Browsing by Author "Noites, Andreia"
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- Acute effects of physical exercise with microcurrent in the adipose tissue of the abdominal region: A randomized controlled trialPublication . Noites, Andreia; Moreira, Anabela; Melo, Cristina; Faria, Miriam; Vilarinho, Rui; Freitas, Carla; Monteiro, Pedro; Carvalho, Paulo; Adubeiro, Nuno; Sousa, Maria; Santos, Rubim; Nogueira, LuisaIncreased abdominal fat and sedentary lifestyles contribute to cardiovascular disease risk. Low-intensity electrical current (microcurrent) on the abdominal region, associated with physical exercise, appears to be an innovative method to increase the lipolytic rate of abdominal adipocytes, in order to reduce abdominal fat. This study aimed to analyze the acute effects of microcurrent associated with an aerobic exercise program in healthy subjects in lipolysis. A double-blinded, randomized controlled trial was developed and conducted in a higher education school. Eighty-three healthy subjects, aged between 18 and 30 years old and with a 18.5 to 29.9 kg/m2 body mass index were randomly assigned either to an experimental or to a placebo group. Subjects received a trans-abdominal microcurrent stimulation for 40 min with (experimental group) or without (placebo group) electrical current, followed by a single aerobic exercise session (60 min at 45–55% VO2max intensity). Lipolytic activity (serum glycerol), abdominal fat (waist circumference, abdominal skinfold, ultrasonography), and serum lipid profile (serum triglyceride, total cholesterol, low-density lipoprotein cholesterol and high-density lipoprotein cholesterol) were evaluated in all subjects. Physical activity (International Physical Activity Questionnaire) and dietary intake (food-frequency questionnaire) questionnaires were applied. After the intervention, lipolytic rate was significantly higher (p = 0.003) in the experimental group (mean = 0.15) than in the placebo group (mean = 0.09). Glycerol results showed a statistically significant increase between baseline and after the intervention for both experimental group (p = 0.001) and the placebo group (p = 0.001). Combined use of microcurrent and physical aerobic exercise had an acute effect enhancing lipolytic rate comparing to exercise alone, in young healthy subjects.
- Application of cryolipolysis in adipose tissue: A systematic reviewPublication . Resende, Leonor; Noites, Andreia; Amorim, ManuelaCryolipolysis is characterized by localized and controlled cooling of the subcutaneous adipose tissue, in a non-invasive way, causing a localized panniculitis, followed by adipocyte death by apoptosis and, consequently, a decrease in adipose tissue in the treated area. To evaluate the scientific evidence and methodological qualities about effects, adverse reactions, and level of satisfaction of cryolipolysis for the reduction of sub cutaneous adipose tissue. A systematic review was carried out according to the PRISMA recommen dation. Searches were conducted in different databases. We included studies that used a randomized control and self-control design and were carried out in humans. Articles published in English and Portuguese were screened, with no time limit regard ing the year of publication. The methodological quality of the studies was assessed using the Cochrane Rob2 scale. Of 381 articles, seven were considered eligible for inclusion. After applying the Cochrane Rob2 scale, five studies were included in the final sample. Most studies showed significant results for cryolipolysis in reducing localized fat. The incorpora tion of a dietary program into the treatment was shown to contribute to a significant improvement in the lipid profile and liver enzymes, which does not happen when cry olipolysis is applied in isolation. Rare adverse effects have been identified, but never persisting beyond a month. Cryolipolysis is an effective technique for reducing localized fat, safe, and well tolerated, with most participants satisfied at the end of the treatment. However, more randomized controlled studies should be carried out, since there is a limited number of articles with good methodological quality.
- Aprendizagem gamificada da auscultação pulmonar no 1.º ano do curso de fisioterapia – ESS-P.PORTOPublication . Alexandrino, Ana; Noites, AndreiaA auscultação pulmonar (AP) é fundamental para a fisioterapia respiratória, porém os resultados dependem da experiência e capacidade do examinador para distinguir e interpretar sons respiratórios.
- Associação entre o nível de actividade física e o refluxo venoso dos membros inferioresPublication . Dinis, João Cristovão; Noites, AndreiaObjectivo: Verificar a associação entre o nível de actividade física e o refluxo venoso dos membros inferiores e a existência de um nível profilático. Métodos: A 49 estudantes, aplicouse o Questionário Internacional Actividade Física, avaliou-se o refluxo venoso pelo ecodoppler e a resistência do tricípite sural por um teste de fadiga local. Resultados: O nível de actividade física e o refluxo venoso dos membros inferiores estão associados (p=0,013). Estudantes com menores índices físicos apresentaram piores resultados. Conclusão: O nível de actividade física e o refluxo venoso estão associados. Não foi possível inferir acerca do nível de actividade física mais adequado.
- Associação entre o nível de actividade física e o refluxo venoso dos membros inferioresPublication . J.C., Dinis; Noites, AndreiaVerificar a associação entre o nível de atividade física e o refluxo venoso dos membros inferiores e a existência de um nível profilático.
- Body mass index and visceral fat: correlation with serum lipid profile in healthy young adultsPublication . Moreira, Anabela; Noites, Andreia; Couto, Miriam; Vilarinho, Rui; Melo, Cristina; Sousa, Manuela; Monteiro, Pedro; Carvalho, Paulo; Adubeiro, Nuno; Nogueira, Luisa; Santos, RubimMetabolic and cardiovascular complications and obesity association is well described. Body mass index (BMI) is commonly used to assess obesity, but does not reflect body fat distribution. Abdominal obesity, namely visceral adipose tissue (VAT), is associated with greater risk for those metabolic impairments, including dyslipidemia, than adiposity in other regions of the body. Objective: To determine the correlation between serum lipid profile and anthropometric measures (BMI and VAT) in young healthy adults.
- Cardiovascular rehabilitation program: The influence on cognitive and executive function, kyphotic index, joint range of tibiotarsal and balancePublication . Vieira, Ágata; Noites, Andreia; Machado, Jorge; Melo, Cristina; Gabriel, Joaquim; Viamonte, SofiaCardiovascular disease arises from pathological changes, such as atherosclerosis, and continues to be the main cause of mortality, as coronary artery disease that is responsible for 20% of deaths each year. Cardiovascular rehabilitation programs have several phases, and the last one, the maintenance phase, which aims are to implement healthy lifestyles habits on people.
- Clay body wrap with microcurrent: effects in central adiposityPublication . Melo, Ana Sofia; Moreira, Juliana Santos; Noites, Andreia; Couto, Miriam F.; Melo, CristinaIntroduction Increased fat mass is becoming more prevalent in women and its accumulation in the abdominal region can lead to numerous health risks such as diabetes mellitus. The clay body wrap using compounds such as green clay, green tea and magnesium sulfate, in addition to microcurrent, may reduce abdominal fat mass and minimize or prevent numerous health problems. Objective This study aims at measuring the influence of the clay body wrap with microcurrent and aerobic exercise on abdominal fat. Methods Nineteen female patients, randomized into intervention (n = 10) and control (n = 9) groups, were evaluated using ultrasound for visceral and subcutaneous abdominal fat, calipers and abdominal region perimeter for subcutaneous fat and bioimpedance for weight, fat mass percentage and muscular mass. During 10 sessions (5 weeks, twice a week) both groups performed aerobic exercise in a cycloergometer and a clay body wrap with microcurrent was applied to the intervention group. Results When comparing both groups after 5 weeks of protocol, there was a significant decrease in the subcutaneous fat around left anterior superior iliac spine in the intervention group (ρ = 0.026 for a confidence interval 95%). When comparing initial and final abdominal fat in the intervention group, measured by ultrasound (subcutaneous and visceral fat) and by skinfold (subcutaneous fat), we detected a significant abdominal fat reduction. Conclusion This study demonstrated that the clay body wrap used with microcurrent and aerobic exercise can have a positive effect on central fat reduction.
- Comparison of the effects of shock waves versus radiofrequency on abdominal lipolysis: A randomized clinical trialPublication . Fontes, Alexandra Ribeiro; Martins, Ana Sofia de Moura; Costa, Beatriz Sofia Pereira da; Noites, Andreia; Marques, LeilaHigh levels of abdominal adiposity mean higher risk of developing cardiovascular diseases. Aerobic exercise per si reduces the risk of developing this type of diseases. Radiofrequency and shockwave therapy showed to be effective in the reduction of localized abdominal fat. Randomized clinical trial, with 30 volunteers in fertile age with overweight and/or obese, randomly and equitably allocated in two experimental groups (1—shockwave therapy and 2—radiofrequency) and one control group. Aerobic physical exercise was prescribed to all groups. The values of anthropometric measurements were measured in two moments. The intervention protocol was performed in a clinic for six weeks, with one session per week. The ANOVA test, paired samples t test, Kruskal-Wallis test, and Wilcoxon test were used to compare the results, for a significance level of 0.05. Of 28 participants completed the study. There were significant differences in waist circumference reduction between the experimental group 1 and 2 when compared to the control group (p = 0.005 and p = 0.014, respectively). There was a statistically significant reduction in navel level circumference in experimental group 1 when compared to experimental group 2 (p = 0.024) and with the control group (p = 0.016). Both resources were effective in reducing abdominal measurements when compared to the control group. However, SWT was superior in reducing the navel level circumference.
- Could electromyographic and pressure related signals identify differences in abdominal activity and postural control between women with and without C-Section?Publication . Figueiredo, Ana; Cerqueira Lopes, Maria; Pereira, Ana; Sousa, Andreia S. P.; Silva, Cláudia; Noites, AndreiaScars interfere with the motor system; however, the influence of c-section scars has not been described yet. The aim of this study is to relate the presence of abdominal scars from a caesarean section with changes in postural control—stability and orientation and abdominal and lumbar neuromuscular control in the orthostatic position. Cross-sectional analytical observational study comparing healthy primiparous women with caesarean delivery (n = 9) and physiologic delivery (n = 12) who have delivered more than one year before. The relative electromyographic activity of the rectus abdominis, transverse abdominis/oblique internus and lumbar multifidus muscles, antagonist co-activation, the ellipse area, amplitude, displacement, velocity, standard deviation, and spectral power of the centre of pressure, and thoracic and lumbar curvatures, were evaluated in the standing position in both groups, through an electromyographic system, a pressure platform and spinal mouse system. In the “caesarean delivery” group, scar mobility was evaluated using a modified adheremeter. Significant differences in CoP medial-lateral velocity and mean velocity were observed between groups (p < 0.050), while no significant differences were in the level of muscle activity, antagonist co-activation, and thoracic and lumbar curvatures (p > 0.05). The information provided by the pressure signal seems to identify postural impairments in women with c-sections.