Dergiler / Dicle Tıp Dergisi / 2016 / Cilt: 43 - Sayı: 1

The Effects of Short-Term Intensive Exercise on Levels of Liver Enzymes and Serum Lipids in Kick Boxing Athletes

Determining a Safe Time for Oral Intake Following Pediatric Sedation

Sayfa
130–134
DOI
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Özet

Objective: In this study, it was aimed to evaluate the effects of short-term intensive exercise on liver enzymes and serum lipid levels with kick boxing athletes.Methods: 23 voluntary athletes who were between the ages of 15-46 and who engaged in kick–boxing have taken place this study. Athletes were made to do 45 minutes of warming-up, breathing, and stretching and 50 minutes of technical and tactical practices and then they were made to do a training match, which is equal to a 2 minutes 3 circuits (1 minute rest) kick-box match. In venous blood samples which were taken from athletes before and after training, aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP) and gamma glutamine transpeptidase (GGT), enzyme activity and total cholesterol, high-density lipoprotein-cholesterol (HDL-C), low density lipoprotein-cholesterol (LDL-C) and triglycerides serum levels were analyzed via spectrophotometric method in Beckman Coulter AU 5800 auto analyzer. Body composition measurements of athletes were made with Tanita TBF 300 brand device, which works with bio-impedance analysis (BIA) system.Results: As a result of our study, statistically increases in serum ALT, AST, ALP and GGT enzyme activities and in serum total cholesterol, HDL-C and LDL-C levels were detected following short-term intensive exercise, but no significant difference was observed in TG levels after intensive exercise.Conclusion: The blows to the abdomen during kickboxing sports competitions result in increased liver enzymes and increased serum lipids may occur to meet energy demand of the body during exercise.Key words: Training, kickboxing, liver enzymes, lipids

Abstract

Objective: While there are suggestions for oral hydration times after general anesthesia, there is no published study with regard to sedation. The aim of this prospective study was to determine a safe time for oral intake after pediatric sedation and its association with nausea and vomiting after discharge.Methods: A total of 180 children (aged 1 month to 13 years) sedated for magnetic resonance imaging were randomly assigned into three groups. All patients fasted for 6 hours and were allowed to take clear fluids until 2 hours before sedation with thiopental (3 mg/kg). After the patients were transported to the recovery room, we allowed the patients to drink as much clear fluids as they wanted prior to discharge in group I, 1 hour after the patients met the discharge criteria for group II, and 2 hours after the patients met the discharge criteria for group III. All patients were assessed for vomiting in the recovery room until 1 hour after their first oral hydration. The parents were then telephoned the next day and questioned regarding nausea/vomiting and any unanticipated hospital admission.Results: There were no statistically significant intergroup differences with respect to age, sex, weight, or the ASA status. There was no nausea and vomiting in either the recovery or post discharge period in any group. In the telephone questionnaire, no hospital admissions were reported.Conclusion: Oral hydration just before discharge is safe, and fasting children after discharge for a period of time is unnecessary for patients sedated with thiopental.Key words: Sedation, oral intake, postoperative nausea and vomiting

Anahtar kelimeler: Antrenman, kick boks, karaciğer enzimleri, lipitler