Prevention Of Chronic Non-communicable Diseases Research Articles

Proximate Composition, Minerals and Antioxidant Activity of Artichoke Leaf Extracts

In this study, leaf extracts from the Green Globe cultivar of artichoke (Cynara scolymus L.), a herbaceous plant of the Asteraceae family, were analyzed to determine the levels of basic nutrients, selected macroelements (K, P, Ca, Mg, and Na) and microelements (Zn, Fe, Mn, Cr, Pb, Cd, and Ni), and their ratios. The antioxidant activity (aa) of the extract was evaluated using ABTS˙+ and DPPH˙+ radicals and the ferric reducing antioxidant power assay (III) (FRAP). Total polyphenolic content was also determined. Macroelement concentrations in the artichoke leaf extract can be presented in descending order as follows: K > P > Ca > Mg > Na. Microelement content in the extract was as follows: Zn > Fe > Cr > Mn. We determined the ratios of elements in artichoke leaf extracts and compared them against the recommended dietary allowance, adequate intake, or tolerable upper intake level. Mean total phenolic content in artichoke leaf extracts was high – 2795 mg CAE/100 g dry matter (DM). The ABTS˙+ assay showed a very high ability of artichoke extract to scavenge free radicals (79.74%), and the antioxidant capacity measured at 1060.8 Trolox/1 g DM. The results show that artichoke extract is a valuable source of minerals and antioxidants that could have applications in the prevention of chronic non-communicable diseases caused by oxidative damage.

1644-P: Novel Subgroups of Prediabetes and Their Clinical Outcomes: A Data-Driven Analysis

The progression of prediabetes to diabetes and the reversion of them to NGT are highly heterogeneous. To develop a refined classification of prediabetes, we used data-driven K-means clustering in patients diagnosed with IGT and IFG according to WHO 1999 criteria in Pinggu Study (a prospective population-based survey for diabetes in suburban Beijing, n=628), NHANES III study (a cross-sectional population-based survey in the U.S., n=1532) and Beijing Prediabetes Reversion Program (BPRP, a RCT to evaluate the efficacy of lifestyle and/or pioglitazone on prediabetes reversion, n=1905). Based on five variables including HbA1c, BMI, age, HOMAIR and HOMAB, we identified four replicable clusters across all three datasets including high glucose group (HGG), lean group (LG), early-onset group (EOG) and insulin resistant group (IRG) (Figure). HRG had significant higher 1-year diabetes progression rate (15.4% in BPRP and 25.6% in Pinggu study) and the LG had the lowest diabetes progression rate (7.1% in BPRP and 11.1% in Pinggu Study). In BPRP, HGG treated with Intensive lifestyle plus pioglitazone had significant higher reversion rate to NGT and EOG treated with intensive life style plus placebo had least reversion rate compared to other treatment. Our study provides risk stratification for prediabetes and can potentially facilitate clinical decision, representing a first step towards precision management. Disclosure X. Zou: None. Z. Zhu: None. Y. Luo: None. Y. Li: None. X. Zhou: None. L. Ji: Advisory Panel; Self; AstraZeneca. Consultant; Self; AstraZeneca, Bayer AG, Boehringer Ingelheim International GmbH, Bristol-Myers Squibb Company, Eli Lilly and Company, Merck KGaA, Merck Sharp & Dohme Corp., Novartis AG, Novo Nordisk A/S, Roche Pharma, Sanofi, Takeda Pharmaceutical Company Limited. Research Support; Self; AstraZeneca, Bristol-Myers Squibb Company, Eli Lilly and Company, Merck Sharp & Dohme Corp., Novartis AG, Roche Pharma, Sanofi. Funding The Major Chronic Non-Communicable Disease Prevention and Control Research of China; Beijing Science and Technology Committee; National Natural Science Foundation of China

1521-P: An Efficacy Evaluation on Prediabetes Management Using a Machine Learning-Based Risk Stratification Approach

The progression of prediabetes towards diabetes was heterogeneous, suggesting a demand for individualized management. We aim to investigate whether stratifying participants with prediabetes according to their progression risk could affect the response to interventions. We developed a 1-year diabetes progression risk evaluating model with a panel of diabetes risk factors using a machine learning method (i.e., Bagging algorithm with 300 decision trees) in prediabetes participants in Pinggu Study (a prospective population-based survey in suburban Beijing, n=622). The model training phase was conducted on 2/3 randomly selected participants and the validation phase was conducted on other 1/3. This model successfully predicted the 1-year progression of prediabetes participants in Pinggu study (internal ROC AUC 1.000, external ROC AUC 0.883). In Beijing Prediabetes Reversion Program (BPRP, a multi-central RCT to evaluate the efficacy of lifestyle and/or pioglitazone on prediabetes reversion, n=1897), subjects were divided into tertiles as high, medium and low risk groups according to their progression probability predicted by the model. Pioglitazone plus intensive lifestyle significantly increased reversion and reduced diabetes progression only in high risk group. This study suggests personalized treatment on prediabetes according to their progression risk is necessary. Disclosure X. Zou: None. Z. Zhu: None. Y. Luo: None. Y. Li: None. X. Zhou: None. L. Ji: Advisory Panel; Self; AstraZeneca. Consultant; Self; AstraZeneca, Bayer AG, Boehringer Ingelheim International GmbH, Bristol-Myers Squibb Company, Eli Lilly and Company, Merck KGaA, Merck Sharp & Dohme Corp., Novartis AG, Novo Nordisk A/S, Roche Pharma, Sanofi, Takeda Pharmaceutical Company Limited. Research Support; Self; AstraZeneca, Bristol-Myers Squibb Company, Eli Lilly and Company, Merck Sharp & Dohme Corp., Novartis AG, Roche Pharma, Sanofi. Funding The Major Chronic Non-Communicable Disease Prevention and Control Research of China; Beijing Science and Technology Committee; National Natural Science Foundation of China

From End Treatment to Source Prevention: Socio-Ecological Approaches to Promote Research on the Environment and Non-Communicable Chronic Diseases with Special Reference to China.

Globally, the pandemic of non-communicable chronic diseases (NCDs) has become a critical public health problem. Although NCD prevention has been shifting from individual behavioral interventions to broad environmental interventions, it is still necessary to promote research on the environment and NCDs as a whole. Therefore, this conceptual paper aimed to develop a general and novel framework to advance this line of research. The framework uses socio-ecological approaches that emphasize source prevention rather than the end treatment. Specifically, this framework comprehensively covered integrative research approaches, prioritized areas, urgent efforts, innovative methodologies, and improved funding. The framework used China as a typical context, where its public health policies, similar to other nations, still focus on the end treatment of NCDs, placing emphasis on biomedical approaches and technologies. China’s relevant efforts may furnish new insights and approaches concerning NCD prevention, and these efforts may benefit the improvement of global health and well-being. Such social-ecological research efforts can help to accelerate a shift from existing individual interventions to environmental interventions, thereby ultimately achieving the effective source prevention of NCDs in China and around the globe.

Dietary Polyphenols-Important Non-Nutrients in the Prevention of Chronic Noncommunicable Diseases. A Systematic Review.

The improvement of the social and economic conditions of society has eliminated the threat of death from the majority of infectious diseases. However, the rapid progress of civilization has created new possibilities for the appearance of factors with adverse effects for the health of society. This has led to increased morbidity from certain diseases, the presence of which had not been observed several centuries ago. Chronic noncommunicable diseases (e.g., cancers, cardio-vascular disorders, diabetes, obesity, neurodegenerative diseases) result from an inappropriate relationship between people and their environment. The common characteristic for all chronic diseases is a “new” form of inflammation, very often called metaflammation, which is considered as a subclinical, permanent inflammation. As a result, metabolic cascade, including cellular oxidative stress, atherosclerotic process, and insulin resistance, occurs, which slowly generates significant deterioration in the organism. Polyphenols are the major group of non-nutrients, considering their diversity, food occurrence, and biological properties. The current review aims to present a wide spectrum of literature data, including the molecular mechanism of their activity and experimental model used, and summarize the recent findings on the multitude of physiological effects of dietary polyphenols towards the prevention of several chronic diseases. However, despite several studies, the estimation of their dietary intake is troublesome and inconclusive, which will be also discussed.

Introduction and Executive Summary of the Supplement, Role of Milk and Dairy Products in Health and Prevention of Noncommunicable Chronic Diseases: A Series of Systematic Reviews

ABSTRACTMilk and dairy products contain multiple nutrients and contribute significantly to meet the nutritional requirements for protein, calcium, magnesium, phosphorus, potassium, zinc, selenium, vitamin A, riboflavin, vitamin B-12, and pantothenic acid. However, consumption of dairy is decreasing and moving away from the advised level in many countries and the potential benefits of milk and dairy products for health have come under question. This, in spite that numerous studies report health benefits associated with dairy consumption. The present supplement aims to assess and summarize scientific evidence regarding the impact of dairy intake on health and all-cause mortality, and on the prevention of diverse chronic diseases, mainly from meta-analyses of observational studies and randomized controlled trials (RCTs). There seem to positive associations between moderate maternal milk intake during pregnancy and infant birth weight, length and bone mineral content during childhood. Moreover, consumption of dairy products in older subjects may reduce the risk of frailty and decrease the risk for sarcopenia. The highest consumption of dairy products did not show a clear association with total osteoporotic fracture and hip fracture risk; however, a diminished risk of vertebral fracture was found. Analysis of the differences between high and low dairy consumption and for dose-response found no association between dairy product consumption and risk of all-cause mortality. Total and low-fat dairy consumption is associated with a reduced risk of developing metabolic syndrome and current evidence supports that consumption of dairy does not adversely affect the risk of cardiovascular outcomes and may even have a subtle protective effect. Moreover, evidence has been provided of an inverse association between the consumption of dairy products and ischemic heart disease and myocardial infarction. Also, the evidence suggests that dairy consumption, particularly low-fat dairy and yogurt is associated with a lower risk of type 2 diabetes. Likewise, moderate compared with medium consumption of dairy is associated lower risk for colorectal and bladder cancer and has no association with prostate cancer. Finally, consumption of milk or dairy products did not show a proinflammatory effect on healthy subjects, overweight/obese individuals, or individuals with other metabolic abnormalities, and fortification of dairy products with phytosterols and ω-3 fatty acids seems to be a good approach to improve cardiometabolic risk biomarkers. In conclusion, the systematic reviews and meta-analyses of the present supplement support adequate milk consumption at various stages of life and in the prevention/control of various noncommunicable chronic diseases.

Prevention of Chronic Non-Communicable Diseases in Russia: Analytical Review of General Institutional Issues

Objective: The purpose of this research is to assess regulatory, organizational and methodological documents, as well as Russian and international recommendations, to use infromation from them to identify and systematize problems in prevention of chronic non-communicable diseases, and tooffer solutions.
 Materials and Methods: Analysis encompasees the key Federal Laws of the Russian Federation; orders, records, and reports provided by various ministries and departments of the Russian Federation,as well as by the leading research institutes; guides, manuals, and federal recommendations; the latest Russian and foreign guidelines and recommendations on prevention of chronic non-communicable diseases.
 Results and Discussion: Analysis was faced with a number of problems:poor correlation between changes in regulatory documents governing the prevention of chronic non-communicable diseases; incomplete allowance for international experience and guidelines on prevention of chronic non-communicable diseases, incomplete epidemiological data; poor coordination and uneven assignment of responsibilities in structures involved in prevention; shift in emphasis from population-oriented prevention and high-risk groups towards secondary prevention; below-satisfactory efficiency of tuberculosis screening in clinical examination.
 Conclusions: Their resolutionmay significantly increase the effectiveness of measures intendedfor prevention of chronic non-communicable diseases and their risk factors from occurence in Russia.
 Bangladesh Journal of Medical Science Vol.18(2) 2019 p.353-367

Culinary herbs and spices: what can human studies tell us about their role in the prevention of chronic non-communicable diseases?

Culinary herbs and spices (CHS) are known primarily as flavour enhancers, and it is now well established that they possess bioactive properties that indicate that these foods may have a role to play in the prevention of non-communicable chronic diseases (CNCDs). Human studies are now beginning to provide insights into the significance of the potential health benefits of CHS in a dietary context, particularly concerning their antioxidant and anti-inflammatory properties and their impact on glucose homeostasis, appetite and the consumption of low/reduced fat, salt and sugar foods. However, these studies have also identified a number of factors that are very pertinent to furthering understanding of how CHS can be used for the maintenance of health and the prevention of CNCDs. The challenge for the next phase of studies will be how to incorporate, successfully, these factors into study methodology for investigating the preventative benefits of these foods. © 2019 Society of Chemical Industry.

Sedentary Behavior, Exercise, and Cardiovascular Health.

Sedentary behavior and physical inactivity are among the leading modifiable risk factors worldwide for cardiovascular disease and all-cause mortality. The promotion of physical activity and exercise training (ET) leading to improved levels of cardiorespiratory fitness is needed in all age groups, race, and ethnicities and both sexes to prevent many chronic diseases, especially cardiovascular disease. In this state-of-the-art review, we discuss the negative impact of sedentary behavior and physical inactivity, as well as the beneficial effects of physical activity /ET and cardiorespiratory fitness for the prevention of chronic noncommunicable diseases, including cardiovascular disease. We review the prognostic utility of cardiorespiratory fitness compared with obesity and the metabolic syndrome, as well as the increase of physical activity /ET for patients with heart failure as a therapeutic strategy, and ET dosing. Greater efforts at preventing sedentary behavior and physical inactivity while promoting physical activity, ET, and cardiorespiratory fitness are needed throughout the healthcare system worldwide and particularly in the United States in which the burden of cardiometabolic diseases remains extremely high.

The use of pricing policy in the primary prevention of chronic noncommunicable diseases: taxes on sugary drinks

The use of pricing policy in the primary prevention of chronic noncommunicable diseases: taxes on sugary drinks

Diet Quality Index associated with Digital Food Guide: update and validation.

Monitoring and assessing dietary intake may favor the promotion of healthy choices and the indexes that assess the quality of the diet contribute to this purpose. The Diet Quality Index associated with the Digital Food Guide (DQI-DFG) was developed from guidelines of the School of Public Health at Harvard University, adjusted for the Brazilian food habits. Based on new studies on prevention of chronic non-communicable diseases, the objective of this study was to improve and validate the DQI-DFG for a second version. The following psychometric properties were used: (a) content validation: consensus on healthy eating and DQI among experts; (b) construct validation: enhancement of a reference diet to determine recommended serving sizes and consumption ranges; correlation between each group score and energy value; comparative analyses between menu assessment by experts and DQI-DGF results to confirm the score criterion; (c) reliability: agreement between the result shown by the evaluators and the result presented by DQI-DFG; correlation between each food group score and total DQI score to understand the relationship between these variables. The energetic values do not influence the DQI score. There is a high correlation between the score attributed by experts and the result of DQI-DFG (r = 0.78 until r = 0.97). The Index components have a balanced score of influence in its final result (r = 0.49 until r = 0.10). Consensus result performed among experts legitimates the concepts that justify DQI-DFG. There was an agreement between menu quality evaluation by experts and the results shown by DQI-DFG.

ASSESSMENT OF HEALTHY LIFESTYLE COMPLIANCE AMONG PRIVATE-PRACTICE DOCTORS AND STUDENTS (MEDICAL STUDENTS, INTERNS AND CLINICAL RESIDENTS)

Introduction.The role of healthy lifestyles in the prevention of chronic non-communicable diseases is very important. Lifestyle of medical personnel, especially future doctors, may have great influence on healthy lifestyle compliance of patients. The objective of our study was to compare the prevalence of cardiovascular risk factors among doctors and students of medical educational institutions who underwent screening during The Russian Congress of Cardiology in 2016.Material and methods.During the Russian National Congress of Cardiology (Ekaterinburg, 20-23 September 2016), the participants were screened for the presence of cardiovascular risk factors. Participants filled out the questionnaire on the social status, nutrition, physical activity, smoking status, frequency of alcohol consumption, therapy. Anthropometry was performed in accordance with standard procedures. Blood pressure (BP) was measured on the right hand in a sitting position after a 5-minute rest with the automatic tonometer OMRON (Japan). The level of cholesterol and blood glucose was measured by express method using EasyTouch® GCHb (Taiwan).Results.The screening included 535 participants aged 18-78 years, the majority of whom (80 %) were women. There were 193 students, 342 doctors. Compared with students, doctors were significantly more likely to have sufficient intake of vegetables, fruits (50 vs 70 %) and fish (76 vs 88%), p<0.05, and comparable levels of salt overtaking (39 vs 34 %) and hypodynamia (35% in both groups). Only 10% of students and 7% of doctors smoked. The expected increase in the prevalence of biological risk factors in accordance with the age was significantly more common in doctors: hypercholesterolemia (63 vs 30 %), hyperglycemia (25 vs 14 %), hypertension (36 vs 5 %), obesity (according to WC – 45 vs 10 %, according to BMI – 19 vs 6 %), p<0.05. The profile of the most common risk factors did not differ among doctors and students: hypercholesterolemia and overweight in both groups took the leading positions. Also in accordance with the age, there were more often complaints of snoring-24% in doctors and 7% in students.Conclusion. The students had a less favorable profile of behavioral factors in diet compared to doctors, and despite of the expected age differences, a high prevalence of hypercholesterolemia and overweight was revealed. Obviously, it is necessary to strengthen educational work in this area at the stage of training of nurses and doctors to preserve the health of both medical personnel and their patients.

Content of bioactive compounds in the peach kernels and their antioxidant, anti-hyperglycemic, anti-aging properties

In this study, the content of bioactive compounds (polyphenols and tetraterpenoids), antioxidative activity, and inhibitory activities toward α-amylase, α-glucosidase, cholinesterase of different cultivars of peach kernels were measured. Such results have not been published so far. It has been shown that peach kernels were characterized by a similar profile of bioactive compounds as the peach fruit, however, the content of some of these compounds was completely different. The total content of polyphenols ranged from 12.7 to 3.8 g/100 g dm, the carotenoids contains were from 101.7 to 0.0 mg/100 g dm and the amount of cyanogenic glycoside ranged from 245.7 to 17.4 mg/100 g dm. The peach kernels were also characterized by high antioxidative potential and the ability to inhibit enzymes linked to obesity, type 2 diabetes and Alzheimer’s disease. The study showed that the health-promoting properties of peach kernels are stimulated by polymeric procyanidins, hydroxycinnamic acids, carotenoids and cyanogenic glycosides. Generally, it was confirmed that peach kernels could be a valuable source of polyphenols used by the pharmaceutical industry for the production of dietary supplements to support the prevention of chronic non-communicable diseases.

STUDY OF THE HEALTH CONDITION OF THE STUDENTS FROM THE MEDICAL COLLEGE J. FILARETOVA

In recent years the efforts of researchers, educators and professionals in education and health care are aimed at scientific and applied research on the State of health of the people. In the national programme for the prevention of chronic non-communicable diseases (2014-2022)lack of physical activity along with smoking, alcohol abuse, unhealthy nutrition is defined as a major risk factor for chronic diseases.Students with different majors in the field of health care are the future specialists with the key to the development of health care, the economy and the social sphere.Motivation for conducting this research is to study the health of first classes students in Medical collegeSports teachers exhibit to raise aspiration motor activity of the students, as a means to improve and maintain good health throughout the period of their studies. The aim of the study is to establish the health of students and to pay special attention to students with health problems in sports classesTasks:1. Explore what the patients' illnesses are.2. To separate groups of related diseases3. Develop appropriate kinesitherapeutic programs that students can perform in sports classes.The object of study was 200 students from first year of both sexes.The survey was done through 2018. For the purposes of some empirical sociological survey questionnaire was designed, which is direct, standardized in writing. The results show that the average age of students in the first year of 2018/2019. at the Medical College is 23.9 years old. A positive fact is that 50% of the students are up to 20 years old, they did as soon as they finished their education. 23% apply after a few years, and young mothers are also included in this group. As a result of the dynamic political, economic and social changes leading to market economy processes, the number of potential students over the age of thirty (24%) has increased sharply as a result of unemployment and job cuts. This trend is the reason to increase the number of students with healthy ones, which are already 17% of newly admitted students.

PHYSICAL PERFORMANCE, BODY COMPOSITION AND METABOLIC SYNDROME IN MILITARY PERSONNEL FROM THE BRAZILIAN ARMY

ABSTRACT Introduction: The Brazilian Army (BA) considers Military Physical Training (MPT) essential for the development of physical conditioning and general health, including prevention of chronic noncommunicable diseases (CNCDs), including metabolic syndrome (MS) risk factors. The evaluation of body composition using dual-emission x-ray absorptiometry (DXA) quantifies the visceral fat responsible for several types of disease. Objective: To verify the behavior among the body composition, anthropometric, hemodynamic and biochemical variables by means of the physical performance of military personnel with MS (W/MS) and without MS (NO/MS). Methods: The sample consisted of 41 (38.9 ± 2.3 years, 177.8 ± 6.4 cm, 91.5 ± 11.9 kg) military personnel, with 28 individuals diagnosed as W/MS and 13 individuals as NO/MS. Data collection was divided into three days. An anthropometric assessment was performed on the first day. On the second day, the subjects underwent biochemical tests of MS markers, blood pressure (BP) checks, and DXA examinations. On the third day, a physical assessment was applied according to the requirements of the BA (12-minute run, pushups and pullups). Results: There was a significant difference between W/MS and NO/MS subjects in the variables of HDL-C, Diastolic BP, Systolic BP and Waist Circumference. None of the physical variables presented a significant difference. There was also a significant difference between groups for all body composition and anthropometric variables. Conclusion: NO/MS subjects have better mean body composition, BP and anthropometric values than W/MS subjects, which may indicate that they are at less risk of CNCDs. The fact that the military subject is or is not a carrier of MS did not influence the performance of the tests applied. Level of Evidence I; Diagnostic studies - Investigation of a diagnostic test.

Two Novel Multi-Functional Peptides from Meat and Visceral Mass of Marine Snail Neptunea arthritica cumingii and Their Activities In Vitro and In Vivo.

Neptunea arthritica cumingii (Nac) is a marine snail with high nutritional and commercial value; however, little is known about its active peptides. In this study, two multi-functional peptides, YSQLENEFDR (Tyr-Ser-Gln-Leu-Glu-Asn-Glu-Phe-Asp-Arg) and YIAEDAER (Tyr-Ile-Ala-Glu-Asp-Ala-Glu-Arg), were isolated and purified from meat and visceral mass extracts of Nac using a multi-bioassay-guided method and were characterized by using liquid chromatography-tandem mass spectrometry. Both peptides showed high antioxidant, angiotensin-converting enzyme (ACE)-inhibitory, and anti-diabetic activities, with half-maximal effective concentrations values less than 1 mM. Antioxidant and ACE-inhibitory activities were significantly higher for YSQLENEFDR than for YIAEDAER. In a zebrafish model, the two peptides exhibited strong scavenging ability for reactive oxygen species and effectively protected skin cells against oxidative damage without toxicity. Molecular docking simulation further predicted the interactions of the two peptides and ACE. Stability analysis study indicated that the two synthetic peptides maintained their activities under thermal stress and simulated gastrointestinal digestion conditions. The low molecular weight, high proportion of hydrophobic and negatively-charged amino acids, and specific C-terminal and N-terminal amino acids may contribute to the observed bio-activities of these two peptides with potential application for the prevention of chronic noncommunicable diseases.

Dietary intake, body composition and metabolic parameters in women with polycystic ovary syndrome

Overweight polycystic ovary syndrome (PCOS) patients present exacerbation of clinical symptoms and increased risk for chronic diseases. The effects of inadequate dietary intake have been investigated in body weight gain in PCOS women. The aim of this study was to evaluate the dietary pattern and to analyze possible associations with the metabolism and body composition in PCOS women. A case-control study was performed with thirty-nine women diagnosed with PCOS and thirty-five control women, matched by age and body mass index. A body composition assessment was performed by Dual-energy X-ray absorptiometry (DXA) and food intake was assessed using the seven-day food record. The metabolic parameters evaluated were fasting glucose, insulin, Homeostasis Model Assessment-estimated Insulin Resistance (HOMA-IR) index and oral glucose tolerance test (OGTT). No significant differences were observed in dietary intake of women with or without PCOS. In the analysis of the associations between dietary intake, metabolic parameters and body composition, PCOS women showed an inverse correlation between dietetic fiber intake and HOMA-IR index (r=-0.365; p=0.024). Also in PCOS group, dietary fiber intake presented an inverse correlation with total body fat (r=-0.401; p=0.011), trunk fat (r=-0.388; p=0.015), and android fat (r=-0.431; p=0.006). PCOS women group had higher glucose 120', compared to those without PCOS (p=0.015). These results provide evidence that the adequate intake of dietary fiber contributes to more appropriate body composition and glucose metabolism in PCOS women and possibly toward the prevention of chronic non-communicable diseases.

Compliance with physical activity health recommendations in members of non-governmental organizations promoting active lifestyle.

A vital role in health maintenance and the prevention of non-communicable chronic diseases is played by an adequate level of physical activity. In recent decades, numerous guidelines have been developed to determine the criteria of physical activity levels that are essential to obtain overall health benefits. The aim of the presented study was evaluation of the physical activity of adult members of non-governmental organizations promoting active lifestyle, in compliance with recommendations of the World Health Organization and the American College of Sport Medicine. The study examined 95 adult members of non-governmental organizations (NGOs) promoting an active lifestyle in the Silesian Province of Western Poland. In order to make a comprehensive physical activity evaluation (including all criteria of most complex health-recommendations), both an objective tool (ActiGraph GT3X) and a subjective tool (Daily Physical Activity Log) were used. Compliance with a weekly total time of moderate to vigorous aerobic efforts were observed in 47% of women and 44% of men with regard to WHO guidelines, and in 29% of women and 23% of men, respectively, regarding ACSM guidelines. The criterion for the frequency of strength exercises was met by 24% of women and 15% of men. Flexibility exercises level was adequate in 35% of women and 28% of men. The most frequent cause of non-meeting the criteria of the above- mentioned organisations were insufficient frequency of the weekly resistance (strength) exercises and flexibility exercises. There is a need to create public health programmes based on the complex physical activity recommendations, including all types of physical efforts (aerobic, strength, flexibility), and to emphasise the fact that meeting all of them is essential to obtain overall health benefits.

Abdominal muscular endurance in Brazilian children and adolescents: systematic review of cross-sectional studies

The literature has demonstrated the importance of musculoskeletal fitness in the prevention of chronic noncommunicable diseases. Although current recommendations of physical activities include strengthening and muscular endurance aspects, little is known about the muscular endurance levels of children and adolescents in a national scope. The aim of this study was to systematically review the literature to identify the prevalence of Brazilian children and adolescents who meet health criteria for muscular endurance. A hierarchical search was conducted in four databases (MEDLINE; Scopus; SciELO; LILACS) using the following terms: “muscular endurance”, “muscle endurance”, “physical fitness”, “child”, “adolescent”, “adults” “school” and correspondents in the Portuguese language. Overall, 2,652 articles (2,269 had their title and abstract read) were found and 70 were eligible for reading in full. Seventeen studies were reviewed and evaluated for risk of bias. Among 32,661 children and adolescents, only 40.2% of boys and 31.9% of girls presented abdominal muscular endurance adequate for health, and most studies were conducted in the southern region of Brazil. The variability in procedures for evaluating abdominal muscular endurance and cut-points used for interpretation occurred due to the use of different standardizations (PROESP/BR®, FITNESSGRAM® and AAHPERD®). Less than half of Brazilian adolescents of both sexes have adequate abdominal muscular endurance for health. Studies investigating the causes and consequences of inadequate abdominal muscular endurance may contribute to strategies for disease prevention and health promotion of children and adolescents.

Níveis pressóricos de pacientes em acompanhamento pelo Programa Hiperdia

Introdução: O Programa Hiperdia é uma ação importante para a prevenção das doenças crônicas não-transmissíveis no Brasil, particularmente no controle da hipertensão arterial e diabetes. Objetivo: Comparar os níveis pressóricos de pacientes hipertensos em acompanhamento pelo Programa Hiperdia da Estratégia de Saúde da Família do munícipio de Recife-PE, em relação a uma amostra da população local sem acompanhamento. Métodos: Estudo transversal, analítico, de abordagem quantitativa, realizado com um grupo de 135 pacientes hipertensos do Programa Hiperdia e 196 pacientes sem vínculo com uma unidade de saúde ou sem diagnóstico prévio de hipertensão arterial como grupo controle. Resultados: Os pacientes do programa Hiperdia apresentaram-se como controlados (73,3%) e com médias de pressão arterial diastólica e sistólica menor que o grupo controle (p<0,001 e p=0,011, respectivamente). Conclusão: Os resultados ressaltam a importância do programa e a necessidade de estratégias para melhorar o diagnóstico na população em geral.