LUCAS MELO NEVES
Projetos de Pesquisa
Unidades Organizacionais
LIM/21 - Laboratório de Neuroimagem em Psiquiatria, Hospital das Clínicas, Faculdade de Medicina
15 resultados
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Agora exibindo 1 - 10 de 15
- Physical exercise for bipolar disorder: Time for action COMMENT(2022) LAFER, Beny; NEVES, Lucas Melo; NIERENBERG, Andrew A.
- Poor Agreement between Responses to the International Physical Activity Questionnaire and Objective ActiGraph(R) Data among Persons with Major Depressive or Bipolar Disorders(2022) NASCIMENTO, Rafael Bonfim do; SANTOS, Rafael Pereira Guimaraes; GOMES, Tabatah Hellen Santos; FRANCA, Carolina Nunes; ROSSI, Fabricio Eduardo; NATRIELLI-FILHO, Decio Gilberto; JAMBASSI-FILHO, Jose Claudio; GIL, Saulo; STUBBS, Brendon; LAFER, Beny; NEVES, Lucas MeloThe purpose of this research was to investigate the degree of agreement between data from the International Physical Activity Questionnaire-Short Form (IPAQ) and accelerometer (ActiGraph(R)) readings for physical activity (PA), classified as moderate, vigorous, and moderate-vigorous PA, and sedentary behavior (SB) in participants with major depressive or bipolar disorder. Following a cross-sectional observational design (n = 30), participants used an accelerometer for 4 to 7 days (minimum of 10 h per day) and answered the IPAQ (for the same period as accelerometer use). Our results suggest significant differences (p < 0.05) when comparing the ActiGraph(R) and IPAQ data: for moderate PA, 155 min vs. 25 min per week; for moderate-vigorous PA, 157 min vs. 50 min per week; and for SB, 8 h vs. 3 h per day. Spearman's correlation coefficients (ActiGraph(R) and IPAQ) were low for moderate PA, vigorous PA, and moderate-vigorous PA (rho = 0.03 to 0.13). The Bland-Altman plot showed a bias of -75 min for moderate PA, 9 min for vigorous PA, -66 min for moderate-vigorous PA, and -5 h for SB. Considering the differences observed and the objectivity of the ActiGraph(R) measurements, whenever possible, we recommend ActiGraph(R) measurements of PA and SB for these clinical groups.
- Self-Care in Type 2 Diabetes Patients with Urgency Lower Limb Amputation: The Influence of Sex, Marital Status and Previous Amputations(2021) DOMINGOS, Simone Aparecida; FRANCA, Carolina Nunes; TULETA, Izabela; BARBOSA, Marianne Penachini da Costa Rezende; BACHI, Andre Luis Lacerda; NEVES, Lucas MeloAim: Lower limb amputation (LLA) is a severe consequence of type 2 diabetes mellitus (T2DM), and can affect up to 1% of T2DM patients, leading to an increased risk of premature mortality. Among the factors to predict LLA, it has been highlighted sex, marital status, and previous amputation. However, there is a lack of information about the association between these predictive factors, self-care, and urgency LLA in T2DM patients. Purpose: To verify the behavior of self-care and to relate it with the predictive factors (sex, marital status, and previous amputation) in urgency LLA T2DM patients. Patients and Methods: Non-interventional study, with 106 T2DM patients who were in the postoperative period of urgency LLA caused by complications resulting from T2DM. A structured questionnaire was used for sociodemographic and clinical characterization of the sample as well as the Summary of Diabetes Self-Care Activities (SDSCA) tool. It was used the Wilcoxon, Friedman, and Mann-Whitney tests (median, nonparametric populations) to assess the significance of the differences between groups (sex, marital status, and previous amputation), also Spearman correlation coefficient to assess the association between the data (comparison between diagnostic time, sex, previous amputation, ethnicity and systolic arterial hypertension) and a logistic regression analysis considering the item SDSCA related to sex, age and marital status (with partner). Results: Significant differences (p<0.05) in the questions ""Specific Food"" and ""Foot care"" were found when the participants were grouped by sex. In the relation to marital status, significant differences (p<0.05) were observed for the question ""Specific Food"". No differences were found between groups with or without previous amputation. Conclusion: By SDSCA tool, we were able to report that T2DM patients submitted to urgency LLA presented differences in self-care, particularly for sex and marital status.
- Combined Aerobic and Strength Training Improves Dynamic Stability and can Prevent against Static Stability Decline in Postmenopausal Women: A Randomized Clinical Trial(2023) MARQUES, Ana Claudia Fortaleza; ROSSI, Fabricio Eduardo; NEVES, Lucas Melo; DINIZ, Tiego Aparecido; MESSIAS, Iracimara de Anchieta; BARELA, Jose A.; HORAK, Fay B.; FREITAS JUNIOR, Ismael ForteObjective To analyze the effect of combined training (CT) in postural control and gait parameters in postmenopausal women. Methods A parallel-group, randomized, control study was conducted with 16 weeks of combined training (n = 16) versus a non-training control group (n = 12) in postmenopausal women (aged 59.3 +/- 8.0). Pre and postintervention assessments included postural control (using an AMTI force platform - Advanced Mechanical Technology, Inc., Watertown, MA, USA) and gait impairments (using baropodometry). In addition, the upper limb strength and abdominal tests, as well as aerobic capacity, assessed functional indicators Results The CT intervention in postmenopausal women resulted in improved gait (stride length (p = 0.006); speed (p = 0.013); double support time (p = 0.045); and improved postural control (displacement area of postural sway in a normal base of support with eyes open (p = 0.006). Combined training increased functional indicators (abdominal - p = 0.031; aerobic capacity - p = 0.002). Conclusion In conclusion, combined aerobic plus strength training effectively improved gait and balance control in older women. The postmenopausal women from the CT group walked faster and with bigger steps after the intervention than the control group. In addition, they presented decreased postural sway in standing and decreased the percentage of double support time while walking, which means improved static and dynamic balance control and functional indicators.
- The Effects of Short- and Long-Term Spinal Brace Use with and without Exercise on Spine, Balance, and Gait in Adolescents with Idiopathic Scoliosis(2022) SILVEIRA, Guilherme Erdmann da; ANDRADE, Rodrigo Mantelatto; GUILHERMINO, Gean Gustavo; SCHMIDT, Ariane Verttu; NEVES, Lucas Melo; RIBEIRO, Ana PaulaBackground and Objectives: Adolescent idiopathic scoliosis (AIS) is a prevalent spinal disorder in adolescents. Previous studies have shown biomechanical changes of the gait in the lower limb of AIS patients. To minimize the progression of scoliotic curvature, a spinal brace is used, which has been shown to be efficient. Usually, a brace is worn strictly for 20-22 h every day. To our knowledge, no study has assessed the short- and long-term effects of spinal brace use with or without an exercise program (6 months) to improve clinical and biomechanical parameters. The aim of our study was to verify the effects of short- and long-term spinal brace use, with or without an exercise program on the spine, body balance, and plantar load distribution during gait in AIS. Materials and Methods: A prospective randomized study was conducted with intention-to-treat analysis in forty-five adolescents diagnosed with AIS undergoing conservative treatment at a center specialized in spinal rehabilitation. Adolescents were evaluated at two stages of intervention: (1) spinal orthopedic brace, with acute use 24 h/day (n = 22) and (2) spinal orthopedic brace, with acute use between 15-18 h/day associated with a specific rehabilitation exercise protocol for six consecutive months (six months and 12 total sessions, n = 23). The evaluated parameters were: spine pain, using a visual analog scale (VAS); Cobb angle measurement using radiograph exams, as well as the Risser sign; and static balance and plantar pressure of the feet during gait, carried out using a pressure platform. Results: AIS patients showed significant improvements in the main scoliotic curvature, with a 12-degree reduction in Cobb angle pre- and post-short-term immediate use of spinal brace and a 5.3 degree correction after six months of spinal brace use in combination with specific exercises (long term). In addition, short- and long-term brace use with an exercise program showed a significant increase in anteroposterior and mediolateral balance and a reduction in plantar overload on the heel during gait, with an effect size between moderate and high. Conclusions: Intervention via the short- or long-term use of a spinal brace combined with specific exercises in adolescents with idiopathic scoliosis proved to be effective for correcting scoliotic curvature. In addition, intervention also showed improvements to the antero-posterior and mediolateral body balance and a reduction in the plantar load on the rearfoot region during gait, demonstrating effective mechanical action on the spine.
- COVID-19 pandemic impacts physical activity levels and sedentary time but not sleep quality in young badminton athletes(2021) SANTOS, Arilene Maria da Silva; ROSSI, Fabricio Eduardo; MOURA, Helton Pereira dos Santos Nunes de; SOUSA JUNIOR, Antonio Valdeci Marreiro de; MACHADO, Dionis C. D.; NEVES, Lucas Melo; BRITO, Aldeni Silva; MOURA, Pedro; MONTEIRO, Paula Alves; FREITAS JUNIOR, Ismael Forte; SANTOS, Marcos Antonio Pereira dos; RIBEIRO, Sergio Luiz GalanPurpose Regular physical activity is a good strategy to maintain the health of athletes, and prevent pain and decreased joint flexibility during the pandemic. On the other hand, higher sedentary time during the pandemic period can have deleterious effects. The objective of this study was to compare physical activity levels, sedentary time, and sleep parameters during the pre-COVID period and the COVID-19 pandemic period in young badminton athletes. Methods Fifteen young badminton athletes were evaluated during a pre-COVID period (July 2019) and during the COVID-19 period (July 2020). Sleep parameters, physical activity level, and sedentary time were measured using a tri-axial accelerometer. Participants wore the accelerometer on their dominant wrist for 7 days consecutively. In addition, the average of each sleep parameter [time in bed and total sleep time in hours per day, sleep efficiency (%), wake after sleep onset (WASO, total per day), and sleep latency (minutes per day)] was reported over the 7-day period. Results Athletes presented increased sedentary time (pre-COVID = 7.0 +/- 1.1 vs.COVID-19 = 8.9 +/- 1.9 h/day, p = 0.004, d = 1.30) and significant decreases in the total PA observed in counts per day (pre-COVID = 2,967,064.4 +/- 671,544.1 vs. COVID-19 = 1,868,210.2 +/- 449,768.4 counts/day, p = 0.001, d = 1.99), time in vigorous PA (pre-COVID = 7.7 +/- 0.9 vs. COVID-19 = 6.1 +/- 1.2 h/day, p = 0.001, d = 1.56), and time in moderate-to-vigorous PA (pre-COVID = 8.1 +/- 0.9 vs. COVID-19 = 6.5 +/- 1.3 h/day, p = 0.001, d = 1.48). There were no significant differences for time in light and moderate PA or in sleep parameters (p > 0.05). Conclusion Young badminton athletes presented increased sedentary time, and decreased total physical activity, time in MVPA, and time in vigorous activities during the COVID-19 pandemic compared to the pre-COVID period, however, there were no significant differences in sleep parameters.
- PHYSICAL ACTIVITY AND SYMPTOMS OF ANXIETY AND DEPRESSION AMONG MEDICAL STUDENTS DURING A PANDEMIC(2021) MENDES, Tassia Barcelos; SOUZA, Karla Cardoso de; FRANCA, Carolina Nunes; ROSSI, Fabricio Eduardo; SANTOS, Rafael Pereira Guimaraes; DUAILIBI, Kalil; TULETA, Izabela; ARMOND, Jane de Eston; STUBBS, Brendon; NEVES, Lucas MeloIntroduction: Decreased physical activity has been associated with poorer mental health and is a cause for concern during the COVID-19 pandemic. Objective: To compare groups of medical students (MS) who practiced different levels of moderate and vigorous physical activity (MVPA) during the COVID-19 pandemic, in relation to symptoms of anxiety and depression (BAI-BDI), sleep quality (PSQI), and physical activity (PA) - light, moderate, vigorous (LPA-MPA and VPA), and sedentary behavior (SB). Methods: This research is a cross-sectional study involving 218 MS. Data on the characteristics of the MS were collected through online forms: PA, SB, BAI, BDI, and PSQI. The Cohen's D (Effect Size - ES) and confidence interval (95% CI), Mann-Whitney test: Lower MVPA (Median=0 minute) and Higher MVPA (Median=390 minutes) were recorded. For the statistical analyses, we used: the Odds ratio (OR) for the presence of symptoms of high levels of anxiety and depression and poor sleep quality in the MS and MVPA. Results: We found a small ES for symptoms of depression (ES 0.26 95% CI 0.00 0.53 p=0.029), and significant differences (p<0.05) for symptoms of anxiety (ES 0.17 95% CI -0.09 0.44 p=0.037). There was also a significant tendency for sedentary behavior on weekdays (ES 0.27 95% CI 0.00 0.53 p = 0.051). The OR for MVPA and the presence of symptoms of high levels of anxiety was 0.407 (95% CI = 0.228 to 0.724). Conclusions: the MS who practiced higher MVPA presented less symptoms of anxiety and depression during the COVID-19 pandemic.
- Detraining and retraining in badminton athletes following 1-year COVID-19 pandemic on psychological and physiological response(2022) SILVA, Igor Almeida; SANTOS, Arilene Maria da Silva; MALDONADO, Alberto Jimenez; MOURA, Helton Pereira dos Santos Nunes de; ROSSI, Priscila Almeida Queiroz; NEVES, Lucas Melo; SANTOS, Marcos Antonio Pereira dos; MACHADO, Dionis Castro Dutra; RIBEIRO, Sergio Luiz Galan; ROSSI, Fabricio EduardoPurpose Badminton is a racket sport, with fast and explosive movements and mental skills employed to anticipate the opponent's movements. The COVID-19 pandemic, led to social restriction in Brazil and sport event cancellations, subsequently, sports training was banned. Thus, the objective of this study was to compare the impact of long-period detraining due to COVID-19 social restriction (8 months and 1-year) on cardiorespiratory fitness, body composition, nutritional behavior, and profile of mood states in badminton athletes and to verify if the athletes who returned to their regular training 4 months earlier than athletes who stopped their daily training routine during 1-year would improve these variables. Methods Twenty-three young badminton athletes were analyzed: retrained group (14 athletes who stopped their daily training routine for 8 months due to the COVID-19 pandemic plus 4 months of retraining), and detrained group (9 athletes who stopped their daily training routine during 1 year of the COVID-19 pandemic but performed home-based training). We evaluated body composition, cardiorespiratory fitness, nutritional behavior, and mood states profiles. Results Retrained athletes showed lower body fat (- 24.1% vs. + 20.8%, p < 0.001) and higher fat-free mass (+ 6.0% vs. - 0.2%, p = 0.007) after 1 year compared with the detrained group. For cardiorespiratory fitness [retrained: baseline = 55.5 +/- 5.3 (47.1, 63.9) and after 1 year = 58.1 +/- 2.4 (54.2, 61.9), ES = 0.65 vs. detrained: baseline = 53.4 +/- 6.7 (47.2, 59.5) and after 1 year = 53.1 +/- 5.6 (48.0, 58.3), ES = - 0.03] and nutritional behavior, including sauces and spices [retrained: baseline = 8.9 +/- 7.0 (4.5, 13.4), and after 1 year = 3.4 +/- 2.9 (1.8, 5.5), ES = - 1.11 vs. detrained: baseline = 6.8 +/- 6.7 (1.6, 11.9) and after 1 year = 6.3 +/- 5.5 (2.1, 10.6), ES = - 0.08], the ESs were medium and large, respectively, for Retrained but trivial for detrained group. For depression, ES was trivial in the retrained [baseline = 2.7 +/- 3.3 (0.7, 4.7) and after 1 year = 2.6 +/- 2.9 (0.8, 4.4), ES = 0.03] and moderate for detrained [baseline = 1.0 +/- 1.5 (- 0.1, 2.1) and after 1 year = 1.8 +/- 2.7 (- 0.3, 3.8), ES = 0.50]. Conclusions Young badminton athletes who returned to their regular daily training 4 months earlier than athletes who stopped their daily training routine during 1-year due to COVID-19 social restriction decreased fat mass and increased fat-free mass. There were no significant differences between groups for cardiorespiratory fitness, nutritional behavior, and profile of mood state response.
- Medical Students Show Lower Physical Activity Levels and Higher Anxiety Than Physical Education Students: A Cross-Sectional Study During the COVID-19 Pandemic(2021) SOUZA, Karla Cardoso de; MENDES, Tassia Barcelos; GOMES, Tabatah Hellen Santos; SILVA, Ariana Aline da; NALI, Luiz Henrique da Silva; BACHI, Andre Luis Lacerda; ROSSI, Fabricio Eduardo; GIL, Saulo; FRANCA, Carolina Nunes; NEVES, Lucas MeloObjective: This study aimed to compare the time in physical activity (PA) [light (LPA), moderate and vigorous (MVPA)] and sedentary behavior (SB) (weekdays, weekends, or both) between Medical (MED) and Physical Education (PE) students who underwent remote classes imposed by the COVID-19. In addition, we compared symptoms of depression and anxiety and sleep quality.Methods: A cross-sectional study (272 MED and 95 PE students). The International Physical Activity Questionnaire (IPAQ), Beck Inventory (Anxiety, Depression), and Pittsburgh Sleep Quality were used to assess PA and SB, anxiety and depression symptoms, and quality of sleep, respectively. The data are presented as median and interquartile intervals 25-75.Results: We observed statistically significant differences between MED and PE students for MVPA [MED: 165 min per week (0-360) vs. PE: 420 min per week (180-670), p < 0.001], SB Total [MED: 10 h per day (8-12) vs. PE: 7 h per day (5-10), p < 0.001)], and anxiety symptoms [MED: 13 points (5-23) vs. PE: six points (2-16), p < 0.001)].Conclusion: Together, our findings indicate that MED students spent less time in MVPA and more time in SB than PE students. MED students also presented worse mental health in the pandemic situation imposed by the COVID-19.
- The influence of a supervised group exercise intervention combined with active lifestyle recommendations on breast cancer survivors' health, physical functioning, and quality of life indices: study protocol for a randomized and controlled trial(2021) COSTA, Luiz Augusto Riani; BARRETO, Raphael F.; LEANDRINI, Sarah Milani Moraes de; GURGEL, Aline Rachel Bezerra; SALES, Gabriel Toledo de; VOLTARELLI, Vanessa Azevedo; CASTRO JR., Gilberto de; FENTON, Sally A. M.; TURNER, James E.; KLAUSENER, Christian; NEVES, Lucas Melo; UGRINOWITSCH, Carlos; FARAH, Jose Carlos; FORJAZ, Claudia Lucia de Moraes; BRITO, Christina May Moran; BRUM, Patricia ChakurBackground: Most cancer patients, under active treatment or not, are sedentary, despite increasing scientific and clinical understanding of the benefits of exercise and physical activity, such as improving quality of life, limiting disease symptoms, decreasing cancer recurrence, and increasing overall survival. Studies have shown that both supervised exercise and unsupervised physical activity programs have low adherence and limited long-term benefits among cancer survivors. Therefore, interventions focused on increasing physical activity levels have clinical and psychological relevance. The present study will examine the feasibility and efficacy of an intervention that combines supervised group exercise with active lifestyle recommendations, analyzing its clinical, psychological, physiological, functional, and immunological effects in breast cancer survivors. Methods: Women aged 35-75 years who have completed chemotherapy, radiotherapy, and surgery for breast cancer will be recruited from the Cancer Institute of the State of Sao Paulo (ICESP) and take part in a 16-week, parallel-group, randomized, and controlled trial. They will receive a booklet with recommendations for achieving a physically active lifestyle by increasing overall daily movement and undertaking at least 150 min/week of structured exercise. Then, they will be randomized into two groups: the supervised group will take part in two canoeing group exercise sessions every week, and the unsupervised group will increase their overall physical activity level by any means, such as active commuting, daily activities, or home-based exercise. Primary outcome includes aerobic capacity. Secondary outcomes are physical activity, physical functioning, self-reported quality of life, fatigue, presence of lymphedema, body composition, immune function, adherence to physical activity guidelines, and perceptions of self-image. Discussion: Results should contribute to advance knowledge on the impact of a supervised group exercise intervention to improve aspects related to health, physical functioning, and quality of life in female breast cancer survivors.