JULIA MARIA D ANDREA GREVE
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Ortopediae Traumatologia, Faculdade de Medicina - Docente
Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina - Líder
Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina - Líder
13 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 13
- Futsal improve body composition and cardiorespiratory fitness in overweight and obese children. A pilot study(2018) SANTOS-SILVA, P. R.; GREVE, J. M. D'Andrea; NOVILLO, H. N. E.; HADDAD, S.; SANTOS, C. R. P.; LEME, R. B.; FRANCO, R. R.; COMINATO, L.; ARAúJO, A. T. M.; SANTOS, F. M.; DAMIANI, D.; RICA, R. L.; BOCALINI, D. S.Aims: The aim of this study was to verify body composition, cardiorespiratory fitness, and biochemical markers of prepubertal overweight and obese boys to a 16-week futsal training program. Methods: Sixteen boys (age: 7-10 y, body mass index>thanat 95th percentileaccording to Center for Disease Control and Prevention; 35.5±7.4 percent fat) participated to futsal training program. The assessment of body composition was estimated using skinfold thickness, and the following variables were evaluated: total body mass, body mass index, body fat percentage, and lean body mass. Aerobic fitness measurementwas performed by gas exchange analysis in treadmill. In addition, an evaluation of the biochemical profile was conducted: triglycerides, total cholesterol, low density lipoprotein cholesterol, high-density lipoprotein cholesterol, plasma concentrations of glucose, and insulin. The futsal intervention included 60-min sessions performed two times/week. The mean intensity during training was between 57 to 88% of maximal heart rate of the age-predicted. Individual portable heart rate monitor controlled training intensity. Results: Significant increases in total body mass (4%), height (3%), lean body mass (8%), and significant 6%-decrease in body fat percentage was observed. Body mass index remained unchanged. Maximal oxygen uptake was elevated (p<0.018) by 11%. Biochemical markers were not modified after intervention. No association was found between body composition and metabolic variables. The effect size of futsal training on most variables was small (<0.5). Conclusion: Controlled intensity and adherence to this 16-week futsal training program were determinant to enhance body composition, and cardiorespiratory fitness in this group of prepubertal boys. © Universidade Estadual Paulista - UNESP. All rights reserved.
- Association between handgrip strength, balance, and knee flexion/extension strength in older adults(2018) ALONSO, Angelica Castilho; RIBEIRO, Samia Maria; LUNA, Natalia Mariana Silva; PETERSON, Mark D.; BOCALINI, Danilo Sales; SERRA, Marcos Mauricio; BRECH, Guilherme Carlos; GREVE, Julia Maria D. Andrea; GARCEZ-LEME, Luiz EugenioThe objective of the study was to examine the association between handgrip strength (HGS), knee flexion and extension strength, and static and dynamic balance in older women. One hundred and ten women with a mean age of 67.4 +/- 5.9 years were assessed for dynamic postural balance using the Time Up & Go Test (TUG) with and without cognitive tasks. Semi-static balance was assessed by means of a force platform; knee flexor and extensor muscle strength was calculated using an isokinetic dynamometer; and HGS using a hand held dynamometer. Weaker HGS was significantly correlated with worse performance in dynamic postural balance, as well as performance with TUG with and without cognitive tasks; however, there was no correlation between HGS and static balance. There was a moderate positive correlation between knee flexion/extension strength and HGS. This suggests that HGS could be used as a proxy indicator of overall strength capacity for clinical screening among older women.
- Treadmill training in Parkinson's patients after deep brain stimulation: Effects on gait kinematic(2018) LUNA, N. M. S.; LUCARELI, P. R. G.; SALES, V. C.; SPECIALI, D.; ALONSO, A. C.; PETERSON, M. D.; RODRIGUES, R. B. M.; FONOFFC, E. T.; BARBOSAC, E. R.; TEIXEIRA, M. J.; GREVE, J. M. D. A.OBJECTIVE: The purpose of this study was to evaluate the effect of treadmill training with body weight support on gait kinematics parameters in patients with PD using DBS. DESIGN: Twelve patients completed the protocols (age: 60.9 +/- 10.6 years; disease duration: 20 +/- 7 years; and time since DBS surgery: 20 +/- 4 months). The same set of patients underwent two trainings protocols and four gait analyses (before and after each training). They received eight weeks of treadmill training without body weight support (16 sessions) in conjunction with physiotherapy program followed by six weeks of wash out period, followed by eight weeks of body-weight-supported treadmill training in conjunction with a same physiotherapy program. The Gait Kinematic Analysis involved eight infrared cameras that detected 19 reflective spherical markers attached in limb lower of patients. Statistical analysis used the Wilcoxon test (p <= 0.05). RESULTS: Both the training no showed significant differences in linear variables. As the angular variables, only training with support showed significant increase of ranges of motion: pelvis tilt, obliquity and rotation amplitude; hip adduction-abduction and rotation amplitude; percentage of peak flexion in swing phase; foot progression amplitude. CONCLUSION: The body weight supported treadmill training may promote increase of mobility of lower limbs during gait and it could be a targeted intervention for PD patients treated with DBS.
- TRUNK BODY MASS INDEX: A NEW REFERENCE FOR THE ASSESSMENT OF BODY MASS DISTRIBUTION(2018) TAKESIAN, Mariane; SANTO, Marco Aurelio; GADDUCCI, Alexandre Vieira; SANTAREM, Gabriela Correia de Faria; GREVE, Julia; SILVA, Paulo Roberto; CLEVA, Roberto deBackground: Body mass index (BMI) has some limitations for nutritional diagnosis since it does not represent an accurate measure of body fat and it is unable to identify predominant fat distribution. Aim: To develop a BMI based on the ratio of trunk mass and height. Methods: Fifty-seven patients in preoperative evaluation to bariatric surgery were evaluated. The preoperative anthropometric evaluation assessed weight, height and BMI. The body composition was evaluated by bioimpedance, obtaining the trunk fat free mass and fat mass, and trunk height. Trunk BMI (tBMI) was calculated by the sum of the measurements of the trunk fat free mass (tFFM) and trunk fat mass (tFM) in kg, divided by the trunk height squared (m(2)). The calculation of the trunk fat BMI (tfBMI) was calculated by tFM, in kg, divided by the trunk height squared (m(2)). For the correction and adjustment of the tBMI and tfBMI, it was calculated the relation between trunk extension and height, multiplying by the obtained indexes. Results: The mean data was: weight 125.3 +/- 19.5 kg, height 1.63 +/- 0.1 m, BMI was 47 +/- 5 kg/m(2) and trunk height was 0.52 +/- 0,1 m, tFFM was 29.05 +/- 4,8 kg, tFM was 27.2 +/- 3.7 kg, trunk mass index was 66.6 +/- 10.3 kg/m(2), and trunk fat was 32.3 +/- 5.8 kg/m(2). In 93% of the patients there was an increase in obesity class using the tBMI. In patients with grade III obesity the tBMI reclassified to super obesity in 72% of patients and to super-super obesity in 24% of the patients. Conclusion: The trunk BMI is simple and allows a new reference for the evaluation of the body mass distribution, and therefore a new reclassification of the obesity class, evidencing the severity of obesity in a more objectively way.
- TRADUÇÃO PARA LÍNGUA PORTUGUESA DO DATA SET TRATO URINÁRIO INFERIOR PARA INDIVÍDUOS COM LESÃO MEDULAR(2018) GRILLO, Adriana Cordeiro da Silva; FALEIROS, Fabiana; SILVA, Josana Cristina Faleiros e; TATE, Denise Galuf; GREVE, Júlia Maria D´Andrea; THOLL, Adriana DutraABSTRACT Objective: to translate and adapt to the Portuguese language the data set of the lower urinary tract for individuals with spinal cord injury. International Spinal Cord Society and the American Spinal Injury Association. Method: this is a methodological study of instrument translation, with the participation of a group of five experts who took part in the translation and back translation phases and five judges. The Data set has been translated and adapted according to the methodological recommendations of International Spinal Cord Society and the American Spinal Injury Association. Results: for the translation stage, 56% of the sentences were unanimously translated by the three invited translators. Of the nine questions that comprised the instrument only four showed differences. Conclusion: a translated and culturally adapted instrument for the evaluation of the lower urinary tract of people with spinal cord injury in the Portuguese language was obtained, guaranteeing the Brazilian participation in international multicenter studies on the spinal cord injury.
- Factors related to motorcycle accidents with victims: an epidemiological survey(2018) GREVE, Júlia Maria D’Andréa; RESENDE, Marcelo Rosa; CARVALHO, Heráclito Barbosa de; ANDREUCCETTI, Gabriel; BERNINI, Celso O.; LEYTON, VilmaOBJECTIVE: To evaluate the factors associated with traffic motorcycles accidents. METHODS: The sample consisted of 285 motorcycle accident victims in São Paulo. Data were collected from 24-hour emergency service shifts regarding: conditions of the victims, security equipment, road and vehicle conditions. RESULTS: Victims were mostly young men (92%); 23% used the motorcycle for work (average: 8 hours per day); 45% had owned a motorcycle for less than two years; 77% were licensed motorcycle drivers; 33% had less than four years of qualification; 31% had attended a course of defensive driving. Severe lesions were identified in 67% of the unlicensed drivers. Polytrauma occurred in 9% head trauma in 5% of the entire population. Lower limb fractures occurred more frequently than upper limb (17% vs. 12%). Most wore helmets (90%) but only 18% wore helmet, boots and jacket. Positive readings for alcohol (7%) and drugs (14%) occurred in 21% of victims. Most accidents occurred as a consequence of imprudence (88%), during the day (67%), in dry weather conditions (94%). A side impact was registered in 48% of cases; 80% of motorcycles had an engine capacity up to 250 cc. In 51% of the accidents the person responsible for the accident was the driver of the other vehicle in the accident. CONCLUSION: Most accidents involve motorcyclists who are young male adults, use the motorcycle as a means of transport and do not consider safety, defensive driving and the use of alcohol and drugs as important factors.
conferenceObject EDUCATIONAL PROGRAM IN SUBJECTS WITH KNEE OSTEOARTHRITIS IMPROVES ADHERENCE, AEROBIC AND FUNCTIONAL CAPACITY(2018) REZENDE, M. U.; SILVA, J. M.; SPADA, T. C.; FRANCISCO, L. S.; SANTOS, H. P.; GREVE, J. M.; CIOLAC, E. G.- RELATIONSHIP BETWEEN BONE MINERAL DENSITY AND BODY COMPOSITION IN ELDERLY(2018) ALONSO, Angelica Castilho; GONCALVES, Tuane Andreatta; ALMEIDA, Jenifer Kristina Alves de; MACHADO-LIMA, Adriana; ERNANDES, Rita de Cassia; GREVE, Julia Maria D'Andrea; GARCEZ-LEME, Luiz EugenioObjective: To evaluate the association between bone mineral density (BMD) and body composition in healthy older adults at different skeletal sites. Methods: We analyzed 87 medical records and BMD along with the body composition of men ranging from 60 to 87 years of age (mean: 68.5, standard deviation: 6.5). Inclusion criteria were normal BMD values (T-score greater than or equal to -1.0) and body mass index within normal or overweight range (18.5 to 29.5 kg/m(2)). Body composition was evaluated using bone densitometry with dual-energy X-ray absorptiometry (DEXA) in a LUNAR-DPX apparatus. Results: Greater lean mass, fat mass, and soft tissue was associated with better BMD values in older adults, and higher age was associated with poorer BMD. Conclusion: Body composition (lean and fat masses and soft tissue) in older men is positively associated with BMD at all body sites (arms, legs, and trunk).
- HAIR TESTING: AN INEFFECTIVE DUI STRATEGY IN BRAZIL(2018) LEYTON, Vilma; ANDREUCCETTI, Gabriel; MEIRA JUNIOR, Antonio Edson Souza; SANTOS, Marcelo Filonzi Dos; BOMBANA, Henrique Silva; WALLS, H. Chip; GREVE, Julia Maria D'Andrea; CARVALHO, Heraclito Barbosa de; MONTAL, Jose Heverardo da Costa; ADURA, Flavio Emir; YONAMINE, Mauricio
- Effects of Kinect Adventures Games Versus Conventional Physical Therapy on Postural Control in Elderly People: A Randomized Controlled Trial(2018) BACHA, Jessica Maria Ribeiro; GOMES, Gisele Cristine Vieira; FREITAS, Tatiana Beline de; VIVEIRO, Larissa Alamino Pereira; SILVA, Keyte Guedes da; BUENO, Gessika Costa; VARISE, Eliana Maria; TORRIANI-PASIN, Camila; ALONSO, Angelica Castilho; LUNA, Natalia Mariana Silva; GREVE, Julia Maria D'Andrea; POMPEU, Jose EduardoObjective: To compare the effectiveness of Kinect Adventures games versus conventional physiotherapy to improve postural control (PC), gait, cardiorespiratory fitness, and cognition of the elderly. In addition, we evaluated the safety, acceptability, and adherence to the interventions. Materials and Methods: The study was a randomized clinical trial in which 46 elderly individuals were selected, mean age 69.3 (5.34) years. Participants were allocated to the Kinect Adventures Training Group (KATG) or the Conventional Physical Therapy Group (CPTG), 23 individuals in each group. Participants of both groups participated in 14 training sessions lasting 1 hour each, twice a week. The KATG practiced four Kinect Adventures games. The CPTG participated in conventional physiotherapy. The primary outcome was PC: Mini-Balance Evaluation Systems Test (Mini-BESTest), and secondary outcomes were gait: Functional Gait Assessment (FGA), cardiorespiratory fitness: Six-minute step test (6MST), and cognition: Montreal Cognitive Assessment (MoCA). Acceptability was assessed through a questionnaire created by the researchers themselves. Adherence was assessed by the ''frequency of the number of elderly individuals who completed the interventions and safety through the presence of adverse effects.'' Participants were assessed immediately pre- and posttreatment and fourth week after the end of the treatment. Statistical analysis was done through repeated-measures analysis of variance and Tukey post hoc test. Results: Both groups presented a significant improvement in the PC (Mini-BEST), gait (FGA), and cognition (MoCA) posttreatment that was maintained at fourth week after treatment (post hoc Tukey test; P<0.05). Regarding cardiorespiratory fitness (6MST), the KATG presented improvement posttreatment and maintenance of the results in the fourth week after treatment. CPTG showed improvement only in fourth week after treatment (post hoc Tukey tests; P<0.05). Regarding the acceptability, the questionnaire showed that both groups were satisfied with regard to the proposed interventions. There was 91% adherence in both training sessions. Regarding the safety, 34% and 26% of the individuals of the KATG and CPTG, respectively, presented adverse effects of delayed muscle pain in the lower limbs after the first session only. Conclusion: There were no significant differences between the KATG and CPTG; both interventions provided positive effects on PC, gait, cardiorespiratory fitness, and cognition of the elderly.