Title: Effect of therapeutic physical program in patients with type 2 diabetes mellitus Objectives: The aim of my work was to examine the effect of 12 weeks therapeutic physical program on distribution of plantar pressure, muscle strength in plantar flexion, ankle range of motion and physical abilitity by patients with type 2 diabetes mellitus and diabetic foot syndrome. Methods: It was a quantitative research, randomized controlled trials. It was chosen 10 patients with type 2 diabetes mellitus and with diabetic foot syndrome. The patients were devided into 2 groups. In each group were four males and one female, aged from 54 to 73 years old. The first group included exercise patients and the second group nonexercise patients. The intervention took place 5 - 7 times a week and contained two types of training units. The first had 11 exercises, the second self mobilization of leg joint and walking. Basic anthropometric figures - height, weight, girth of waist and hipline (tailoring meter,weighing machine), ankle range of motion (goniometer), muscle strenght in plantar flexion (dynamometer), pressure distribution in stand (MobileMat), physical ability (Senior Fitness Test) were measured and compared in two groups after 12 weeks. The results were evaluated statistically in tables. Results: The...

Physical inactivity, a modifiable risk factor for coronary heart disease (CHD) both in persons with intellectual disability (ID) and non-ID, is considered the fourth leading cause of death in the world. Long-term regular participation in physical activity is associated with a reduced risk for CHD. Literature currently lacks evidence on the effect of long-term physical activity on the functional capacity and risk factors for developing CHD in persons with ID. The purpose of this study was firstly, to determine the effect of a long-term physical activity intervention on the risk factors associated with developing CHD and secondly the effect of a combined aerobic and resistance physical activity intervention on the functional capacity of persons with ID. A cohort of seventy-four (74) participants living in a care facility in Potchefstroom, South Africa, participated in this study, a seven-year follow-up physical activity intervention study. To determine the effect of a seven-year combined aerobic and resistance exercise intervention programme, data was collected in 2006 and in 2013. At baseline (2006) and end (2013), a CHD risk profile was determined by means of a questionnaire and physical assessment. The physical assessment included resting blood pressure, peripheral glucose and cholesterol measurements, and body composition by means of body mass index (BMI), waist-to-hip ratio (WHR) and body fat percentage derived from skinfold measurements. Cardiorespiratory fitness was assessed by means of the adapted sub-maximal YMCA bicycle ergometer protocol from which a physical work capacity (PWC) was calculated. The participants followed a structured physical activity intervention two days per week for at least 45 minutes for a seven year period. The exercise intervention consists of cardiorespiratory exercises, muscle stretches and muscle endurance exercises. All data analyses were performed with SPSS 22.0 (IBM SPSS Statistics, Armonk, NY) statistical analysis software programme. The descriptive statistics (mean and standard deviations) as well as frequencies were calculated to describe the characteristics of the participants and the point prevalence of the CHD risk factors. General Linier Model analyses were applied to determine the significant changes in CHD risk factors measured from baseline to end with adjustment for baseline measurements. McNemar exact test indicated significant changes in the point prevalence of the CHD risk factors from baseline to end. The relationship between the changes in the cardiorespiratory fitness and the measured risk factors were performed with a partial correlation analysis adjusting for age in 2013. The level of significance was set at p ≤ 0.05. The results indicate that the prevalence of inactivity decreased with 50% after the seven-year intervention program. Prevalence of age as a risk factor for developing CHD increased significantly post-intervention from 10% to 18%. Body mass decreased significantly in men (1.25 ± 5.43 kg) and increased significantly in women (0.15 ± 6.83kg). BMI changes reflect changes in body mass of the participants. Body fat percentages increased both in men (2.98%) and in women (0.95%). A significant increase in systolic blood pressure (6.2 ± 10.1 mmHg) for men and diastolic blood pressure (6.35 ± 10.42 mmHg) for women was found. Physical work capacity in both male (1.90 ± 0.73 watt/kg) and female (1.55 ± 0.43 watt/kg) participants decreased to 1.43 ± 0.45 watt/kg and 1.14 ± 0.46 watt/kg respectively during the intervention period. Although a correlation between changes in PWC and the risk factors for CHD was found, none of the correlations was significant when adjusted for age in 2013. The conclusion drawn from this study is that a long-term physical activity intervention in a population with ID reduced the point prevalence for physical inactivity and overweight and obesity, in spite of a decrease in cardiorespiratory fitness. The changes in cardiorespiratory fitness did not relate to the changes observed in the risk factors of CHD. / MSc (Biokinetics), North-West University, Potchefstroom Campus, 2015

Physical inactivity, a modifiable risk factor for coronary heart disease (CHD) both in persons with intellectual disability (ID) and non-ID, is considered the fourth leading cause of death in the world. Long-term regular participation in physical activity is associated with a reduced risk for CHD. Literature currently lacks evidence on the effect of long-term physical activity on the functional capacity and risk factors for developing CHD in persons with ID. The purpose of this study was firstly, to determine the effect of a long-term physical activity intervention on the risk factors associated with developing CHD and secondly the effect of a combined aerobic and resistance physical activity intervention on the functional capacity of persons with ID. A cohort of seventy-four (74) participants living in a care facility in Potchefstroom, South Africa, participated in this study, a seven-year follow-up physical activity intervention study. To determine the effect of a seven-year combined aerobic and resistance exercise intervention programme, data was collected in 2006 and in 2013. At baseline (2006) and end (2013), a CHD risk profile was determined by means of a questionnaire and physical assessment. The physical assessment included resting blood pressure, peripheral glucose and cholesterol measurements, and body composition by means of body mass index (BMI), waist-to-hip ratio (WHR) and body fat percentage derived from skinfold measurements. Cardiorespiratory fitness was assessed by means of the adapted sub-maximal YMCA bicycle ergometer protocol from which a physical work capacity (PWC) was calculated. The participants followed a structured physical activity intervention two days per week for at least 45 minutes for a seven year period. The exercise intervention consists of cardiorespiratory exercises, muscle stretches and muscle endurance exercises. All data analyses were performed with SPSS 22.0 (IBM SPSS Statistics, Armonk, NY) statistical analysis software programme. The descriptive statistics (mean and standard deviations) as well as frequencies were calculated to describe the characteristics of the participants and the point prevalence of the CHD risk factors. General Linier Model analyses were applied to determine the significant changes in CHD risk factors measured from baseline to end with adjustment for baseline measurements. McNemar exact test indicated significant changes in the point prevalence of the CHD risk factors from baseline to end. The relationship between the changes in the cardiorespiratory fitness and the measured risk factors were performed with a partial correlation analysis adjusting for age in 2013. The level of significance was set at p ≤ 0.05. The results indicate that the prevalence of inactivity decreased with 50% after the seven-year intervention program. Prevalence of age as a risk factor for developing CHD increased significantly post-intervention from 10% to 18%. Body mass decreased significantly in men (1.25 ± 5.43 kg) and increased significantly in women (0.15 ± 6.83kg). BMI changes reflect changes in body mass of the participants. Body fat percentages increased both in men (2.98%) and in women (0.95%). A significant increase in systolic blood pressure (6.2 ± 10.1 mmHg) for men and diastolic blood pressure (6.35 ± 10.42 mmHg) for women was found. Physical work capacity in both male (1.90 ± 0.73 watt/kg) and female (1.55 ± 0.43 watt/kg) participants decreased to 1.43 ± 0.45 watt/kg and 1.14 ± 0.46 watt/kg respectively during the intervention period. Although a correlation between changes in PWC and the risk factors for CHD was found, none of the correlations was significant when adjusted for age in 2013. The conclusion drawn from this study is that a long-term physical activity intervention in a population with ID reduced the point prevalence for physical inactivity and overweight and obesity, in spite of a decrease in cardiorespiratory fitness. The changes in cardiorespiratory fitness did not relate to the changes observed in the risk factors of CHD. / MSc (Biokinetics), North-West University, Potchefstroom Campus, 2015

Title: Quality of life in renal transplant recipients and the possibilities of its affecting through different forms of intervention. Aims: 1) To evaluate quality of life in renal transplant recipients and compare it with that of the general population. 2) To analyze effects of a 6 months controlled intervention exercise program, special diet, combination of special diet and exercise program and control group on the health related quality of life and to compare results between groups. Methods: We studied a composite group of 21 patients (mean age 58,4 9,34 years) after renal transplantation. Patients were randomly divided into four groups, each group had different program, as described above. The assessment of the quality of life was performed twice, before and after six months of a regular intervention program. We used standardized questionnaires KDQOL-SFTM . We have also assessed the importance of individual dimensions of quality of life with questionnaire WHOQOL - 100. Results were analyzed using descriptive statistics, non-parametric Wilcoxon signed-rank test and non-parametric Kruskal Wallis test. Statistically significance was considered on p ≤ 0,05. Results: After the pre-test and evaluation of the quality of life we assessed, that from 8 dimensions there were 5 lower after the...

Title Regime intervention to influence aerobic fitness level of middle age women Objective The aim of the work is to evaluate the effect of two-month physical intervention on the aerobic fitness level of middle-aged women and the influence of this intervention on the change of the body composition of individual study participants. Methods The tested group consisted of 5 middle-aged women with a sedentary occupation and no regular physical activity. The evaluation of their aerobic fitness and body composition was performed before the start of the intervention. These values were compared to the results of the same tests after the intervention. The values of VO2max measured before and after the intervention were used for the evaluation of aerobic fitness. The regression equation, based on the results of 2 km walking test (part of the UNIFITTEST 6-60), was used for the calculation of VO2max. The methods of bioimpedance (using the portable device Body stat 1500) and anthropometric measurement (body high, weight, circuits) were used for determination of body composition - mainly % FFM and% BF. The physical intervention itself was focused on walking for two months period. The form was used for monitoring of intervention individual exercise units. The group of middle-aged women performed the prescribed...

Introduction: Thanks to modern medicine people with chronic forms of the diseases can live longer than before. In this work we concerned with last stage of chronical kidney dinase, which is treated by dialysis or transplantation. Succesful renal transplantation leads to significant improvement in quality of life of patients, but after transplantation there are still some risk factors, which may influence health and physical condition of men. We can eliminace these risk factors with some non-pharmacological ways, for example with intervention program of regular physical activity and special nutrition, which can help to gain and increase patient`s physical condition. The main focus of research of this thesis was to evaluate physical condition and amount of physical aktivity of 4 groups of patients, each with another intervention, after renal transplant. We used the battery of motor tests "Senior Fitness Test Manual". Aim: Analyze, how regular physical activity, special nutrition and combination of both influence physical condition of patients after renal transplant. Methods: This research work is a part of the grant project IGA MZ CR 173 (NS-10518- 3/2009). We used 21 participants selected from patients of Nephrology Clinic TC IKEM in Prague for our solution. Physical fitness testing was performed...