Changes in bone mass and body composition after bariatric surgery.

Aim: To analyze the effects of body weight loss on bone mineral density (BMD) on hip (Hip BMD) and lumbar spine (Lumbar BMD) after six months of bariatric surgery. Bariatric surgery is an effective treatment for morbid obesity. Nonetheless, there are scant data on the effect of weight bearing on bone structure.Material and methods: Seventeen obese women aged 41.2 ± 11.3 yrs. who underwent Roux-en-Y gastric bypass (RYGB) were included. Body composition assessments were performed through dual-energy X-ray absorptiometry immediately before and after 6-months RYGB. Data collected pre- and post-RYGB included total body weight, body mass index (BMI), lean body mass (LM), fat mass (FM) and bone mineral content. The pre- (PRE) and post-operative (POST) results were compared.Results: Lumbar BMD POST presented a non-significant loss of 1.8% whereas Hip BMD POST showed a significant loss of 17.8%. The analysis demonstrated that BMI and LM PRE explained 26% and 49%, respectively, of Hip BMD PRE variability. In addition, LM POST explained 30% of hip BMD POST variability and was not significant for Lumbar BMD POST.Conclusions: Obesity and rapid weight loss showed direct influence in Hip BMD after six months of bariatric surgery. However, its effect on the lumbar spine area was smaller due to the higher capacity of the spine to dissipate loads through its curvature.

Influence of fish oil supplementation and strength training on some functional aspects of immune cells in healthy elderly women.

Immune function changes with ageing and is influenced by physical activity (strength training, ST) and diet (fish oil, FO). The present study investigated the effect of FO and ST on the immune system of elderly women. Forty-five women (64 (sd 1.4) years) were assigned to ST for 90 d (ST; n 15), ST plus 2 g/d FO for 90 d (ST90; n 15) or 2 g/d FO for 60 d followed by ST plus FO for 90 d (ST150; n 15). Training was performed three times per week, for 12 weeks. A number of innate (zymosan phagocytosis, lysosomal volume, superoxide anion, peroxide of hydrogen) and adaptive (cluster of differentiation 4 (CD4), CD8, TNF-α, interferon-γ (IFN-γ), IL-2, IL-6 and IL-10 produced by lymphocytes) immune parameters were assessed before supplementation (base), before (pre-) and after (post-) training. ST induced no immune changes. FO supplementation caused increased phagocytosis (48 %), lysosomal volume (100 %) and the production of superoxide anion (32 %) and H2O2(70 %) in the ST90. Additional FO supplementation (ST150) caused no additive influence on the immune system, as ST150 and ST90 did not differ, but caused greater changes when compared to the ST (P< 0·05). FO increased CD4+ and CD8+ lymphocytes in the ST150, which remained unchanged when training was introduced. The combination of ST and FO reduced TNF-α in the ST150 from base to post-test. FO supplementation (ST150, base-pre) when combined with exercise (ST150, pre-post) increased IFN-γ, IL-2, IL-6 and IL-10 production. The immune parameters improved in response to FO supplementation; however, ST alone did not enhance the immune system.

The Use of a Just Noticeable Difference Approach to Improve Perceptual Acuity Ability in Male Runners.

We were interested in micro-variations in an athlete's psychophysical state that separate peak exertion from physiological collapse. Thus, we measured perceptual acuity in runners using a classic psychophysical approach, the just noticeable difference (JND) on two standard stimuli runs at treadmill speed corresponding to 70%VO2max and 80%VO2max. Thirty-four male runners (M age = 35.26, SD = 7.33 years) first performed a maximal treadmill test to determine the speed of a standard exercise bout for the JND trials. The JND trials consisted of four 5-minute running bouts on a treadmill with 5-minute rests between bouts. For bouts 1 and 3, participants ran at the standard stimuli pace, but for bouts 2 and 4, they adjusted their speeds to achieve a level of exertion at a JND above/below the SS. They achieved differences in the final 30 seconds of the VO2 between each JND bout and the previous standard stimuli at just above (JND-A) and just below (JND-B) the JND perceived exertions. We used a Generalized Linear Model analysis to compare the JND-A and JND-B within and between ventilatory threshold groups (lower/higher) in absolute and relative VO2 and in terms of the total JND magnitude. The magnitude of JND-A was greater than that of JND-B at 70%VO2max and 80%VO2max in absolute units (70%VO2 Δ = 2.62; SE = 0.37; p < .001; 80%VO2 Δ = 1.67; SE = 0.44; p = .002) and in relative units (70%VO2max Δ = 4.70; SE = 0.66; p < .001; 80%VO2max Δ = 2.96; SE = 0.80; p = .002). The total magnitude was greater in the 70%VO2max trial than 80%VO2max in absolute units (70%VO2 M = 3.78, SE = 0.31 mL·kg-1·min-1; 80%VO2 M = 2.62, SE = 0.37 mL·kg-1·min-1; p = .020) and in relative units (70%VO2max M = 6.57, SE = 0.53%VO2max; 80%VO2max M = 4.71, SE = 0.64%VO2max; p = .030). The JND range narrowed when physiologic demand increased, for both physical (speed) and psychological (RPE) variables.

Just noticeable difference in perception of physical exertion during cycle exercise in young adult men and women.

The purpose of this investigation was to describe the just noticeable difference (JND) in perceived exertion during cycle exercise. Males (n = 20) and females (n = 26) (21.4 ± 3.1 year) performed load-incremented cycle exercise to peak intensity. At the end of each minute, subjects rated their overall-body perceived exertion using the OMNI (0-10) rating of perceived exertion (RPE) scale. Individual regression derived the power output (PO) corresponding to RPE 5. This PO served as the standard stimulus (SS). On a separate occasion, four 5-min cycling bouts were performed with 5 min rest between bouts. During bouts 1 and 3 subjects cycled at the SS. During bouts 2 and 4 subjects adjusted the resistance to achieve a level of exertion just noticeably above/below the SS. The difference in final 30-s oxygen consumption (VO2) and PO between each JND bout and the previous SS were the above (JND-A) and below (JND-B) perceived exertion JNDs. JND-A and JND-B were compared between genders and between subjects exhibiting lower versus higher ventilatory threshold (VT) and VO(2PEAK) within genders for VO2 (l · min(-1), %VO(2PEAK)) and PO (W, %SS). JND-B was significantly (P < 0.05) greater than JND-A for VO2 and PO, when expressed in absolute (l · min(-1), W) and relative units (%VO(2PEAK), %SS). Males exhibited greater JND values than females in absolute, but not relative, units. Subjects with lower and higher VT and VO(2)PEAK exhibited similar JND values. The JND can serve as an effective tool to measure perceptual acuity and to determine individual ability to self-regulate prescribed exercise intensities.

Is the self-selected resistance exercise intensity by older women consistent with the American College of Sports Medicine guidelines to improve muscular fitness?

The purpose of this study was to verify the self-selected intensity during resistance training (RT) in older women. Twenty healthy women (mean age, 65.6 years) underwent a 2-week familiarization period followed by 3 experimental sessions. During the first session, anthropometric measurements were taken. The second session involved completion of a 1 repetition maximum (1RM) test for the following exercises: chest press, leg press, lat pull-down, leg extension, lateral shoulder raise, leg curl, biceps curl, and triceps pushdown. Last, a single RT session was performed at a self-selected intensity. During the RT session, participants were instructed to self-select a load for performing 3 sets of 10-15 repetitions. Data were analyzed by mean (SD) and analysis of variance with repeated measures (p < 0.05). Global mean of the 3 sets was bench press 41.0% 1RM (11.9), leg press 43.0% 1RM (17.2), lat pull-down 47.2% 1RM (11.1), leg extension 33.0% 1RM (8.1), lateral shoulder raise 51.1% 1RM (12.1), leg curl 43.5% 1RM (8.8), biceps curl 48.0% 1RM (15.5), and triceps pushdown 51.7% 1RM (13.3); there were no significant differences between the sets (p > 0.05). These results indicate that inactive older women self-selected an intensity exercise during RT below the recommendation for improvements on muscle fitness in apparently healthy older adults. However, this intensity is recommended for very deconditioned individuals. Nevertheless, the use of self-selection strategy during an exercise program can have greater advantages because of its easy applicability, its positive relation with exercise adherence, and for promoting initial muscle conditioning in older adults. Furthermore, it is crucial to gradually increase the RT load to guarantee better and sustainable effects on muscle fitness. Finally, future studies are needed to establish the chronic effects of RT at self-selected intensity on muscle fitness and the functional health of older adults.

Concurrent validity of an OMNI rating of perceived exertion scale for bench stepping exercise.

To develop and validate a modified OMNI rating of perceived exertion (RPE) scale for use during bench stepping exercise (OMNI-BS). Thirty women (age: 19.8 ± 1.8 years) undertook 2 experimental trials, separated by 7 days. Concurrent validity was established by examining the relation between physiological criterion variables, oxygen consumption (VO2), and heart rate (HR), with the concurrent variable, RPE from OMNI-BS, during 2 trials in which the intensity increased linearly (test 1) and intermittently (test 2). The first test consisted of 3-minute stages. Subjects stepped up and down on the bench at 120 b·min(-1). The test was terminated owing to subject fatigue. Exercise intensity increased as bench height increased every 3 minutes. The second test consisted of three 3-minute exercise bouts that reproduced exercise stage 1 (low intensity), stage 3 (moderate intensity), and stage 5 (high intensity) performed in the first test. The order of these 3 exercise bouts was counterbalanced. Intraclass correlation analysis from experimental trials indicated a strong positive association between RPE and VO2 (r = 0.96 and r = 0.95) and HR (r = 0.95 and r = 0.95). Concurrent validity for the OMNI-BS RPE scale was established for women performing bench stepping exercise.

Effect of body mass index on affect at intensities spanning the ventilatory threshold.

The aim of this study was to compare acute affective responses at exercise intensities based on the ventilatory threshold between normal weight, overweight, and obese women. 66 sedentary women (22 in each Body Mass Index group) performed a maximal graded treadmill test to measure their maximal oxygen uptake and ventilatory thresholds. Affective valence was compared at intensities spanning the ventilatory threshold (below, at, and above threshold). Affective valence below ventilatory threshold did not differ among the Body Mass Index groups. The obese group had a lower affective response at ventilatory threshold and above ventilatory threshold than the normal weight and overweight groups; the latter two groups did not differ. The obese group had a lower affective response than the normal and overweight groups, which corresponds to a less pleasant experience. Exercise prescriptions for obese subjects targeting intensities below ventilatory threshold can provide a more pleasant experience and may facilitate exercise adherence.

Effect of mat vs. apparatus pilates training on the functional capacity of elderly women.

INTRODUCTION: It is well known that physical exercise improves functional capacity (FC), promoting healthy aging. The Pilates method (PM) is an example of well-accepted physical exercise by the elderly and has been reported in studies to be beneficial for this population. However, it is not yet known whether there is a difference between the practice of mat and apparatus PM. The goal of this study was to compare the effect of mat versus apparatus Pilates training on functional capacity in elderly women. METHOD: 48 active elderly women (65.15 ± 3.0 years old), independent or partially independent in Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL), who had never practiced Pilates, were separated into three groups in a random order through a draw: Mat Group (MG = 15), Apparatus Group (AG = 16) and Control Group (CG = 17). Pilates training sessions were applied to MG and AG for 8 weeks, with two weekly sessions of 50 min. The FC of the three groups was evaluated by the Senior Fitness Test (SFT) battery, pre and post intervention. RESULTS: There were improvements in lower and upper limb strength, aerobic endurance, lower and upper limb flexibility, and agility after the intervention in both groups, showing no significant differences when compared to mat and apparatus Pilates training (<0,05). CONCLUSION: The mat and apparatus Pilates training provide significant and similar improvements in the functional capacity of elderly women.

Urinary incontinence and waist circumference in older women.

OBJECTIVE: the study aims to determine the association between adiposity and fitness with urinary incontinence (UI) in older women. METHODS: a cross-sectional study was conducted in southern Brazil. A sample of 1,069 urban women, age 60+, was assessed for UI (in-person interview), adiposity (body mass index [BMI] and waist circumference [WC]) and fitness. Logistic regression models were developed to assess the association between UI and the independent variables-adiposity (BMI and WC) and fitness indicators. All models were adjusted for age, socioecomomic level, diabetes and hypertension. RESULTS: BMI and functional tests were not significantly associated with UI. WC was an independent and significant predictor. Relative to women in the lowest quartile of WC, odds ratios for UI were 1.98 for WC of 79-86 cm, 2.07 for WC of 86-94 cm and 2.24 for WC >94 cm (P = 0.03). CONCLUSION: central adiposity, as indicated by large WC, increases the risk of UI. Intra-abdominal pressure and its effect on urethral structures may be responsible for this increased risk. Older women should be counselled on the risk of central obesity for UI.

The effects of 12 weeks of step aerobics training on functional fitness of elderly women.

The purpose of this study was to determine the effects of 12 weeks of step aerobics (SA) training on the functional fitness of apparently healthy older women. Thirteen previously sedentary elderly women (mean age 63.14 years) participated in this study. Subjects performed 3 training sessions per week for 30-60 minutes per session. All measurements were assessed at baseline, after 12 weeks of training (posttest), and after 1 month of detraining. Assessments included the evaluation of body mass index (BMI), waist circumference (WC), strength of the upper (arm-curl [AC] test) and lower body (30-second chair-stand test [CS]), dynamic balance and agility (8 foot up and go [8 ft]), flexibility (chair sit-and-reach [CSR]), and cardiorespiratory fitness (6-minute walk test [6MW]). Step aerobics significantly improved all functional fitness components except for BMI. The 12 weeks of SA promoted a large effect size in the following measurements: WC (d = 1.6); CSR (d = 1.51); CS (d = 1.49); AC (d = 1.41); 8 ft (d = 1.32); and 6MW (d = 1.06) (p < 0.05). These results indicate that 12 weeks of SA had a positive effect on the functional fitness components of these older women. Furthermore, these findings were confirmed by the reverse effect observed after 1 month of detraining, except for upper body strength (AC test). In conclusion, 12 weeks of SA training can promote improvements in the functional fitness of apparently healthy older women. Therefore, SA can be considered an effective exercise modality to prevent the loss of functional fitness and its associated consequences.

Identification of a rating of perceived exertion-based warning zone to anticipate graded treadmill test termination.

The purpose of this investigation was to identify a perceptually based warning zone to anticipate termination of Bruce treadmill tests. Apparently healthy adult women (n = 116) and men (n = 55) participated. The time to test termination was measured from the point during the treadmill test at which participants estimated a rating of perceived exertion of 12, 13, 14, 15, 16, and 17 using the Borg 6-20 scale to specify the rating of perceived exertion which was less than or equal to one exercise test stage. Women exercised for 141.9 +/- 99.2 sec. after reporting a rating of perceived exertion of 14. Men terminated the treadmill test 120.1 +/- 80.0 sec. after estimating their rating of perceived exertion to be 15, indicating volitional test termination will occur before the next exercise stage is completed. Accurate and timely prediction of test termination using ratings of perceived exertion may enhance the safety of exercise tests administered to apparently healthy adults and facilitate obtaining endpoint measures upon which to prescribe exercise intensity.

Age and physiological, perceptual, and affective responses during walking at a self-selected pace.

The aim of this study was to examine physiological, perceptual, and affective responses during self-paced walking for three age groups. 66 adult women were assigned into three groups by age: 20-25 yr. (n=22), 30-35 yr. (n=22), and 40-45 yr. (n=22). Each participant completed a maximal exercise test and a 20-min. bout of walking at a self-selected pace. The preferred walking speed was similar for all age groups, whereas physiological responses relative to maximal and ventilatory threshold values were greater in the 40-45 yr. group than the other two groups. Nevertheless, perceptual and affective responses were similar for all age groups. These findings suggest that physiological responses, but not perceptual and affective responses, of sedentary women are associated with age during walking at a self-selected pace.

Association of adiposity, cardiorespiratory fitness and exercise practice with the prevalence of type 2 diabetes in Brazilian elderly women.

BACKGROUND: Diabetes incidence in people with advanced age is increasing at an alarming rate, and for this reason the screening of high-risk individuals such as elderly women is critically important. OBJECTIVE: To analyze the association of adiposity, cardiorespiratory fitness and exercise practice with type 2 diabetes (T2D) in elderly Brazilian women. METHODS: Participated of this cross sectional study 1,059 elderly women (mean 69.5 yr; SD 6.1), who self-reported family history of cardiovascular disease, smoking status, hypertension, and T2D diagnosed previously by a physician. The following independent variables were assessed: exercise practice, body mass index, waist circumference, and cardiorespiratory fitness. Logistic regression analysis was used to investigate the association between each independent variable with T2D using adjusted-models. RESULTS: T2D prevalence was 16%. General and central adiposity were directly associated with T2D, whereas cardiorespiratory fitness was inversely related with T2D. The joint effect of exercise practice and central adiposity showed that inactive women had higher odds ratio for T2D when compared with active ones, within the same WC group. Inactive women with WC > or = 94.0 cm had an odds ratio of 5.8 (95%IC 1.3-25.3). CONCLUSIONS: A direct positive association was found between general and central adiposity, as well as an inverse relation between CRF and exercise practice with T2D. Elderly women who practice exercise regularly had lower odds for T2D. Health professionals should encourage individuals of all ages to engage on regular exercise practice, which could reduce body fatness and may be beneficial in reducing the prevalence of T2D in older ages.

Prevalence of falls in elderly women.

OBJECTIVE: To verify prevalence of falls and fear of falling, and to compare functional fitness among elderly women fallers and non-fallers. METHODS: Seventy-eight elderly women participated in this study. Cases of falls and the fear of falling were self-reported by the elderly women, while the functional fitness was measured by a set of functional tests. Mean and standard deviation were used to describe the sample. Independent t-test was used to compare functional fitness between groups. RESULTS: The prevalence of falls in this sample was 32.4%. Among women fallers, 40% self-reported a high fear of falling. CONCLUSION: It is recommended that functional and resistance exercises are included in the preventive strategies for reducing risk factors for falls and its determinants in elderly women. Level of Evidence II, Prognostic-Prospective Study.

Effects of Aging and Exercise on the Cardiorespiratory Fitness of Older Women / Efeito do Envelhecimento Cronológico e da Prática Regular de Exercícios Físicos sobre a Aptidão Cardiorrespiratória de Mulheres Idosas

Abstract Purpose: The present study analyzed the effects of chronological aging and the practice of regular exercise (PRE) on the cardiorespiratory fitness (CRF) of older women. Methods: A descriptive study of 78 participants was performed, with longitudinal design and an initial evaluation in 2005 and a second in 2011. The PRE defined groups as Inactive (I), Insufficiently-Active (IA), and Sufficiently-Active (SA). The six-minute walking test measured CRF. MANOVA with repeated-measures was used to verify the effect of time and the PRE groups on CRF (p<0.05). Results: The participants were classified as having a low socioeconomic level and being overweight. MANOVA demonstrated the effect of time (F1.74=30.134; p<0.05) and groups (F2.74=3.729; p<0.05), without interaction (F2.74=0.811; p>0.05). Post hoc analysis indicated that the effect of time was significant between all groups (I: t=3.786, p<0.05; IA: t=2.597, p<0.05; SA: t=3.191, p<0.05); and the group effect was significant only between the I and SA groups in the second evaluation (First evaluation: F2.76=1.712; p>0.05; Second Evaluation: F2.77=3.239; p<0.05, post hoc Tukey: group I vs AS =p<0.05). A smaller reduction in CRF was found in the SA group (8.0%), followed by the IA (10.3%) and I (14.3%) groups. Conclusion: The results of the present study indicated that elderly women who practice exercise regularly had a smaller reduction in CRF than those who were inactive. This suggests that the PRE at recommended levels for health purposes can attenuate the effect of aging on the CRF.

Resumo Objetivo: Este estudo analisou os efeitos do envelhecimento cronológico e da prática regular de exercícios físicos (PREX) na aptidão cardiorrespiratória (ACR) de idosas. Métodos: Estudo descritivo com delineamento longitudinal que realizou a primeira avaliação em 2005 e a segunda em 2011 (intervalo médio de 5,8 anos), em 78 participantes. A PREX definiu os grupos: Inativo (I), Insuficientemente-Ativo (IA) e Suficientemente-Ativo (SA). O teste de caminhada de seis minutos avaliou a ACR. Uma MANOVA com medidas repetidas foi utilizada a fim de verificar o efeito do tempo e dos grupos PREX sobre a ACR (p<0,05). Resultados: As participantes foram classificadas em um baixo nível socioeconômico e com estado nutricional de sobrepeso. A MANOVA demonstrou um efeito para o tempo (F1,74=30.134; p<0,05) e para os grupos (F2,74=3.729; p<0,05), sem interação (F2,74=0,811; p>0,05). Posteriores análises indicaram que as diferenças entre as avaliações ocorreram para todos os grupos (I: t=3.786, p<0,05; IA: t=2.597, p<0,05; SA: t=3.191, p<0,05); e as diferenças entre os grupos foram significativas somente entre I e SA na segunda avaliação (Primeira Avaliação: F2,76=1.712; p>0,05; Segunda Avaliação: F2,77 = 3.239; p<0,05, post hoc Tukey: grupo I vs AS = p<0,05). O menor declínio da ACR foi encontrado no SA (8,0%), seguido pelo IA (10,3%) e I (14,3%). Conclusão: Os resultados deste estudo indicam que as mulheres idosas praticantes regulares de exercícios físicos obtiveram o menor declínio da ACR quando comparadas a seus pares inativos. Sugere-se que a PREX nos níveis recomendados para saúde pode atenuar o efeito do envelhecimento sobre a ACR.

Prevalência de quedas em mulheres idosas / Prevalence of falls in elderly women

Objetivo: Verificar a prevalência de quedas e do medo de cair novamente, e comparar a aptidão funcional entre mulheres idosas que sofreram ou não quedas no último ano. Métodos: Participaram deste estudo 78 mulheres idosas. Os casos de quedas e o medo de cair novamente foram auto reportados pelas idosas, enquanto a avaliação funcional foi mensurada por meio de uma bateria de testes funcionais. A descrição da amostra foi realizada pela média e desvio padrão. O Test-t independente foi utilizado para no grupo estudado foi de 32,4%. Dentre as idosas que caíram, 40% reportaram elevado medo de cair novamente. Conclusão: Recomenda-se que exercícios funcionais e resistidos sejam incluídos nas ações preventivas de forma a auxiliar na diminuição dos fatores de risco e nos determinantes de quedas em idosos.

Objective: To verify prevalence of falls and fear of falling, and to compare functional fitness among elderly women fallers and non-fallers. Methods: Seventy-eight elderly women participated in this study. Cases of falls and the fear of falling were self-reported by the elderly women, while the functional fitness was measured by a set of functional tests. Mean and standard deviation were used to describe the sample. Independent t-test was used to compare functional fitness between groups. Results: The prevalence of falls in this sample was 32.4%. Among women fallers,40% self-reported a high fear of falling. Conclusion: It is recommended that functional and resistance exercises are included in the preventive strategies for reducing risk factors for falls and its determinants in elderly women.

Comparison of the functional profile of elderly women with urinary continence and incontinence / Comparação do perfil funcional de mulheres idosas com continentes urinária e incontinentes urinária

Urinary incontinence (UI), more prevalent in women and influencing their functional decline, increases with age. Current longitudinal study with two data collection in 2005-2006 and 2011 compares the functional profile of urinary continence and incontinence in elderly women. Sixty-eight women were divided into females with urinary continence (CG; n = 62) and females with urinary incontinence (IG; n = 6). Dependent variables measured were obesity and body adiposity indexes and functional fitness. Data were given in means with standard deviation (±) and analyzed by the independent t-test (p < 0.05). There were six cases of UI. In the first evaluation group differences occurred for waist circumference (CG: 85.3±9.7 cm; IG: 91.2 ± 12.4cm; t=-2.267; p < 0.05) and cardiorespiratory fitness (CG: 517.9 ± 67.3 m; IG: 463.0±85.9 m; t = 2.571; p < 0.05). CG had a better functional profile, excepting flexibility and lower limbs strength, in the second evaluation. Women with UI had higher waist circumference and lower cardiorespiratory fitness. This may be due to the relationship between the variables and greater abdominal compression and functional decline. Results show that future public health strategies should focus on these factors to decrease the risk of people developing UI and to improve physical-functional and psycho-social benefits to elderly women.

O risco de incontinência urinária (IU) aumenta com o decorrer da idade, sendo mais prevalente em mulheres e pode acelerar o declínio funcional. O objetivo do estudo foi comparar a aptidão funcional de idosas continentes e incontinentes. Estudo longitudinal com duas avaliações: 2005-2006 e 2011. Participaram deste estudo 68 mulheres classificadas em: continentes (GC; n = 62) e Incontinentes (GI; n = 6) . Foram avaliados indicadores de obesidade e adiposidade corporal, e aptidão funcional. Os dados foram descritos pela média, desvio-padrão (±) e analisados pelo Test-t independente. Ocorreram seis casos incidentes de IU. Os grupos diferiram nas variáveis circunferência de cintura (GC: 85,3 ± 9,7 cm; e GI: 91,2 ± 12,4 cm; t = -2,267; p < 0,05) e aptidão cardiorrespiratória (GC: 517,9 ± 67,3 m; e GI: 463,0 ± 85,9 m; t = 2,571; p < 0,05) na primeira avaliação. O GC apresentou melhor perfil funcional, com exceção da flexibilidade e força de membros inferiores na segunda avaliação. Mulheres que desenvolveram IU apresentam excesso de adiposidade central e menor aptidão cardiorrespiratória. Tal fato pode ser explicado pela relação dessas variáveis com maior compressão abdominal e o declínio funcional. Sendo assim, recomenda-se que futuras estratégias de saúde pública enfoquem esses fatores a fim de minimizar o risco de IU, e consequentemente, refletindo em benefícios físico-funcionais, e psicossociais a estes indivíduos.

A comparison of functional fitness of older Brazilian and American women.

The purpose of this cross-sectional study was to generate a functional-fitness profile for older women from the south of Brazil and to compare their functional profile with an age-matched cohort of American women. The Fullerton Functional Fitness Test (body-mass index, 6-min-walk test, chair sit-and-reach, chair stand, arm curl, and 8-ft up-and-go) was administered to 1,033 participants. Z scores indicate that older American women performed better in all functional tests than age-matched Brazilians. This fact could be explained by the delayed establishment of specific health policies for older adults in Brazil. In conclusion, the findings provide guidelines about the normal variation of functional fitness in older women from the southern region of Brazil. In addition, these data can be used to help identify older women with functional losses, thereby assisting in the diagnosis of early disability.

Association of fitness and waist circumference with hypertension in Brazilian elderly women.

BACKGROUND: The protective effect of cardiorespiratory fitness, regardless of obesity, has been recognized in adults. However, this association is still not clear in elderly individuals. OBJECTIVE: To analyze the association between hypertension and cardiorespiratory fitness in 1,064 elderly Brazilian women. METHODS: Central obesity was estimated by waist circumference and cardiorespiratory fitness by the 6-minutes walk test. ANOVA one way, chi-square and logistic regression were used for the statistical analysis. RESULTS: The prevalence of hypertension was 53.9%. The central obesity group had higher odds for hypertension when compared with the non-central-obesity group, in the same cardiorespiratory fitness group. Furthermore, both the central obesity and non-central obesity groups had a progressive increase in the odds ratio for hypertension, from the highest to lowest fitness groups, indicating an inverse relation between fitness and central adiposity. The non-central obesity group had the lowest odds ratios (OR), 1.49 (95%IC 0.97-2.28) and 1.54 (95%IC 0.94-2.51); whereas the central obesity group had an OR of 2.08 (95%IC 1.47-2.93), 2.79 (95%IC 1.79-4.33) and 3.09 (95%IC 1.86-5.12). CONCLUSION: Our findings indicated that the waist circumference measurement is a strong predictor of hypertension and suggested that the protective effect of cardiorespiratory fitness can be extended to elderly women, even to those with central obesity.

Analysis of the lipid profile of elderly women in Curitiba - Parana.

BACKGROUND: Dyslipidemia is considered one of the main risk factors for cardiovascular disease (CVD), which is more frequent in older individuals. However, evidence suggests that a large number of elderly individuals is not aware of their lipid profile status; additionally, many of them do not have access to adequate treatment. OBJECTIVE: To analyze the lipid profile and the frequency of lipid-lowering therapy use in elderly women from the city of Curitiba, state of Parana, Brazil. METHODS: The sample consisted of 312 women (mean age = 68.8; SD = 6.0 years). The lipid profile was determined by plasma levels of total cholesterol (TC), high-density cholesterol (HDL-C), low-density cholesterol (LDL-C) and triglycerides (TG). The number of subjects that reported being on lipid-lowering therapy was self-reported; therefore, the groups were divided into two subgroups, satisfactory and unsatisfactory. RESULTS: A high prevalence of individuals with unsatisfactory levels of lipid profile components was observed in the group that self-reported not being on lipid-lowering therapy; of these, 74.2% of women with CVD presented levels above the LDL-C goal. On the other hand, 45.8 to 49.3% of the individuals from the group that self-reported being on lipid-lowering therapy had unsatisfactory values of TC, TG and LDL-C, and 25.4% had HDL-C levels lower than 40.0 mg/dl. CONCLUSION: The results of this investigation indicate a high prevalence of elderly women, regardless of self-reports of being on lipid-lowering therapy, with an unsatisfactory lipid profile, mainly related to LDL-C goal for those individuals with CVD.