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According to the Physiotherapist Act, physioprophylaxis is an important component of physiotherapy and of the physiotherapist’s professional activities. Physioprophylaxis can be oriented towards practicing healthy lifestyle behaviours, minimizing disease risk factors, or attenuating the consequences of the disease, surgery, and/or disability. Type 1 diabetes is a chronic metabolic disease characterized by hyperglycaemia, i.e. high blood glucose levels. It is caused by the dysfunction or destruction of β cells of pancreatic islets of Langerhans, which are responsible for the production and secretion of insulin. Type 1 diabetes is most common in children and adolescents. According to the 2018 report, 6,400 children aged 0-14 years and about 180,000 people over 14 years old suffer from type 1 diabetes in Poland alone. Physical activity is an important stimulus for optimal physiological development of children and adolescents, and is an important factor in reducing the risk of cardiovascular diseases, cancer, and mortality. Physical exercise reduces the need for insulin and increases the sensitivity of cells to insulin, so that the daily dose of insulin can be reduced. The Polish Diabetes Association recommends that children with type 1 diabetes should exercise for more than one hour a day in order to reduce the risk of vascular complications associated with the disease. The aim of this paper is to examine the effects of type 1 diabetes physioprophylaxis in children in the form of physical exercise, based on previous literature. The majority of research indicates physical activity has a positive effect on physiological function in children with type 1 diabetes, specifically reducing the risk of hypoglycaemia, high blood glucose level, insulin demand, and premature death.
The objective of our study was to compare the cardiovascular effects of moderate exercise training in heathy young (NTS, n=18, 22.9±0.44 years) and in hypertensive human subjects (HTS, n=30, 23±1.1). The VO2max did not significantly differ between groups. HTS of systolic blood pressure (SBP) 148±3.6 mmHg and diastolic blood pressure(DBP) 88±2.2mmHg, and NTS of SBP: 128.8 ± 4 mmHg and DBP: 72 ± 2.9 mmHg were submitted to moderate dynamic exercise training, at about 50% VO2max 3 times per week for one hour, over 3 months. VO2max was measured by Astrand's test. Arterial blood pressure was measured with Finapres technique, the stroke volume, cardiac output and arm blood flow were assessed by impedance reography. Variability of SBP and pulse interval values (PI) were estimated by computing the variance and power spectra according to FFT algorithm. After training period significant improvements in VO2max were observed in NTS- by 1.92 ±0.76 and in HTS by 3±0.68 ml/kg/min). In HTS significantly decreased: SBP by 19 ±2.9 mmHg, in DBP by 10.7±2 mmHg total peripheral resistance (TPR) by 0.28 ±0.05 TPR units. The pretraining value of low frequency component power spectra SBP (LFSBP) was significantly greater in HTS, compared to NTS. PI variance was lower in HTS, compared to NTS. After physical training, in HTS PI variance increased suggesting a decrease in frequency modulated sympathetic activity and increase in vagal modulation of heart rate in mild hypertension. A major finding of the study is the significant decrease of resting low frequency component SBP power spectrum after training in HTS. The value of LFSBP in trained hypertensive subjects normalized to the resting level of LFSBP in NTS. Our findings suggest that antihypertensive hemodynamic effects of moderate dynamic physical training are associated with readjustment of the autonomic cardiovascular control system.
Several lines of evidence suggest that physical exercise not only influences the development of muscles, cardiovascular and respiratory systems, but also exerts a significant influence on the central nervous system. We examined the influence of strength and endurance training on cognitive performance in 33 healthy elderly volunteers (women, mean age 63.5 ±4.5 yr) over a 3-month period of supervised training program. A control group consisted of 8 age-matched (mean age 66.3 ±4.6) healthy volunteers who did not participate in any exercise training program. To evaluate the cognitive performance in our subjects we used two tests: face/name association test and Stroop test. The tests were applied shortly before and immediately after the training program. In the experimental group, a significant improvement in the association test performance, on average, from 71.6 ±7.3% to 79.7 ±7.2% (P<0.0001) was observed over the 3-month training period. There were no changes in the Stroop test results over the same time. Likewise, there were no changes in the control groups. Our data demonstrate that the training regime that is strictly followed over a relatively short period of time may improve the performance in associative memory tasks in elderly subjects. The study supports the notion that physical exercise influences cognitive performance and extend this notion to be valid for healthy elderly subjects.
Background: This study was based on gender differences in male and female trained tennis players. Aim of the study: The aim of this study was to determine the extent that physical training could minimize the gender differences in lung capacities in trained tennis players aged 14–17 years. Material and methods: The participants were ten male and seven female lawn tennis players, with a mean ± standard deviation (SD) age of 15.5 ± 1.27 and 14.43 ± 1.13 years, respectively. Physical characteristics and lung volumes were measured on the same day for each participant. Data were presented as mean ± SD, and Student’s t-test to compare the measured variables was performed. Results: Differences between genders were insignificant in terms of age (years), weight (kg), body fat (%), lean body mass (kg) and chest circumference (cm). However, height (cm), and W/H ratio were significantly (p < 0.05) higher in male tennis players in comparison to female players. Insignificant differences were found for TV (L), SVC (L), FVC (L), FEV1 (L), FEV1/FVC (%), FEF25-75% (L/s), PEF (L/s) and MVV (L/min). The only significant difference (p < 0.05) in lung function measures between male and female trained tennis players was for PIF (L/s). Conclusions: Male tennis players were taller than female tennis players of same age range, which might be advantageous for males while playing. Insignificant differences between male and female players in the various lung variables measured indicated that the influence of height and gender differences could be minimized by proper training during puberty. A significantly higher PIF in male players indicated stronger and more powerful inspiratory muscle activity compared with female tennis players.
Scientific and methodological literature is analyzed in the article, basic regulatory acts governing the issues of preservation of children’s health are also considered; opinions are outlined and the reasons which , as the authors of the article believe, stipulate the current situation. Theoretical analysis of the problem of the sanatory program implementation in the modern school education is carried out. The results proving the advisability of usage of the Rufje test for the division of the children into the groups at the physical training lessons are set forth. Correctly developed and implemented technique of physical exercises at the physical training lessons and athletic training will allow overcome negative tendencies, to improve the children’s health and to provide differentiated approach to the pupils at the lessons. Health is the state of complete physical, spiritual and social prosperity, but not only the absence of illnesses or physical disabilities. According to the definition of concept of health, by the concept of healthy lifestyle in the widest sense everything in human activities , that favors the preservation and strengthening of health, and everything, that assists a person to perform private and social functions, is being accepted. In specific biological-and-medical sense the healthy lifestyle includes in itself the harmonious way of work and rest combination, optimal nutrition, physical activities, hygiene keeping, the absence of harmful habits, positive attitude towards social surrounding and to life in general.
This study examined the capacity of collateral dependent blood flow induced by a prolonged treadmill training program, as compared to a low collateral resistance model created by femoral artery to vein (A-V) shunt. Sprague-Dawley rats, with bilateral femoral artery occlusion were confined to cage activity (Sed, n=9) or trained by daily treadmill exercise (Tr, n=15; up to ~350 min/d) for 15 weeks. Another set of animals received a femoral A-V anastomosis in one limb and treated with (n=4) or without VEGF165 (n=9) infusion for 2 weeks. The contralateral side was used as control. Blood flow (BF) was measured with isotope labeled microspheres. Maximal calf muscle BF increased by 15 week training (up to 100±5.0 ml·min-1·100g-1 (p<0.05); 0.71±0.04 ml·min-1·100g-1·mmHg-1), a response better (20-25%) than the less demanding training programs used previously. In contrast, femoral A-V shunt with VEGF165 increased calf muscle conductance to 1.70±0.3 ml·min-1·100 g-1·mmHg-1 that is similar to blood flows observed in non-occluded rats during maximal running. Our data indicate that the collateral circuit development is related to the driving stimulus and that exercise training, does not provide a maximal stimulus for adaptation that is possible. Nonetheless, exercise training results in profound increases in exercise capacity associated with this enhanced collateral blood flow. Our results illustrate that vascular adaptations can be much greater when physiologically induced stimuli are enhanced at the time of therapeutic angiogenesis.
Male rats of Wistar strain (n = 48) were fed a vitamin A deficient diet for 3 days of adaptation period and then a 10 day experimental period to reduce slightly the body stores of this vitamin. Half of the animals were subjected to physical training and/or oral vitamin A supplementation. Four different doses of supplementation were used – 0, 7.5, 15 and 60 μg/d/rat, which is equivalent to 0, 25, 50 and 200 IU of vitamin A, respectively. Animals from the defined groups ran on a treadmill with a rate of 2.0 m/s for 15 minutes per day for 10 days. After overnight fasting, the rats were sacrificed, and insulin in blood serum and hepatic retinol concentrations were estimated. Daily feed intake and daily body gains were similar in groups of sedentary and physically trained rats. A moderate level of oral vitamin A supplementation (the highest supplemented dose was about 6 x the above recommended NRC level) did not cause any changes in these zootechnical parameters. Oral Vitamin A supplementation resulted in an increase in retinol concentration in the liver (F = 15.2, p < 0.001), but without significant difference between trained and untrained animals. Physical training of rats caused a statistically significant decrease of insulin concentration in blood serum (1.53 ± 0.18 vs. 1.73 ± 0.20). This difference was highly significant (F = 11.1, p < 0.001). Vitamin A supplementation was found not to influence the concentration of this hormone, which is responsible for energy metabolism regulation in the body. Based on estimated parameters, the necessity of vitamin A excessive use in physically trained subjects was not proven.
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