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Lopes Machado, Dalmo Roberto

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  • Being physically active leads to better recovery prognosis for people diagnosed with COVID-19: A cross-sectional study
    Publication . Gomide, Euripedes Barsanulfo Gonçalves; Mazzonetto, Lisa Fernanda; Cordeiro, Jéssica Fernanda Corrêa; Cordeiro, Daniella Corrêa; Oliveira, Alcivandro de Sousa; Fioco, Evandro Marianetti; Venturini, Ana Claudia Rossini; Abdalla, Pedro Pugliesi; Da Silva, Leonardo Santos Lopes; Tasinafo Júnior, Márcio Fernando; De Andrade, Denise; Bohn, Lucimere; Machado, D. R. L.; Dos Santos, André Pereira
    The regular practice of physical activity helps in the prevention and control of several non-communicable diseases. However, evidence on the role of physical activity in mitigating worsening clinical outcomes in people with COVID-19 is still unclear. The aim of this study was to verify whether different levels of physical activity provide protection for clinical outcomes caused by SARS-CoV-2 infection. A cross-sectional study was conducted with 509 adults (43.8 +/- 15.71 years; 61.1% female) with a positive diagnosis of COVID-19 residing in Ribeirao Preto, Sao Paulo, Brazil. Participants were interviewed by telephone to determine the severity of the infection and the physical activity performed. Binary logistic regression was used to indicate the odds ratio (OR) of active people reporting less harmful clinical outcomes from COVID-19. Active people had a lower chance of hospitalization, fewer hospitalization days, less respiratory difficulty and needed less oxygen support. The results suggest that active people, compared to sedentary people, have a lower frequency of hospitalization, length of stay, breathing difficulty and need for oxygen support. These results corroborate the importance of public policies to promote the practice of physical activity, in order to mitigate the severity of the clinical outcomes of COVID-19.
  • Characteristics of resistance training-based protocols in older adults with sarcopenic obesity: a scoping review of training procedure recommendations
    Publication . Silva, Leonardo Santos Lopes da; Gonçalves, Leonardo da Silva; Abdalla, Pedro Pugliesi; Benjamim, Cícero Jonas Rodrigues; Tasinafo, Márcio Fernando; Venturini, Ana Cláudia Rossini; Bohn, Lucimere; Mota, Jorge; Marcos-Pardo, Pablo Jorge; Kemmler, Wolfgang; dos Santos, André Pereira; Machado, D. R. L.
    Background: Sarcopenic obesity (SO) is a clinical and functional disease characterized by the coexistence of obesity and sarcopenia. Resistance training (RT) characteristics for older adults with sarcopenia or obesity are already well established in the scientific literature. Nonetheless, we still do not know how detailed the RT protocols are described for older adults with SO. Therefore, we aimed to analyze the characteristics of RT programs, including each of their variables, recommended for older adults with SO. Methods: This is a scoping review study that was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis for Scoping Reviews. The search was carried out until November 2022 in PubMed/MEDLINE, EMBASE, Cochrane Library, Web of Science, Scopus, LILACS, Google Scholar, and medRxiv databases. The studies included SO diagnosis and RT as an intervention strategy. The RT variables analyzed were as follows: exercise selection, the volume of sets, the intensity of load, repetition cadence, rest interval between sets, and weekly frequency. Results: A total of 1,693 studies were identified. After applying the exclusion criteria, 15 studies were included in the final analysis. The duration of the RT intervention ranged from 8 to 24 weeks. All studies included full-body routines, with single/multi-joint exercises. Regarding the volume of sets, some studies fixed it in three sets, whereas others varied between one and three sets. The load was reported by repetition range and the weight lifted, elastic-band color/resistance, percentage of one repetition maximum, or perceived exertion scale. Repetition cadence was fixed in some studies, while it was self-selected between concentric and eccentric phases in others. The interval between sets of rest varied from 30 to 180 s. All studies reported progression overload during the interventions.
  • Optimizing outdoor fitness equipment training for older adults: Benefits and future directions for healthy aging
    Publication . Marcos-Pardo, Pablo Jorge; Espeso-García, Alejandro; Abelleira-Lamela, Tomás; Machado, D. R. L.
    Regular physical activity is vital for the health and disease prevention of older adults. Outdoor fitness equipment has gained popularity for natural exercise spaces among middle-aged and older individuals. This narrative review demonstrates that these programs have the potential to improve cardiovascular health, muscle strength, flexibility, balance, and reduce falls, while also enhancing quality of life, alleviating depression and anxiety, and boosting self-esteem. However, our understanding is hindered by limited rigorous experimental studies. Future directions include implementing standardized measurements, conducting long-term studies, and addressing equipment limitations to enable better adjustment of training intensity and promote correct postures on machines. New, more rigorous research is needed to comprehensively understand the psychophysiological and social effects on health. Additionally, suggested modifications could render the machines more effective and safer. The primary objective is to enhance this type of machinery to encourage its use in outdoor spaces, thus aiding adults and older individuals in achieving overall health and enjoying a healthy aging process.