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«BOOK OF ABSTRACTS Edited by: Loland, S., Bø, K., Fasting, K., Hallén, J., Ommundsen, Y., Roberts, G., Tsolakidis, E. Hosted by: The Norwegian ...»

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CONCLUSIONS: Observing the pre- and post- percentage improvements in all the tests, Jeet Kune Do appeared to be effective in enhancing physical fitness level of untrained males, specially regarding UR, BF and RT. A lack of a control group makes arguable whether small increases (i.e. HF, LP and PE) would be detectable after this kind of training programme. Nevertheless the relationship between martial arts and physical fitness seems to be strong concerning trunk flexibility, reaction time and upper limbs rapidity, therefore we suggest that further studies should better elucidate the impact of Jeet Kune Do on physical fitness.

REFERENCES

1) Takeshima N, Rogers NL, Rogers ME, Islam MM, Koizumi D, Lee S. Functional fitness gain varies in older adults depending on exercise mode. Med Sci Sports Exerc. 2007 Nov;39(11):2036-43

2) Hackney ME, Earhart GM. Tai Chi improves balance and mobility in people with Parkinson disease. Gait Posture. 2008 Oct;28(3):456-60

–  –  –

STUDY CONCERNING THE TRACK AND FIELD ROLE IN EDUCATION FOR HEALTH

MIHAILESCU, L., MIHAILESCU, N.

UNIVERSITY OF PITESTI

Introduction. Recent researches are emphasizing that in the European Union, until 27% of men and 38 % of the women are obsesses.

The same information sources are underlining that the number of the overweight children is growing every year with approximately 400 000 and they estimate that, 10 to 30% of the children between 7–11 years and 8 to 25 % of the teenagers, 14–17 years are overweight.

Hypothesis. We consider that, by the multiple effects of the running, in association with a proper food diet, it can be reestablished the morpho-functional and psycho-affective balance of the people, and implicit regaining the ponderal homeostasis. The effects of the walking and running therapy and the combinations between them are obvious in time at the circulator, respirator, digestive and locomotory apparatus level as well as the neuron-endocrine-metabolic level.

Content.Subjects and research methods. The research was focused on an experiment realized from 2006 to 2008, on a sample of 200 pupils between 16–18 years, pupils that were practicing athletics during extracurricular lessons, in urban environment.

During the experiment, by determination of the basic metabolism(%), we discovered that: running in 200m/minute rhythm, in the summer, on flat, plain ground – 445%; running in 200m/minute rhythm, in the winter, on to the mountain - 1.300%; running in 400m/minute rhythm, in the summer, on flat, plain ground - 8.000%; running in 400m/minute rhythm, in the winter, on to the mountain - 10.000%.

Conclusions. The track and field skills have many trumps that recommend it’s in order to be used in prophylactic and therapeutic purpose: The track and field skills have in their structure basic motive skills, they have a natural prevalent character, they are easy to practice:

march, running, jump, throw; The track and field skills can be practiced in natural or improvised conditions, without being necessary a sophisticated and expensive material base; The specific effort of the middle-distance, long-distance and very long-distance, determines a big energetic consumption, the specific effort of this kind of running being an anaerobic one that encourages the acceleration of the “burns”, the metabolic catabolism, until the decomposition of the lipids;

Selective bibliography

1.Contributions of the European Commission Green paper Consultation, 2006, (http://ec.europa.eu/health/ph_determinants/life_style/nutrition/green_paper/nutritiongp_contributions_en.htm; 2.Dumitru,G., 2003, The physical activity – indispensable factor of the health promotion neglect almost ignored in Romania. The National meeting “Sport for all, from theory to practice – S.O.S. nation state”, Constanta, p.10 – 20; 3.Dumitru,G. Romascu, D.1998, Fitness assessment in primary and secondary school teachers from Romania. The 3-rd Annual Congress of The International Institute For Health Promotio, Washington, DC;

4.European Heart Network, 2006, Statistical data about cardiovascular disease in Europe (http://www.ehnheart.org/content/sectionintro.asp?level0=1457);

BODY FAT DISTRIBUTION AND HEALTH-RELATED QUALITY OF LIFE

THEODOROPOULOU, E., KARTEROLIOTIS, K.

UNIVERSITY OF ATHENS

Background: Obesity is a risk factor for diseases and adversely affects Health-Related Quality of Life (HRQoL), which has been defined as an individual’s perceived physical and mental health over time (1). However, the effects of obesity in HRQoL in the Greek population have not been previously examined. The aim of the present study was to investigate the impact of obesity on HRQoL in a Greek adult population.

Methods: Participants were 327 men and women between the ages of 30 and 50 years. The waist to hip ratio (WHR) was calculated from measures of waist and hip circumferences, whereas the body fat (BF) was estimated from biceps, triceps, suprailiac and abdominal skinfolds. Participants were categorized to four WHR groups and to three BF groups. The Greek version of SF-36 (3) was used for the evaluation of the HRQoL and the Baecke physical activity (PA) questionnaire (4) for the assessment of two PA indices (leisure time and sport). A series of MANCOVAs were conducted to examine the differences in HRQoL between the WHR groups and the BF groups.





Results: Significant differences were found between the WHR groups with the sex (Wilks’ lambda=0,870, p=0.049) and the sport index (Wilks’ lambda=0,725, p=0.000) as covariates. Participants with low WHR have higher values in physical functioning subscale (F(3, 323)= 37.784, p=0.000) and in physical health factor (F(3, 323)= 9.590, p=0.000) than participants with high and very high WHR. As far as the results of BF groups were concerned, significant differences were found with the sex (Wilks’ lambda=0,868, p=0.001) and the sport index (Wilks’ lambda=0,650, p=0.000) as covariates. Participants with normal BF had higher values in physical functioning subscale (F(2, 324)= 77.870, p=0.000) and in physical health factor (F(2, 324)= 26.846, p=0.000) than overweight and obese, whereas overweight had higher values in the same subscales than obese. However, participants with normal BF and overweight had lower values in psychological health factor (F(2, 324)= 10.135, p=0.000) than obese. Also, overweight had lower values in social functioning (F(2, 324)= 3.295, p=0.038) and mental health (F(2, 324)= 3.625, p=0.028) subscales than obese.

Conclusions: The results confirm the negative impact of total and central adiposity on the physical functioning and health in the Greek adult population.

References

1. Jia H, & Lubetkin EI. The impact of obesity on health-related quality of life in the general adult US population. J Public Health, 2005; 27:

156-164.

2. Keller, S.D., Ware, J.E., Bentler, P.M., Aaronson, N.K., Alonso, J., Apolone, G., et al. Use of structural equation modeling to test the construct validity of the SF-36 Health Survey in ten countries: Results from the IQOLA Project. J Clin Epidemiol 1998; 51:1179-1188.

3. Baecke JAH, Burema J, & Frijters, JR. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr 1982; 36:936-42.

BODY MASS INDEX AND HEALTH-RELATED QUALITY OF LIFE AMONG GREEK ADULTS

THEODOROPOULOU, E., TSAMITA, I., KARTEROLIOTIS, K.

UNIVERSITY OF ATHENS

Background: The prevalence of obesity is increasing and contributes to the burden of diseases. A few studies in various countries have indicated that obesity adversely affects Health-Related Quality of Life (HRQoL) and mainly physical health (1-2). HRQoL has been defined as

14 ANNUAL CONGRESS OF THE EUROPEAN COLLEGE OF SPORT SCIENCE

TH Wednesday, June 24th, 2009 an individual’s perceived physical and mental health over time. However, the effects of obesity in HRQoL in the Greek population have not been previously examined. The aim of the present study was to investigate the impact of obesity on HRQoL in a Greek adult population.

Methods: Participants were 327 healthy men and women between the ages of 30 and 50 years. Body weight was measured to the nearest 100 gr with calibrated scales, height in bare feet to the nearest cm. Body Mass Index (BMI) was calculated as weight (kg) divided by height (m) squared. Participants were categorized to three BMI groups (normal weight, overweight, obese). The Greek version of SF-36 was used for the evaluation of the HRQoL, which includes 8 subscales each measuring a separate health factor (3). Two indices of physical activity (PA) were assessed (leisure time and sport) using the Baecke PA questionnaire (4). A series of MANCOVAs were conducted to examine the differences in HRQoL between the three BMI groups, whereas age, sex and the two PA indices were the covariates.

Results: Significant differences were found with the sex (Wilks’ lambda=0.814, F(2, 324)= 3.378, p=0.000), the sport index (Wilks’ lambda=0.551, F(2, 324)= 10.817, p=0.000) and the leisure time index (Wilks’ lambda=0.839, F(2, 324)= 2.857, p=0.000) as covariates.

Participants with normal weight had higher values in physical functioning subscale (F(2, 324)= 115.986, p=0.000) and in physical health factor (F(2, 324)= 25.342, p=0.000) than overweight and obese, whereas overweight had higher values in the same subscales than obese. However, participants with normal weight had lower values in psychological health factor (F(2, 324)= 6.552, p=0.002) than obese.

Conclusions: The results confirm the negative impact of obesity on the physical functioning and health in the Greek adult population.

References

1. Jia H, & Lubetkin EI. The impact of obesity on health-related quality of life in the general adult US population. J Publ Health, 2005; 27:

156-164.

2. Surtees PG, Wainwright NWJ, & Khaw K.T. Obesity, confidant support and functional health: Cross-sectional evidence from the EPICNorfolk cohort. Intern J Obes, 2004; 28: 748-758.

3. Keller, S.D., Ware, J.E., Bentler, P.M., Aaronson, N.K., Alonso, J., Apolone, G., et al. Use of structural equation modeling to test the construct validity of the SF-36 Health Survey in ten countries: Results from the IQOLA Project. J Clin Epidemiol 1998; 51:1179-1188.

4. Baecke JAH, Burema J, & Frijters, JR. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr 1982; 36:936-42.

13:00 - 14:00 Poster presentations PP-HF06 Health and Fitness 6

PHYSICAL ACTIVITY LEVELS OF TOTAL JOINT ARTHROPLASTY PATIENTS: A DESCRIPTIVE META-ANALYSIS

IMPELLIZZERI, F.M., NAAL, F.D.

SCHULTHESS KLINIK

INTRODUCTION. Physical inactivity is a modifiable lifestyle-related risk factor considered one of the leading causes for the major noncommunicable chronic diseases. The proportion of individuals meeting the health-enhancing physical activity (PA) recommended levels decreases with increasing age. This appears even more evident in patients with osteoarthritis of the hip or knee. Total joint arthroplasty (TJA) is a well established successful surgical procedure for patients suffering from severe osteoarthritis and joint degeneration. Therefore, a successful treatment such as TJA should not only improve pain and function, but also allow patients to be physically active. The determination of the current state of PA research in TJA patients regarding quality and quantity represents the cornerstone for future investigations. The aim of this study was to systematically review the literature on PA levels in TJA patients.

METHODS. Relevant publications were identified using computer-aided search (MEDLINE, Cochrane Library, and EMBASE). Of 1688 identified citations, 1631 articles were excluded after screening titles and abstracts. The fulltexts of the remaining 57 articles were retrieved and analyzed. Twenty-seven articles met the inclusion criteria. Where possible, data were summarized using meta-analytic methods (random-effect models for taking into account any heterogeneity).

RESULTS. PA has been quantified using self-reported questionnaires, pedometers and accelerometers. Meta-analysis was only possible for the studies were PA was measured using pedometers (n=15) and accelerometers (n=6). The wMean measured using accelerometers was 11250 (95%CI: 10290 to 12210) steps/day, and was higher than steps measured using pedometers [5022 (4305 to 5740) steps/day].

Subgroup analysis on pedometer data only showed higher PA in patients assessed 5 yrs from the surgery [4251 (3427 to 5074) steps/day] than 5 yrs [6032 (5369 to 6695) steps/day]. Meta-regression (steps vs age) showed that 1 year of aging would correspond to a PA decrease of 90 steps/day (-156 to -22; P=0.008).

DISCUSSION. The results of this study showed that PA levels in TJA patients as assessed by pedometers are well below the currently recommended level of 10000 steps/day. Furthermore, PA levels decreased with increasing age. Patients 65 years old performed less steps than similar aged healthy people [4613 (3457-5770) vs 6565 (4897-8233) steps/day, respectively] as reported in a recent metaanalysis (Bohannon, 2007). Similar findings were found examining qualitatively PA obtained from self reports. A difference superior to that reported in the literature was found between PA assessed using accelerometers vs pedometers. In conclusion, this study showed that PA levels of TJA patients are lower than those of healthy people and below recommended levels. These observations highlight the urgent need for strategies to increase PA levels in this population.

Bohannon RW. Phys Ther. 87:1642-50, 2007

MOTIVATION FOR LIFE STYLE CHANGES TO IMPROVE HEALTH IN PEOPLE WITH IMPAIRED GLUCOSE TOLERANCE

HANSEN, E., LANDSTAD, B.J., HELLZÉN, O., GUNDERSEN, K.T., SVEBAK, S.

NORD-TRØNDELAG UNIVERSITY COLLEGE



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