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[Primary stability of press-fit acetabulum cups using a new acetabulum reamer].

The aim of the present study was to assess the initial stability of uncemented press-fit acetabular components using a newly developed reamer designed to optimize the surgical preparation of the acetabulum. Ten synthetic human pelves were used to investigate the stability of 20 uncemented press-fit acetabular components, each of which was tested in a servohydraulic testing machine for 6 cycles under an axial load of 2.4 kN. The results of the micrometric measurements revealed satisfactory stability for a reaming depth of 2 mm, and a press-fit of 2 mm. Micromotion was less than 200 microns in all the anatomical sections of the acetabulum (ischium 63 microns, pubis 150 microns, ilium 85 microns). A press-fit of 4 mm and the smaller reaming depth of 1 mm were associated with a substantial decrease in mechanical stability.

Acetabulum↗

Age-related effects on fitness performance in elite-level soccer referees.

Elite soccer referees usually achieve the peak of their officiating careers at an average age that is considerably older than that observed in competitive matched soccer players. As ageing has been reported to negatively affect physical performance, the aim of this study was to investigate the effect of ageing on fitness performance in elite-level soccer referees. Thirty-six elite-level soccer referees were grouped into young (Y, n = 12), average (A, n = 14), and old (O, n = 10) groups, according to their age and observed for field test performance (countermovement jump [CMJ], 50-m and 200-m sprints, and 12-minute running for distance). Results showed a significant age effect on CMJ (r = -0.52, p < 0.001), 200 m (r = 0.51, p < 0.001), and 12-minute time trial running (r = -0.52, p < 0.001). Y jumped higher than A and O groups (p < 0.05) and were faster than O over 200 m (p < 0.05). No group effect was observed for 12-minute run and 50-m performance (p > 0.05), respectively. Sixteen of the 36 referees were further examined for selected physiological variables and grouped into 2 equal (n = 8) age groups (young and old, Y1 and O1, respectively). Vo(2)max was higher in Y1 (p < 0.05), but O1 attained performances similar to Y1 running at selected blood lactate speeds (4 mmol L(-1), p > 0.05). Although older referees demonstrated acceptable fitness levels, younger officials should ensure that they develop appropriate levels of aerobic and anaerobic fitness to be able to match the demands placed upon them while refereeing throughout their careers. To promote this, fitness test standards should be age related.

Adult↗

Physical activity, cardiorespiratory fitness, dietary content, and risk factors that cause a predisposition towards cardiovascular disease.

OBJECTIVE: To analyze associations between levels of physical activity, cardiorespiratory fitness, dietary content, and risk factors that cause a predisposition towards cardiovascular disease. METHODS: Sixty-two individuals aged between 20 and 45 years were evaluated. Levels of physical activity were established by estimates of energy demand corresponding to everyday activity; indices for cardiorespiratory fitness were obtained from estimates of maximal oxygen consumption; information about dietary content was obtained from dietary records kept on seven consecutive days. To indicate risk factors that cause a predisposition towards cardiovascular disease, use was made of body mass indexes, waist-hip circumference relationships, levels of arterial pressure and of plasma lipid-lipoprotein concentration. To establish associations between the variables studied, multiple regression analysis was used. RESULTS: Physical activity levels and cardiorespiratory fitness levels were inversely correlated with the amount and distribution of body fat and arterial pressure. Taken together, the two variables were responsible for between 16% and 19% of the variation in arterial pressure. Total and saturated fat ingestion was associated with higher serum lipid levels. Both dietary components were responsible for between 49% and 61% of the variation in LDL-cholesterol. CONCLUSION: High ingestion of food rich in total and saturated fat and decreased levels of physical activity and of cardiorespiratory fitness are associated with an increased risk of cardiovascular disease, which supports previous data.

Activities of Daily Living↗

Aging and the fitness of fire fighters: the complex issues involved in abolishing mandatory retirement ages.

This study presents an assessment of the cardiorespiratory health and physical fitness of fire fighters of different ages with the aim of addressing several questions currently being debated on a national level. These include how fire fighters differ across age groups in their health and physical fitness, and what would be the impact on the existing work force of implementing minimum fitness standards as an alternative to mandatory retirement ages. Fire fighters aged 20-65 years were found to be similar in their cardiorespiratory health and physical fitness to the sedentary segment of the general population of the same age. Particularly worrisome, however, is the low maximal aerobic capacity (31, 28, 26 ml/kg/min), high percent body fat (26, 29, 30), and high resting blood pressure (136/86, 140/90, 143/93 mm Hg) observed in the 40-45-, 50-55-, and 60-65-year-old fire fighters, respectively. In fact, 66%, 83%, and 93% of the fire fighters in these three age groups, respectively, fall below the lowest published recommendations for maximal aerobic capacity in this profession. These data underscore the need to establish minimum health and physical performance standards for fire fighters and demonstrate the profound impact such minimum standards will have on the existing work force.

Adult↗

Exercise and fitness for persons with disabilities.

Over the past decade greater attention has been focused on the role of exercise and fitness for persons with disabilities. Increased involvement in exercise programmes, competitive sports and fitness activities has led to further inquiry into the broader concepts of performance, prevention of further deterioration of a given disability, maintenance for activities of daily living, and overall well-being. This paper reviews the literature on 3 categories of disabilities, mental retardation, mental illness and selected physical disabilities, in order to determine the role of exercise and fitness programmes in each. Despite problems in research design, sampling procedures, instrument validity, and delineation of fitness components, there is growing support for the premise that physical exercise has a role to play in breaking the debilitative cycle. Although the research indicates that physical activity can serve as a potential non-pharmacological adjunct therapy for persons with physical disabilities, there is still a need for well-controlled studies to quantify the individualization of exercise programming.

Persons with Disabilities↗

Impact of physical fitness and glycemic control on in vivo insulin action in adolescents with IDDM.

The relationship of in vivo insulin-mediated glucose utilization to the state of physical fitness and the degree of glycemic control was examined in 27 adolescents with insulin-dependent diabetes mellitus (IDDM) compared with 10 nondiabetic adolescent control subjects. In vivo total-body insulin-mediated glucose metabolism was evaluated by the hyperinsulinemic-euglycemic clamp. Physical fitness was assessed by maximal oxygen consumption (VO2 max) during cycle ergometry. Patients and control subjects had similar levels of VO2 max (34.9 +/- 8.6 vs. 38.6 +/- 9.9 ml.kg-1.min-1, P = 0.3). Patients had lower total-body insulin-mediated glucose metabolism compared with control subjects (33.9 +/- 14.3 vs. 63.8 +/- 17.2 mumol.kg-1.min-1, P = 0.0002). Among the patients, females had lower total-body insulin-mediated glucose metabolism compared with males (24.2 +/- 2.8 vs. 40.7 +/- 3.4 mumol.kg-1.min-1, P less than 0.001); however, this difference disappeared after correcting for sex differences in fitness levels. Insulin-mediated glucose metabolism correlated with VO2 max in patients and control subjects (r = 0.83, r = 0.81, P less than 0.05). The regression of total-body insulin-mediated glucose metabolism on VO2 max for patients was -2.84 +/- 0.255 VO2 max and for control subjects was 7.12 +/- 0.143 VO2 max, indicating that for similar degrees of physical fitness patients have lower total body insulin-mediated glucose metabolism levels than control subjects. In patients, total-body insulin-mediated glucose metabolism correlated with the degree of glycemic control as assessed by the level of glycosylated hemoglobin (r = -0.63, P less than 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Low cardiorespiratory fitness is associated with elevated C-reactive protein levels in women with type 2 diabetes.

OBJECTIVE: The purpose of this study was to examine differences in novel markers of cardiovascular disease (CVD) in women with type 2 diabetes stratified according to cardiorespiratory fitness. RESEARCH DESIGN AND METHODS: A total of 28 women (mean age 57 +/- 6 years) with type 2 diabetes who were free from overt CVD were placed into low cardiorespiratory fitness (LCF) or average cardiorespiratory fitness (ACF) groups based on a graded exercise test to exhaustion. A group of eight women without type 2 diabetes were also examined and served as healthy control subjects. The median VO(2peak) value was used as a cutoff for group determination. We assessed both conventional CVD risk factors, including blood pressure, BMI, and lipid profile, as well as novel CVD risk factors, such as left ventricular filling dynamics, arterial stiffness, fasting insulin, and C-reactive protein (CRP). RESULTS: VO(2peak) values were 69 +/- 14 and 91 +/- 24% of predicted values for sedentary age-matched healthy individuals in the LCF and ACF groups, respectively. BMI was significantly greater in the LCF group (P < 0.05); however, no differences were observed in age, lipid profile, or resting hemodynamics. CRP was 3.3-fold higher in the LCF group (6.3 +/- 41. vs. 1.9 +/- 1.7 mg/l, P < 0.05), whereas other novel markers of CVD were not significantly different between the groups. Significant negative relationships were observed between VO(2peak) and both CRP (r = -0.49) and the homeostasis model assessment index (r = -0.48) (P < 0.05). CONCLUSIONS: The novel finding of this investigation is that low cardiorespiratory fitness is associated with elevated CRP and reduced fasting glucose control in women with type 2 diabetes.

Age of Onset↗

Preferred body type of fitness instructors among university students in exercise classes.

This study examined the relationship between participants' physique anxiety, eating behaviors, somatotype, and the preferred qualifications and body type of a fitness instructor. Subjects were 171 students attending fitness classes at a university. Analysis indicated that the women preferred a thinner fitness instructor than men and that enthusiasm, motivation, and being physically fit were considered the most important characteristics overall. No significant racial differences in key variables were found.

Adult↗

Relationship of fitness to depression, state and trait anxiety, internal health locus of control, and self-control.

Aerobic forms of exercise have been suggested as one approach to reducing the costly effects of excessive or chronic stress, yet the results of some studies related to this assumption have been mixed. The purpose of this study was to estimate the correlation between emotional states and fitness level among 8 women and 9 men who were recreational cyclists. Fitness was determined by cycle ergometric testing (VO2 max). Psychometric measures included the short version of the Beck Depression Inventory, the internal portion of the Multidimensional Health Locus of Control Scale, Spielberger's State-Trait Anxiety Inventory, and the Self-control Questionnaire. Significant correlations were observed between fitness and the depression scores, internal locus of control, and self-control measures. These results tend to support previous findings regarding the possible link between physical fitness and improved emotionality.

Adult↗

Health-related physical fitness levels of elementary school children ages 5-9.

National health goals include an increase in the physical activity and physical fitness of school-age children by the year 2000. To assess current fitness levels in the state of Maine, more than 8,000 public school students, ages five through nine, were assessed using a nationally known (American Alliance for Health, Physical Education, Recreation and Dance) health-related physical fitness test. Maine students were then compared with a national norm group on (1) the one-mile walk/run (minutes:seconds), (2) skinfold thickness (centimeters), (3) one-minute timed sit-ups (number performed correctly), and (4) the sit and reach test for flexibility (centimeters). Generally, Maine boys and girls scored higher than the norms on the sit-up, sit and reach, and one-mile walk/run; however, they had significantly larger skinfold thicknesses. Implications for assessment of health-related fitness in this age group were discussed.

Child↗

Relationship of fitness and gross motor skills for five- to six-yr.-old children.

51 kindergarten children participated to assess how various fitness components, 1/2-mile run, the Prudential PACER test, body composition, shoulder stretch, trunk lift, sit-and-reach, curl-up, and flex arm-hang related to motor performance on the Bruininks-Oseretsky test battery including running, speed, agility, balance, bilateral coordination, and strength. All values recorded in the fitness components were compared with standardized motor skill scores. Analysis indicated that 1/2-mile run performance was significantly correlated with body weight and relative body fat, showing that as body weight or relative body fat increased run performance times were slower. Comparisons between the fitness parameters and motor skills indicated that the 1/2-mile run performance also was negatively correlated with measures of balance, bilateral coordination, and strength while the Prudential PACER test was positively correlated with strength. During continuous walk-jog movements (half-mile run) in a relatively homogeneous sample, increases in body size improved balance, bilateral coordination, and strength but negatively affected running during the 1/2-mile fitness test. In more interval-related activities such as the Prudential PACER test, an increase in strength was related to improved performance.

Child↗

Relations of women exercisers' mastery and performance goals to traits, fitness, and preferred styles of instructors.

This study addressed the influence of both mastery and performance goals of 144 women (M=21.8 yr.) exercising at a campus fitness center. Five goal patterns were compared: mastery alone, performance alone, both-low, mastery-performance, and, performance-mastery. These five patterns were compared in terms of optimism, social physique anxiety, and fitness as well as preferences for instructors' mastery, performance, or supportive responses. Those with dual motivational goals (mastery-performance and performance-mastery) preferred instructors to emphasize mastery and supportive responses, and they had higher fitness than the mastery or low groups. However, the performance-mastery group endorsed significantly lower optimism than all other groups. There were no group differences on the measure of anxiety about physique. Results support the importance of addressing both mastery and performance goals when seeking to understand and influence the attitudes of women who work out in a fitness center. Instructors would do best to emphasize autonomy and supportiveness and avoid comparisons among women exercisers.

Adult↗

Self-efficacy, activity participation, and physical fitness of asthmatic and nonasthmatic adolescent girls.

The prevalence of asthma, lung self-efficacy beliefs, physical activities, and physical fitness of adolescent girls were studied in a private inner-city high school serving a multiethnic, middle-class population using a questionnaire, a test of physical fitness, and an activity log. Twenty-two percent of the 172 girls were diagnosed with asthma, and an additional 15% of the girls experienced breathing difficulties. It was found that asthmatic girls were less physically fit, reported lower self-efficacy regarding their lung functioning during vigorous activities, and participated less often in those activities than nonasthmatic girls. Perceived lung efficacy was found to predict girls' subsequent participation in physical activities significantly, even when the effects of asthma, smoking, and physical fitness were controlled statistically.

Adolescent↗

Physical activity, aerobic fitness, self-perception, and dietary intake in at risk of overweight and normal weight children.

Differences in physical activity, aerobic fitness, self-perception, and dietary intake were examined in a sample of six- to ten-year-olds at risk of overweight, and in normal weight boys and girls. Participants (n=20 at risk of overweight [BMI > or =85th percentile]; n=115 normal weight [BMI <85th percentile]; n=68 boys; n=67 girls) had anthropometric, physical activity, aerobic fitness, self-perception, and dietary intake measurements at zero, three, six, and 12 months. Over the 12-month period, normal weight children were more physically active (F=4.1, p<0.05) and aerobically fit (F=14.3, p<0.001), and possessed higher self-perceptions of social acceptance (F=7.3, p<0.01) than their at risk of overweight peers. Fitness differences between the sexes were not apparent at baseline, but emerged over the long term (F=7.9, p<0.01). Overall, boys consumed more total energy, fat, carbohydrate, and protein than did girls, while the entire sample consumed diets low in vegetables and fruits and meat and alternatives, and high in "other" foods. These observations highlight key disparities in lifestyle-related behaviours and perceptions between groups of children according to overweight status and sex. The findings underscore the importance of longitudinal studies in youth because cross-sectional studies may reflect transient differences.

Anthropometry↗

Association of early childhood diarrhea and cryptosporidiosis with impaired physical fitness and cognitive function four-seven years later in a poor urban community in northeast Brazil.

To determine potential, long-term deficits associated with early childhood diarrhea and parasitic infections, we studied the physical fitness (by the Harvard Step Test) and cognitive function (by standardized tests noted below) of 26 children who had complete surveillance for diarrhea in their first 2 years of life and who had continued surveillance until 6-9 years of age in a poor urban community (favela) in Fortaleza in northeast Brazil. Early childhood diarrhea at 0-2 years of age correlated with reduced fitness by the Harvard Step Test at 6-9 years of age (P = 0.03) even after controlling for anthropometric and muscle area effects, anemia, intestinal helminths, Giardia infections, respiratory illnesses, and socioeconomic variables. Early childhood cryptosporidial infections (6 with diarrhea and 3 without diarrhea) were also associated with reduced fitness at 6-9 year of age, even when controlling for current nutritional status. Early diarrhea did not correlate with activity scores (P = 0.697), and early diarrhea remained significantly correlated with fitness scores (P = 0.035) after controlling for activity scores. Early diarrhea burdens also correlated in pilot studies with impaired cognitive function using a McCarthy Draw-A-Design (P = 0.01; P = 0.017 when controlling for early helminth infections), Wechsler Intelligence Scale for Children coding tasks (P = 0.031), and backward digit span tests (P = 0.045). These findings document for the first time a potentially substantial impact of early childhood diarrhea and cryptosporidial infections on subsequent functional status. If confirmed, these findings have major implications for calculations of global disability adjusted life years and for the importance and potential cost effectiveness of targeted interventions for early childhood diarrhea.

Animals↗

[An analysis of the relationship among functional fitness tests, life style and bone density of the elderly in O town, Fukuoka Prefecture].

A functional fitness test, which is composed of four tests-standing up, walking, hand working, and rope working, was applied to thirty-four elderly women (62.9 +/- 5.2 y.o.) living in O town, Fukuoka Prefecture. The functional fitness level was lower among obese women, and higher among women who were doing more physical activities, as well as those who have more subjects of pleasure in their daily life. Furthermore, there was a positive correlation between the bone density and functional fitness level. The functional fitness test has several favorable characteristics for use in the community based health education for the elderly. For example, 1) it is very easy to conduct and does not require any special pre-test training, 2) it is very safe, 3) as results directly correspond to daily activities, it is rather easy to give concrete advise regarding health promotion in daily life.

Activities of Daily Living↗

Gender differences in physical activity and physical fitness in young children in Crete.

BACKGROUND: To assess physical activity and physiological fitness parameters among six year old children and to determine whether there were any significant gender differences. METHODS DESIGN & SETTING: comparative study of a representative sample of boys and girls in school and at home. PARTICIPANTS: 569 children (305 boys and 264 girls) selected randomly from a total of 6153 registered in the 1st grade in 1992 on the island of Crete. MEASURES: assessment of physical activity was based on observational methods involving teachers and parents. Cardiorespiratory fitness was estimated by performance on the 20 meter Shuttle Run Test (20mSRT). BMI, skinfold thickness, Midarm Muscle Circumference (MMC) and hemoglobin were also measured. RESULTS: Both sexes were found to spend a very small proportion of their leisure time in Moderate to Vigorous Physical Activities (MVPA). More boys engaged in MVPA than girls at school and at home, but more girls were involved in physical activity-related lessons and classes out of school. Among the physiological fitness parameters, significant gender differences were found only for MMC. No significant gender difference was found in performance on the 20mSRT. CONCLUSIONS: The results indicate that in this culture stereotypic sex preferences in physical activity begin at a very young age, and that this differentiation cannot be attributed to gender differences in cardiorespiratory fitness. The social, environmental and possibly psychological parameters involved have implications for Health Educators and Physical Education Instructors in the appropriate targeting of physical activity promotion programs among young children.

Anthropometry↗

Developing an employee cardiovascular fitness program.

Employee fitness programs, which have become increasingly popular in industrial settings, particularly over the past decade, are now also gaining favour in the hospital environment. Whereas employers are interested in the positive relationships between physical fitness, absenteeism and work performance, employees, as a result of participation in fitness activities, enjoy a more positive outlook on life. This paper discusses several points which might be considered during the development of a fitness program for employees, such as: persuading administrators of the need; generating employee interest; pre-testing participants; and actual program planning. The organization of the program -- it frequency and duration, and the warm-up, training and cool-down periods -- is also outlined.

Cardiovascular Diseases↗