Effects of a Low Dose of Orally Administered Creatine Monohydrate on Post-Fatigue Muscle Power in Young Soccer Players.

The use of creatine monohydrate (Cr) in professional soccer is widely documented. However, the effect of low doses of Cr on the physical performance of young soccer players is unknown. This study determined the effect of a low dose of orally administered Cr on muscle power after acute intra-session fatigue in young soccer players. Twenty-eight young soccer players (mean age = 17.1 ± 0.9 years) were randomly assigned to either a Cr (n = 14, 0.3 g·kg-1·day-1 for 14 days) or placebo group (n = 14), using a two-group matched, double-blind, placebo-controlled design. Before and after supplementation, participants performed 21 repetitions of 30 m (fatigue induction), and then, to measure muscle power, they performed four repetitions in half back squat (HBS) at 65% of 1RM. Statistical analysis included a two-factor ANOVA (p ˂ 0.05). Bar velocity at HBS, time: p = 0.0006, ŋp2 = 0.22; group: p = 0.0431, ŋp2 = 0.12, time × group p = 0.0744, ŋp2 = 0.02. Power at HBS, time: p = 0.0006, ŋp2 = 0.12; group: p = 0.16, ŋp2 = 0.06, time × group: p = 0.17, ŋp2 = 0.009. At the end of the study, it was found that, after the induction of acute intra-session fatigue, a low dose of Cr administered orally increases muscle power in young soccer players.

Clinical outcomes and complications of eyelid versus eyebrow approaches to supraorbital craniotomy: systematic review and indirect meta-analysis.

OBJECTIVE: Eyebrow supraorbital craniotomy is a versatile keyhole technique for treating intracranial pathologies. The eyelid supraorbital approach, an alternative approach to an eyebrow supraorbital craniotomy, has not been widely adopted among most neurosurgeons. The purpose of this systematic review and meta-analysis was to perform a pooled analysis of the complications of eyebrow or eyelid approaches for the treatment of aneurysms, meningiomas, and orbital tumors. METHODS: A systematic review of the literature in the PubMed, Embase, and Cochrane Review databases was conducted for identifying relevant literature using keywords such as "supraorbital," "eyelid," "eyebrow," "tumor," and "aneurysm." Eyebrow supraorbital craniotomies with or without orbitotomies and eyelid supraorbital craniotomies with orbitotomies for the treatment of orbital tumors, intracranial meningiomas, and aneurysms were selected. The primary outcomes were overall complications, cosmetic complications, and residual aneurysms and tumors. Secondary outcomes included five complication domains: orbital, wound-related, scalp or facial, neurological, and other complications. RESULTS: One hundred three articles were included in the synthesis. The pooled numbers of patients in the eyebrow and eyelid groups were 4689 and 358, respectively. No differences were found in overall complications or cosmetic complications between the eyebrow and eyelid groups. The proportion of residuals in the eyelid group (11.21%, effect size [ES] 0.26, 95% CI 0.12-0.41) was significantly higher (p < 0.05) than that in the eyebrow group (6.17%, ES 0.10, 95% CI 0.08-0.13). A subgroup analysis demonstrated significantly higher incidences of orbital, wound-related, and scalp or facial complications in the eyelid group (p < 0.05), but higher other complications in the eyebrow group. Performing an orbitotomy substantially increased the complication risk. CONCLUSIONS: This is the first meta-analysis that quantitatively compared complications of eyebrow versus eyelid approaches to supraorbital craniotomy. This study found similar overall complication rates but higher rates of selected complication domains in the eyelid group. The literature is limited by a high degree of variability in the reported outcomes.

Test-retest reliability of Latin American Group for Maturity (GDLAM) protocol in older women.

Functional autonomy (FA) is a critical factor in determining the quality of life of older adults (OA), especially in the case of older women (OW), as they face a decline in FA in their later years of life. FA should be assessed early, using valid, reliable, and low-cost tests. This study evaluated the test-retest reliability of GDLAM and GDLAM autonomy index (GI) in OW. Thirty-nine OW (71.2 ± 6.50 years) participated in the study. A repeated measures design was used to compare the interday test-retest reliability of the five GDLAM tests (seconds) and the GI (points). The five tests represent activities of daily living, such as dressing or wandering around the house, while the GI provides a weighting of the results of the five tests. The analysis consisted of the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and coefficient of variation (CV). A CV ≤ 10% and an ICC ≥ 0.80 were considered acceptable reliability, whereas a CV ≤ 5% and an ICC ≥ 0.90 were considered high reliability. The outcome of the five tests, represented by the GI, showed high interday test-retest reliability (CV = 6.00% and ICC = 0.91). The results of this study demonstrate that the five tests of the GDLAM protocol and the GI have high interday test-retest reliability and good interday reproducibility. From a practical point of view, the GDLAM protocol allows the assessment of FA of community-dwelling OW, providing background for early diagnosis and, with it, the possibility of developing an individualized physical exercise prescription.

CXCL12+ dermal fibroblasts promote neutrophil recruitment and host defense by recognition of IL-17.

The skin provides an essential barrier for host defense through rapid action of multiple resident and recruited cell types, but the complex communication network governing these processes is incompletely understood. To define these cell-cell interactions more clearly, we performed an unbiased network analysis of mouse skin during invasive S. aureus infection and revealed a dominant role for CXCL12+ fibroblast subsets in neutrophil communication. These subsets predominantly reside in the reticular dermis, express adipocyte lineage markers, detect IL-17 and TNFα, and promote robust neutrophil recruitment through NFKBIZ-dependent release of CXCR2 ligands and CXCL12. Targeted deletion of Il17ra in mouse fibroblasts resulted in greatly reduced neutrophil recruitment and increased infection by S. aureus. Analogous human CXCL12+ fibroblast subsets abundantly express neutrophil chemotactic factors in psoriatic skin that are subsequently decreased upon therapeutic targeting of IL-17. These findings show that CXCL12+ dermal immune acting fibroblast subsets play a critical role in cutaneous neutrophil recruitment and host defense.

The Relationship Between Procedural Volume, Hospital Quality, and Postoperative Mortality in Pediatric Neurosurgery: Review of the Literature.

BACKGROUND: Studies of neurosurgical pediatric patients associate treatment at low-volume hospitals and by low-volume surgeons with increased odds of adverse outcomes. Although these associations suggest that increased centralization of care could be considered, we evaluate whether confounding endogenous factors mitigate against the proposed outcome benefits. METHODS: Literature review of English language articles from 1999 to 2021. We included articles that assessed volume-outcome effects in pediatric neurosurgical patients. RESULTS: Twelve papers were included from 1999 to 2021. Primary outcomes included mortality (9), length of stay (LOS) (6), complications (4), and shunt revision/failure rates (3). Volume was measured at the hospital level (8) and at the surgeon level (6). Four papers found that higher volume hospitals had lower odds of mortality. Two papers found that hospitals with higher volume had fewer complications. Two papers found that higher volume surgeons had decreased mortality (odds ratio [OR] 0.09-0.3). One paper found that high-volume surgeons had fewer complications (-2.4%; P = 0.006). After controlling for hospital factors (HF), two out of 7 analyses remained significant. Five analyses did not control for HF. CONCLUSIONS: The literature consistently demonstrates a relationship between higher hospital and surgeon volume and better outcomes for pediatric neurosurgical patients. Of the 7 articles that assessed HF, only 2 analyses found that surgical volume remained associated with better outcomes. No reports assessed the degree of centralization already present. The call for centralization of pediatric care should be tempered until variables such as hospital factors, distribution of cases, and clinical thresholds can be defined and studied.

Development of a "Geo-Tagged" tumor sample registry: intra-operative linkage of sample location to imaging.

PURPOSE: There is a growing body of literature documenting glioma heterogeneity in terms of radiographic, histologic, molecular, and genetic characteristics. Incomplete spatial specification of intraoperative tumor samples may contribute to variability in the results of pathological and biological investigations. We have developed a system, termed geo-tagging, for routine intraoperative linkage of each tumor sample to its location via neuronavigation. METHODS: This is a single-institution, IRB approved, prospective database of undergoing clinically indicated surgery. We evaluated relevant factors affecting data collection by this registry, including tumor and surgical factors (e.g. tumor volume, location, grade and surgeon). RESULTS: Over a 2-year period, 487 patients underwent craniotomy for an intra-axial tumor. Of those, 214 underwent surgery for a newly diagnosed or recurrent glioma. There was significant variation in the average number of samples collected per registered case, with a range of samples from 2.53 to 4.75 per tumor type. Histology and grade impacted on sampling with a range of 2.0 samples per tumor in Grade four, IDH-WT gliomas to 4.5 samples in grade four, IDH-mutant gliomas. The range of cases with sampling per surgeon was 6 to 99 with a mean of 47.6 cases and there was a statistically significant differences between surgeons. Tumor grade did not have a statistically significant impact on number of samples per case. No significant correlation was found between the number of samples collected and enhancing tumor volume, EOR, or volume of tumor resected. CONCLUSION: We are using the results of this analysis to develop a prospective sample collection protocol.

Does Co-Supplementation with Beetroot Juice and Other Nutritional Supplements Positively Impact Sports Performance?: A Systematic Review.

In the pursuit of enhanced athletic prowess in different disciplines, athletes constantly look for strategies to increase their physical performance, encompassing technical skills and dietary components, which inevitably, in most cases, include the incorporation of sports supplements. In recent years, there has been an increase in the number of athletes using ergogenic aids. In this context, scientific evidence must play a prominent role in either endorsing or warning against the use of these products, ensuring the preservation of health while promoting the theoretically established positive benefits. In this vein, beetroot juice (BJ) stands out as a key supplement as an ergogenic aid to improve sports performance, given its demonstrated influence on both aerobic and anaerobic exercise. However, despite widespread global demand, there remains a lack of understanding regarding the potential synergistic effects of combining BJ with other supplements. Consequently, our study aims to determine whether the combination of BJ with another nutritional supplement can enhance its beneficial effects and, therefore, optimize physical performance in humans. A comprehensive literature search was conducted in two major databases-Web of Science and PubMed-from 1 January 2018 to 29 January 2023, using specific keywords. After the exclusion criteria, six articles were selected for analysis. Therefore, our study shows that the effectiveness of combining BJ with another supplement mainly depends on the duration of the chronic intervention, which is where the greatest benefits have been observed.

Effects of acute beta-alanine supplementation on post-exertion rating of perceived exertion, heart rate, blood lactate, and physical performance on the 6-minute race test in middle-distance runners / Efectos de la suplementación aguda con beta-alanina sobre el índice de esfuerzo percibido, la frecuencia cardíaca y el lactato sanguíneo posesfuerzo, y el rendimiento físico en la prueba de carrera de 6 minutos en corredores de media distancia

Background: the use of beta-alanine (BA) to increase physical performance in the heavy-intensity domain zone (HIDZ) is widely documented. However, the effect of this amino acid on the post-exertion rating of perceived exertion (RPE), heart rate (HR), and blood lactate (BL) is still uncertain. Objectives: a) to determine the effect of acute BA supplementation on post-exertion RPE, HR, and BL in middle-distance athletes; and b) todetermine the effect of acute BA supplementation on physical performance on the 6-minute race test (6-MRT). Material and methods: the study included 12 male middle-distance athletes. The design was quasi-experimental, intrasubject, double-blind& crossover. It had two treatments (low-dose BA [30 mg·kg-1] and high-dose BA [45 mg·kg-1]) and a placebo, 72 hours apart. The effect of BA was evaluated at the end of the 6-MRT and post-exertion. The variables were RPE, HR and BL, and 6-MRT (m) distance. The statistical analysis included a repeated-measures ANOVA (p < 0.05). Results: the analysis evidenced no significant differences at the end of 6-MRT for all variables (p < 0.05). However, both doses of BA generated a lower post-exertion RPE. The high dose of BA caused significant increases in post-exertion BL (p < 0.05). Conclusion: acute supplementation with BA generated a lower post-exertion RPE. This decrease in RPE and the post-exertion BL increase could be related to an increase in physical performance in HIDZ. (AU)

Introducción: el uso de beta-alanina (BA) para aumentar el rendimiento físico en zonas con dominio de alta intensidad (HIDZ) está ampliamente documentado. Sin embargo, el efecto de este aminoácido sobre el índice de esfuerzo percibido (RPE), la frecuencia cardíaca (HR) y el lactato sanguíneo (BL) aún es incierto. Objetivos: a) determinar el efecto de la suplementación aguda de BA sobre el RPE, la HR y el BL posesfuerzo; y b) además del rendimiento en la prueba de carrera de 6 minutos (6-MRT), en atletas de media distancia. Material y métodos: el estudio incluyó a 12 atletas masculinos de media distancia. El diseño fue cuasiexperimental, intrasujeto, doble ciego y cruzado. Incluyó dos tratamientos (BA en dosis baja [30 mg·kg-1] y BA en dosis alta [45 mg·kg-1]) y placebo, con 72 horas de diferencia. El efecto de BA se evaluó al final de los 6-MRT y posesfuerzo. Las variables fueron RPE, HR y BL, y distancia en 6-MRT (m). El análisis estadístico incluyó un ANOVA de medidas repetidas (p < 0,05). Resultados: el análisis no evidenció diferencias significativas al final de los 6-MRT para todas las variables (p > 0,05). Sin embargo, ambasdosis de BA generaron un menor RPE posesfuerzo. La dosis alta de BA generó incrementos significativos en el BL posesfuerzo (p < 0,05). Conclusión: la suplementación aguda con BA generó un menor RPE posesfuerzo. Esta disminución del RPE y el aumento en el BL posesfuerzo podrían estar relacionados con un aumento del rendimiento físico en HIDZ. (AU)

Plant-Based Nutrition: Exploring Health Benefits for Atherosclerosis, Chronic Diseases, and Metabolic Syndrome-A Comprehensive Review.

Atherosclerosis, chronic non-communicable diseases, and metabolic syndrome are highly interconnected and collectively contribute to global health concerns that reduce life expectancy and quality of life. These conditions arise from multiple risk factors, including inflammation, insulin resistance, impaired blood lipid profile, endothelial dysfunction, and increased cardiovascular risk. Adopting a plant-based diet has gained popularity as a viable alternative to promote health and mitigate the incidence of, and risk factors associated with, these three health conditions. Understanding the potential benefits of a plant-based diet for human health is crucial, particularly in the face of the rising prevalence of chronic diseases like diabetes, hypertension, dyslipidemia, atherosclerosis, and cancer. Thus, this review focused on the plausible advantages of consuming a type of food pattern for the prevention and/or treatment of chronic diseases, emphasizing the dietary aspects that contribute to these conditions and the evidence supporting the benefits of a plant-based diet for human health. To facilitate a more in-depth analysis, we present separate evidence for each of these three concepts, acknowledging their intrinsic connection while providing a specific focus on each one. This review underscores the potential of a plant-based diet to target the underlying causes of these chronic diseases and enhance health outcomes for individuals and populations.

Expert Recommendations for the Diagnosis, Treatment, and Management of Adult B-Cell Acute Lymphoblastic Leukemia in Latin America.

PURPOSE: Despite strong induction chemotherapy response rates, only 30%-40% of patients with adult B-cell acute lymphoblastic leukemia (ALL) attain long-term remission. This study analyzes ALL in Latin America (LA) and recommends diagnosis, treatment, and management protocols. METHODS: The Americas Health Foundation organized a panel of hematologists from Argentina, Brazil, Chile, Colombia, and Mexico to examine ALL diagnosis and therapy and produce recommendations. RESULTS: Lack of regional data, unequal access to diagnosis and therapy, inadequate treatment response, and uneven health care distribution complicate adult ALL management. The panel recommended diagnosis, first-line and refractory treatment, and post-transplantation maintenance. Targeted treatments, including rituximab, blinatumomab, and inotuzumab ozogamicin, are becoming available in LA and must be equitably accessed. CONCLUSION: This review adapts global information on treating ALL to LA. Governments, the medical community, society, academia, industry, and patient advocates must work together to improve policies.

Effects of acute beta-alanine supplementation on post-exertion rating of per-ceived exertion, heart rate, blood lactate, and physical performance on the 6-minute race test in middle-distance runners.

Introduction: Background: the use of beta-alanine (BA) to increase physical performance in the heavy-intensity domain zone (HIDZ) is widely documented. However, the effect of this amino acid on the post-exertion rating of perceived exertion (RPE), heart rate (HR), and blood lactate (BL) is still uncertain. Objectives: a) to determine the effect of acute BA supplementation on post-exertion RPE, HR, and BL in middle-distance athletes; and b) to determine the effect of acute BA supplementation on physical performance on the 6-minute race test (6-MRT). Material and methods: the study included 12 male middle-distance athletes. The de-sign was quasi-experimental, intrasubject, double-blind & crossover. It had two treat-ments (low-dose BA [30 mg·kg-1] and high-dose BA [45 mg·kg-1]) and a placebo, 72 hours apart. The effect of BA was evaluated at the end of the 6-MRT and post-exertion. The variables were RPE, HR and BL, and 6-MRT (m) distance. The statistical analysis included a repeated-measures ANOVA (p < 0.05). Results: the analysis evidenced no significant differences at the end of 6-MRT for all variables (p ˃ 0.05). However, both doses of BA generated a lower post-exertion RPE. The high dose of BA caused significant increases in post-exertion BL (p ˂ 0.05). Conclusion: acute supplementation with BA generated a lower post-exertion RPE. This decrease in RPE and the post-exertion BL increase could be related to an increase in physical performance in HIDZ.

Introducción: Introducción: el uso de beta-alanina (BA) para aumentar el rendimiento físico en zo-nas con dominio de alta intensidad (HIDZ) está ampliamente documentado. Sin em-bargo, el efecto de este aminoácido sobre el índice de esfuerzo percibido (RPE), la frecuencia cardíaca (HR) y el lactato sanguíneo (BL) aún es incierto. Objetivos: a) determinar el efecto de la suplementación aguda de BA sobre el RPE, la HR y el BL posesfuerzo; y b) además del rendimiento en la prueba de carrera de 6 mi-nutos (6-MRT), en atletas de media distancia. Material y métodos: el estudio incluyó a 12 atletas masculinos de media distancia. El diseño fue cuasiexperimental, intrasujeto, doble ciego y cruzado. Incluyó dos trata-mientos (BA en dosis baja [30 mg·kg-1] y BA en dosis alta [45 mg·kg-1]) y placebo, con 72 horas de diferencia. El efecto de BA se evaluó al final de los 6-MRT y posesfuerzo. Las variables fueron RPE, HR y BL, y distancia en 6-MRT (m). El análisis estadístico in-cluyó un ANOVA de medidas repetidas (p < 0,05). Resultados: el análisis no evidenció diferencias significativas al final de los 6-MRT pa-ra todas las variables (p ˃ 0,05). Sin embargo, ambas dosis de BA generaron un menor RPE posesfuerzo. La dosis alta de BA generó incrementos significativos en el BL poses-fuerzo (p ˂ 0,05). Conclusión: la suplementación aguda con BA generó un menor RPE posesfuerzo. Esta disminución del RPE y el aumento en el BL posesfuerzo podrían estar relacionados con un aumento del rendimiento físico en HIDZ.

Acute Supplementation with Beta-Alanine Improves Performance in Aerobic-Anaerobic Transition Zones in Endurance Athletes.

To determine the acute effect of low and high-dose BA trials on maximal aerobic speed (MAS) in endurance athletes. We hypothesized that high doses of BA have a greater effect than low doses, both compared to baseline.Twelve male endurance athletes volunteered for the study (age = 21.8 ± 2.37 years, weight = 69.8 ± 4.36 kg, height = 174 ± 5.45 cm, maximal oxygen uptake = 59.6 ± 3.77 mLO2·kg-1·min-1). The experimental design applied was randomized cross-over, double-blind. Treatment included three 6-minute run tests (6-MRT), the first as a baseline, then randomized 6-MRT with low (30 mg·kg-1) and high (45 mg·kg-1) dose BA trials. The 6-MRTs were separated by 72 hours. The main variable of the study was the distance (m) performed in the 6-MRT. Differences between tests were established through ANOVA and Tukey's multiple comparison tests (p < 0.05).The analysis showed significant differences between baseline and both doses (p < 0.001). No significant differences were observed between low and high-dose BA trials (p > 0.05).Both 30 and 45 mg·kg-1 of BA increased physical performance at maximal aerobic speed in endurance athletes. The acute intake formats described in the present investigation may be helpful for endurance athletes training and competing in aerobic-anaerobic transition zones.

Relationship between Asymmetries and Functional Autonomy in Older Chilean Adults.

The objectives of this study were: (a) to determine asymmetries, both lower limb (LL) and upper limb (UL), in Chilean older adults, and (b) to relate asymmetries to FA in both LL and UL. Forty-one older adults voluntarily participated in this study (mean ± standard deviation [SD]: age 72.0 ± 8.0 years, LL asymmetries 13.78 ± 14.87%, UL asymmetries 10.70 ± 8.85%, FA 40.35 ± 16.26 points). The variables were: (1) asymmetries of LL and UL, assessed through a force platform and handgrip, respectively; (2) FA, assessed through the Latin American Group for Maturity (GDLAM) and the GDLAM index of autonomy (GI) protocol. The relationship between the variables was performed through Spearman's correlation. The analysis showed that 39% of the participants presented asymmetries above 15% in the LL. Likewise, this 39% of older adults presented a lower FA than their peers with asymmetries below 15% in the LL (≤15%: 35.64 ± 12.26 points vs. >15%: 47.69 ± 19.23 points, p = 0.003). The analysis showed a small correlation between LL and GI asymmetries (r = 0.27, p = 0.07) and a small but negative correlation between UL and GI (r = -0.21). The mean values of asymmetries of both LL and UL are within 'normal' parameters. However, several older adults were identified as being at risk. In parallel, older adults who presented a higher level of asymmetries in LL showed a lower level of FA.

Effect of Intensity and Duration of Exercise on Gut Microbiota in Humans: A Systematic Review.

(1) Background: The gut microbiota might play a part in affecting athletic performance and is of considerable importance to athletes. The aim of this study was to search the recent knowledge of the protagonist played by high-intensity and high-duration aerobic exercise on gut microbiota composition in athletes and how these effects could provide disadvantages in sports performance. (2) Methods: This systematic review follows the PRISMA guidelines. An exhaustive bibliographic search in Web of Science, PubMed, and Scopus was conducted considering the articles published in the last 5 years. The selected articles were categorized according to the type of study. The risk of bias was assessed using the Joanna Briggs Institute's Critical Appraisal Tool for Systematic Reviews. (3) Results: Thirteen studies had negative effects of aerobic exercise on intestinal microbiota such as an upsurge in I-FABP, intestinal distress, and changes in the gut microbiota, such as an increase in Prevotella, intestinal permeability and zonulin. In contrast, seven studies observed positive effects of endurance exercise, including an increase in the level of bacteria such as increased microbial diversity and increased intestinal metabolites. (4) Conclusions: A large part of the studies found reported adverse effects on the intestinal microbiota when performing endurance exercises. In studies carried out on athletes, more negative effects on the microbiota were found than in those carried out on non-athletic subjects.

Chapare Hemorrhagic Fever and Virus Detection in Rodents in Bolivia in 2019.

BACKGROUND: In June 2019, the Bolivian Ministry of Health reported a cluster of cases of hemorrhagic fever that started in the municipality of Caranavi and expanded to La Paz. The cause of these cases was unknown. METHODS: We obtained samples for next-generation sequencing and virus isolation. Human and rodent specimens were tested by means of virus-specific real-time quantitative reverse-transcriptase-polymerase-chain-reaction assays, next-generation sequencing, and virus isolation. RESULTS: Nine cases of hemorrhagic fever were identified; four of the patients with this illness died. The etiologic agent was identified as Mammarenavirus Chapare mammarenavirus, or Chapare virus (CHAPV), which causes Chapare hemorrhagic fever (CHHF). Probable nosocomial transmission among health care workers was identified. Some patients with CHHF had neurologic manifestations, and those who survived had a prolonged recovery period. CHAPV RNA was detected in a variety of human body fluids (including blood; urine; nasopharyngeal, oropharyngeal, and bronchoalveolar-lavage fluid; conjunctiva; and semen) and in specimens obtained from captured small-eared pygmy rice rats (Oligoryzomys microtis). In survivors of CHHF, viral RNA was detected up to 170 days after symptom onset; CHAPV was isolated from a semen sample obtained 86 days after symptom onset. CONCLUSIONS: M. Chapare mammarenavirus was identified as the etiologic agent of CHHF. Both spillover from a zoonotic reservoir and possible person-to-person transmission were identified. This virus was detected in a rodent species, O. microtis. (Funded by the Bolivian Ministry of Health and others.).

Efectos de una intervención nutricional asociada a entrenamiento concurrente en la composición corporal de hombres físicamente activos / Effects of a nutritional intervention associated with concurrent training on the body composition of physically active men

RESUMEN: La práctica regular de ejercicio físico es una de las estrategias que se utiliza para optimizar la composición corporal. Para esto, no siempre se considera una intervención nutricional como parte de un trabajo interdisciplinario. El objetivo de este estudio fue identificar los efectos de un programa de intervención nutricional asociada a un entrenamiento concurrente en la composición corporal evaluada a través de bioimpedancia eléctrica (BIA) en hombres físicamente activos. La intervención tuvo una duración de 6 meses, donde participaron 12 personas (23,4 ± 4,9 años). Durante los primeros 5 meses se aplicó una planificación alimentaria y de entrenamiento ajustado a las características individuales de cada uno de los participantes, al comienzo del 6º mes, fue eliminada la planificación alimentaria y sólo se mantuvo el entrenamiento, esto con el objetivo de analizar los posibles cambios de composición corporal de los participantes. Antes (previo al programa de intervención), durante (al final del mes 5) y posterior a la intervención (final del mes 6) se evaluó el tejido adiposo, muscular y la masa libre de grasa a través de bioimpedancia eléctrica (BIA). Los resultados muestran que el programa de entrenamiento con intervención nutricional generaron en los primeros 5 meses, una disminución del porcentaje de tejido adiposo (PRE= 16,20 ± 4,75; POST= 9,52 ± 3,70; p= 0,000; TE= 1,51) e índice de tejido adiposo (PRE= 5,34 ± 1,75; POST= 3,16 ± 1,34; p=0,001; TE=1,35), aumento del porcentaje de tejido muscular (PRE= 46,05 ± 3,02; POST= 49,90 ± 2,90; p=0,004; TE= -1,25) y aumento el índice muscular/adiposo (PRE= 2,53 ± 0,75; POST= 4,85 ± 2,64; p=0,005; TE= -1,15), efectos que se atenúan significativamente cuando la intervención nutricional fue retirada del programa de intervención (p>0.05). Se concluye que la intervención nutricional es un factor clave para generar efectos positivos en la optimización de la composición corporal independientemente del nivel de entrenamiento de las personas. Estos resultados evidencian la importancia de la realización de una planificación alimentaria individualizada, ejecutada por un profesional nutricionista en los cambios de la composición corporal en sujetos físicamente activos. Los resultados de este estudio podrían orientar la consideración de un profesional nutricionista a la hora de formar equipos transdisciplinarios con el fin de mejorar hábitos de alimentación y de composición corporal.

SUMMARY: The regular practice of a certain type of training is one of the strategies used to optimize body composition. Consequently, nutritional intervention is not always considered as part of interdisciplinary work. This study aimed to identify the effects of a nutritional intervention program associated with concurrent training on body composition, assessed through bioelectrical impedance (BIA) in physically active men. The intervention lasted 6 months, with the participation of 12 subjects (23.4 ± 4.9 years). During the first 5 months, food and training planning was applied, adjusted to the individual characteristics of each of the participants. At the beginning of the 6th month, food planning was eliminated and only training was maintained, to analyze the possible changes in body composition of the participants. Prior to (before the intervention program), during (at the end of month 5), and after the intervention (end of month 6), adipose tissue, muscle, and fat-free mass were evaluated through electrical bioimpedance (BIA). The results showed that in the first five months, this training program generated a decrease in the percentage of adipose tissue (PRE= 16.20 ± 4.75; POST= 9.52 ± 3.70; p= 0.000; ES= 1.51) and adipose tissue index (PRE= 5.34 ± 1.75; POST= 3.16 ± 1.34; p=0.001; ES=1.35), increase in the percentage of muscle tissue (PRE= 46.05 ± 3.02; POST= 49.90 ± 2.90; p=0.004; ES= -1.25) and increased muscle/fat index (PRE= 2.53 ± 0.75; POST = 4.85 ± 2.64, p=0.005, SE= -1.15). The above effects were significantly reduced when the nutritional intervention was withdrawn from the program (p>0.05). It is concluded that nutritional intervention is a key factor to generate positive effects in the optimization of body composition regardless of the level of training. These results show the importance of individualized food planning, carried out by a professional nutritionist with regard to changes in the body composition of physically active subjects. The results of this study could be useful for nutritionists when forming disciplinary teams to improve eating habits and body composition.

Insulin-like growth factor 2 and autophagy gene expression alteration arise as potential biomarkers in Parkinson's disease.

Insulin-like growth factor 2 (IGF2) and autophagy-related genes have been proposed as biomolecules of interest related to idiopathic Parkinson's disease (PD). The objective of this study was to determine the IGF2 and IGF1 levels in plasma and peripheral blood mononuclear cells (PBMCs) from patients with moderately advanced PD and explore the potential correlation with autophagy-related genes in the same blood samples. IGF1 and IGF2 levels in patients' plasma were measured by ELISA, and the IGF2 expression levels were determined by real-time PCR and Western blot in PBMCs. The expression of autophagy-related genes was evaluated by real-time PCR. The results show a significant decrease in IGF2 plasma levels in PD patients compared with a healthy control group. We also report a dramatic decrease in IGF2 mRNA and protein levels in PBMCs from PD patients. In addition, we observed a downregulation of key components of the initial stages of the autophagy process. Although IGF2 levels were not directly correlated with disease severity, we found a correlation between its levels and autophagy gene profile expression in a sex-dependent pattern from the same samples. To further explore this correlation, we treated mice macrophages cell culture with α-synuclein and IGF2. While α-synuclein treatment decreased levels Atg5, IGF2 treatment reverted these effects, increasing Atg5 and Beclin1 levels. Our results suggest a relationship between IGF2 levels and the autophagy process in PD and their potential application as multi-biomarkers to determine PD patients' stages of the disease.

Fractura de liner cerámico en prótesis total de cadera tras traumatismo directo. Una causa poco frecuente de fracaso del componente cerámico / Ceramic liner fracture in total hip replacement after direct trauma. An unsual cause of ceramic component failure

Proponer la centralización del cúbito distal en El desgaste de los materiales tras la artroplastia total de cadera (ATC) es uno de los grandes problemas en el paciente joven. Con el avance en los diseños de las nuevas cerámicas, parece haber disminuido la tasa de desgaste. Sin embargo, existen complicaciones exclusivas del par cerámica-cerámica, como la fractura de los componentes, sien-do la fractura del liner cerámico por traumatismo directo una complicación poco frecuente. Exponemos el caso clínico de un paciente de 41 años de edad que tras ser intervenido de ATC con par de fricción cerámica-cerámica, sufrió un traumatismo de alta energía tras atropello, asociado a fractura del liner cerámico. Se realizó una revisión de la ATC y se recambió el par de fricción a cerámica-politelieno, obteniendo buenos resultados en el postoperatorio, con una puntuación en la escala visual analógica (EVA) de 1, una puntuación en la escala Harris Hip Score de 92,8, una puntuación en la escala Oxford de 44 y una dismetría de 0,5 cm. Además se hizo una comparativa de los resultados obtenidos en nuestro caso clínico con los expuestos en la literatura.(AU)

Wear after total hip arthroplasty (THA) is one of the great problems in young patients. With the advancement in new ceramic designs, the wear rate appears to have decreased. However, there are complications exclusive to the ceramic-ceramic pair, such as component fracture, with the ceramic liner fracture due to direct trauma being a rare complication. We present the clinical case of a 41-year-old patient who, after undergoing THA with a ceramic-ceramic friction pair, suffered a high-energy trauma after being run over, associated with a fracture of the ceramic liner. A revision of the THA was carried out and the friction pair was changed to ceramicolythene, obtaining good results in the postoperative period, with a score on the visual analog scale (VAS) of 1, a score on the Harris Hip Score of 92,8, an Oxford scale score of 44, and a leg length discrepancy of 0.5 cm. In addition, a comparison was made of the results obtained in our clinical case with those reported in the literature.(AU)

Sleep Quality in Chilean Professional Soccer Players.

Recent research has shown that good sleep quality has a positive effect on physical performance. However, sleep quality in Chilean professional soccer players is unknown. The purpose of this study was to determine sleep quality in Chilean professional soccer players. It was a cross-sectional, explanatory study with observable variables. The sample consisted of 94 Chilean male soccer players belonging to four professional clubs. The main variable was the Sleep Quality Index, evaluated through the Pittsburgh questionnaire (Spanish version). After estimating sleep quality individually, the four professional soccer clubs' comparison was performed through a one-factor ANOVA. The Pearson test was used to relate the questionnaire variables; the significance level was p < 0.05. In the global analysis of the Pittsburgh Sleep Quality Index, a value of 4.75 ± 2.29 on a scale of 0-21 was observed, with no significant differences between the clubs evaluated (p > 0.05). Based on the results obtained, Chilean male professional soccer players present good sleep quality. However, the high values of "sleep latency" and "sleep disturbances" are indicators that should be worked on by the multidisciplinary team of each professional club. They should develop strategies to improve sleep hygiene, encourage good sleep, and fall asleep efficiently.

Valorization of Almond (Prunus serotina) by Obtaining Bioactive Compounds.

The Capulin almond is a seed of the Prunus serotina (var. capuli) that belongs to the Rosaceae family. In this study, the valorization of the Capulin almond was performed by extracting antioxidants contained in the shell, paste, and oil (extracted by manual cold pressing process) of Prunus serotina treated with methanol, ethanol, acetone, and acidified water (pH 4) in a ratio of 1:5 (w/v). Total phenols were performed using the Folin-Ciocalteu method and expressed as gallic acid equivalents (GAE), antioxidant activity was determined by ABTS and DPPH methods and expressed as Trolox equivalents (TE). Finally, the total flavonoids were determined using a catechin calibration curve and reported as catechin equivalents (CE). The highest extraction of total phenols in shell was obtained with methanol (1.65 mg GAE/g sample) and the lowest using acidified water (0.97 mg GAE/g sample). However, extraction with acidified water favored this process in the paste (1.42 mg GAE/g sample), while the use of solvents did not influence it significantly (0.72 to 0.79 mg GAE/g sample). Regarding the total flavonoids, the values for the shell, paste, and oil were of 0.37, 0.78, and 0.34 mg CE/g sample, respectively, while that corresponding to the antioxidant activity evaluated with ABTS and DPPH were of 1527.78, 1229.17, 18894.44 µM TE/g, and, 568.45, 562.5 and 4369.05 mM TE/g sample, respectively. Finally, our results suggest that by-products such as the shell, paste, and oil obtained from Prunus serotina (var. capuli) represent a potential alternative for the recovery of bioactive compounds with antioxidant activity such as phenolic compounds and flavonoids.