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Activity has to become a habit and an incentive to live an active life, even out of the organized physical activity lessons. They are uniformly applied in every structure taking part in the activity and they are periodically validated by the local coordination on indication coming from the scientific coordination. Deliverables: A tailored functional training programme, tested and validated in several settings and supervised by physio/ergotherapists and by sports teachers (physical education graduates) targeting older people (over 65) in the regional community. The most represented age group (51%) was between 60 and 69 years of age, followed by those between 70 and 79 (26%). The main reasons to attend the courses were lumbar back (42%) and neck pain (32%). Some participants also added that they don?t subject themselves to other diagnostic tests (21,2%) and that they don?t turn to the doctor anymore for back pain after the program (21,2%). About 32% of participants reported a reduction in the use of anti-inflammatory drugs or painkillers, while about 80% of participants reported pain reduction or stability. Evidence of the impact: the Adapted Physical Activity confirms, also in this study, its validity in the prevention of back pain and frailty in general. Further information Liguria is one of the eldest regions in Europe, and poses problems in terms of care and social costs. Given the high concentration of elderly people, Regione Liguria has developed in the years many policies addressed to this target of population, endeavouring to create a system including all the initiatives against isolation and in favour of prevention. Besides the actions taken to assist the elderly in need, also at home, the policy makers are also convinced that keeping the population active in many fields helps to prevent many physicals and mental diseases and has a positive impact on the community. All together, these actors have realized integrated social policies through activities of promotion/protection, not only as a support for fragile elderly people, but also as participative paths of social prevention, with the development of a new concept of ?being elderly? and inter-generational dialogue. Regione Liguria (European Affairs Department and Health and Social Affairs Department . Location Country: Italy Region: Lombardia Total population: 59,000,000 persons (12,000,000 aged 65+; 6,000,000 aged 75+) 2. Description Target population: Older people in general population Target population: 1,200,000 persons (300,000 aged 65+; 160,000 aged 75+) Main topic: Physical exercise Description: the percentage of inactive adults over 60 years is nearly 50% in Europe. It is important to personalize and monitor the physical activity in the frail elderly in the hospital and at home. Aim of the study: to project and use a computing platform designed for the control and management of the physical activity and rehabilitation process of frail and pre-frail patients. The whole process is implemented within a user friendly web portal, allowing for the permanent elimination of the constraints imposed by the geographical location of the patient and operator.
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Meta-analysis of nitrogen balance studies for estimating protein requirements in healthy adults. Do the differences between the amino acid compositions of acute-phase and muscle proteins have a bearing on nitrogen loss in traumatic states? Immunologic effects of arginine supplementation in tumor-bearing and non-tumor-bearing hosts. Nitrogen balances of women maintained on various levels of methionine and cystine. Aspartame administration to the infant monkey: Hypothalamic morphology and plasma amino acid levels. Use of the ileal conduit as a model for studying human small intestinal mucus glycoprotein secretion. Tyrosine requirement of healthy men receiving a fixed phenylalanine intake determined by using indi cator amino acid oxidation. Enteral glutamine supplementation for the very low birthweight infant: Plasma amino acid concentrations. Dietary arginine supplementation does not enhance lymphocyte proliferation or interleukin-2 production in young and aged rats. Effect of oral alanine loads on the serum triglycerides of oral contraceptive users and normal subjects. Maximal rates of excretion and synthesis of urea in normal and cirrhotic sub jects. Phenylalanine and aspartame fail to alter feeding behavior, mood and arousal in men. Glutamate-type hypothalamic-pituitary syndrome in mice treated with aspartate or cysteate in infancy. Monosodium L-glutamate: Its pharmacology and role in the Chinese restaurant syndrome. Failure of oral L-histidine to influence appetite or affect zinc metabolism in man: A double-blind study. Protein require ments of man: Variations in obligatory urinary and fecal nitrogen losses in young men. Is dietary intake of methionine associated with a reduction in risk for neural tube defect-affected pregnancies? Neonatal administration of L-cysteine does not pro duce long-term effects on neurotransmitter or neuropeptide systems in the rat striatum. Effect of excess dietary L-histidine on plasma cholesterol levels in weanling rats. Effects of dietary 3 methylthiopropionate on metabolism, growth and hematopoiesis in the rat. Toxicity of protein hydrolysate solutions: Correlation of glutamate dose and neuronal necrosis to plasma amino acid levels in young mice. Effect of aspartame and aspartate loading upon plasma and erythrocyte free amino acid levels in normal adult volun teers.
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On average, daily energy expenditure is higher in men than in women but the diference disappears afer adjustment for the diference in body 161 size and body composition between the sexes. The mean energy expenditure is slightly lower during sleep than during waking hours (3). When expressed per kg, the metabolic rate in the organs is much higher than in skeletal muscle. However, this process requires an excess of energy from carbohydrates and this situation occurs rarely in healthy individuals consuming diets typical for the Nordic countries (11). Physical activity Physical activity (at work or leisure time) is defned as any bodily move ment produced by skeletal muscle that results in energy expenditure (12). Exercise is a subcategory of physical activity and is a voluntary, deliber ate physical activity performed because of anticipated positive efects on physical, psychological, and/or social well-being. This way of quantifying physical activity is based on the assumption that the variation in daily energy expenditure is based on physical activity and body size. Daily physical activity (and physical activity-induced energy expenditure) can be divided into occupational and leisure activities. The latter can be further divided into exercise and non-exercise activities that have difer ent grades of intensity. The associations between physical activity, sedentary lifestyle, and health are described in detail in chapter on physical activity. Energy balance and health Body mass index In obesity, the amount (in kg or as a percentage of body weight) or ana tomical distribution (subcutaneous/visceral or abdominal/truncal) of body fat leads to an increased risk for adverse health efects, particularly type 2 diabetes, cardiovascular diseases, musculo-skeletal disorders, and some forms of cancer. Regardless of whether the amount of body fat or the dis tribution of body fat is used, it is not possible to determine a single point separating normal and healthy body weight from obesity. Body mass index; defnitions of underweight, overweight, and obesity; and health risks for adults 18?64 years of age Body mass index Defnition Morbidity and mortality <18. Other simple measures, such as waist circumference (see head ing Abdominal obesity) might help to assess obesity-related health risks. Many countries also use specifc age-adjusted growth charts (weight-to-height for a given age) to assess overweight and obesity. However, marked obesity is clearly associated with physical disability and difculties in performing activities of daily living (33, 34). These data were obtained from nationally representative surveys, but 165 the values themselves were self-reported. This means that roughly half of the adult population in Nordic countries is either overweight or obese. Because individuals tend to underreport their body weight, the actual prevalence of overweight and obesity is likely to be somewhat higher than shown in the table.
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When your time becomes more satisfactory, your life will also and you will feel better. If pleasant activities help you overcome your depression, they can also help you feel healthier emotionally. In this module (the last 4 sessions) we will be working with your relationships and how they affect how you feel. Being less assertive (not saying what you like/dislike or not knowing how to express your feelings and preferences)? The answer is probably that depression and lack of contact with other people influence one another. If when you feel sad you don?t make an effort at making new friends, your sadness can become depression. Feeling depressed may make you feel less sociable, which will make you even more depressed because you?re spending a lot of time sad and lonely. The contacts we have with our family and friends create a kind of protective social network or "social support network". In general, the stronger the social support we receive, the more we are able to confront difficult situations. Exercise: Recreate your social support network using the diagram on the My Social Support Network worksheet. The adolescent should his/her name in the center circle and in each shape write the name of someone in their network. In discussing this exercise, evaluate the quality and quantity of his/her network and whether it should be expanded or strengthened. Your network is too small if there is no one you trust to talk about your personal matters, if you have no one to go to if you need help, or if you have no friends or acquaintances to do things with. Some examples can be: spending time with people, showing people how you feel about them, being assertive, helping your friends and family, working with negative thoughts that can be harmful to relationships? Contact with others is very important, be it by phone or in person (talk, listen, go out, do activities together). Promote a discussion or list places and ways you can meet new people and make friends. You can say things in a nice way that can help resolve situations and maintain the relationship healthy. Use the Weekly Activities Schedule to write down the types of contacts you had with people each day.