Browsing by Author "Neiva, Henrique P."
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- Differences between Portuguese and Brazilian Patients with Fibromyalgia Syndrome: Exploring the Associations across Age, Time of Diagnosis, and Fatigue-Related SymptomsPublication . Alvarez, Marcos; Albuquerque, Maria Luiza L.; Neiva, Henrique P.; Cid, Luis; Rodrigues, Filipe; Teixeira, Diogo S.; Monteiro, DiogoThe aim of the study was to explore the differences between Brazilian and Portuguese patients with fibromyalgia (FM) syndrome in their experience of fatigue, and to measure differences in the perception of fatigue as a function of age and duration of the diagnosis. In total, 209 Portuguese women aged between 21 and 75 years (M = 47.44; SD = 10.73) and 429 Brazilian women aged between 18 and 77 years (M = 46.51; SD = 9.24) were recruited to participate in the present study. Participants completed the Multidimensional Daily Diary of Fatigue-Fibromyalgia-17 items (MDF-Fibro-17), a specific tool to measure the level of five components of FM-related fatigue. Results showed greater perception of all the components of fatigue in the Brazilian sample. No significant differences were found related to age and duration of FM diagnosis. The multifaceted nature of FM and cultural differences suggests that individualized treatment programs may be necessary to reduce fatigue-related symptoms in patients with this syndrome.
- Effects of different protocols of physical exercise on fibromyalgia syndrome treatment: systematic review and meta-analysis of randomized controlled trialsPublication . Albuquerque, Maria Luiza L.; Monteiro, Diogo; Marinho, Daniel A.; Vilarino, Guilherme T.; Andrade, Alexandro; Neiva, Henrique P.Physical exercise has been used as a form of treatment for fbromyalgia, however, the results indicate the need for further investigations on the efect of exercise on diferent symptoms. The aim of the study was to synthesize and analyse studies related to the efect of exercise in individuals with fbromyalgia and provide practical recommendations for practitioners and exercise professionals. A search was carried out in the Web of Science, PubMed, and Scopus databases in search of randomized clinical trials (RCT) written in English. A meta-analysis was performed to determine the efectiveness of different types of exercise on the fbromyalgia impact questionnaire (FIQ), and the protocol period and session duration on the pain outcome. Eighteen articles were eligible for a qualitative assessment and 16 were included in the meta-analysis. The exercise showed large evidence for the association with a reduction in the FIQ (SMD −0.98; 95% CI −1.49 to −0.48). Protocols between 13 and 24 weeks (SMD −1.02; 95% CI −1.53 to −0.50), with a session time of less than 30 min (SMD −0.68 95% CI −1.26 to −0.11) or>30 min and<60 min (SMD −1.06; 95% CI −1.58 to −0.53) presented better results. Better results were found after combined training protocols and aerobic exercises. It is suggested that exercise programs lasting 13–24 weeks should be used to reduce pain, and each session should last between 30 and 60 min. In addition, the intensity should always be carried out gradually and progressively
- Effects of strength training in fibromyalgia on balance, neuromuscular performance, and symptomatic analysis: a 12-week study protocolPublication . Albuquerque, Maria Luiza L.; Monteiro, Diogo; Alvarez, Marcos; Vilarino, Guilherme Torres; Andrade, Alexandro; Neiva, Henrique P.Fibromyalgia affects skeletal muscles presenting with muscle stiffness, pain, and fatigue. The exercise practice is wellstabilized and suggested for the reduction of symptoms. However, there are some gaps in the literature related to balance and neuromuscular performance in a strength training protocol. The aim of this study is to structure a protocol to verify the effects of strength training applied over a short period, on balance, neuromuscular performance, and fibromyalgia symptoms. Additionally, we intend to analyze the effects of a short period of cessation of training. Participants will be recruited through flyers, internet advertisements, clinical referrals, health professionals, and email outreach. Volunteers will be randomly assigned to the control group or experimental group. Before the training period, symptoms (Fibromyalgia Impact Questionnaire, Visual Analog Scale), balance (force plate), and neuromuscular performance (medicine ball throw and vertical jump) will be assessed. Participants in the experimental group will perform strength training twice a week (50 min each), on alternate days, for 8 weeks (16 sessions). Then, 4 weeks of detraining will be completed. This training program will be carried out online, using real-time videos, and the participants will be divided into two groups with different schedules. The Borg scale will be used to monitor perceived effort in each session. There is a gap in the literature about exercise prescriptions for fibromyalgia. The supervised online intervention enables a wide range of participation. The strength exercises used (without the use of external materials and/or machines) and load (few repetitions per set) represent a novelty to training programming. Moreover, this training program respects the limitations and individuality of the volunteers, providing exercise adaptations. With positive results, the present protocol could be an easy-to-apply guideline with clear instructions on the details related to exercise prescription. Also, ensure the effectiveness of a low-cost and feasible treatment, especially for fibromyalgia patients.
- Exploring the Relationship between Fibromyalgia-Related Fatigue, Physical Activity, and Quality of LifePublication . Alvarez, Marcos; Albuquerque, Maria Luiza L.; Neiva, Henrique P.; Cid, Luis; Rodrigues, Filipe; Teixeira, Diogo S.; Matos, Rui; Antunes, Raul; Morales-Sánchez, Verónica; Monteiro, DiogoThe symptoms of fibromyalgia are varied, including general muscle pain and pain at specific points (also called tender points), excessive fatigue, anxiety, depression, and some psychological problems that can have a negative impact on quality of life. Physical activity is a widely used option by health professionals to alleviate the effects of this syndrome. However, there is no clear information on the possible mediating role of physical activity in the relationship between fibromyalgia-related fatigue and quality of life. Therefore, this study aims to evaluate the relationship between fibromyalgia-related fatigue and quality of life, and to investigate the mediating role of physical activity in patients with this syndrome. Methods: In a cross-sectional study, 237 Portuguese women aged 28 to 75 years (M = 49.12; SD ± 8.87) and 117 Brazilian women aged 20 to 69 years (M = 46.72; SD ± 8.38) were recruited to participate in this study. These patients completed three valid and reliable questionnaires related to the assessment of fibromyalgia-related fatigue (MDF-Fibro-17), physical activity (IPAQ), and quality of life (SF-36). Results: Both samples had scores above the midpoint for all dimensions of fibromyalgia-related fatigue and scores below the midpoint for quality of life. Physical activity had no mediating effect in either sample, as the total indirect effect was not significant. Conclusions: Physical activity does not mediate the relationship between fatigue and quality of life. However, the results also show that the fatigue dimensions associated with fibromyalgia had a negative and significant association with physical and mental health indicators in both samples. Thus, patients with FM with higher scores on fatigue-related symptoms might suffer more from physical and mental health, both of which are related to quality of life
- O papel do divertimento e das determinantes motivacionais na persistência da prática de exercício físicoPublication . Rodrigues, Filipe; Teixeira, Diogo; Macedo, Rita; Neiva, Henrique P.; Cid, Luis; Monteiro, DiogoComo objetivo deste trabalho, decidiu-se analisar os efeitos indiretos de determinante motivacionais no divertimento e na persistência em praticantes de exercício físico regular. Participaram ao todo 967 praticantes de exercício em ginásio e health clubs, com idades compreendidas entre 18 e 65 anos (M=45,08; DP=13,76). Todos os participantes tinham mais de 6 meses de experiência regular em exercício físico. Os participantes preencheram ao todo questionários traduzidos e validados para a língua portuguesa no contexto do exercício físico, que examinavam a perceção dos comportamentos interpessoais, as necessidades psicológicas básicas, a regulação da motivação e o divertimento. A persistência foi medida através de registos eletrónicos, considerando um praticante persistente aquele que tivesse uma frequência semanal similar aquela auto-reportada no momento inicial. A maioria das regressões são significativas, confirmado os pressupostos da literatura existente. Os efeitos indiretos mostram que o divertimento desempenha um papel crucial na persistência, tanto por via motivação autónoma, como por via motivação controlada. Em suma, atividades promotoras do prazer que os praticantes de ginásio e health club experienciam durante a prática de exercício físico poderão ser a variável chave na persistência a longo prazo.
- Physical Activity as a complementary alternative therapy for fibromyalgiaPublication . Albuquerque, Maria Luiza L.; Álvarez, Marcos Carvalho; Monteiro, Diogo; Esteves, Dulce; Neiva, Henrique P.Physical activity is usually associated with several benefits for the individual’s health, specifically in disease prevention. In the case of fibromyalgia, exercise emerged as one of the most indicated options to reduce signs and symptoms and seems to be useful in the management of this syndrome of unknown etiology. Knowing the importance of physical activity, it seems necessary to understand in-depth the quantity (e.g., volume, frequency), intensity (e.g., % of maximal load), and type of exercise (e.g., cardiorespiratory, resistance) that should be performed by an individual diagnosed with fibromyalgia. Therefore, this chapter aimed to critically analyze the literature on training programs that caused positive effects on the main symptoms of fibromyalgia and to suggest some practical applications regarding exercise program designs (i.e., type, volume, and intensity). A search was performed through Web of Science, Scopus, and Medline, and randomized clinical trials composed of individuals diagnosed with fibromyalgia who were over 18 years of age. Cardiorespiratory training, resistance training, and combined programs appear to be effective in reducing the symptoms associated with fibromyalgia. Aquatic exercises stand out in particular as they provide benefits generated by water along with the benefits of physical exercise. The frequency of two to three sessions per week with a progressive increase in intensity during the weeks of a training protocol seems to be effective, especially in medium to long term interventions.
- Resistance training on postural balance, physical fitness, and fibromyalgia impact: pilot study of online interventionPublication . Albuquerque, Maria; Monteiro, Diogo; Alvarez, Marcos; Vilarino, Guilherme Torres; Andrade, Alexandro; Neiva, Henrique P.is a chronic disease with diverse physical and psychological symptoms and impairments. The present pilot study aims to evaluate the implementation of a previously protocoled online resistance training program in postural balance, physical fitness, and fibromyalgia impact, as well as adaptations and strategies necessary for a better followup of the participant during the program. Three participants with an average age of 53.67 (SD=5.51) years and medical diagnosis of fibromyalgia performed eight weeks of online resistance training exercises (2/week). Physical fitness and postural balance (force platform), fibromyalgia impact (FIQ), and symptoms (VAS) were evaluated before the exercises and after 16 sessions. The variation from pre- to post-training intervention was determined by calculating the percentage of change in each variable. All participants showed gains in countermovement jump (11 to 46%) and reduced pain intensity (10 to 19%). Two out of three participants showed improvement in the countermovement jump with free arms (4 and 28%), medicine ball throw (2 and 42%), mood state (20 to 32%), also a reduction in FIQ (4 and 27%), center of pressure (COP) velocity with eyes open (10 and 7%), COP displacement with eyes open (6 and 9%), anxiety (15 to 84%) and fatigue (10 to 41%). Only one participant has shown improvements in sleep quality (6%). Changes in balance with eyes closed were not found. The online resistance training program protocol showed promising results in this pilot study, with potential gains in neuromuscular performance and balance, and reducing the negative symptoms associated with fibromyalgia. Adaptations were necessary throughout the program for better applicability.
- A systematic review on dry-land strength and conditioning training on swimming performancePublication . Amaro, N.M.; Morouço, P.G.; Marques, M.C.; Batalha, N.; Neiva, Henrique P.; Marinho, D.A.Objectives. — The objective of this review was to examine the effects of dry-land strength and conditioning (S&C) training on swimming, and starts and turns performances. News. — S&C training is a common practice in swimming aiming to enhance performance or to prevent injuries. However, studies regarding the effects of S&C on swimming performance are scarce; the influence of age, gender or competitive level is even scarcer. Prospects and projects. — After a structured literature search, sixteen studies were included in the current review. Of those, seven did not report any positive or negative effects on swimming performance. Contrarily, most studies with positive effects were conducted with older swimmers whereas maximal strength was the most effective methodology for improving swimming performance. S&C plyometric training is suggested to be the most effective method to improve starts and turns. Future Randomized Controlled Trials should be conducted to explorethe effects of S&C induced by age and gender, on different swimming distances and techniques,and long-term training effects.Conclusion. — It is recommended that S&C training should be based on maximal strength, rangingfrom six to twelve weeks of 2 to 4 sessions per week (approximately 24 sessions altogether). Ineach session, coaches should vary from 2 to 3 sets and 3 to 5 repetitions, according to prescribedintensity. Rest intervals should range between 2 to 5 minutes and the intensity should be from 80to 90% of 1RM. Particularly regarding improving starts and turns, a S&C training regime rangingfrom 6 to 8 weeks and with 2 sessions per week is suggested. In each session, swimmers shouldperform between 1 and 6 sets and 1 and 10 repetitions, according to the established intensity.Rest between sets should range from 60 to 90 seconds. The swimmers in the included studiesare mostly men which do not allow to say if the recommendations made are gender-dependent.© 2018 Elsevier Masson SAS. All rights reserved.
- The Co-Occurrence of Satisfaction and Frustration of Basic Psychological Needs and Its Relationship with Exercisers' MotivationPublication . Rodrigues, Filipe; Macedo, Rita; Teixeira, Diogo Santos; Cid, Luis; Travassos, Bruno; Neiva, Henrique P.; Monteiro, DiogoAlthough the relationship between both need frustration and, particularly, need satisfaction and different motivational regulations for exercise has been widely examined in the literature, little is known about the co-occurrence of both need satisfaction and need frustration in the exercise context. Grounded in self-determination theory, the present study aimed to examine the effects of both need satisfaction and frustration on motivational regulations for exercise, by applying a response surface analysis approach. In total, 477 regular exercisers aged 18-54 years participated in this study. The interaction between needs (high on both need satisfaction and frustration) displayed a positive and significant association with amotivation, integrated regulation, and intrinsic motivation. Considering the direction of the discrepancy (high vs. low levels of need satisfaction and frustration) related to the behavioral regulations, results showed that higher need satisfaction relative to need frustration was associated with more self-determined regulations of motivation. Contrarily, higher need satisfaction relative to need frustration was associated with lower scores on amotivation, external, introjected, and identified regulation. Overall, these findings extend previous literature, suggesting that need satisfaction and frustration are distinct factors that can be experienced simultaneously in individuals during exercise and that different degrees of both needs have different associations with behavioral regulations.
- Trainer‐exerciser relationship: The congruency effect on exerciser psychological needs using response surface analysisPublication . Rodrigues, Filipe; Pelletier, Luc G.; Rocchi, Meredith; Neiva, Henrique P.; Teixeira, Diogo S.; Cid, Luis; Silva, Luis; Monteiro, DiogoPerceptions of fitness trainers' need-supportive and need-thwarting behaviors have been shown to impact exercisers' psychological need satisfaction and frustration. Currently, it is unknown whether an agreement or disagreement between exercisers' and fitness trainers' reported perceptions of these behaviors leads to the satisfaction and/or frustration of psychological needs. Based on self-determination theory, the present study examined the effect of congruency between fitness trainers' and exercisers' perceptions of need-supportive and need-thwarting interpersonal behaviors on basic psychological need satisfaction and frustration. A sample of 130 fitness trainers (43 females; Mage = 31.58 ± 7.65) and a total of 640 gym exercisers (350 females; Mage = 34.23 ± 11.59) participated in this study. Findings suggested that the majority of fitness trainers tended to over-report their use of need-supportive behavior and under-report their need-thwarting behaviors. Results showed that when there was congruency between fitness trainers' reported use and exercisers' perception of interpersonal behaviors, basic needs satisfaction tended to increase. This effect was greater for exercisers that rated their respective fitness trainer high on relatedness support. Fitness trainers should be self-aware of their interpersonal behaviors when engaging with exercisers and interventions based on self-determination theory could serve as a promising avenue to improve the quality of exercisers' experience.