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Update on the relationship between magnesium and exercise.

Magnesium is involved in numerous processes that affect muscle function including oxygen uptake, energy production and electrolyte balance. Thus, the relationship between magnesium status and exercise has received significant research attention. This research has shown that exercise induces a redistribution of magnesium in the body to accommodate metabolic needs. There is evidence that marginal magnesium deficiency impairs exercise performance and amplifies the negative consequences of strenuous exercise (e.g., oxidative stress). Strenuous exercise apparently increases urinary and sweat losses that may increase magnesium requirements by 10-20%. Based on dietary surveys and recent human experiments, a magnesium intake less than 260 mg/day for male and 220 mg/day for female athletes may result in a magnesium-deficient status. Recent surveys also indicate that a significant number of individuals routinely have magnesium intakes that may result in a deficient status. Athletes participating in sports requiring weight control (e.g., wrestling, gymnastics) are apparently especially vulnerable to an inadequate magnesium status. Magnesium supplementation or increased dietary intake of magnesium will have beneficial effects on exercise performance in magnesium-deficient individuals. Magnesium supplementation of physically active individuals with adequate magnesium status has not been shown to enhance physical performance. An activity-linked RNI or RDA based on long-term balance data from well-controlled human experiments should be determined so that physically active individuals can ascertain whether they have a magnesium intake that may affect their performance or enhance their risk to adverse health consequences (e.g., immunosuppression, oxidative damage, arrhythmias).

Adipose Tissue↗

Leisure physical activity and age at menarche.

Early menarche has been associated with higher risk of breast cancer. A prospective study of 2487 girls, has been conducted in Quebec City, Canada, to evaluate the relationship of exercise to menarche, taking personal and family characteristics into account. Weight, height, body mass index, and abdominal and supra-iliac skinfolds were inversely associated with age of menstruation. Mother's age at menarche was positively associated with age of menstruation. Age, mother's age at menarche, and weight-adjusted incidence density ratios (IDR) showed no association between energy expenditure and onset of menstruation. Girls who participated in dance, gymnastic figure skating, synchronized swimming, or diving competitions had a lower risk of reaching menarche at an early age (IDR = 0.71 (0.51-0.97)).

Adolescent↗

[Causes, mechanisms and therapy of functional fecal incontinence in children].

1. In case of encopresis in childhood about 50% are caused by disorders of perceiving the need to relieve the bowels and bowel movement, about 30% are caused by disorders of controlling the adaptation mechanism of the rectum or the defecation reflex and about 15% are caused by disorders of the sphincter apparatus. 2. A nonsurgical therapy must be a complex one. Its effect has to aim at concerning the psychoneurologic state, conalizing the reflexes, bettering the conductivity of the nerves as well as enhancing the sphincter-tonus. In addition to psychotherapy, gymnastics and sphincter-training the transrectal and intrarectal electrostimulation is of great importance. 3. To form an estimate of the mechanism of encopresis-pathogenesis many different methods are necessary and possible; these are the precondition for an effective differentiated therapy.

Adolescent↗

[Recurrent sciatica caused by "conjoined nerve roots". Diagnosis, therapy, follow-up].

This study reports about 10 patients, with low back pain and sciatica caused by conjoined nerve roots. The described nerve root anomaly could produce sciatica even without the presence of a disc prolaps or another impingement. On computed tomography it is difficult to distinguish conjoined nerve roots from a disc prolaps. Two of these patients have been operated, eight of them have had conservative treatment. Our experiences show that the best results could be achieved with conservative treatment, especially with stabilising gymnastics and with transcutaneous nerve stimulation.

Adult↗

Benefits of sport and physical activity for the disabled: implications for the individual and for society.

An increase of physical activity is commonly recommended to those with physical disability, but it is necessary to distinguish competitive sport from fitness programmes, remedial gymnastics and active recreation. Potential benefits of enhanced activity are reviewed. Likely psychological gains include an improvement of mood-state, with a reduction of anxiety and depression, an increase of self-esteem and feelings of greater self-efficacy. Sociological gains include new experiences, new friendships, and a countering of stigmatization. Perceived health is improved, and in a more long-term perspective there is a reduced risk of many chronic diseases. Finally, there is a greater likelihood of employment, with less absenteeism and enhanced productivity. Both the health and the industrial benefits have a potential to yield cost savings that could make an important contribution toward the expense of suitably adapted physical activity programmes. It is concluded that the physically disabled should be encouraged to engage in physical activity, although further large-scale longitudinal studies are needed to determine the optimal type of programme for such individuals.

Persons with Disabilities↗

[Parameters of mineral metabolism in children and adolescents in athletic training].

Changes in bone structure like chondronecrosis and osteonecrosis occurred in a group of adolescent athletes especially gymnasts. To determine the etiology calcium, inorganic phosphorus, alkaline phosphatase activity and levels of 25-OH-Vit D were investigated. Single low calcium values were present in nearly the half of the athletes. In 37% the vitamin-D-levels were depressed. Such results were found in athletes with and without changes in bone structure. A vitamin D supplementation is recommended if low vitamin D levels are found. Vitamin D deficiency is not the only reason for the disturbances of the bone. Other factors are to take in consideration like nutrition, delayed bone maturation and its consequences, and the mechanical load.

Adolescent↗

[Physical therapy aspects of treatment following total hip prosthesis].

Our physiotherapy program after total hip arthroplasty is presented, and certain modifications in relation to cemented or cementless implantations are discussed. Three different stages must be considered: preoperative instructions of the patient, mobilization of the patient and his joints, water gymnastics to enable the patient to obtain total independence. During the first three months only partial weight should be put on the operated leg. In comparison to the cemented system, the biomechanical properties of the cementless prosthesis permit only a careful and delayed mobilization and charge of the operated leg, as long as a secondary stability of the implant has not been reached. In more complicated cases it is of importance that the whole planning of postoperative physiotherapy should be discussed individually and in detail with the surgeon concerned.

Bone Cements↗

[Dorso-lumbar spinal compression fractures in the child. Follow-up at the termination of development].

Between 1970 and 1985, we count 32 children with compressive fractures of the vertebral column. None of them undergo a surgical procedure. We examine 24 of these 32 children with a mean delay of 10.5 years. Most of the fractures were referring to sporting activities and home games. The main localization was dorsal (T6) and upper-lumbar (12). The mean reduced height of the ventral portion of the vertebra was 27%. Some 10 years later, two third of the patients have some persistent pains and half of them daily. Most of the aches concerned children of more than 12 years when trauma occurred and those who developed a scoliosis during evolution. Wonder the global static of the rachis is little concerned in most of these children. Therefore compressive vertebral fracture of the youngster should be reduced and fixed by a corset. But the immobilization shouldn't be longer than 2 months, accompanied by appropriate gymnastics and followed by a quick renewal of the sporting activities.

Adolescent↗

[Management of dislocated subcapital fractures of the humerus by intramedullary wiring].

Author treated 24 subcapital dislocated humeral fractures with wire fixation of the medullary cavity. The fractures were classified according to Neer. The operation was begun in general anaesthesia with closed reduction; the fixation was made with K-wires through the bone window prepared on the dorsal side of the humerus, above the fossa olecrani. Gymnastics were begun on the 2-3 week. The results were assessed using the point system of Neer. Functional restitution followed in 2-4 months in every patient.

Anesthesia, General↗

[Diagnosis and therapy of injuries of the lamina fibrocartilaginea of the hand (palmar plate)].

Authors studied a frequent injury of the finger joints. The anatomy, the mechanism of the injuries, the diagnostic possibilities of the lamina fibrocartilaginea ("palmar plate") and of the palmar ligaments of the joints are described. In the diagnosis a special significance is attached to the stressed and tangential X-ray pictures. They take the part of the conservative treatment of the injury. In cases of dislocations, that cannot be reduced, of open "palmar plate" injuries and of major hyperextension and dislocations of the broken bone scale, operative treatment is thought necessary. In the treatment of the injuries of the "palmar plate" of the PIP joint they use the so called rein method, that keeps the palmar cartilaginous joint capsule, torn at the injury, on its original place, it enables however the active joint movements, the gymnastics and hinders this way the development of the joint contracture.

Adolescent↗

[Reoperation in thoracic outlet syndrome].

Questions of surgical treatment are dealt with shortly when analyzing reoperations in cases of thoracic outlet syndrome. Transaxillary first rib resection is considered as a favourable solution. Authors believe that in the overwhelming majority of recurrences it is the lack of resection or insufficient resection of the first rib that can be considered as responsible for it. By the way of conclusion the importance of medical gymnastics and physiotherapy to be started in the early postoperative period is pointed out.

Exercise Therapy↗

[Swiss Bechterew's Disease Association: a patient self-help organization].

Ankylosing spondylitis (AS) is the third most common form of rheumatism and as such of considerable economic and social significance due to its early outbreak, its course of flare-ups and its remissions, chronic persistence and risk of early invalidity. As there is no basic therapy, the main emphasis of modern treatment lies on the practice of regular and intensive AS-specific physical exercise, complemented by suitable sports. In these circumstances, the active cooperation of the patients themselves is of utmost importance; therefore, it was obvious that the information of AS patients on their disease and their interest to improve their physical and psychological situation would be further encouraged by the foundation of a self-assistance organization for AS patients, thereby lightening the blow fate had dealt them. The Swiss Ankylosing Spondylitis Association (Schweizerische Vereinigung Morbus Bechterew, SVMB, Société de la spondylarthrite ankylosante, SSSA, Società svizzera morbo di Bechterew, SSMB), founded in 1978, has its headquarters in Zurich (Röntgenstrasse 22, CH-8005 Zurich, Tel. 01 272 78 66) and strives for the following: --the organization of local and regional therapy groups for AS gymnastics and sports --information for patients and their families on all aspects concerning AS --preparation of 'contact' meetings between AS patients to exchange experiences and thoughts --information for doctors on the latest developments in the field of AS and about the activities of the AS Society --promotion of research in the field of AS and its related diseases --information to the general population about the physical aspects of AS and the problems confronting AS patients --cooperation with other AS societies within the framework of the Ankylosing Spondylitis International Federation, ASIF.

Humans↗

Effects of reducing diet and increased leisure time physical activity on hypertension associated with obesity.

The study examined the effects of energy restriction and increased leisure time physical activity on the body mass, body fat, and blood pressure. A group of moderately obese women (120-160% of ideal body mass) referred to the Dietetic Unit as out-patients, were assigned to a reducing diet and increased activities. The diet provided an average of 4.18 MJ (bout 1000 kcalories), with a reduced salt intake of 0.5 g per day, enriched with cellulose and supplemented by trace elements and vitamins. Increased leisure time activities consisted in one-hour walking a day at the least and ten-minute light gymnastics. The average reduction in the blood pressure obtained in the study was 19 mmHg systolic and 10 mmHg diastolic in the non-exercising group. The exercised subjects had a greater reduction in the systolic (23 mmHg) and diastolic (11 mmHg) blood pressures. The significant correlation was not found between the body mass loss and the blood pressure decrease. It was observed that the normal blood pressure was achieved in about two thirds of the patients when they had lost 9 to 132 percent of their body mass, indicating that the achievement of a desirable body mass is not essential for the sizeable reduction in the blood pressure. Although this study demonstrates that a combined nutritional-physical activity intervention program may be effective in reducing a high blood pressure, it does not show a distinction between the body mass loss and physical activity as mediating factors.

Adult↗

[Lengthening and correction of deformation of the femur in children and adolescents using rod and bar-rod apparatus of external fixation].

55 patients with thigh shortening and deformations have been subjected to 65 operations with the use of the rod-based apparatus with outer fixation. Original arrangement diagrams and indications for application of apparatus with external fixation of different versions are provided. Planned lengthening has been achieved with 54 patients. Decrease of the apparatus mass and dimensions, reduction of operative intervention time period, improvement of conditions of remedial gymnastics carrying out and patient self-servicing are considered as advantages of the rod-based apparatus with external fixation.

Adolescent↗

[The hyperventilation syndrome: the treatment problems].

The principal methods of the treatment of the hyperventilation syndrome (HVS) are reviewed. The following methods of the action on the patient are distinguished: psychotherapy, pharmacotherapy, remedial gymnastics, correction of respiratory disorders according to the principle of the biological feed-back mechanism, recurrent respiration or carbon dioxide inhalations. Emphasis is laid on the importance of an individual approach to the institution of the treatment measures. The relationship between the HVS and respiratory diseases is discussed. The authors advance an opinion that every patient may note improvement after receiving a properly selected complex of the treatment measures.

Biofeedback, Psychology↗

[Sports in functional rehabilitation of the lumbar spine].

Having analyzed the biomechanics of the spine, especially of the lumbar spine, the authors describe postural lumbalgia, a very topical problem As a matter of fact, standing is not always actively maintained by the alpha-tonic system but by capsulo-ligamentous resistance. For the latter type of pathologic or "passive" orthostatic position, postural gymnastics according to Mézière's technique after thorough objective examination of the patient is the ideal treatment. But sports after postural reeducation are a valid means for the maintenance of muscular tonicity and trophism. The sports to be recommended should be non competitive and non traumatic such as walking, swimming, rowing, and other activities involving the muscles of the trunk and all four limbs.

Back Pain↗

[Neck, shoulder and back problems in dentists].

Many dentists suffer from pains in the region of the neck, the shoulder and the back, which are due to the unphysiological body positions dentists take during their daily work. In many cases these unphysiological body positions damage the skeleton and the muscular system. This paper discusses the pathophysiological mechanisms which are responsible for these damages in detail. Additionally, suggestions for prevention, therapeutical advice and a gymnastic training program especially for dentists are given.

Adult↗

[Osteoporosis of the elderly: therapeutic possibilities].

Treatment of patients with osteoporosis includes drugs to influence bone metabolism but also gymnastics for pain relief and in order to improve mobility in general. Fluorides (20 to 25 mg ions/day) are used in patients, where reduction in bone mass caused vertebral fractures. Their beneficial effects were proven in clinical studies; recent studies, however, did not confirm this. Calcium (1000 mg/day) and Vitamin D3 (3000 units/day) complete therapy. Calcitonins (3 x 100 units/week) are given to patients during progressioning fracturing and in painful disease. Diphosphonates have been used as experimental therapy, but they are still not available for general use.

Aged↗