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Introduction Permanent education in health aims to ensure that professionals are constantly learning in the workplace and in the last few years institutions resorted to the technology-mediated education modality and new teaching possibilities were explored. In Brazil, between 2017 and 2021, only six articles and five monographs were published about listening effort.

Purpose: The aim of the present study was to investigate the effectiveness of photobiomodulation therapy (PBMT) on muscle recovery based on inflammation (interleukin-10 [IL-10]; tumor necrosis factor-α [TNFα]), muscle damage markers (creatine kinase [CK]; lactate dehydrogenase [LDH]), delay onset muscle soreness (DOMS), and countermovement jump performance (CMJ) after two sprint interval training (SIT) sessions compared with a placebo condition (part-I), as well as to compare the effectiveness of PBMT with active recovery (AR) and cold-water immersion (CWI) (part-II).Methods: Part-I was conducted as a double-blind, randomized and placebo-controlled study and part-II as a parallel-group study. Thirty-six men participated in the studies (12 participants in part-I and 36 participants in part-II). Volunteers performed two SITs interspaced by 24-h (SIT1 and SIT2) to mimic the effect of accumulating 2 consecutive days of SIT. In part-I, only after SIT2, PBMT [Total energy: 600J (300J per leg in 5 spots); wavelength: 660–850 nm] or placebo interventions were performed, while in part-II PBMT (part-I data), AR (15-min; 50% of the maximal aerobic power), or CWI (10-min; 10°C) were carried out, also after SIT2. Blood samples were collected before (i.e., baseline), and 0.5, 1, 24, 48, and 72-h after SIT2, while CMJ and DOMS were measured before, 24, 48, and 72-h after SIT2.Results: In part-I, there were no interactions between PBMT and placebo conditions for any blood markers (P ≥ 0.313), DOMS (P = 0.052), and CMJ (P = 0.295). However, an effect of time was found with increases in LDH, CK, and IL-10 (P ≤ 0.043) as well as a decrease in DOMS at 72-h compared with 24-h (P = 0.012). In part-II, there were no interactions between the PBMT, AR, and CWI groups for any markers at the same moments (P ≥ 0.189) and for the peak and integral values (P ≥ 0.193), for DOMS (P = 0.314) and CMJ (P = 0.264). However, an effect of time was found with an increase in CK and IL-10 (P = 0.003), while DOMS decreased at 48 and 72-h compared with 24-h (P = 0.001).Conclusion: In summary, PBMT had no effect on inflammation, muscle damage, CMJ performance, or DOMS after two consecutive sprint interval training sessions compared to placebo, CWI, and AR strategies.

Statin treatment in association with physical exercise practice can substantially reduce cardiovascular mortality risk of dyslipidemic individuals, but this practice is associated with myopathic event exacerbation. This study aimed to present the most recent results of specific literature about the effects of statins and its association with physical exercise on skeletal musculature. Thus, a literature review was performed using PubMed and SciELO databases, through the combination of the keywords “statin” AND “exercise” AND “muscle”, restricting the selection to original studies published between January 1990 and November 2013. Sixteen studies evaluating the effects of statins in association with acute or chronic exercises on skeletal muscle were analyzed. Study results indicate that athletes using statins can experience deleterious effects on skeletal muscle, as the exacerbation of skeletal muscle injuries are more frequent with intense training or acute eccentric and strenuous exercises. Moderate physical training, in turn, when associated to statins does not increase creatine kinase levels or pain reports, but improves muscle and metabolic functions as a consequence of training. Therefore, it is suggested that dyslipidemic patients undergoing statin treatment should be exposed to moderate aerobic training in combination to resistance exercises three times a week, and the provision of physical training prior to drug administration is desirable, whenever possible.

Objective: To identify the adherence rate of a statin treatment and possible related factors in female users from the Unified Health System. Method: Seventy-one women were evaluated (64.2 ± 11.0 years) regarding the socio-economic level, comorbidities, current medications, level of physical activity, self-report of muscular pain, adherence to the medical prescription, body composition and biochemical profile. The data were analyzed as frequencies, Chi-Squared test, and Mann Whitney test (p

Este estudo descreveu as características antropométricas e presença de fatores de riscos cardiovasculares (Parte1) bem como a ocorrência de lesões (Parte 2) em corredores de rua. Índice de massa corporal, pressão arterial (PA), circunferência abdominal (CA) e presença de lesões foram avaliadas em 94 corredores. Destes, 38,5% eram hipertensos auto-referidos, mas 41,9% estavam com a PA alterada no dia. Dentre os auto-referidos sem problemas de saúde, foram encontradas alterações na PA (42%), na CA (9,8%) e 6% apresentaram risco cardiovascular moderado. Verificou-se que 34% já sofreram lesão, sendo que 67,7% foram derivadas de treinos ou competições. Idade, distância da prova e realização de outras atividades foram associados com a ocorrência de lesão. Os resultados do presente estudo nos permitem concluir que os praticantes de pedestrianismo apresentam uma condição física propícia ao comprometimento cardiovascular durante uma prova e ao surgimento de lesões, sugerindo campanhas de conscientização sobre a condição de saúde neste público.This study investigated the anthropometric characteristics and the presence of cardiovascular risk factors (Part 1) as well as occurrence of injuries (Part 2) in road runners. Body mass index, blood pressure (BP), abdominal circumference (AC) and incidence of injuries were evaluated in 94 road runners. Among the participants, 38,5% self-reported as hypertensive, but 41,7% from total had altered BP. Among healthy runners, it was found alterations on BP (42%), AC (9.8%) and 6% presented moderated cardiovascular risk. It was observed that 34% already suffered some injuries and 67.7% derived from training and competition. Age, distance of the running and practice of other activities were associated with presence of injury. The results of the present study allow us to conclude that road runners have a physical condition that facilitates the cardiovascular event during the competition and that contributes to the injuries. Thus it suggests that campaigns need to be done in order to make the runner aware about its health condition.

Inúmeros problemas de saúde pública são atribuídos aos fatores induzidos pelo ambiente de trabalho que, associados ao estilo de vida sedentário, contribuem para deteriorar a qualidade de vida do trabalhador. Neste sentido, procuramos descrever o perfil, avaliar a condição física e o risco cardiovasculares dos funcionários da saúde. Foram avaliados 198 funcionários (46 ± 10 anos) que responderam uma anamnese e foram submetidos a avaliações bioquímicas, antropométricas e funcionais. Os valores foram apresentados como média ± desvio padrão da média. Foram utilizados testes de qui-quadrado (x²), taxa de "odds" e correlações de Pearson (p < 0,05). Dos avaliados, 54% apresentaram peso corporal elevado, 33% pressão arterial (PA) elevada e 56% eram sedentários. Colesterol total (CT), lipoproteína de baixa densidade e triglicerídeos (TG) acima da normalidade foram encontrados em 49%, 41% e 24% dos servidores, respectivamente e, 75% apresentaram taxas reduzidas de lipoproteína de alta densidade. As análises de x² e taxa de "odds" apontaram que os valores de TG e PA foram significativamente maiores para homens comparados às mulheres. Capacidade cardiorrespiratória ruim foi verificada em 56% dos homens e 23% das mulheres, além disso, a flexibilidade apresentou-se com níveis insatisfatórios para homens e mulheres. Observou-se que o índice de massa corporal se correlacionou positivamente com PA, CT e TG. Constatou-se, também que a idade foi fator agravante para PA, flexibilidade, CT e glicemia nas mulheres. Dessa forma, a prevalência de múltiplos fatores de risco nestes trabalhadores demonstra tratar-se de população não assistida pela saúde, motivo pelo qual sugere-se conscientização sobre sua própria saúde evitando a aposentadoria precoceSeveral public health problems are due to environmental work, which, associated with sedentarism, contribute to reduce the quality of life of the worker. Therefore, this study aimed to describe the profile, evaluate the physical condition and cardiovascular risk factor of health workers. Health workers (198) from Bauru and Jau cities (46 ± 10 years old) were assessed. They answered a questionnaire and participated in antrophometric and functional assessments. Values are presented as means ± SD. Qui-squared (x²) analysis, odds rate and Pearson correlation were used (p < 0.05). From all workers evaluated, 54% presented high body weight, 33% high blood pressure and 56% were sedentary. Total cholesterol (TC), low-density lipoprotein and triglycerides (TG) above normal values were found in 49%, 41% and 24% of the individuals, respectively, and 75% presented low values of high-density lipoprotein. Qui-squared analysis and odds rate confirmed that TG and blood pressure (BP) were higher for men compared with women. Physical capacity was bad for 56% of men and 23% of women. Also, flexibility was unsatisfactory for men and women. Body mass index correlated positively with BP, TC and TG. Aging was an important risk factor for BP, TC, blood glucose, body mass index and flexibility only for women (p < 0.05). The prevalence of multiple risk factors among these health workers shows that this population is not adequately assisted. For this reason, a program from the government in order to make this population recognize such problems and avoid premature retirement is suggested

The prescription of the exercise training intensity based on ventilatory thresholds, determined by ergoespirometric evaluations, has been very useful for athletes. The aim of the present study was to verify the effect of a short period of exercise training, based on the ventilatory thresholds on physical capacity of volleyball players. Six male volleyball players (25±4 years) were studied during the competitive phase of the State Championship. The players were submitted to two maximal ergoespirometric evaluations on the treadmill with a three-month interval. In this period, the aerobic training was performed with an intensity between the anaerobic threshold and the respiratory compensation point, and the anaerobic training on an intensity above the respiratory compensation point. Exercise training caused a significant increase in maximal oxygen uptake (48.6±3.0 vs. 51.0±3.0 ml.kg-1.min-1, p < 0.05), but without significant alteration in maximal power, maximal heart rate and maximal ventilation. The values of oxygen uptake and heart rate, in which the ventilatory thresholds were achieved, tended to be higher after exercise training. In conclusion, a short period of three months of exercise training based on the ventilatory thresholds is effective in increasing the maximal oxygen uptake in volleyball players and tends to increase the ventilatory thresholds.

OBJETIVO: Comparar os limites inferiores (L.inf.) e superiores (L.sup.) da prescrição de treinamento físico aeróbio determinada pelo teste ergométrico convencional (60-70% do VO2máx estimado ou 70-85% da FCmáx atingida), com a prescrição obtida pelo teste ergoespirométrico [limiar anaeróbio (LA) e ponto de compensação respiratória (PCR)]. MÉTODOS: Realizaram teste ergoespirométrico progressivo até a exaustão 47 homens (30±5 anos), divididos em subgrupos, de acordo com a velocidade da esteira durante o teste (4 ou 5mph) e a capacidade física medida [baixa (BCF) e moderada (MCF)]. RESULTADOS: Os L.inf. de prescrição indireta apresentaram valores de VO2 e FC significantemente maiores que os valores de VO2 e FC no LA (4mph= 34,4±4,5 vs 19,6±4,6 e 5mph= 28,9±2 vs 18,9±5,4, e BCF= 32,0±4,1 vs 17,2±2,8 e MCF= 31,6±4,9 vs 21,1±5,7(mlO2.kg-1.min-1) e (4mph = 128,9±7,8 vs 113,1± 15,6 e 5mph= 130,3±5,2 vs 114,1± 18,9, e BCF= 127,6±7,2 vs 109,3±13,2 e MCF= 131,2± 5,7 vs 117,4± 19,2bpm). Os L.sup. de prescrição indireta no grupo de 4mph e BCF apresentaram valores de VO2 significantemente maiores que os valores medidos no PCR (40,1±5,3 vs 32,2±4,3 e 37,4±4,8 vs 30,6±2,5 mlO2.kg-1.min-1, respectivamente), e valores de FC semelhantes aos medidos no PCR. CONCLUSÃO: Os L.inf. da prescrição indireta de treinamento físico superestimam o LA, enquanto os L.sup. parecem adequados somente para indivíduos ativos com MCF.

Introdução: Nos últimos anos, devido à industrialização e ao sedentarismo, os fatores de risco das doenças arteriais coronarianas vêm aumentando. Dentre eles podemos citar obesidade, hipertensão arterial, diabetes e dislipidemia. A Hipertensão Arterial é uma doença multifatorial e assintomática, sendo caracterizada pela manutenção de níveis elevados de pressão arterial, o que contribui para aumentar a morbidade e mortalidade cardiovascular. Funcionários da área da saúde, submetidos a ritmos intensos de trabalho, geralmente apresentam altas taxas de fatores de risco para doenças cardiovasculares. O exercício, por sua vez, tem sido considerado uma das principais formas de tratamento não-farmacológico dessa patologia. Com esse intuito, o “Projeto Qualidade de Vida (PQV)” surgiu como uma parceria entre a Divisão Regional de Saúde de Bauru (DIR-X) e o Depto. de Educação Física da Unesp/Bauru. O projeto foi implantado para avaliar os fatores de risco desta população e proporcionar uma mudança de estilo de vida por meio de exercícios regulares. Objetivos: Investigar os efeitos benéficos do exercício físico orientado no controle dos níveis pressóricos dos participantes do PQV. Métodos: Indivíduos de ambos os sexos (30 a 70 anos), foram submetidos a diversos procedimentos que incluíam: anamnese, avaliação da condição sócio-econômica, escolaridade e risco coronariano, avaliações antropométricas, hemodinâmicas e funcionais (teste ergométrico), que foram realizados no Laboratório de Avaliação e Prescrição de Exercício (LAPE). Após os testes foram realizadas prescrições individualizadas, de acordo com a condição física. As aulas ocorreram nas dependências do Departamento de Educação Física, Unesp/Bauru, com 3 sessões semanais de 90 minutos cada. Resultados: Dentre os resultados mais significativos do PQV, destaca-se o de uma aluna de 49 anos, hipertensa há 8 anos, que faz uso de uma combinação de 3 fármacos antihipertensivos. Após 2 meses de freqüência ao programa de exercícios, a aluna apresentou uma queda de 30 mmHg na pressão arterial sistólica de repouso (de 140 para 110 mmHg, 21%) e de 14 mmHg na pressão arterial diastólica (de 96 para 82 mmHg, 15%). Mediante estas reduções pressóricas houve indicativo de redução de dosagem de seu medicamento em 50% pelo cardiologista. Estes resultados demonstram a grande eficiência do exercício físico como coadjuvante ao tratamento farmacológico da hipertensão. Importante ressaltar que a integração médico e educador físico pode resultar em importante parceria para o controle e tratamento da hipertensão arterial.