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Massimo Lanza

    Massimo Lanza

    The purpose of this communication is to illustrate the Physical Education teachers’ initial preparation in Italy through an historical, epistemological and methodological perspective; we think that the study of the evolution of teachers’... more
    The purpose of this communication is to illustrate the Physical Education teachers’ initial preparation in Italy through an historical, epistemological and methodological perspective; we think that the study of the evolution of teachers’ training could be a useful tool to analyse the educational phenomena and the role of the school in the society. After a long period of stasis, in the last four years a process of general renewal of the educational institutions at every level has begun in Italy, from primary school to university. This trial foresees the revision of the curricula and the disciplinary contents, articulates university training in two cycles of study and individuates new formalities for the preparation and the selection of teachers. For the first time a postgraduate course for the initial preparation of teachers (named SSIS, School of Specialisation for Secondary School Teachers) has been activated in the 1999-2000 academic year. In a school system that is changing, it m...
    Lo scopo di questa comunicazione è di illustrare la formazione iniziale degli insegnanti di Educazione fisica in Italia attraverso una prospettiva storica, epistemologica e metodologica; noi pensiamo che lo studio dell'evoluzione della... more
    Lo scopo di questa comunicazione è di illustrare la formazione iniziale degli insegnanti di Educazione fisica in Italia attraverso una prospettiva storica, epistemologica e metodologica; noi pensiamo che lo studio dell'evoluzione della preparazione degli insegnanti possa essere un utile strumento di analisi del fenomeno educativo e del ruolo della scuola nella società.
    The aim of this study was to assess the changes in muscle fiber conduction velocity (CV), as a sign of fatigue during knee extensor contraction in patients with chronic obstructive pulmonary disease (COPD) as compared with healthy... more
    The aim of this study was to assess the changes in muscle fiber conduction velocity (CV), as a sign of fatigue during knee extensor contraction in patients with chronic obstructive pulmonary disease (COPD) as compared with healthy controls. Eleven male patients (5 with severe and 6 with moderate COPD; age 67 ± 5 years) and 11 age-matched healthy male controls (age 65 ± 4 years) volunteered for the study. CV was obtained by multichannel surface electromyography (EMG) from the vastus lateralis (VL) and medialis (VM) of the quadriceps muscle during isometric, 30-second duration knee extension at 70% of maximal voluntary contraction. The decline in CV in both the VL and VM was steeper in the severe COPD patients than in healthy controls (for VL: severe COPD vs. controls -0.45 ± 0.07%/s; p < 0.001, and for VM: severe COPD vs. controls -0.54 ± 0.09%/s, p < 0.001). No difference in CV decline was found between the moderate COPD patients and the healthy controls. These findings suggest that severe COPD may impair muscle functions, leading to greater muscular fatigue, as expressed by CV changes. The results may be due to a greater involvement of anaerobic metabolism and a shift towards fatigable type II fibers in the muscle composition of the severe COPD patients.
    Over the past decade, linear and nonlinear surface electromyography (EMG) variables highlighting different components of fatigue have been developed. In this study, we tested fractal dimension (FD) and conduction velocity (CV) rate of... more
    Over the past decade, linear and nonlinear surface electromyography (EMG) variables highlighting different components of fatigue have been developed. In this study, we tested fractal dimension (FD) and conduction velocity (CV) rate of changes as descriptors, respectively, of motor unit synchronization and peripheral manifestations of fatigue. Sixteen elderly (69  ±  4 years) and seventeen young (23  ±  2 years) physically active men (almost 3-5 h of physical activity per week) executed one knee extensor contraction at 70% of a maximal voluntary contraction for 30 s. Muscle fiber CV and FD were calculated from the multichannel surface EMG signal recorded from the vastus lateralis and medialis muscles. The main findings were that the two groups showed a similar rate of change of CV, whereas FD rate of change was higher in the young than in the elderly group. The trends were the same for both muscles. CV findings highlighted a non-different extent of peripheral manifestations of fatigue between groups. Nevertheless, FD rate of change was found to be steeper in the elderly than in the young, suggesting a greater increase in motor unit synchronization with ageing. These findings suggest that FD analysis could be used as a complementary variable providing further information on central mechanisms with respect to CV in fatiguing contractions.
    In this paper we have demonstrated for the first time that 4 months of resistance (RES) or aerobic (AER) training are equally effective in reducing hepatic fat content among sedentary type 2 diabetes subjects with NAFLD. This study was a... more
    In this paper we have demonstrated for the first time that 4 months of resistance (RES) or aerobic (AER) training are equally effective in reducing hepatic fat content among sedentary type 2 diabetes subjects with NAFLD. This study was a sub-project of the RAED2 Study, a RCT aimed at comparing the metabolic effects of RES and AER training in diabetic patients.
    The aims of this paper were: 1) to evaluate the feasibility of test for evaluating physical fitness (PF) in patients with anorexia nervosa (AN); 2) to investigate the effects of nutritional rehabilitation in this population of patients;... more
    The aims of this paper were: 1) to evaluate the feasibility of test for evaluating physical fitness (PF) in patients with anorexia nervosa (AN); 2) to investigate the effects of nutritional rehabilitation in this population of patients; and 3) to compare their level of fitness scores (at baseline and after weight restoration) with an age-matched healthy control group. PF was assessed with an adapted version of the Eurofit Physical Fitness Test Battery (EPFTB) administered to 37 consecutive female AN patients, at baseline and after weight restoration, and to 57 healthy age-matched females. The inpatient treatment, based on cognitive behavior therapy, was associated with a significant improvement in BMI (from 14.5±1.5 to 18.8±1.1, P<0.001) and in 5 out of 6 EPFTB tests (P<0.05) in the AN group. However, both in pre and post, AN patients showed significant lower EPFTB than the control group (all P<0.001) with the exception of the Sit-Up score. Results indicated that PF is lowe...
    Both aerobic (AER) and resistance (RES) training, if maintained over a period of several months, reduce HbA1c levels in type 2 diabetes subjects. However, it is still unknown whether the short-term effects of these types of exercise on... more
    Both aerobic (AER) and resistance (RES) training, if maintained over a period of several months, reduce HbA1c levels in type 2 diabetes subjects. However, it is still unknown whether the short-term effects of these types of exercise on blood glucose are similar. Our objective was to assess whether there may be a difference in acute blood glucose changes after a single bout of AER or RES exercise. Twenty-five patients participating in the RAED2 Study, a RCT comparing AER and RES training in diabetic subjects, were submitted to continuous glucose monitoring during a 60-min exercise session and over the following 47 h. These measurements were performed after 10.9+0.4 weeks of training. Glucose concentration areas under the curve (AUC) during exercise, the subsequent night, and the 24-h period following exercise, as well as the corresponding periods of the non-exercise day, were assessed. Moreover, the low (LBGI) and high (HBGI) blood glucose indices, which summarize the duration and extent of hypoglycaemia or hyperglycaemia, respectively, were measured. AER and RES training similarly reduced HbA1c. Forty-eight hour glucose AUC was similar in both groups. However, a comparison of glucose AUC during the 60-min exercise period and the corresponding period of the non-exercise day showed that glucose levels were lower during exercise in the AER but not in the RES group (time-by-group interaction p = 0.04). Similar differences were observed in the nocturnal periods (time-by-group interaction p = 0.02). Accordingly, nocturnal LBGI was higher in the exercise day than in the non-exercise day in the AER (p = 0.012) but not in the RES group (p = 0.62). Although AER and RES training have similar long-term metabolic effects in diabetic subjects, the acute effects of single bouts of these exercise types differ, with a potential increase in late-onset hypoglycaemia risk after AER exercise. ClinicalTrials.gov NCT01182948.
    The aim of this study was to compare objective and subjective assessments of physical activity (PA) in patients with anorexia nervosa and its effect on treatment outcome. Both Actiheart (AH) and International Physical Activity... more
    The aim of this study was to compare objective and subjective assessments of physical activity (PA) in patients with anorexia nervosa and its effect on treatment outcome. Both Actiheart (AH) and International Physical Activity Questionnaire (IPAQ) were used to assess PA in 52 female patients with anorexia nervosa during the first week of inpatient treatment. No correspondence between PA estimated by IPAQ, which had a tendency to underestimate PA, and that measured using AH emerged. However, a significant association was found between the change in Eating Disorder Examination global score at the end of the treatment and light PA measured by AH (beta = -0.12, t = -2.44, P = 0.019), but not that estimated by IPAQ. PA in patients with anorexia nervosa is underestimated by subjective assessment when compared with objective measurement. Only time spent in light PA, assessed objectively with AH, showed a negative association with improvement in eating disorder psychopathology.
    The aims of this study were: (i) to measure the exercise intensity (EI) of the most common water-based exercises (WE) at different movement frequencies (f1 = 1.8-2.0 Hz; f2 = 2.0-2.2 Hz; f3 = 2.2-2.4 Hz) and at a standardize... more
    The aims of this study were: (i) to measure the exercise intensity (EI) of the most common water-based exercises (WE) at different movement frequencies (f1 = 1.8-2.0 Hz; f2 = 2.0-2.2 Hz; f3 = 2.2-2.4 Hz) and at a standardize movement's amplitude; (ii) to measure EI during a combination (MIX) of these WE. Five WE were selected: "running raising the knees high" (S); "jumping moving the legs sideways" (SJ); "jumping moving the legs backward and forward" (FJ); "alternate forward kicks" (FK); "alternate sideways kicks" (SK). Twelve physically active women were asked to perform these WE at the three frequencies, as well as a combination (MIX) of the WE. EI increased significantly (p < 0.01) with increasing frequency; as an average, for all WE: VO2 ranged from 18 to 25 ml kg(-1) min(-1), HR from 102 to 138 bpm, RPE from 9.8 to 14.4 (at f1 and f3, respectively). In terms of % VO2max, EI ranged from 37 to 54% for S, was similar for SJ and FJ (31-43%) and for FK and SK (47-63%) at f1 and f3, respectively. Thus, a given EI can be attained either by changing the type of exercise and/or the frequency of the movement. The combination of exercises did not change (in terms of VO2, HR and RPE) the intensity of each exercise performed separately. These data can be utilized to control, in terms of exercise type and frequency, the intensity of a proposed water-based activity.