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  • Original Article

    Physical activity and body composition in menopausal women

    Rev Bras Ginecol Obstet. 2013;35(4):153-158

    Summary

    Original Article

    Physical activity and body composition in menopausal women

    Rev Bras Ginecol Obstet. 2013;35(4):153-158

    DOI 10.1590/S0100-72032013000400004

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    PURPOSE: To analyze the relationship between physical activity and body composition in menopausal women. METHODS: The study included 62 menopausal women aged 50 years or more (61.2±7.6). The practice of physical activity was assessed with an accelerometer and is reported as minutes per week of low physical activity and moderate plus vigorous physical activity, and total physical activity in counts. Lean mass and total fat mass were assessed by dual-energy X-ray absorptiometry, and are reported as percentages. The relation between body composition variables and physical activity was evaluated by Spearman and Pearson correlation. Comparisons between groups were performed using the independent t test and Mann-Whitney test. RESULTS: The age group 59 years or older had higher mean values of total physical activity in counts (1,307.081 versus 2,843.840) and of minutes per week of moderate-vigorous physical activity (273 versus 156 minutes). Women who completed 150 minutes or more of moderate-vigorous physical activity had significantly lower total fat mass (43.8 versus 47.2 kg), higher lean mass (53.8 versus 49.6 kg) and lower BMI (27.7 versus 30.5 kg/m²) when compared to those with less than 150 minutes of physical activity per week. Only time spent in moderate activities showed a significant negative correlation with the percentage of total fat (r=-0.26, p<0.05), whereas total physical activity in counts correlated with the percentage of lean body mass (r=0,30), percentage of total fat (r=-0.32), trunk fat (r=-0.29), and BMI (r=-0.32); all correlations were statistically significant at p<0.05. CONCLUSION: menopausal women aged 50 years or more who spent more minutes in moderate and vigorous activity and higher total physical activity counts showed lower fat mass and higher lean mass.

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  • Original Article

    Total body and trunk fat mass and the gait performance in postmenopausal women

    Rev Bras Ginecol Obstet. 2014;36(4):176-181

    Summary

    Original Article

    Total body and trunk fat mass and the gait performance in postmenopausal women

    Rev Bras Ginecol Obstet. 2014;36(4):176-181

    DOI 10.1590/S0100-7203201400040003

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    PURPOSE:

    To determine the relationship between total body and trunk fat mass and gait performance in postmenopausal women.

    METHODS:

    Thirty-nine postmenopausal women aged 50 years or more were studied. The following items were determined: weight and height to calculate body mass index (BMI), body composition using the technique of Dual-Energy X-ray Absorptiometry (DXA), and gait using baropodometry. The body composition variables used were total body fat, percent body fat and trunk fat, while the gait variables were percent double stance time and single stance time and gait speed. The women were divided into two groups according to the median for each body composition variable: less and more body fat, less and more percent body fat and less and more trunk fat. To compare the gait variables between groups, we used the Mann-Whitney test. To evaluate the possible relationships between body composition variables and gait variables, we used the Spearman correlation test. All analyses were performed with the level of significance set at 5%.

    RESULTS:

    The group with more trunk fat showed longer double stance time (p=0.007) and lower values of single stance time (0.033) than the group with less trunk fat. We found significant and positive correlations between trunk fat and double stance time (R=0.40) and negative correlations between trunk fat and single stance time (R=-0.32).

    CONCLUSION:

    Postmenopausal women with a greater amount of trunk fat tended to have impaired gait performance.

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    Total body and trunk fat mass and the gait performance in postmenopausal women
  • Artigos Originais

    Short-term changes in handgrip strength, body composition, and lymphedema induced by breast cancer surgery

    Rev Bras Ginecol Obstet. 2014;36(6):244-250

    Summary

    Artigos Originais

    Short-term changes in handgrip strength, body composition, and lymphedema induced by breast cancer surgery

    Rev Bras Ginecol Obstet. 2014;36(6):244-250

    DOI 10.1590/S0100-720320140005004

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    PURPOSE:

    This study investigated short-term changes in body composition, handgrip strength, and presence of lymphedema in women who underwent breast cancer surgery.

    METHODS:

    Ninety-five women participated in a cross-sectional study, divided into two groups: Control (n=46), with healthy women, and Experimental (n=49), with women six months after breast cancer surgery . The Experimental Group was subdivided into right total mastectomy (RTM, n=15), left total mastectomy (LTM, n=11), right quadrant (RQ, n=13), and left quadrant (LQ, n=10). It was also redistributed among women with presence (n=10) or absence (n=39) of lymphedema. Presence of lymphedema, handgrip strength, and body composition were assessed.

    RESULTS:

    Trunk lean mass and handgrip strength were decreased in the Experimental Group. Total lean mass was increased in the LTM compared to RTM or LQ. Left handgrip strength in LTM was decreased compared to RTM and RQ and in LQ compared to RTM and RQ. Finally, total lean mass, trunk fat mass, trunk lean mass, right and left arm lean mass were increased in women with lymphedema.

    CONCLUSIONS:

    Breast cancer survivors have changes in their body composition and in handgrip strength six months after surgery; however, the interaction between the type of surgery and its impact is unclear. Furthermore, women who developed lymphedema in this period showed more significant changes in the body composition, but they were not enough to cause impairment in handgrip strength.

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  • Original Article

    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?

    Rev Bras Ginecol Obstet. 2015;37(6):278-282

    Summary

    Original Article

    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?

    Rev Bras Ginecol Obstet. 2015;37(6):278-282

    DOI 10.1590/SO100-720320150005326

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    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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