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ABSTRACT Introduction A healthy body depends on several factors, and physical exercise is one of the main factors. Research results on the physical health of female university students show that although the general health status of Chinese female students is good, the quality of physical performance at university continues to show a slow downward trend. Objective To explore the effects of different exercises on the fat mass and lean weight indices of female university students. Methods 60 female students who participated in aerobics and ball games training in the Physical Education Department of a university were randomly divided into a control group and a training group, with 30 volunteers in each group. The experimental group performed intensive aerobics training and ball training. In contrast, no intervention was performed in the control group, and indicators were collected and analyzed according to current literature. Results After eight weeks of the intervention protocol, the body weight, body fat weight, lean weight, body surface area, and body fat ratio of the control group had no significant changes from the period before the experiment (P > 0.05). In the training group, fat weight decreased significantly (p<0.01), lean mass weight increased significantly (p<0.01), body fat ratio decreased (p<0.01), and body weight and body surface area had no significant changes (p>0.05). PTH and FSH in the training group were significantly higher than in the control group (P < 0.05). As the aerobic exercise level improved in the experimental group, the weight and abdominal skinfold thickness in the exercise group showed a downward trend. Conclusion There is a general correlation between BMI and body fat content and its body distribution in college women. Compared to men, BMI is better suited to describe the fat metabolism of college women. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.
RESUMO Introdução Um corpo saudável depende de vários fatores e o exercício físico é um dos principais. Os resultados de pesquisa na saúde física das estudantes universitárias mostram que apesar do estado de saúde geral das estudantes chinesas serem bons, a qualidade no desempenho físico na universidade continua a mostrar uma lenta tendência de queda. Objetivo Explorar os efeitos de distintos exercícios sobre os índices de gordura e massa magra de universitárias. Métodos 60 alunas que participaram de treinamento de aeróbica e jogos de bola no Departamento de Educação Física de uma universidade foram divididas aleatoriamente em grupo de controle e grupo de treinamento, com 30 voluntárias em cada grupo. O grupo experimental realizou treinamento intensivo de aeróbica e treinamento com bola, enquanto nenhuma intervenção foi executada no grupo controle, a coleta e análise dos indicadores foi executada segundo a literatura corrente. Resultados Após 8 semanas do protocolo de intervenção, o peso corporal, peso da gordura corporal, peso magro, área de superfície corporal e relação de gordura corporal do grupo controle não tiveram alterações significativas em relação ao período anterior ao experimento (P > 0,05). No grupo de treinamento, o peso da gordura diminuiu significativamente (p<0,01), o peso da massa magra aumentou significativamente (p<0,01), a relação de gordura corporal diminuiu (p<0,01), o peso corporal e a superfície corporal não sofreram alterações significativas (p>0,05). O PTH e FSH no grupo de treinamento foram significativamente maiores do que os do grupo controle (P < 0,05). Com a melhora do nível de exercício aeróbico no grupo experimental, o peso e a espessura da dobra cutânea abdominal no grupo de exercício apresentaram uma tendência de queda. Conclusão Há uma correlação geral entre o IMC e o teor de gordura corporal e a sua distribuição corporal em universitárias. Em comparação com os homens, o IMC é mais adequado para descrever o metabolismo de gordura de universitárias. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.
RESUMEN Introducción Un cuerpo sano depende de varios factores y el ejercicio físico es uno de los principales. Los resultados de la investigación sobre la salud física de las estudiantes universitarias muestran que, aunque el estado de salud general de las estudiantes chinas es bueno, la calidad del rendimiento físico en la universidad sigue mostrando una lenta tendencia a la baja. Objetivo Explorar los efectos de diferentes ejercicios sobre los índices de grasa y peso magro de estudiantes universitarias. Métodos 60 alumnas que participaban en el entrenamiento de aeróbic y juegos de pelota en el Departamento de Educación Física de una universidad fueron divididas aleatoriamente en un grupo de control y un grupo de entrenamiento, con 30 voluntarias en cada grupo. El grupo experimental realizó un entrenamiento aeróbico intensivo y un entrenamiento con balón, mientras que en el grupo de control no se llevó a cabo ninguna intervención; la recogida y el análisis de los indicadores se realizaron de acuerdo con la literatura actual. Resultados Tras 8 semanas del protocolo de intervención, el peso corporal, el peso de la grasa corporal, el peso magro, la superficie corporal y la proporción de grasa corporal del grupo de control no presentaron cambios significativos en comparación con el periodo anterior al experimento (P > 0,05). En el grupo de entrenamiento, el peso de la grasa disminuyó significativamente (p<0,01), el peso de la masa magra aumentó significativamente (p<0,01), la proporción de grasa corporal disminuyó (p<0,01), el peso corporal y la superficie corporal no tuvieron cambios significativos (p>0,05). La PTH y la FSH en el grupo de entrenamiento fueron significativamente mayores que las del grupo de control (P < 0,05). Con la mejora del nivel de ejercicio aeróbico en el grupo experimental, el peso y el grosor del pliegue cutáneo abdominal en el grupo de ejercicio mostraron una tendencia a la baja. Conclusión Existe una correlación general entre el IMC y el contenido de grasa corporal y su distribución en las estudiantes universitarias. En comparación con los hombres, el IMC es más adecuado para describir el metabolismo de las grasas de las estudiantes universitarias. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.
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Humans , Female , Sports , Students , Body Mass Index , Adipose Tissue , Women's Health , Case-Control StudiesABSTRACT
Objective:To investigate the changes and clinical significance of body mass index (BMI), blood lipid and fat soluble vitamin levels in patients with different types of severe preeclampsia.Methods:Sixty-eight pregnant women with severe preeclampsia who received antenatal examination in Lishui Maternal and Child Health Care Hospital, China from February 2017 to February 2019 were included in the study group. According to the onset time, the pregnant women were divided into an early onset group (≤ 34 weeks of gestation, n = 38) and a late onset group (> 34 weeks of gestation, n = 30). An additional 50 healthy pregnant women who concurrently received antenatal examination in the same hospital were included in the control group. Serum levels of triglyceride (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), total cholesterol (TC), vitamin A (VA), vitamin E (VE) and vitamin D 3 (VD 3) were determined in all pregnant women. Logistic regression was used to analyze severe preeclampsia-related influential factors. Results:There were no significant differences in age, number of births and number of pregnancies among the three groups (all P > 0.05). BMI and serum levels of VA, VE, TC, TG, and LDL-C were (22.99 ± 4.39) kg/m 2, (0.48 ± 0.08) ng/mL, (11.91 ± 1.74) ng/mL, (4.93 ± 0.34) mmol/L, (1.57 ± 0.26) mmol/L, (2.68 ± 0.27) mmol/L, respectively, which were significantly higher than those in the control group [(20.68 ± 3.68) kg/m 2, (0.40 ± 0.07) ng/mL, (10.32 ± 2.56) ng/mL, (4.12 ± 0.67) mmol/L, (1.25 ± 0.32) mmol/L, (2.15 ± 0.32) mmol/L, t = 3.725, 6.698, 4.352, 8.731, 6.282, 10.512, all P < 0.05]. Serum levels of HDL-C and VD 3 in the study group were (1.51± 0.32) mmol/L and (16.16 ± 2.37) ng/mL, respectively, which were significantly lower than those in the control group [(1.88 ± 0.57) mmol/L, (17.86 ± 2.39) ng/mL, t = - 6.959, - 4.520, both P < 0.05]. BMI and serum levels of TC, TG, LDL-C, VA and VE in the early onset group were (23.13 ± 4.13) kg/m 2, (5.05 ± 0.34) mmol/L, (1.62 ± 0.27) mmol/L, (2.95 ± 0.32) mmol/L, (0.52 ± 0.06) ng/mL, (12.16 ± 1.80) ng/mL, respectively, which were significantly higher than those in the control group ( t = 6.507, 17.462, 11.217, 16.593, 9.075 and 4.142, all P < 0.05). Serum levels of HDL-C and VD 3 in the early onset group were (1.43 ± 0.28) mmol/L and (15.76 ± 2.42) ng/mL, respectively, which were significantly lower than those in the control group ( t = 14.635, 5.871, both P < 0.05). BMI and serum levels of TC, TG and VE in the late onset group were (22.70 ± 4.32) kg/m 2, (4.67±0.32) mmol/L, (1.49 ± 0.25) mmol/L and (11.45 ± 1.61) ng/mL, respectively, which were significantly higher than those in the control group ( t = 5.821, 12.857, 8.059, 3.482, all P < 0.05). Serum level of VD3 in the late onset group was (16.72 ± 2.31) ng/mL, which was significantly lower than that in the control group ( t = 4.319, P = 0.01). There were no significant differences in serum levels of LDL-C, HDL-C and VA between late onset group and control group (all P > 0.05). There were no significant differences in BMI, and serum levels of TC, TG, HDL-C, LDL-C, VA, VD 3 and VE between early onset and late onset groups (all P > 0.05). Logistic regression analysis results revealed that BMI and serum levels of TG, TC, HDL-C, LDL-C, VA, VD 3 and VE are independent influential actors of early onset severe preeclampsia ( P = 0.000, 0.008, 0.032, 0.043, 0.032, 0.002, 0.041, 0.009). BMI and serum levels of TG, TC, VD 3 and VE are independent influential actors of late onset severe preeclampsia ( P = 0.002, 0.016, 0.013, 0.031, 0.042). BMI, blood lipid and fat soluble vitamin in combination are of high value for the prediction of early onset severe preeclampsia (sensitivity 87.81% and specificity 76.67%), but they are not of high value for the prediction of late onset severe preeclampsia (sensitivity 52.51% and specificity 55.10%). Conclusion:BMI, serum lipid and fat soluble vitamin in combination are of high value in the prediction of early-onset severe preeclampsia.
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Objective To discuss and compare the clinical characteristics and difference of full-term and preterm neonatal purulent meningitis(NPM),for early diagnosis and reasonable treatment.Methods 72 newborns with NPM were collected.According to the gestational age,33 cases were divided into the full-term group(37-42 weeks) and 39 cases were divided into the preterm group (＜37 weeks).The clinical data,symptoms and signs,the related infection,the lab tests of blood and cerebrospinal fluid and pathogenic examination were analyzed and compared.Results The sex,the day age of hospital admission and onset between the two groups were no difference(P＞0.05).The rate of low-birth weight infant was 6.1％,which was significantly lower than preterm neonates(59.0 ％)(P＜0.05).The mainly clinical manifestations of full-term newborns with NPM were fever(75.8 ％),convulsions (45.5％),poor response(78.8％),and poor eating milk(45.5％).But the mainly clinical manifestations of preterm neonates with NPM were jaundice(30.8 ％),apnea(20.5 ％) and lower muscular tension(61.5 ％).There were 17 cases(51.5 ％) with NPM combined with septicemia in the full-term group,which was more than preterm neonates(20.5 ％)(P＜0.05).According to the results of the lab tests,18 full-term neonates (54.5 ％) with NPM with increased CRP levels were more than preterm neonates (28.2 ％) (P＜0.05).Besides,the preterm NPM neonates showed higher protein levels (2.35 ± 0.78) g/L and lower glucose(1.84 ±0.69) mmol/L in cerebrospinal fluid than these in the full-term group(P＜0.05).However,there was only 2 full-term NPM neonate with a positive cerebrospinal fluid culture,and 15 patients with a positive blood culture(8 full-term neonates and 7 preterm neonates).Conclusion Because of the atypical clinical characteristics and difference between the full-term neonates and the preterm neonates,the clinical symptoms and signs of neonates should be closely monitored.Therefore,it's suggested that the early diagnosis and reasonable treatment be a key plan for the low mortality and disability.
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Objective To discuss and compare the clinical characteristics and difference of full-term and preterm neonatal purulent meningitis(NPM),for early diagnosis and reasonable treatment.Methods 72 newborns with NPM were collected.According to the gestational age,33 cases were divided into the full-term group(37-42 weeks) and 39 cases were divided into the preterm group (＜37 weeks).The clinical data,symptoms and signs,the related infection,the lab tests of blood and cerebrospinal fluid and pathogenic examination were analyzed and compared.Results The sex,the day age of hospital admission and onset between the two groups were no difference(P＞0.05).The rate of low-birth weight infant was 6.1％,which was significantly lower than preterm neonates(59.0 ％)(P＜0.05).The mainly clinical manifestations of full-term newborns with NPM were fever(75.8 ％),convulsions (45.5％),poor response(78.8％),and poor eating milk(45.5％).But the mainly clinical manifestations of preterm neonates with NPM were jaundice(30.8 ％),apnea(20.5 ％) and lower muscular tension(61.5 ％).There were 17 cases(51.5 ％) with NPM combined with septicemia in the full-term group,which was more than preterm neonates(20.5 ％)(P＜0.05).According to the results of the lab tests,18 full-term neonates (54.5 ％) with NPM with increased CRP levels were more than preterm neonates (28.2 ％) (P＜0.05).Besides,the preterm NPM neonates showed higher protein levels (2.35 ± 0.78) g/L and lower glucose(1.84 ±0.69) mmol/L in cerebrospinal fluid than these in the full-term group(P＜0.05).However,there was only 2 full-term NPM neonate with a positive cerebrospinal fluid culture,and 15 patients with a positive blood culture(8 full-term neonates and 7 preterm neonates).Conclusion Because of the atypical clinical characteristics and difference between the full-term neonates and the preterm neonates,the clinical symptoms and signs of neonates should be closely monitored.Therefore,it's suggested that the early diagnosis and reasonable treatment be a key plan for the low mortality and disability.
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Objective To explore how medical staff in the oncology department understand management of cancer related fatigue (CRF), and explore what factors influencing the effective practice of CRF management. Methods Qualitative inquiry was adopted. Ten medical staffs in the oncology department were selected for in- depth interview. Generic analysis was applied to code, categorize and interpret the qualitative data. Results Participants believed that many factors influenced the CRF, which hadn′t been assessed as an independent symptom and lacked the systematic, effective and specific interventions. The medical staff, patients and their families neglecting the CRF management was the main barrier. Strengthening system construction and staff training was mentioned as major area which needed to be improved. Conclusions CRF management guideline should be formulated according to our national situations based on the clinical practices, besides, the training of correlated clinical knowledge and skills of medical staff should be strengthened and eventually promote the cancer patients′quality of life.