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Efeitos de uma Intervenção Profilática-Terapêutica com Exercício Resistido e Suplementação de Cúrcuma com Óleo de Peixe no Músculo Extensor Longo dos Dedos em Ratos Wistar Submetidos a um Modelo de Artrite Reumatoide

2026-08-21T18:47:01Z

Title: Efeitos de uma Intervenção Profilática-Terapêutica com Exercício Resistido e Suplementação de Cúrcuma com Óleo de Peixe no Músculo Extensor Longo dos Dedos em Ratos Wistar Submetidos a um Modelo de Artrite Reumatoide Autor: Dressler, Vanessa Freitas Primeiro orientador: Bertolini, Gladson Ricardo Flor Abstract: Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease that affects the joints and can cause damage to muscle tissues. It is a disabling condition treated primarily with medication; however, the continuous, long-term use of these drugs can lead to unwanted side effects. Consequently, there is growing interest in low-cost, accessible integrative interventions, such as resistance exercise (RE) and supplementation with turmeric solubilized in fish oil. Therefore, this study aimed to evaluate the morphofunctional and immunological effects of prophylactic and therapeutic interventions involving resistance exercise and turmeric/fish oil supplementation—administered either alone or in combination—on the *extensor digitorum longus* muscle of Wistar rats subjected to an RA model. Sixty-eight male Wistar rats (15 weeks old) were used and divided into six groups: Control Group (GC, n=8), RA Group (GA, n=12), Exercise and Supplementation Group (GES, n=12), RA and Exercise Group (GAE, n=12), RA and Supplementation Group (GAS, n=12), and RA, Exercise, and Supplementation Group (GAES, n=12). A ladder-climbing resistance exercise protocol was employed, consisting of five days of unloaded training for adaptation followed by 16 training sessions on alternate days—eight interventions prior to RA induction and eight afterward. Load progression was set at 25%, 35%, and 50% of body weight, while the number of sets and repetitions remained fixed (three sets of eight repetitions with a two-minute rest interval). Supplementation was administered orally for 31 consecutive days using an adjustable volume pipette; the daily dose was 500 mg/kg of *Curcuma longa* L. dry extract diluted in 500 µL of fish oil to enhance bioavailability. Arthritis (RA) was induced using the Complete Freund's Adjuvant (CFA) model. A baseline assessment was performed on day 1, followed by six functional assessments throughout the study (days 8, 15, 22, 25, 28, and 31) to measure joint edema, grip strength, and nociception. Animals were euthanized on day 32. The extensor digitorum longus (EDL) muscle was harvested and divided into two portions: the proximal portion was processed for morphological analysis of muscle fibers and tissue. Arthritic groups exhibited significant increases in joint edema and higher levels of nociception compared to control groups (p < 0.01). The GES group maintained higher grip strength, whereas arthritic groups showed a reduction in this parameter. These results indicate functional impairment associated with RA that was not fully reversed by the tested interventions. Regarding body weight, the GES group showed a higher mean, with no significant differences in naso-anal length. The GA group exhibited greater EDL muscle weight, while the GES group showed greater muscle length. This finding suggests that inflammatory processes or edema may influence the increase in muscle weight in arthritic animals. Histometric analyses revealed no significant differences in fiber area and diameter, or in the number of capillaries and muscle fibers. However, the GA group showed a higher number of peripheral nuclei and—along with the GAS and GAES groups—a larger nuclear cross-sectional area. The IHP was higher in the GA group, whereas the GAE group displayed characteristics closer to those of the control group. Furthermore, an increase in fibroblasts and disorganization of the extracellular matrix were observed in the GA group, indicating greater structural muscle damage. It was concluded that moderate ladder-based resistance exercise, applied both preventively and therapeutically, was effective in improving the muscle microstructure of the EDL—particularly in the GAE group—but did not yield significant effects on muscle strength or nociception. Thus, the results suggest that the benefits of the interventions were predominantly structural, without a direct correlation to functional improvement during the analyzed period, indicating a need to adjust protocols or intervention durations in future studies. Publisher: Universidade Estadual do Oeste do Paraná Tipo do documento: Dissertação

Modulação dos processos inflamatórios e da morfofisiologia periarticular promovida pelo treinamento resistido preventivo em modelo experimental de artrite reumatoide

2026-08-07T20:43:09Z

Title: Modulação dos processos inflamatórios e da morfofisiologia periarticular promovida pelo treinamento resistido preventivo em modelo experimental de artrite reumatoide Autor: Silva, Flávia Heloísa da Primeiro orientador: Bertolini, Gladson Ricardo Flor Abstract: Introduction: Rheumatoid arthritis (RA) is a chronic, autoimmune, and systemic inflammatory disease, characterized by joint inflammation that causes progressive degradation of joint and periarticular tissues, resulting in pain, stiffness, and functional loss. Associative complementary strategies, such as resistance training, have been explored due to their potential benefits in reducing inflammation and improving patient functionality. However, protocols are applied after the onset of RA symptoms, when the inflammatory process and tissue degradation are already advanced, and little is known about their prophylactic effects. Objective: To analyze the effects of resisted stair climbing exercise (TRSE), as a prophylactic strategy to reduce the inflammatory process and morphofunctional damage in periarticular tissues, in an experimental model of RA. Methods: For this purpose, 34 Wistar rats, with an initial age of 12 weeks, were distributed into four experimental groups: control group (GC, n=9), arthritis group (GA, n=9), exercise group (GE, n=8), and exercise + arthritis group (GEA, n=8). The animals in the exercise groups underwent progressive intensity and volume TRSE for nine weeks, configuring a high-intensity protocol, and were subjected to it before the induction of RA, which was promoted through intra-articular administration of Complete Freund's Adjuvant (CFA). To measure the edema and functionality of the affected limb, five assessments were performed: joint diameter, joint disability, grip strength, nociceptive sensitivity, and motor function. The animals were euthanized in the 11th week of the experiment by a CO2 and guillotine associative method. The following was collected: synovial fluid, for leukocyte migration analysis; peritoneal lavage, for macrophage counting and function analysis; plasma and lymph node, for oxidative system enzyme analysis; the rectus femoris muscle, for histomorphometric and histopathological analyses, fiber typing, histochemistry of the Neuromuscular Junctions – NMJs, and oxidative stress biomarkers. For statistical analysis, the Generalized Linear Model (GLM) was used, through the JAMOVI Program, with a significance level of p<0.05, using post-hoc tests, Tukey, or Bonferroni adjustment. Results: The TRSE promoted the reduction of the inflammatory process, oxidative stress, histopathological index, and intramuscular connective tissue of the rectus femoris in the GEA group, when compared to the GA group. In some markers, such as TNF-α, muscular IL1-β, and plasma SOD activity, there was no difference between the GEA and GE groups. The similarity of superoxide levels, macrophage count, and lysosomal retention between the GEA and GC groups, associated with the reduction of H2O2, NO, and macrophage adhesion rate in the peritoneal lavage, suggests modulation of systemic inflammation by TRSE. However, these outcomes were not reflected in a significant improvement in the functional outcomes assessed. Conclusion: High-intensity preventive TRSE showed a limited protective effect, with a reduction in inflammatory and oxidative markers, partially preserving the morphology of the rectus femoris muscle, without significant functional repercussions. Publisher: Universidade Estadual do Oeste do Paraná Tipo do documento: Tese

A saúde mental de professores de uma escola estadual do Paraná: contribuições da aplicação de técnicas da terapia cognitivo comportamental

2026-08-07T20:21:37Z

Title: A saúde mental de professores de uma escola estadual do Paraná: contribuições da aplicação de técnicas da terapia cognitivo comportamental Autor: Pereira, Elso Alves Primeiro orientador: Machineski, Gicelle Galvan Abstract: Educators face significant challenges that can impact their mental health, including depression, anxiety, stress and emotional difficulties resulting from pressure in the school environment. Health and illness are multifaceted concepts that involve not only physical aspects, but emotional, social and psychological ones. In the educational context, illness can manifest itself in different ways, directly affecting the quality of life of teachers and, consequently, the school environment. This study aimed to identify whether group therapy techniques can reduce levels of stress, anxiety and depression among teachers in the state education system. This is an integrative literature review and descriptive case study field research, carried out in a state school in the city of Cascavel – PR. The integrative literature review was carried out in the Virtual Health Library databases, from July to August 2023, using complete research, in Portuguese, published between 2010 and 2023, with the following descriptors: education, mental health, teachers and Boolean ANDThe studies were organized into synoptic tables containing authors, year, title, methodology and results and classified according to the level of evidence. Being analyzed according to the literature on the subject. The following themes were identified: stress, anxiety and depression among teachers, excessive workload, depersonalization, mental fatigue, lack of recognition. The field research, descriptive of the case study type, was carried out with five readapted teachers from a state school in Western Paraná, from July to September 2022. To this end, all 20 teachers from the school were invited to participate and it was An instrument of questions was applied via Google Forms with the Mental Health Status Questionnaire, in order to identify teachers with some type of mental suffering between regular and very bad, who were invited to participate in the research. Of these, five teachers accepted. The psychological assessment instruments (BFP), Baptista Depression Scale Adult Version (EBADEP-A), and the Brief Symptom and Intervention Inventory (BSI) were then applied. From that moment on, group therapy meetings were held and, at the end, the aforementioned instruments were reapplied. The data obtained was systematized on computerized platforms and described. The study sample was five women, between 44 and 54 years old, with significant professional experience in public education, with ten group therapy meetings lasting 50 minutes. The analysis was carried out after corrections to the instruments, and their scores were displayed in comparative tables. The study findings indicate a reduction in levels of depression, anxiety and stress. These results highlight the importance of psychological support strategies in the educational environment, showing that promoting mental health among teachers is essential not only for the well-being of these professionals, but also for the quality of education offered to students. It is important to emphasize the need for more research and interventions aimed at the mental health of educators, recognizing education as a pillar for social development, but which must be accompanied by psychological support to guarantee the health of its professionals. Publisher: Universidade Estadual do Oeste do Paraná Tipo do documento: Dissertação

O nervo vago influencia o eixo hepcidina-ferro e a histologia do tecido esplênico em ratos Wistar obesos e não obesos induzidos à anemia hemolítica.

2026-07-29T15:04:22Z

Title: O nervo vago influencia o eixo hepcidina-ferro e a histologia do tecido esplênico em ratos Wistar obesos e não obesos induzidos à anemia hemolítica. Autor: Helene, Eveline Cristiane Batista Schmidt Primeiro orientador: Grassiolli, Sabrina Abstract: Introduction: The spleen plays a central role in immune responses and iron recycling through the reticuloendothelial system. Obesity exerts deleterious effects on splenic metabolic and immune activities, as well as on the regulation of endogenous iron, thereby favoring the development of anemia. In this context, the low-grade chronic inflammation characteristic of obesity has been associated with disruption of iron homeostasis, a process that appears to involve alterations in the secretion of hepcidin, the principal hormone regulating systemic iron flow. The parasympathetic branch of the autonomic nervous system, via Vagus Nerve (VN), exerts an anti-inflammatory effect that depends on splenic activity. However, whether this VN-spleen interface modulates iron homeostasis remains unclear. Objective: To evaluate the effects of VN absence on the splenic histology of obese and non-obese rodents induced to hemolytic anemia by phenylhydrazine. Methods: Male Wistar rats were rendered obese through hypothalamic injury induced by subcutaneous administration of monosodium glutamate (MSG; 4 g/kg) from postnatal day 2 to 10 (PND 2–10). Control rats (CTRL) received an equimolar saline solution. On PND 60, MSG (n=32) and CTRL (n=32) rats were randomly assigned into subgroups (n=16) according to the surgical procedures: subdiaphragmatic vagotomy (SV) or sham operation (SHAM). On PND 90, half of the animals in each group (n=8) were induced to hemolytic anemia by intraperitoneal administration of phenylhydrazine (PHZ; 40 mg/kg). On PND 120, animals were weighed and euthanized; whole blood was collected for plasma analysis, including iron and hepcidin quantification. Retroperitoneal white adipose tissue (rWAT) was excised and weighed. The spleen was harvested, weighed, and stored for histological analysis to assess area and morphological aspects of the White Pulp (WP), including the Lymphoid Nodule (LN) and Marginal Zone (MZ), as well as Red Pulp (RP) area. Results: MSG-treated animals developed obesity, associated with hypertriglyceridemia, insulin resistance (IR), and decreased circulating iron and hepcidin concentrations, along with reduced spleen weight, decreased WP and RP areas, and increased iron deposition compared to CTRL rats. In both CTRL and MSG groups, SV reduced body weight and adiposity and increased stomach weight. In the CTRLSV group, worsened TG and IR were observed, accompanied by reduced plasma hepcidin levels and increased hemosiderin deposits in splenic tissue. In CTRLPHZ animals, spleen weight was increased, with no significant histological changes, except for a reduced number of WP per field due to PHZ. However, in MSGSV animals, TG levels decreased, IR and fasting glycemia improved, and plasma hepcidin concentration increased – an effect enhanced in the MSGSV+PHZ group. The area and number of WP per field were greater in the MSGSV group. MSGPHZ rats exhibited splenomegaly and increased hemosiderin deposition, with a reduction in LN area and an increase in RP area. Conclusion: Rats with hypothalamic obesity present alterations in the hepcidin-iron axis, with greater splenic iron accumulation. The absence of vagal signaling increases iron deposition in splenic tissue and exerts opposite effects on hepcidin concentration in healthy and obese rats. Publisher: Universidade Estadual do Oeste do Paraná Tipo do documento: Dissertação