open clinical trial involving 88 healthy pregnant women submitted to moderate intensity walking and computed cardiotocography in 3 20- minute periods (resting, treadmill walking, and postexercise recovery).

    Results

    The mean FHR decreased during walking (resting: 137 bpm; treadmill: 98 bpm; recovery: 140 bpm; p<0.001), with bradycardia occurring in 56% of the fetuses in the first 10minutes of exercise, and in 47% after 20minutes. Bradycardia was not detected in the other phases. The mean STV and HV were 7.9, 17.0, and 8.0 milliseconds (p<0.001) and 7.6, 10.8 and 7.6 bpm (p=0.002) in the resting, walking and recovery phases, respectively. Themean number of fetalmovements in 1 hour was 29.9, 22.2 and 45.5, respectively, in the 3 periods (p<0.001). In overweight/obese women, the mean FHR was lower (p=0.02). Following the logistic regression analysis, two variables remained significantly associated with bradycardia: maternal fitness in the 28th week of pregnancy (protective effect) and maternal weight (increased risk).

    Conclusion

    In healthy fetuses, physical exercise proved to be safe, since, although FHR and AFM decreased during treadmill walking, an increase in SVT and LTV was observed.

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    Is Moderate Intensity Exercise during Pregnancy Safe for the Fetus? An Open Clinical Trial
  • Original Article

    Exercise in Pregnancy: The Impact of an Intervention Program in the Duration of Labor and Mode of Delivery

    Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(2):68-75

    Summary

    Original Article

    Exercise in Pregnancy: The Impact of an Intervention Program in the Duration of Labor and Mode of Delivery

    Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(2):68-75

    DOI 10.1055/s-0038-1675613

    Views11

    Abstract

    Objective

    To access the benefits or harms of an exercise program, based on the current American College of Obstetricians and Gynecologists guidelines, on the mode of delivery, duration and onset of labor.

    Methods

    A study performed at the Hospital Senhora da Oliveira between October 2015 and February 2017. This was a quasi-experimental study involving 255 women divided into two groups: an intervention group engaged in a controlled and supervised exercise program during pregnancy (n = 99), and a control group that did not participate in the exercise program (n = 156). Data were collected in two stages: during the 1st trimester biochemical screening (before the beginning of the program), through a written questionnaire, and after delivery, from the medical files of the patients. The significance level in the present study was 5% (p = 0.05).

    Results

    The control group had higher odds of induced labor (odds ratio [OR] 2.71; 95% confidence interval [CI]: 1.42-5.17; p = 0.003), when compared with women who underwent the intervention. No differences were found between the groups in instrumental vaginal deliveries, cesarean rate, time until the beginning of the active phase, duration of the active phase, and duration of the second stage of labor.

    Conclusion

    The implementation of a controlled and supervised exercise program in pregnancy was associated with significantly lower odds of induced deliveries.

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    Exercise in Pregnancy: The Impact of an Intervention Program in the Duration of Labor and Mode of Delivery
  • Original Article

    Physical Activity Level of Post-menopausal Women with Low Bone Mineral Density

    Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(5):225-230

    Summary

    Original Article

    Physical Activity Level of Post-menopausal Women with Low Bone Mineral Density

    Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(5):225-230

    DOI 10.1055/s-0036-1583757

    Views13

    Abstract

    Introduction

    Proper physical activity is related to the prevention and the treatment of osteoporosis.

    Purpose

    To assess the level of physical activity (PA) in post-menopausal women with low bone mineral density ( BMD ).

    Methods

    This cross-sectional clinical study included 123 post-menopausal women. The inclusion criteria were: age of 45 years with last menses at least 12 months prior to the initiation of the study, and bone density scan (BDS) values measured over the preceding 12 months. Women with severe osteoarthritis were excluded. Women were allocated into three groups, according to BMD measured by BDS [osteoporosis (OP; 54 women), osteopenia (35 women), and normal bone density (NBD; 35 women)], and compared for general, clinical, and anthropometric data, and for PA level. The latter was assessed using the International Physical Activity Questionnaire (IPAQ), in metabolic equivalent of task (MET) units. Participants were classified as sedentary, active or very active. Quantitative variables were compared using ANOVA followed by Tukey's test. Associations between qualitative variables were tested by Chi-square (χ2) or Fisher's exact test. In order to check for differences among groups and IPAQ domains, a generalized linear model with Gamma distribution was adjusted for values in METs.

    Results

    The OP group differed from the NBD group regarding age (61.8 10.1 and 52.9 5.4 years), percentage of participants with self-declared white ethnicity (43.9 and 28.0%), body mass index (BMI - 25.7 5.4 and 30.9 5.1 kg/m2), and time since menopause (15.5 7.5 and 5.8 4.5 years). Smoking rates were higher in the OP (55.6%) and NBD groups (33.3%) than in the osteopenia group (11.1%). Within the OP group, the rate of subjects with sedentary lifestyles was higher (42.6%), and time spent sitting was greater (344.3 204.8 METs) than in the groups with osteopenia (20.0 % and 300.9 230.6 METs) and NBD (17.7% and 303.2 187.9 METs).

    Conclusions

    The rate of sedentary lifestyles was higher in post-menopausal women with OP than in those with either osteopenia or NBD. In order to change this physical inactivity profile, strategies should be created to address this group of patients.

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  • Artigos Originais

    Assessment of functional fitness through the set of AAHPERD tests in women after menopause: Is there a decline between the fifth and sixth decades of life?

    Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(6):278-282

    Summary

    Artigos Originais

    Assessment of functional fitness through the set of AAHPERD tests in women after menopause: Is there a decline between the fifth and sixth decades of life?

    Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(6):278-282

    DOI 10.1590/SO100-720320150005326

    Views9

    PURPOSE:

    to analize the level of functional fitness of a group of postmenopausal women in
    the city of Presidente Prudente using the set of functional fitness tests of the
    American Alliance for Health, Physical Education, Recreation and Dance and to
    check whether there are differences between groups of women in the fifth and sixth
    decade of life.

    METHODS:

    This was a cross-sectional study conducted on 175 postmenopausal women (follicle
    stimulating hormone level>26.72 mIU/L) in the city of Presidente Prudente in
    2013. The inclusion criteria were not being part of any type of systematic motor
    intervention for at least six months before the collection of research data;
    absence of motor or cognitive impairment that would prevent the evaluation
    protocols, and absence of chronic or degenerative disease, musculoskeletal injury
    or comorbidity that could prevent or limit the evaluations. The women were
    evaluated by the same trained examiners. The 50 to 59 year group showed a mean age
    of 55.3±4.5 years, mean FSH values of 53.5±21.1 mIU/mL, mean coordination of
    11.4±2.2 seconds, mean strength of 20.1±3.9 repetitions, mean flexibility of
    51.7±11.8 cm, mean 23.2±2.8 seconds agility and mean aerobic resistance of
    500±43/2 . The 60 to 69 year group had a mean age of 65.1±4.1 years with FSH
    54.9±15.9, 11.6±2.6 seconds coordination, strength 20.3±4.7 repetitions, 54.6±11.2
    cm flexibility, agility 24.7±4.3 seconds, and aerobic resistance of 508±51
    seconds.

    CONCLUSION:

    It was possible to analyze the functional fitness of postmenopausal women through
    the set of the American Alliance testing for Health, Physical Education,
    Recreation and Dance with no significant differences between groups for the
    variables strength, flexibility, aerobic capacity and coordination, and with only
    the speed variable showing significant differences. We recommend further studies
    seeking to formulate normative values for the population in question.

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  • Artigos Originais

    Risk factors for urinary incontinence in elderly women practicing physical exercises

    Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(2):82-86

    Summary

    Artigos Originais

    Risk factors for urinary incontinence in elderly women practicing physical exercises

    Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(2):82-86

    DOI 10.1590/SO100-720320140005040

    Views4

    PURPOSE:

    To analyze the risk factors for urinary incontinence (UI) in older women practicing physical exercises (PE).

    METHODS:

    A total of 152 older women with a mean age of 68.6±5.8 years who regularly practiced PE participated in the study. The presence of UI and gynecological, obstetric, clinical, behavioral, hereditary and anthropometric risk factors was determined identified. It was also applied the Domain 4 of the International Physical Activity Questionnaire (IPAQ) to determine the level of physical activity and body mass index and waist circumference were measured. Data were analyzed using descriptive and inferential statistics, with the level of significance set at 5%.

    RESULTS:

    The prevalence of UI in the sample was 32.2%. Among the factors evaluated, only the use of diuretics (OR=2.7; 95%CI 1.0-7.0) and a positive family history of urinary incontinence (OR=2.3; 95%CI 1.1-4.8) were associated with UI symptoms.

    CONCLUSION:

    The use of diuretics is considered to be a modifiable risk factor for UI, whereas a family history is not considered to be a modifiable risk factor.

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  • Artigos Originais

    Effect of a short-term functional training program on body composition in postmenopausal women

    Revista Brasileira de Ginecologia e Obstetrícia. 2014;36(9):404-409

    Summary

    Artigos Originais

    Effect of a short-term functional training program on body composition in postmenopausal women

    Revista Brasileira de Ginecologia e Obstetrícia. 2014;36(9):404-409

    DOI 10.1590/SO100-720320140005073

    Views9

    PURPOSE:

    To evaluate the effect of 8 weeks of functional training on body composition in postmenopausal women.

    METHODS:

    The study was conducted on 38 postmenopausal women, divided into two groups: Training Group (TG) and Control Group (CG). TG women (n=21) performed a program of physical exercise for a period of 8 weeks, 3 times a week on nonconsecutive days, with 90 minutes per session. For the same period, CG women (n=17) did not perform any systematic physical activity. All participants were assessed at baseline and after 8 weeks. The evaluations were performed by the same trained raters. Analysis of body composition was performed using dual-energy X-ray absorptiometry (DEXA), which allows estimation of body composition in the whole body and by segment. TG participants performed a functional exercise program 3 days a week (non-consecutive), with 11 stations consisting of exercises developed in circuit format sessions. The objectives of the exercises were the development of strength, agility, coordination and proprioception, followed by aerobic exercise (walking). After normality of the data was determined by the Shapiro-Wilk test (p<0.05), we applied the Student t-test for independent samples to check for possible differences in anthropometric variables and body composition between groups at both times of intervention (pre and post-test). All analyses were performed using the SPSS software v. 17.0 (SPSS Inc., Chicago, IL, USA) with the level of significance set at 5%.

    RESULTS:

    At baseline, no significant difference was observed between groups regarding anthropometric body variables or age composition, indicating homogeneity of the groups. After 8 weeks of training, significant differences were observed between TG and CG regarding fat - CG=0.2±0.7 and TG=-0.4±0.5, total body fat (kg) - CG=0.2±1.3 and TG=-0.7±0.8, and total weight - CG=0.4±1.4 and TG=-0.6±1.1. Percent body fat was reduced in terms of absolute values, although without significance: CG=0.1±1.5 and TG=-0.8±1.5.

    CONCLUSION:

    Functional training in circuit format can be used as a strategy to alter body composition in postmenopausal women, particularly in terms of reduction of adipose tissue. This is a model that promotes high adhesion on the part of the participants, suggesting that it is an attractive proposal for the investigated age group.

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