CLINICS is an electronic journal that publishes peer-reviewed articles in continuous flow, of interest to clinicians and researchers in medical and biomedical sciences.
Edited by: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP)
CLINICS is an electronic journal that publishes peer-reviewed articles in continuous flow, of interest to clinicians and researchers in medical and biomedical sciences.
Edited by: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP)
01/Feb/2021
Thalyta Nery Carvalho Pinto , Juliana Ruiz Fernandes , Liã Barbara Arruda , Alberto José da Silva Duarte , Gil Benard
DOI: 10.6061/clinics/2021/e2432
OBJECTIVES: Telomeres are a terminal “DNA cap” that prevent chromosomal fusion and degradation. However, aging is inherent to life, and so is the loss of terminal sequences. Telomerase is a specialized reverse transcriptase encoded by self-splicing introns that counteract chromosome erosion. Telomerase activity is observed during early embryonic development, but after the blastocyst stage, the expression of telomerase reduces. The consequences of either insufficient or unrestrained telomerase activity underscore the importance of ongoing studies aimed at elucidating the regulation of […]
Keywords: Aging; Real-Time Polymerase Chain Reaction; Telomerase; telomere
18/Jan/2021
Maria de Fátima Ferreira de Oliveira , Pedro de Lemos Menezes , Aline Tenório Lins Carnaúba , Liliane Desgualdo Pereira , Kelly Cristina Lira de Andrade , Ana Claudia Figueiredo Frizzo , [...]
DOI: 10.6061/clinics/2021/e1567
OBJECTIVE: To evaluate the relationship between cognitive performance and long-latency auditory evoked potentials in an elderly population. METHODS: The sample consisted of adults between 20 and 58 years of age and elderly adults between 60 and 70 years of age. The screening procedures adopted were an inspection of the external auditory canal, tonal and vocal audiometry, tympanometry, brain stem auditory evoked potential, the Montreal Cognitive Assessment test, and long-latency auditory evoked potential. RESULTS: The latency and amplitude values of cortical […]
Keywords: Aging; Cognitive Dysfunction; Evoked potentials
26/Nov/2020
Marina Buchpiguel , Pedro Rosa, Paula Squarzoni, Fabio L.S. Duran, Jaqueline H. Tamashiro-Duran, Claudia C. Leite, [...]
DOI: 10.6061/clinics/2020/e2245
OBJECTIVES: Although a large number of studies have shown brain volumetric differences between men and women, only a few investigations have analyzed brain tissue volumes in representative samples of the general elderly population. We investigated differences in gray matter (GM) volumes, white matter (WM) volumes, and intracranial volumes (ICVs) between the sexes in individuals older than 66 years using structural magnetic resonance imaging (MRI). METHODS: Using FreeSurfer version 5.3, we obtained the ICVs and GM and WM volumes from the […]
Keywords: Aging; Brain; Gray Matter; Magnetic Resonance Imaging; Sexual Dimorphism; White Matter
10/Nov/2020
Hilana Rickli Fiuza Martins , Talita G. Gnoato Zotz , Sabrina Peviani Messa , Luiz Guilherme A. Capriglione , Rafael Zotz, Lucia Noronha , [...]
DOI: 10.6061/clinics/2020/e1769
OBJECTIVES: To determine the effects of three sessions of a passive stretching exercise protocol on the muscles of elderly female rats. METHODS: The effects of the stretching exercises on the soleus muscle were analyzed using immunohistochemistry [tissue inhibitors of matrix metalloproteinases (TIMP), the tumor necrosis factor-alpha (TNF-α), and the gene expression levels using real-time PCR of the transforming growth factor-beta 1 (TGF-β1), collagen type 1 (COL1), and collagen type 3 (COL3)]. Fifteen 26-month-old female Wistar rats were randomly divided into […]
Keywords: Aging; Extracellular matrix; Muscle Stretching Exercise; Musculoskeletal System; Rats
02/Nov/2020
Marta Ferreira Bastos , Manuella de Sousa Toledo Matias, Angélica Castilho Alonso , Léia Cristina Rodrigues Silva, Adriana Ladeira de Araújo, Paulo Roberto Silva, [...]
DOI: 10.6061/clinics/2020/e1628
OBJECTIVES: Immunosenescence is an age-associated change characterized by a decreased immune response. Although physical activity has been described as fundamental for maintaining the quality of life, few studies have evaluated the effects of different levels of exercise on telomere length in aged populations. The present study aimed to analyze the effects of different levels of physical activity, classified by the Maximal oxygen consumption (VO2 max) values, on the telomere length of memory Cluster of differentiation (CD) CD4+(CD45ROneg and CD45RO+), effector […]
Keywords: Aging; CD28; Exercise; Immunosenescence; Physical Fitness; T Cells; telomere
26/Mar/2020
Kelem de Negreiros Cabral , Guilherme Carlos Brech , Angelica Castilho Alonso , Aline Thomaz Soares , Davi Camara Opaleye , Julia Maria D’Andrea Greve , [...]
DOI: 10.6061/clinics/2020/e1409
OBJECTIVE: This study aimed to evaluate if posturography can be considered a recurrent fall predictor in elderly individuals. METHODS: This was a cross-sectional study. A total of 124 subjects aged 60 to 88 years were evaluated and divided into two groups—the recurrent fallers (89) and single fallers (35) groups. Patients’ sociodemographic characteristics were assessed, and clinical testing was performed. The functional test assessment instruments used were timed up and go test (TUGT), Berg Balance Scale (BBS), five times sit-to-stand test, […]
Keywords: Accidental Falls; Aging; Postural Balance; Risk factors
07/Jan/2020
Hipólito Virgilio Magalhães Junior , Leandro de Araújo Pernambuco , Renata Veiga Andersen Cavalcanti , Kenio Costa Lima , Maria Angela Fernandes Ferreira
DOI: 10.6061/clinics/2020/e1425
OBJECTIVE: This research aimed to identify evidence of validity of a self-reported Oropharyngeal Dysphagia screening questionnaire for older adults based on test content, response processes, internal structure, relations to other variables, and reliability. METHOD: This is a nonrandomized, cross-sectional study employing the concepts and principles of the Standards for Educational and Psychological Testing. Data were collected from 644 community-dwelling older adults (both genders, age: ≥60 years) who agreed to participate in some steps of the validation process. Statistical methods obtained […]
Keywords: Aging; Deglutition Disorders; Epidemiology; Mass Screening; Validation Studies
06/Sep/2019
Talita Gianello Gnoato Zotz , Rafael Zotz, Ana Tereza Bittencourt Guimarães , Eduard Goossen, Anna Raquel Silveira Gomes
DOI: 10.6061/clinics/2019/e629
OBJECTIVE: How much force is needed to stretch skeletal muscle is still unknown. The aim of this study was to develop a device that mechanically stretches rat muscle to compare the force (N) required to stretch the soleus muscle of young and aged rats and the tibio-tarsal angle joint at neutral and stretched positions. METHODS: Twelve female Wistar rats were divided into two groups: a young group (YG, n=6, 311±11 g) of rats 3 months old and an aged group […]
Keywords: Aging; Force; Muscle Stretching Exercise; Rats
11/Jul/2019
Mari L. Sbardelotto, Rochelle R. Costa , Karine A. Malysz, Giulia S. Pedroso, Bárbara C. Pereira, Helen R. Sorato, [...]
DOI: 10.6061/clinics/2019/e833
OBJECTIVES: Progressive decline of physiological processes with aging is normal. Aging is also associated with decreased functional capacity and onset of many diseases. This study evaluated the changes in physical fitness (PF), body composition (BC), and lipid profile (LP) in elderly men completing different training protocols. METHODS: Fifty-five men (age 60-80 years) were randomized into the following groups: without training, aerobic training on dry land, combined training on dry land, and combined training in water. Training was conducted for 8 […]
Keywords: Aging; Lipid Profile; Physical Exercise; Physical Fitness
27/Feb/2019
Siti Madiani Abdul Ghani , Jo Aan Goon , Nor Helwa Ezzah Nor Azman , Siti Nor Asyikin Zakaria, Zalina Hamid, Wan Zurinah Wan Ngah
DOI: 10.6061/clinics/2019/e688
OBJECTIVES This study aims to compare the differential gene expression resulting from tocotrienol-rich fraction and α-tocopherol supplementation in healthy older adults. METHODS A total of 71 eligible subjects aged 50 to 55 years from Gombak and Kuala Lumpur, Malaysia, were divided into three groups and supplemented with placebo (n=23), α-tocopherol (n=24) or tocotrienol-rich fraction (n=24). Blood samples were collected at baseline and at 3 and 6 months of supplementation for microarray analysis. RESULTS The number of genes altered by α-tocopherol […]
Keywords: Aging; Gene; Microarray; Tocopherol; Tocotrienol
25/Oct/2018
Patricia Rehder-Santos, Vinicius Minatel, Bruno Araújo Ribeiro, Richard Ducatti, Silvia Cristina Garcia de Moura-Tonello, Meliza Goi Roscani, [...]
DOI: 10.6061/clinics/2018/e439
OBJECTIVE: The objective of this study was to investigate the interaction among the determinants of expiratory flow limitation (EFL), peak oxygen uptake (VO2peak), dysanapsis ratio (DR) and age during cycling at different intensities in young and middle-aged men. METHODS: Twenty-two (11 young and 11 middle-aged) men were assessed. Pulmonary function tests (DR), cardiopulmonary exercise tests (VO2peak) and two constant load tests (CLTs) at 75% (moderate intensity) and 125% (high intensity) of the gas exchange threshold were performed to assess EFL. […]
Keywords: Aging; Exercise; Healthy Individuals; Physical Activity; Pulmonary System
10/Jul/2018
Roberta Luksevicius Rica, Eliane Florencio Gama, Alexandre Fernandes Machado, Angélica Castilho Alonso, Alexandre L. Evangelista, Aylton Figueira-Junior, [...]
DOI: 10.6061/clinics/2018/e290
OBJECTIVE: This study aims to evaluate whether body image satisfaction improves with practice in resistance training in elderly women. METHODS: Forty women were selected and randomly divided into an untrained group (UN) group and a group trained in resistance exercises (RT). To evaluate body image satisfaction, the silhouette matching task was used. RESULTS: No differences were found between current (5.45±0.24) and ideal (4.7±0.12) silhouettes in the RT group. However, the UN group showed a significant difference (p
Keywords: Aging; Body Image; Older Women; Resistance Training
01/Aug/2017
Jun-Sung Kim, So-Hyeon Kim, Sang-Kyu Park
DOI: 10.6061/clinics/2017(08)07
OBJECTIVE: The free radical theory of aging suggests that cellular oxidative damage caused by free radicals is a leading cause of aging. In the present study, we examined the effects of a well-known anti-oxidant amino acid derivative, selenocysteine, in response to environmental stress and aging using Caenorhabditis elegans as a model system. METHOD: The response to oxidative stress induced by H2O2 or ultraviolet irradiation was compared between the untreated control and selenocysteine-treated groups. The effect of selenocysteine on lifespan and […]
Keywords: Aging; C elegans; Lifespan; Selenocysteine; Stress response
01/Apr/2017
José Messias Rodrigues-da-Silva, Márcia Uchoa de Rezende, Tânia Carvalho Spada, Lucila da Silva Francisco, Júlia Maria D'Andréa Greve, Emmanuel Gomes Ciolac
DOI: 10.6061/clinics/2017(04)02
OBJECTIVES: To analyze the effects of motor learning on knee extension-flexion isokinetic performance in knee osteoarthritis patients. METHODS: One hundred and thirty-six middle-aged and older sedentary individuals (111 women, 64.3±9.9 years) with knee osteoarthritis (130 patients with bilateral) and who had never performed isokinetic testing underwent two bilateral knee extension-flexion (concentric-concentric) isokinetic evaluations (5 repetitions) at 60°/sec. The tests were first performed on the dominant leg with 2 min of recovery between test, and following a standardized warm-up that included […]
Keywords: Aging; Isokinetic; Knee; Muscle Strength; Osteoarthritis
01/Sep/2016
Raphael Mendes Ritti-Dias, Gabriel Grizzo Cucato, Fábio Gazelato de Mello Franco, Maysa Seabra Cendoroglo, Fábio Nasri, Maria Luiza Monteiro-Costa, [...]
DOI: 10.6061/clinics/2016(09)06
OBJECTIVE: The aim of the present study was to verify if there is sex difference in the associations among handgrip strength, peak expiratory flow (PEF) and timed up and go (TUG) test results. METHODS: The sample included 288 consecutive elderly men (n=93) and women (n=195). Functional capacity was measured using the TUG test, and muscle strength was measured based on handgrip. Moreover, as a measure of current health status, PEF was evaluated. Linear regression procedures were performed to analyze the […]
Keywords: Aging; Elderly; Mobility; Pulmonary Function; Strength