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- Development and validation of a physical exercise training program for women diagnosed with Fibromyalgia “Pessoas com Fibra” (People with Fiber). A pilot studyPublication . Sousa, Mónica; MOUTÃO, JOÃO; Oliveira, Rafael; Alves, SusanaFibromyalgia is a chronic disease that affects patients’ quality of life, leading to reduced physical activity levels. This problem can therefore be attenuated by promoting physical exercise training programs (PETP). The aim of this pilot study was to develop and validate a PETP, “Pessoas com Fibra”, designed to increase physical activity and improve the quality of life of women diagnosed with Fibromyalgia, aged between 30 and 60. The PETP was designed and validated by physical fitness specialists in accordance with Revised Guidelines for Reporting Criteria on the Development and Evaluation of Complex Health Interventions and the Consensus Guidelines on Physical Exercise Programme Reporting Model. It went through three phases: development, piloting and evaluation. This study presents an intervention proposal based on improving the participants' Fibromyalgia symptoms. “Pessoas com Fibra” program proposal presents suggestions for adaptation to the target population and exercises that can be replicated by professionals in the field of physical exercise and health.
- Effects of a combined training program on pain, stiffness, fatigue, and well-being in women with fibromyalgiaPublication . Sousa, Mónica; MOUTÃO, JOÃO; Oliveira, Rafael; Alves, SusanaFibromyalgia is a rheumatic disease characterized by chronic widespread muscle pain and its treatment is carried out through pharmacological interventions. Physical exercise and the adoption of a healthy lifestyle influence the reduction of the symptoms of the disease. The main objective of this study was to analyze the effects of a combined training program on health and functional capacity in female individuals diagnosed with Fibromyalgia. It was a quasi-experimental study with a duration of 8 months with a sample of six participants between 43 and 58 years old, who did not practice any type of physical exercise program. The following instruments were used in baseline and post intervention: Fibromyalgia Impact Questionnaire (FIQ), Short Form Health Survey Questionnaire (SF-36v2) and functional physical fitness tests (30-second chair stand, arm curl, sit and reach, 8-ft up-and-go, back scratch and 2-minute step test. Wilcoxon non-parametric test (intra-group comparison) was used, with a significance level of p<0.05 to compare baseline and post intervention effects. Significant improvements were observed: in 2-minute step test (p=0.21); physical function; physical performance; physical pain and general health, the mental component, vitality; social function of the SF-36v2 (all, p<0.05). Moreover, FIQ showed a significant reduction in all scales at the end of the program compared to the baseline (p<0.05). Combined training program can reduce the impact of fibromyalgia while improving health and aerobic performance.
- Comparison between olympic weightlifting llfts and derivatives for external load and fatigue monitoringPublication . Antunes, Joaquim Paulo; Oliveira, Rafael; Reis, Victor Machado; Hopffer Romero, Félix Luís; MOUTÃO, JOÃO; Brito, JoãoLoad management is an extremely important subject in fatigue control and adaptation processes in almost all sports. In Olympic Weightlifting (OW), two of the load variables are intensity and volume. However, it is not known if all exercises produce fatigue of the same magnitude. Thus, this study aimed to compare the fatigue prompted by the Clean and Jerk and the Snatch and their derivative exercises among male and female participants, respectively. We resorted to an experimental quantitative design in which fatigue was induced in adult individuals with weightlifting experience of at least two years through the execution of a set of 10 of the most used lifts and derivatives in OW (Snatch, Snatch Pull, Muscle Snatch, Power Snatch, and Back Squat; Clean and Jerk, Power Clean, Clean, High Hang Clean, and Hang Power Clean). Intensity and volume between exercises were equalized (four sets of three repetitions), after which one Snatch Pull test was performed where changes in velocity, range of motion, and mean power were assessed as fatigue measures. Nine women and twelve men participated in the study (age, 29.67 ± 5.74 years and 28.17 ± 5.06 years, respectively). The main results showed higher peak velocity values for the Snatch Pull test when compared with Power Snatch (p = 0.008; ES = 0.638), Snatch (p < 0.001; ES = 0.998), Snatch Pull (p < 0.001, ES = 0.906), and Back Squat (p < 0.001; ES = 0.906) while the differences between the Snatch Pull test and the derivatives of Clean and Jerk were almost nonexistent. It is concluded that there were differences in the induction of fatigue between most of the exercises analyzed and, therefore, coaches and athletes could improve the planning of training sessions by accounting for the fatigue induced by each lift.
- Physical exercise and geriatric depression: an opinionPublication . Machado, Sérgio; Lima, João Lucas Maciel de; Paes, Flávia; Monteiro, Diogo; MOUTÃO, JOÃO; Cid, Luis; Murillo-Rodriguez, Eric; Yamamoto, TetsuyaDepression represents a common public health problem in the world. Depression in the elderly appears to follow a vulnerability-stress model, with an interaction between individual vulnerabilities, including genetic factors, age-related cognitive and neurobiological changes, and a variety of stressful events that occur more frequently in advanced ages, such as grief, financial problems, and reduction in autonomy/functionality. In the last decades, several studies have indicated that exercise can be effective in preventing or reducing depressive symptoms, both in healthy and psychiatric populations. Due to the scientific community’s interest in the efficacy and safety of physical exercise as complementary therapy for depressed elderly patients, we conduct an opinion study on the subject. Despite the researchers’ efforts, in the last decades little progress has been made in verifying the efficacy of exercise in geriatric depression.
- Basic psychological needs and subjective well-being in portuguese older peoplePublication . Couto, Nuno; Antunes, Raul; Monteiro, Diogo; MOUTÃO, JOÃO; Marinho, Daniel; Cid, LuisThe aim of this study is the validation of the Portuguese version of the Basic Need Satisfaction General Scale (BNSG-S) in a sample of Portuguese elderly, and analyze through a structural equations model the effect of the Portuguese elderly individuals’ global perception about the satisfaction of basic psychological needs on subjective well-being. Two samples of Portuguese elderly people aged between 60 and 90 years old were considered in this study. Results revealed that they Model 3 of the BNSG-S (three factors, 11 items) adjusted to the data a (χ² = 103.16, df = 41, SRMR = .05, TLI = .90, CFI = .93, RMSEA = .07, 90% CI = .05-.08). Additionally, structural model analysis, showed a positive and significante ffect between satisfaction of basic psychological needs and subjective well-being. In sum we concluded that the Portuguese version of the BNSG-S can be used as a means to evaluate the satisfaction of the basic psychological needs of the older population and, their satisfaction, has a positive effect on subjective well-being in the Portuguese older population.
- The multistage 20-m Shuttle Run Test for predicting VO2Peak in 6–9-year-old children: a comparison with VO2Peak predictive equationsPublication . Brito, João; Domingos, Christophe; Pereira, Ana Fátima; MOUTÃO, JOÃO; Oliveira, RafaelThis study aimed (i) to verify if using and carrying a portable gas analyzer (PGA) con strained the performance of school children on the multistage 20-m shuttle run test (20mSRT), (ii) to verify which peak oxygen consumption (VO2peak) predictive equations have greater agreement with VO2peak values measured by direct oximetry using the 20mSRT. The study participants were 130 children ((67 boys (age 7.76 ± 0.97 years) and 63 girls (age 7.59 ± 0.91 years)), who performed two randomized trials of the 20mSRT with and without a PGA. Twenty-two predictive equations predicted the VO2peak values through the performance of the test with and without a PGA. Without a PGA, lower values of maximal speed (MS), total laps (TL), and total time (TT) were found for girls than for boys with a PGA. Only six equations were considered to correctly predict VO2peak. In general, higher MS, TL, and TT values were found with the use of a PGA. The predicted VO2peak values from the 20mSRT varied significantly among the published predictive equations. Therefore, we suggest that the six equations that presented satisfactory accuracy could be practically used to examine cardiorespiratory fitness in schools and in research with large populations when direct measurement of VO2peak is not feasible.
- Effects of Combined Training Programs in Individuals with Fibromyalgia: A Systematic ReviewPublication . Sousa, Mónica; Oliveira, Rafael; Brito, João; Martins, Alexandre Duarte; MOUTÃO, JOÃO; Alves, SusanaFibromyalgia is a rheumatic disease characterised by chronic widespread muscular pain and its treatment is carried out by pharmacological interventions. Physical exercise and a healthy lifestyle act as an important mechanism in reducing the symptoms of the disease. The aims of this study were to analyse and systematise the characteristics of combined training programs (i.e., type and duration of interventions, weekly frequency, duration and structure of training sessions and prescribed intensities) and to analyse their effects on people diagnosed with fibromyalgia. A systematic literature search was performed using the PRISMA method and then randomised controlled trial articles that met the eligibility criteria were selected. The Physiotherapy Evidence Database scale was used to assess the quality and risk of the studies. A total of 230 articles were selected, and in the end, 13 articles met the defined criteria. The results showed different exercise interventions such as: combined training, high-intensity interval training, Tai Chi, aerobic exercise, body balance and strength training. In general, the different interventions were beneficial for decreasing physical symptoms and improving physical fitness and functional capacity. In conclusion, a minimum duration of 14 weeks is recommended for better benefits. Moreover, combined training programs were the most effective for this population, in order to reduce the symptoms of the disease with a duration between 60 and 90 min, three times a week with a light to moderate intensity