In the last decade there were a considerable aging of the Brazilian population. Furthermore, there were also an increasing in elderly people with co-morbidities. One of the most dramatic co-morbidities of aging is sarcopenia. It is defined as decreased muscle strength and decreased muscle mass. Sarcopenia is associated with functional impairment in the elderly. There is no consensus in the standard definition of sarcopenia. Moreover, the prevalence of sarcopenia in South Brazil is unknown. This study aims to establish the average muscle mass in young adult population. Additionally, we aim to identify the best diagnostic criteria of sarcopenia and apply it on the elderly population. Six and sixty female subjects aged 60 years or older were compared to 39 women between 20 and 40 years. Body composition, muscle strength and laboratory tests were evaluated. The prevalence of sarcopenia ranged from 3.1% to 17.20% depending on the diagnostic criteria used. The best diagnostic criteria were chosen based on ROC curve and Reclassification. The Baumgartner (10th Percentile) was the best diagnostic criteria with largest association to functional capacity. This study confirms the presence of Sarcopenia in the studied population. In addition, we propose a new diagnostic approach for Sarcopenia. / O envelhecimento da população brasileira é uma realidade, bem como o consequente aumento de comorbidades próprias dessa faixa etária. Dentre elas, destaca-se a sarcopenia, definida como diminuição da força e da massa muscular, acarretando limitação e prejuízo funcional aos idosos. Até o momento, não existe um padrão da normalidade estabelecido para a região sul do Brasil. Este trabalho visa a estabelecer a média de massa muscular na população adulta jovem e avaliar a prevalência de sarcopenia na população de mulheres idosas. Adicionalmente, visa a avaliar os diferentes critérios de diagnóstico de sarcopenia e sua associação com a capacidade funcional. Trinta e nove mulheres com idade entre 20 e 40 anos e sessenta e cinco mulheres com idade acima de 60 anos foram avaliadas quanto à composição corporal, à força muscular e aos exames laboratoriais. A prevalência de sarcopenia variou de 3,1% a 17,20%, dependendo do critério de diagnóstico utilizado. A avaliação do melhor critério diagnóstico foi feita por meio de Curva ROC e Reclassificação. O critério Baumgartner modificado percentil 10 foi o critério diagnóstico com maior associação à capacidade funcional. Esse estudo confirma a presença de sarcopenia na região sul do Brasil e sugere a necessidade do estabelecimento de novos critérios diagnósticos para esta doença.

De nos jours, l’entraînement en musculation occupe une part importante dans la programmation d’entraînement des sportifs car il permet d’optimiser deux paramètres essentiels à la performance, la force et la puissance. Les stratégies nutritionnelles qui accompagnent les séances de musculation sont susceptibles d’influencer les réponses à l’entraînement. Parmi ces stratégies, celle qui a surtout retenu l’attention du monde scientifique concerne les caractéristiques des apports protéiques, et notamment les aspects de quantité, de qualité et du moment d’apport optimaux. Alors que la grande majorité des travaux ont été conduit dans le cadre d’un exercice unique, ce travail de thèse se propose d’évaluer l’intérêt d’un apport protéique en récupération d’exercices programmés dans le cadre d’un entraînement en musculation de plusieurs semaines. Il s’agit de 1) préciser l’impact du rapport entre les protéines lentes (caséines) et les protéines rapides (lactosérum) du lait - présentes dans une boisson protéique de récupération - sur les adaptations musculaires à un entraînement en musculation (masse musculaire et force) et, 2) de vérifier l’intérêt et le moment optimal d’un apport en protéines lentes, à distance de l’entraînement en musculation, sur les réponses musculaires à l’entraînement. Les résultats de la première étude montrent une augmentation significative de la concentration plasmatique en leucine lorsque la proportion de protéines rapides est supérieure ou égale à la proportion de protéines lentes, par rapport à la situation inverse (plus de caséine que de lactosérum). Mais, ceci ne se traduit pas par des gains hypertrophiques supérieurs. La seconde étude, 1) confirme l’intérêt de l’ingestion de protéines rapides après chaque séance pour améliorer le gain de masse musculaire en réponse à l’entraînement en musculation, et 2) suggère l’intérêt d’un apport de caséine 3h après la fin de chaque séance d’entraînement pour maximiser les gains de force pendant l’entraînement en musculation. Ces résultats permettent de préciser les recommandations d’apport en protéines en phase de récupération de séances de musculation, tant au plan de la qualité des apports azotés (étude 1), de leur quantité (études 1 et 2), que du moment d’apport (étude 2). / Nowadays, resistance training plays an important part in the training programmes of sportsmen, because it can optimise two essential parameters of physical performance: strength and power. Nutritional strategies following exercise can maximise the muscle responses from resistance training. Quality, quantity and timing of protein intake have particularly engaged the attention of scientific studies. While the majority of relevant research has investigated the intake of protein after a single bout of resistance exercise, this particular research project aims to investigate the effect of post-exercice protein intake during several weeks of resistance training.The objectives of this project are 1) to identify the optimal ratio between slow proteins (casein) and fast proteins (whey) of milk, present in a recovery riched-protein drink, on the muscle adaptations from resistance training (muscle mass and strength) and, 2) to investigate the muscle responses to slow protein intake a few hours after resistance training exercise. Results from the first study show that there is no resulting gain in muscle mass when the ratio of fast protein is equal to or higher than that of slow protein, despite an resulting increase in plasma leucine. The second study 1) confirms that ingestion of fast protein after each resistance training session improves muscle mass and strength gains, and 2) suggests that intake of casein 3 hours after the end of each training session can maximise the gain of strength during resistance training. These results allow specific recommendations to be formulated for protein intake during the recovery period after resistance training, both in planning the quality (study 1), quantity (studies 1 and 2) and timing (study 2) of protein intake during resistance training programmes.

Purpose: To investigate the effects of eccentric exercise on lower body skeletal muscle mass during rapid body mass loss induced by bariatric surgery. Methods: All participants began 6 to 8 weeks after undergoing Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). Skeletal muscle mass (SMM) in the lower body was measured via magnetic resonance imaging (MRI); additional exercise measurements included muscular strength and functional capacity. Quality of life was measured using Short Form 36 (SF-36). Nineteen females (age = 37.6 ± 9.8 yr, height = 164.4 ± 7.2 cm, mass = 106.9 ± 15.6 kg) were randomly assigned to 1 of 3 groups: eccentric exercise (EEX; n = 6), concentric exercise (CEX; n = 7), or standard-of-care control (CON; n = 6). Exercise groups performed 30-minute lower-body exercise sessions 3 times per week for 16 weeks. Each month the exercise tests were evaluated. At the end of 16 weeks, all participants performed the final exercise tests, received a final MRI scan, and completed the SF-36 questionnaire. Results: Thirteen individuals completed the study. All groups lost mass: CON: 21.4 ± 3.7 kg (p < 0.001), CEX: 19.9 ± 4.0 kg (p = 0.001), and EEX: 21.8 ± 3.3 kg (p < 0.001). SMM decreased in all groups: CON: 0.77 ± 0.5 kg (p = 0.18), CEX: 1.19 ± 0.6 kg (p = 0.06), and EEX: 0.90 ± 0.5 kg (p = 0.09). The skeletal muscle loss in percent of total mass loss was 3.7 ± 4.1%. All measures of muscular strength showed no difference, except for a small decrease in dynamic (60°·sec-1) strength in the eccentric group. Functional capacity and physical quality of life increased significantly in all groups (p < 0.05). Conclusion: SMM loss still occurred in the lower body regardless of resistance training, but the loss was less than what was previously documented. Improved postsurgical functional capacity and physical quality of life may be due to a reduction in fat mass and maintenance of muscular strength during the period of rapid mass loss.

No description available.

Background: Malnutrition can affect the body composition changes that occur in healthy pregnancy, resulting in adverse effects to both the mother and infant. Supplementary foods with high quality protein may result in more favorable changes in lean mass and fat mass in pregnant malnourished women. Objective: To retrospectively assess changes in body composition in moderately malnourished pregnant Malawian women in response to one of three nutritional interventions. Methods: Height, weight, MUAC, and TSF were measured in pregnant women with MUAC >20.6 cm and19) were compared using ANOVA. If differences were detected, differences between groups were tested using the Tukey HSD test (continuous) or Chi-squared test (categorical). Longitudinal changes were also measured using mixed model analysis of variance. Results: At baseline, women had small MUACs and low fat stores, but high muscle mass. Overall, women had significantly larger MUACs at the end of follow up than at baseline, except in adolescents in CSB-IFA and CSB-UNIMMAP. Women overall had significantly larger AMA at the end of enrollment than at baseline, with mature women in the RUSF group experiencing the largest increase compared to adolescents in RUSF and all women in CSB-UNIMMAP and CSB-IFA. On average, AMA was between the 50th-75th percentiles compared to women in the western world, indicating maintenance of muscle mass despite moderate malnutrition. TSF and AFA were both low in all age groups, falling below the 5th percentile for mature women and below the 10th percentile in adolescents compared to women in the Western world. There was no difference in birth weight across intervention groups. Among births that occurred during the rainy season, every cm of MUAC at the end of enrollment resulted in a 0.29 cm greater birth length. Conclusions: Overall, women improved their nutritional status but did not recover from moderate malnutrition over the course of enrollment. MUAC and BMI were the strongest predictors of birth weight, highlighting the contribution of overall nutritional status to birth outcomes. Women had high muscle mass relative to fat stores, with women in the RUSF group experiencing the largest accrual in muscle. More accurate and objective methods to measure body composition could provide greater detail about changes in body composition over the course of pregnancy in response to supplementary foods.

<p> We aimed to determine the effectiveness of a low volume of high-intensity resistance exercise, alone (EX) or in combination with a whey protein supplement (WHY +EX), on prevention of muscle mass and strength loss following 14 days of knee immobilization in humans. Seventeen recreationally active (i.e., exercise ≤ 2-3 d·wk^-1) participants (23.9±5.0 yr; BMI = 25.4±3.6 kg·m^-2) were divided into three groups: exercise (EX; n=6), whey protein supplementation with exercise (WHY+EX; n=6), and control (CON; n=5). All subjects wore a knee-immobilization brace such that one leg was completely non-weight bearing for 14d. The resistance exercise (RE) were performed unilaterally and consisted of one set of ten repetitions of leg press (with plantar flexion at full extension), knee extension, and seated calf raises every other day during the 14d immobilization period, at 80% of one repetition maximum. Subjects in the WHY+EX group consumed two 30g boluses of whey protein daily while EX and CON consumed isocaloric carbohydrate beverages. Immobilization induced a significant reduction (p<0.05) in thigh cross-sectional area (CSA), isometric knee extensor strength, and isometric plantar flexion strength in CON but not in EX and WHY+EX. There were significant losses in lower leg CSA for all three groups, with a tendency for losses to be mitigated in both the EX and WHY+EX groups versus CON (p=0.065). The two constituent muscles of the triceps surae muscle group showed a differential response to the RE training with the gastrocnemius showing reductions in CSA almost uniformly across the three groups whereas soleus CSA was significantly reduced in the CON (p<0.05) but not in the EX and WHY+EX groups. We conclude that a relatively low volume of high-intensity resistance exercise is an effective countermeasure against atrophy of the thigh and the soleus muscle, as well as against knee extension and plantar flexion strength loss during 14d of leg immobilization. As a countermeasure to immobilization, there is no additional benefit of consumption of a daily whey protein supplement in combination with resistance exercise in maintaining muscle mass or strength.</p> / Thesis / Master of Science (MSc)

Objectives: Sarcopenia is defined using a variety of different muscle variables, muscle mass adjustment techniques and cut offs for each variable. The objectives of this thesis were to assess how operational differences in sarcopenia definitions impact the agreement between definitions and the association between sarcopenia and health outcomes such as falls. Methods: A list of sarcopenia definitions was developed which captured the combinations of muscle variables, muscle mass adjustment techniques, and cut offs used in the literature based on a systematic review conducted for this thesis. These definitions were applied to participants taking part in the Canadian Longitudinal Study on Aging, a national study of participants aged 45 to 85 years at baseline. The agreement between the definitions and the association of each definition with falls was assessed. Findings: Both the combination of muscle variables as well as the different muscle mass adjustment techniques generally had limited agreement. Sarcopenia definitions including muscle mass and muscle strength were associated with falls in males, but none of the sarcopenia definitions were associated with falls in females. Area under the curve analyses revealed that even sarcopenia definitions associated with more than two times the odds of falling in males, had a small impact on identifying fallers with values ≤0.56. Conclusions: The results of this thesis show that the existing range of definitions used to define sarcopenia are not equivalent based on the limited agreement and inconsistent association of sarcopenia with falls. The results also show that sarcopenia may have limitations as clinically useful diagnosis for identifying fallers with area under the curve values for all definitions showing that the identification of fallers based on sarcopenic status was at best, modestly better than chance alone. / Thesis / Doctor of Philosophy (PhD) / Definitions for sarcopenia differ in terms of which muscle variables are included, how muscle mass is adjusted, and which cut offs to use for each variables. This thesis assessed the impact of different methods of operationalizing sarcopenia on the proportion of sarcopenic participants, agreement between definitions, and the strength of the association between sarcopenia and falls. The variables used to operationalize sarcopenia as well as different techniques for adjusting muscle mass resulted in poor agreement between definitions. In males, these factors impacted which definitions were significantly associated with falls, and in females, sarcopenia was not associated with falls for any definition. For all definitions, sarcopenia status poorly discriminated between those that would or would not fall. Together, these results show that different sarcopenia definitions are not equivalent and that a standard definition is required. However, this thesis also shows that more work is required to determine the clinical utility of sarcopenia.

Title: Use of workout programme in fitness in reduction period Objectives: Objective of diploma thesis is to find out changes in body composition of six clients, who workout in fitness center for five months. Diploma thesis is focused on ganges of fat mass and muscle mass (ATH). Methods: In this thesis was used a method of analysis scientific literature. After that there was used qualitative research by fitness programme, which was used on six clients to find out changes of body composition after five months of workout. The workout was focused on a fitness-strenght workout in fitness centre for five months, consisting of two or three training sessions per week, every training session lasts 60 minutes. Results: Clients consist of 4 men and 2 women. Age of men was in a range of 19 to 49 years, final body weight was in a range of 76kg to 103kg, body height was measured from 174cm to 187cm. Age of women was 45 and 55 years, , final body weight was 75,5kg and 61,9kg, body height was 162cm and 163cm. Men decreased their fat mass in a range of 1,7 to 5,6kg, changes of ATH were measured in a range of +0,6kg to -1kg. Women decreased fat mass 6kg and 2,3kg down, ATH measurement results were +1,1kg and - 1,8kg. The intervention which was based on workout in fitness centre plus changes in nutrition created...

As the age increases, the physical fitness of seniors decreases. This shows the fragility of their body. Managing everyday activities becomes increasingly more difficult for them. Result of this is reduced self-sufficiency of the seniors, which leads to reduced mobility and to the greater loss of muscle mass and higher dependence on professional care. Aging is accompanied by loss of muscle mass and muscle strength - sarcopenia. This is one of the main causes of geriatric fragility. Sarcopenia presents a serious health problem with both social and economic consequences. The term sarcopenia (from Greek words sarx - meaning flesh referring to muscle and penia - loss) was first used in 1989 by Irwin Rosenberg to describe the loss of muscle mass accompanying aging. Exactly defining the term sarcopenia has helped explain this gradual loss of muscle mass. Three objectives were set in the thesis. The first objective was to find out whether sarcopenia reduces the quality of life in the elderly. The second goal was to determine, which quality of life tests are suitable for testing sarcopenia and the last one was whether the SARC - F questionnaire predicts sarcopenia.Quantitative research was used for the empirical part of this work. Data collection was performed using a method of a questionnaire. These were standardized questionnaires aimed at assessing sarcopenia and quality of life. The research was carried out with a total of 77 respondents with sarcopenia and respondents without sarcopenia. The quantitative part of the research was statistically processed using the MS Excel computer program.

Não disponível / Background: Visceral adiposity is a risk factor for cardiometabolic diseases and dual-energy x-ray absorptiometry (DXA) represents precise method for measuring visceral adipose tissue (VAT), muscle and bone compartments. The musculoskeletal system deteriorates with aging and may result in osteosarcopenia. Since known risk factors do not fully explain the occurrence of osteosarcopenia, the search for new causal factors, as birth weight (BW) is promising. Objectives: To evaluate whether BW was associated with DXA-determined body composition, bone densitometry and cardiometabolic risk markers in young women from the NutriHS. Paper 1 objective: to propose reference values for DXA-determined VAT, and to test their ability to identify the cardiometabolic risk profile. Paper 2: to examine whether BW was associated with muscle and bone DXA-determined parameters. Paper 3: to investigate whether parameters of muscle and bone compartments were associated and possible predictive factors of these compartments throughout life. Methods: NutriHS is a cohort study conducted in undergraduates and Nutrition graduates and here cross-sectional analyses were performed in 201 healthy women (20-45 years). They answered questionnaires and had anthropometry, muscle strength and performance, DXA-determined body composition and bone densitometry obtained. A random sample of 148 participants had also laboratory tests collected. Multiple regression models, using the directed acyclic graphs-recommended adjustments, were employed. Results: Median age was 23 years and mean BMI was 22.9±2.9 kg/m2. Paper 1: Mean VAT mass and volume were 221.0±306.1 g and 231.8±323.8 cm3, respectively. The third tertiles of VAT were significantly associated with increased frequencies of abnormal anthropometry, HOMA-IR and TyG indexes. Paper 2: Mean BW was 3,199±424 g; BW in quartiles was significantly associated with several muscle and bone parameters. Paper 3: Direct, strong and independent associations between bone and muscle variables were detected. Discussion: Cutoffs for DXA-derived VAT mass (221.0 g) and volume (231.8 cm3) are being suggested for Brazilian young women; these seem able to disclose a mild visceral fat accumulation, prior the deterioration of glucose and lipid metabolism. The role of BW as an early marker for muscle and bone states in young adulthood was shown. In addition, a musculoskeletal profile for a healthy stratus of the Brazilian women was firstly described. Our findings indicated a muscle-bone crosstalk even in young adults and suggested predictive factors (such as BW, physical activity, smoking) of muscle and bone compartments.