The effects of cataract surgery on autonomic heart rate control: a prospective cross-sectional and analytical study

OBJECTIVES: We aimed to evaluate the effects of cataract surgery on cardiac autonomic modulation. METHODS: A cross-sectional and analytical study was conducted at the Hospital Maria Braido in the city of São Caetano do Sul, São Paulo, between 2015 and 2016. We investigated 19 patients of both sexes who were all over 50 years old; all patients had a diagnosis of senile or bilateral cataracts and were recommended to undergo implantation of the intraocular lens. Heart rate variability (HRV) was evaluated before, during and after cataract surgery. RESULTS: There were no significant changes in the time and geometric domains of HRV before, during or after surgery. The high-frequency (HF) band in normalized units (nu) on the spectral analysis significantly increased (p=0.02, Cohen's d=0.9, large effect size). However, the low-frequency (LF) band in nu significantly decreased during surgery (p=0.02, Cohen's d=0.9, large effect size). CONCLUSION: Throughout the intraocular lens implantation cataract surgery, there was an increase in parasympathetic modulation and a decrease in the sympathetic component of the heart rate (HR). We propose that this result is attributable to the supine position of the patients during surgery and the trigeminal reflex.

Do biological maturity and performance influence the training load of track and field athletes? / A maturação sexual e o desempenho influenciam a carga de treinamento de atletas de atletismo?

Abstract It is necessary to clarify if BM and track and field performance can modulate the perception about RPE-session. The purpose of the present study was to verify if biological maturity and track and field-specific performance can be associated with training load (RPE-session method). Seventy-five young athletes (13-15 years old) of both genders participated in the present study. The experimental protocol lasted seven consecutive days. Performance tests (75-m running, long jump, 250-m running, shot put and 1000-m running) were made on the first day. After 48 hours, five days of track and field training it was prescribed, each day represents a training of each performance test. All training sessions had the same duration (120 min). The value of the training load was obtained multiplying the RPE value with training session duration (in minutes). For girls, the training load of 250-m training was correlated with biological maturity (r = -0.36, p = 0.02, n = 37) and specific performance (r = 0.33, p = 0.04, n = 37). All other analyzes indicate that biological maturity and track and field-specific performance do not influence the training load based on RPE-session method. Training load based on RPE-session is not influenced by biological maturity and track and field-specific performance, therefore can be used to control the training load of young track and field athletes. To girls it is necessary a care to control the training sessions intensity of 250-m running.

Resumo É necessário esclarecer se a maturação biológica e o desempenho no atletismo podem modular a PSE da sessão. O objetivo do presente estudo foi verificar se a maturidade biológica e o desempenho específico no atletismo podem estar associados à carga de treinamento (método de PSE da sessão). Setenta e cinco jovens atletas (13-15 anos) de ambos os sexos participaram do presente estudo. O protocolo experimental durou sete dias consecutivos. Testes de desempenho (75 m de corrida, salto em distância, 250 m de corrida, arremesso de peso e 1000 m de corrida) foram feitos no primeiro dia. Após 48 horas, cinco dias de treinamento de atletismo foram prescritos, cada dia representa um treinamento de cada teste de desempenho. Todas as sessões de treinamento tiveram a mesma duração (120 min). O valor da carga de treinamento foi obtido multiplicando o valor do PSE com a duração da sessão de treinamento (em minutos). Para as meninas, a carga de treinamento de 250 m foi correlacionada com a maturidade biológica (r = -0,36, p = 0,02, n = 37) e desempenho específico (r = 0,33, p = 0,04, n = 37). Todas as outras análises indicam que a maturidade biológica e o desempenho específico no atletismo não influenciam a carga de treinamento com base no método da PSE da sessão. A carga de treinamento com base na PSE da sessão não é influenciada pela maturidade biológica e desempenho específico no atletismo, portanto, pode ser usada para controlar a carga de treinamento de jovens atletas de atletismo. Para as meninas é necessário cuidado para controlar a intensidade das sessões de treino de 250m de corrida.

PSA kinetics before 40 years of age

ABSTRACT Purpose: The baseline PSA has been proposed as a possible marker for prostate cancer. The PSA determination before 40 years seems interesting because it not suffers yet the drawbacks related to more advanced ages. Considering the scarcity of data on this topic, an analysis of PSA kinetics in this period seems interesting. Materials and Methods: A retrospective assay in a database of a private diagnostic center was performed from 2003 to 2016. All subjects with a PSA before 40 years were included. Results: 92995 patients performed PSA between the ages of 21 - 39. The mean value ranged from 0.66 ng / mL (at age 22) to 0.76 ng / mL (at age 39) and the overall mean was 0.73 ng / mL. As for outliers, 3783 individuals presented a baseline PSA > 1.6 ng / mL (p95). A linear regression model showed that each year there is a PSA increase of 0.0055 ng / mL (β = 0.0055; r2 = 0.0020; p < 0.001). A plateau in PSA between 23 and 32 years was found and there were only minimal variations among the ages regardless of the evaluated percentile. Conclusion: It was demonstrated that PSA kinetics before 40 years is a very slow and progressive phenomenon regardless of the assessed percentile. Considering our results, it could be suggested that any PSA performed in this period could represent the baseline value without significant distortions.

Conflitos entre a orientação sexual e a orientação de gênero na identidade de atletas profissionais de voleibol: a percepção de atletas homossexuais / Conflicts between the sexual orientation and gender orientation in the athletes' identity in professionals volleyball players: the perception of gay athletes

Objetivou-se neste estudo descrever, relatar e analisar a autopercepção de comportamentos de atletas homossexuais inseridos no voleibol, assim como, observar quais foram as percepções deles sobre a identidade sexual dentro do esporte, e casos de preconceito e discriminação sofridos por eles que tenham dificultado a carreira esportiva. Participaram quatro atletas homossexuais, masculinos, profissionais de voleibol do sudeste do Brasil. Esses responderam a uma entrevista semiestruturada, em que os dados passaram por análise de discurso. Eles acreditaram que o voleibol tolera atletas homossexuais, desde que mantenham sua orientação de gênero supostamente adequada e relataram alguns casos de preconceito, entre torcedores, técnicos e outros atletas homossexuais. Como limitação para este estudo, observou-se a resistência dos atletas homossexuais em discutir sobre o tema. Concluiu-se que a orientação sexual homossexual discreta é mais tolerável do que uma orientação de gênero feminina em termos de identidade atlética neste ambiente esportivo. Percebeu-se pelas falas dos atletas que uma orientação de gênero cruzada faz com que as habilidades técnicas e táticas sejam desconsideras....(AU)

The objective of this study was to describe, report and analyze the self-perception of homosexual athletes behavior in Volleyball, as well as, to observe what were their perceptions of sexual identity within the sports, and cases of prejudice and discrimination suffered by them that have hampered sports career. The participants were four gays professionals male athletes of volleyball in southeastern Brazil. Participants responded to a semi-structured interview that the data were analyzed through speech analysis. They believe that the volleyball tolerates homosexuals' athletes, provided they retain their supposedly appropriate gender orientation and reported some cases of prejudice, between fans, coaches and other homosexual athletes. As a limitation to this study was observed the resistance of gay athletes to discuss on the topic. It was concluded that the discreet homosexual orientation is more tolerable than a feminine gender orientation in terms of athletic identity in this sport environment. It was seem through athletes' speeches that a cross gender orientation does that technicals and tacticals skills being disregarded....(AU)

Análise da produção científica sobre atletismo no Brasil: uma revisão sistemática / Scientific production of track and field in Brazil: a systematic review

O objetivo deste estudo foi analisar a produção científica brasileira sobre o Atletismo entre 1999 e 2013. Foram identificados 162 artigos, e selecionados 55 estudos que abordaram o Atletismo como temática principal do estudo. Destes, 43 artigos (78,2%) foram relacionados com a Biodinâmica do Movimento Humano e 12 (21,8%) com a Pedagogia do Movimento. Analisando os estudos selecionados (caraterização a posteriori das análises), 30,9% (17) correspondiam à pesquisas na área de fisiologia do exercício, 20% (11) a lesões no esporte, 10% (6) sobre biomecânica, 7,3% (4) a psicologia do esporte e 7,3% (4) a nutrição esportiva. As áreas com menos pesquisas foram o treinamento esportivo, a iniciação esportiva e a história/sociologia do esporte com 5,5% (3) cada uma. A pedagogia do esporte e do dopping, ficaram com a menor proporção de estudos, sendo 3,6% (2) cada uma. Seis estudos não apresentavam uma única modalidade como foco central na investigação, outros 15 enfocaram corridas de fundo e meio undo, 8 em corridas de rua e maratonas, 7 em corridas de velocidade, 6 em atletismo paralímpico e, com menor percentual, as provas de salto horizontal, arremessos e lançamentos e o atletismo escolar que tiveram 1 estudo cada. Conclui-se que é importante considerar os critérios de avaliação dos cursos de PósGraduação adotados pela CAPES, pois no modo atual o sistema parece limitar a investigação na área da Pedagogia do Movimento. Necessita-se também qualificar a pesquisa sobre o Atletismo no Brasil e desenvolver pesquisas com melhor aporte metodológico (estudos longitudinais, de intervenção, de validação de métodos, de revisão de literatura e qualitativos) bem como melhorar a amostragem e diversificar as investigações em diferentes provas do Atletismo...(AU)

The aim of this study was to analyze the Brazilian scientific production on Athletics between 1999 and 2013. A total of 162 articles were identified, and 55 studies were selected that approached Athletics as the main theme of the article. Of these, 43 articles (78.2%) were related to Biodynamics of the Human Movement, and 12 (21.8%) with Pedagogy of the Human Movement. Analyzing the studies, 30.9% (17) corresponded to research in the physiology of the exercise, 20% (11) corresponded to studies on sports injuries, 10% (6) on sports biomechanics, 7.3% ( 4) sports psychology and 7.3% (4) sports nutrition. The areas with the least research were sports training, sports initiation and sport history / sociology, with 5.5% (3) in each one, and the lowest proportion of studies occurred in the area of sports pedagogy and doping, with 3.6% (2) of the studies found in the literature review. Six studies did not present a single modality as a central focus in the investigation, another fifteen focused in middle and long-distance events, eight road running and marathon, seven sprints, six studies focused on Brazilian Paralympic athletes, and with a lower percentage jumping and throwing events and school athletics with one study each. It is concluded that it is important to consider the evaluation criteria of the courses and thus, the entry of teachers into the country's postgraduate programs, as this seems to limit research in the area of Pedagogy of Human Movement. It is also necessary to qualify the research on Athletics in Brazil, to develop researches with better methodological aproach, that is, longitudinal studies, intervention studies, validation studies of methods, studies of literature review and qualitative studies, to improve the sample in the studies and diversify the research evidence...(AU)

Monitoring the training intensity and recovery with a psychometrics approach: a gender comparison with young athletes

AIMS: The purpose of present study was verify if the RPE-training session differs between females and males during the track and field training and if biological maturity (BM) has interference on this response. METHODS: Seventy-five athletes (13-15 years old) have participated of study, with 38 male 37 female. Five training sessions of track and field were prescribe and monitoring by RPE-training session (intensity) and Total Quality Recovery (TQR) (recovery). RESULTS: There was no statistical difference between males and females on 75-meters run, long jump and shot put. Otherwise, for training of 250 and 1000-meters females related higher RPE-values than males 3.68 ± 0.79, 3.26 ± 0.56, p < 0.01 and 4.14 ± 0.94, 3.72 ± 0.89, p < 0.05; respectively. Even when controlling the effect of biological maturity the same results were observed to 250-meters F1,73 = 2.060; p = 0.002 and 1000-meters F1,73 = 0.997; p = 0.036. There was no difference for TQR between genders. CONCLUSION: The comparison the RPE-training session of females and males indicated there were difference to 250 and 1000-m training sessions, females have more RPE-training sessions than males. Additionally, there were no differences between genders for recovery parameters, even controlling BM.(AU)

Utilização da escala de dificuldade percebida na produção da fala na avaliação aeróbia em cicloergometro (Talk Test) / Use the scale of perceived difficulty in production of speech in the assessment aerobic cycle ergometer (Talk Test)

O Talk Test (TT) é uma ferramenta que avalia subjetivamente a intensidade ótima para a prática de exercício com base na capacidade de manter uma conversa confortável durante o esforço. O objetivo do presente estudo foi obter evidências de validade (concorrente e de constructo) do TT. Quatorze sujeitos, 7 mulheres e 7 homens (22 ± 8 anos, 69 ± 15 Kg, 169 ± 10 cm, 21 ± 12 %G) foram submetidos a um teste progressivo em cicloergmetro, carga inicial de 25 watts e incremento de 25 watts a cada 2 minutos (60-70 RPM) até a exaustão. Ao final dos estágios o avaliado recitava três vezes uma frase conhecida, indicando a sua Dificuldade Percebida na Produção da Fala (DPPF) de acordo com a escala proposta por Rotstein et al. (2004). A carga com valor 7, correspondente à “difícil” (L7DPPF) foi utilizada como indicadora do segundo limiar fisiológico, assim como o do Ponto de Deflexão da Freqüência Cardíaca (PDFC), identificado pelo Dmáx positivo da diferença entre um ajuste polinomial de terceira ordem e ajuste linear de todos os pontos da relação FC / Carga. Para as análises foram empregados os testes Kolmogorov-Smirnov, Kruskall-Wallis, post-hoc de Dunn’s, e o método de Bland- Altman, além da correlação de Spearman (p<0,05). Não foram identificadas iferenças significativas entre L7DPPF e PDFC (p=0,03), além de serem associados à carga máxima atingida no teste (r=0,90 e r=0,81). As duas técnicas de identificação do LTF2 – PDFC e o L7DPPF – se mostraram semelhante pelo método Bland-Altman, (IC 95% = 0,41 – 1,46). Sendo o TT um indicador de aptidão aeróbia, o L7DPPF pode ser considerado um método para predizer LTF2.

Talk Test is a tool used to to evaluate by a subjective manner the optimal exercise intensity. It is based on individual capacity to maintain a confortable speech during the effort. The aim of the study was to verify evidence of validitiy (concurrent and constructo) of the Talk Test. Fourteen subjects (7 males and 7 females) volunteered to a cicle ergometer progressive test with intial load of 25 Watts and increments of 25 Watts each 2 minutes until exhaustion. Subjects should recite a known sentence for three times at the end of each stage and indicate their Perceived Speech Production Difficult (DPPF) accoding to the scale of Rotstein et al., (2004) where the load at the level 7 which is “difficult” was taken as a physiological threshold indicator. The Second Physiological Threshold (LT2) was considered the Heart Rate Deflection Point (PDFC) identified by the positive Dmax method. For analyzes were employed olmogorov-Smirnov test, Kruskal-Wallis post hoc Dunn's, and Bland- Altman, beyond the Spearman correlation (p <0.05). No significant differences were identified between L7DPPF and PDFC (p = 0.03), and are associated with the maximum load reached in the test (r = 0.90 and r = 0.81). Both techniques of identification of LTF2 - PDFC and L7DPPF - were similar by Bland- Altman method (95% CI = 0.41 to 1.46). TT being an indicator of aerobic fitness, the L7DPPF could be considered a method to predict LTF2.

Fatores determinantes do desempenho na escalada esportiva: umas das contribuições da professora Maria Augusta Kiss para o desenvolvimento das ciências do esporte no Brasil / Performance determining factors in indoor climbing: one of the contributions of professor Maria Augusta Kiss to the development of sports sciences in Brazil

Por mais de 30 anos, a Professora Doutora Maria Augusta Peduti Dal Molin Kiss atuou efetivamente no desenvolvimento das ciências do esporte no Brasil. Após esse período dedicado à produção de conhecimento e formação de pessoal, mais um ciclo da sua carreira se completa. Dessa forma, o objetivo deste artigo de revisão foi homenageá-la na ocasião de sua aposentadoria, abordando os principais fatores morfofuncionais determinantes do desempenho na escalada esportiva. Diversos achados indicam que a massa corporal, o percentual de gordura corporal, a força de preensão manual, o metabolismo aeróbio e anaeróbio alático, bem como a economia de movimento, são fundamentais para o sucesso nesse esporte. Para nós é um privilégio ter participado dessa trajetória brilhante da professora Kiss e homenageá-la com esse trabalho de revisão.

During over thirty years, Doctor Maria Augusta Peduti Dal' Molin Kiss has contributed effectively to the sports sciences development in Brazil. After this long period dedicated to the consolidation of knowledge and human resources in this area, another life cycle is fully completed in her career. Thus, the objective of this review is to honor Doctor Kiss in the occasion of her retirement, while showing the main anthropometric and physiological determinants of indoor climbing performance. Several findings indicate that body mass, body fat percentage, handgrip force, aerobic and alactic anaerobic metabolism, and movement economy are crucial to success in this sport. We feel privileged to have been involved in her brilliant carrier and to honor Doctor Kiss with this review.

Determinação da relação potência-duração em exercício com membros superiores / Determination of the power-duration relationship in upper-limb exercises

OBJETIVOS: Determinar a relação potência-duração em exercícios de membros superiores (MMSS) e verificar a relação dos parâmetros derivados dessa função com indicadores fisiológicos de aptidão aeróbia. Métodos: Dez homens saudáveis (26,2±2,3 anos, 75,0±11,8 kg, 178,2±11,5 cm e 15,0±5,7 por cento de gordura) realizaram um teste de rampa em cicloergômetro de braço com incrementos de 20 W/min. Posteriormente, cinco testes de carga constante até a exaustão a 70, 80, 90, 95 e 100 por cento da diferença entre LV1 e o VO2pico foram realizados. A potência crítica (PC) foi obtida por meio da linearização da função potência-duração. RESULTADOS: A relação potência-duração foi descrita pela função ajustada (r=0,98±0,02). O VO2 na PC (2,66±0,62 l/min) foi maior do que no LV1 (1,62±0,38 l/min) e LV2 (2,36±0,59 l/min, respectivamente), mas menor do que o VO2pico (3,06±0,62 l/min). A carga da PC (103,0±26,0 W) foi diferente da encontrada em LV1 (69,5±21 W) e VO2pico (151,0±26,3 W), mas não da em LV2 (103,5±30,8 W). A associação entre a PC e esses indicadores de aptidão aeróbia foram todas significantes quando expressas em VO2 (0,73 a 0,78; p<0,05) e em W (0,83 a 0,91; p<0,05). A determinação da PC em exercícios dinâmicos de MMSS é simples e de baixo custo, podendo ser utilizada pelo fisioterapeuta na prescrição e avaliação do treinamento de MMSS. CONCLUSÃO: A relação potência-duração em exercícios com os MMSS pode ser descrita por uma função hiperbólica e está associada a indicadores fisiológicos da aptidão aeróbia.

OBJECTIVES: To determine the power-duration relationship in upper limb exercises and to investigate the relationships between parameters derived from this function with physiological indicators of aerobic fitness. METHODS: Ten healthy men (26.2±2.3 years, 75.0±11.8 kg, 178.2±11.5 cm and 15.0±5.7 percent body fat) performed a ramped test on an arm cycle ergometer with increments of 20 W/min. Subsequently, five tests with constant load were performed until exhaustion, with 70, 80, 90, 95 and 100 percent difference between VT1 and VO2peak. The critical power (CP) was obtained by means of linearization of the power-duration function. RESULTS: The power-duration relationship was described using an adjusted function (r=0.98±0.02). The VO2 at CP (2.66±0.62 l/min) was higher than VT1 (1.62±0.38 l/min) and VT2 (2.36±0.59 l/min), but lower than VO2peak (3.06±0.62 l/min). The CP workload (103.0±26 W) was significantly different from VT1 (69.5±21 W) and VO2peak workloads (151.0±26.3), but was no different of VT2 (103.5±30.8 W). The association between critical power and aerobic condition indexes were always significant when expressed as VO2 (0.73 to 0.78, p<0.05) and in W (0.83 to 0.91, p<0.05). Determination of CP in upper-limb dynamic exercises is simple and inexpensive, and can be used by physical therapists for prescribing and evaluating upper-limb training programs. CONCLUSIONS: The power-duration relationship in upper-limb exercises can be described by a hyperbolic function and it is associated with physiological indicators of aerobic fitness.