A web-based educational therapy intervention associated with physical exercise to promote health in fibromyalgia in Brazil: the Amigos De Fibro (Fibro Friends) study protocol.

BACKGROUND: Health education is one of the main items to enable health promotion to patients with fibromyalgia. The objective of the study "Amigos de Fibro (Fibro Friends)" is to evaluate the impact of an educational intervention associated with physical exercise based on the web in promoting health and quality of life of patients with fibromyalgia in Brazil. METHODS: A study with a randomized controlled trial approach will be carried out. The sample will consist of 24 participants, divided into two groups, with 12 individuals each. The experimental group will participate in meetings with lectures, debates, conversation rounds and exercises by a multidisciplinary team. Physical exercises will also be performed in an online environment. On the other hand, the control group will receive an e-book of education and self-care. Primary outcomes will be quality of life. The secondary outcomes will be sociodemographic and health profile, pain intensity, sleep quality, self-care agency, usage and costs of health and social care services, viability of the program and program participation. In addition, a qualitative evaluation process will be carried out with the participants. After the intervention, the data of both groups will be collected again, as well as after 3, 6, and 12 months to verify the effect and the maintenance of the intervention. DISCUSSION: The results will provide data for studies to consider the use of this tool in the future by professionals working in the field of rheumatology. TRIAL REGISTRATION: The protocol was registered in the Brazilian Registry of Clinical Trials RBR-3rh759 ( https://trialsearch.who.int/Trial2.aspx?TrialID=RBR-3rh759 ). Date of registration: 07/02/2020].

Autopercepção dos benefícios da mobilização miofascial em praticantes de exercício físico: um estudo transversal / Self-perception of the benefits of myofascial mobilization in physical exercise practitioners: a cross-sectional study

A mobilização miofascial vem sendo utilizada com frequência no meio esportivo como forma de melhorar as restrições da fáscia que surgem com as atividades físicas. Objetivo: Analisar e comparar os benefícios da mobilização miofascial para praticantes adultos de exercício físico regular, verificando os métodos e técnicas utilizados, assim comparando a maior eficácia segundo a percepção dos praticantes. Métodos: Trata-se de um estudo transversal onde foi aplicado um questionário online a 160 pessoas de ambos os sexos, com o intuito de analisar informações de técnicas aplicadas e sua eficácia. Os dados foram analisados por meio da estatística descritiva. Resultados: Os resultados demonstraram que a satisfação e benefícios foram predominantes, e o uso da técnica manual foi a de maior escolha entre os praticantes, ressaltando que a maioria foi aplicada por fisioterapeutas. Conclusões: Quem utiliza a técnica, independente da forma executada, os resultados são considerados satisfatórios e trazem bem-estar e benefícios à saúde dos praticantes de exercício físico

Myofascial mobilization has been frequently used in sports as a way to improve fascia restrictions that arise with physical activities. Objective: To analyze and compare the benefits of myofascial mobilization for adult practitioners of regular physical exercise, verifying the methods and techniques used, thus comparing the greater effectiveness according to the practitioners' perception. Methods: This is a cross-sectional study where an online questionnaire was applied to 160 people of both sexes, with the aim of analyzing information on applied techniques and their effectiveness. Data were analyzed using descriptive statistics. Results: The results showed that satisfaction and benefits were predominant, and the use of the manual technique was the most preferred among practitioners, emphasizing that most were applied by physiotherapists. Conclusion: Those who use the technique, regardless of the way it is performed, the results are considered satisfactory and bring well-being and benefits to the health of practitioners of physical exercise.

Morphofunctional parameters, physical fitness and musculoskeletal symptoms in cooperative recyclers.

Introduction: Members of solid waste recycling cooperatives are exposed to serious conditions and complications in their everyday life, which makes them likely to present poor quality of life and unfavorable health conditions in their work environment. Objectives: To evaluate morphofunctional parameters, physical fitness, and musculoskeletal symptoms of workers at solid waste recycling cooperatives in Maringá, state of Paraná, Brazil. Methods: This was a quantitative, cross-sectional, descriptive study. Data were collected from 60 cooperative members of both sexes linked to the Popular and Solidarity Recycling Association of Maringá. Participants underwent a medical screening at the cooperative, involving anamnesis, pulmonary and cardiac auscultation, and blood pressure measurement. In a second moment, they underwent physical assessment in the laboratory, using instruments for physical tests and questionnaires. Results: There was a predominance of females in the sample (54%), with a mean age of 41.82±12.03 years, and most participants did not practice physical activity (70%). With regard to body composition, women had the highest body mass index (28.29±6.61 kg/m2); as for the variables physical and aerobic fitness, men showed better scores than women (p < 0.05). In relation to musculoskeletal symptoms, most participants complained of lower back pain (56.66%). Conclusions: Although the results for anthropometric variables are within normal standards in most cooperative members, most of them present with musculoskeletal symptoms and do not practice physical activity, which can have negative implications in their health conditions in the medium and long term.

Introdução: Os cooperados de reciclagem de resíduos sólidos são expostos a gravidades e complicações no seu dia a dia. Diante disso, é possível que apresentem uma má qualidade de vida e condições de saúde não favoráveis em seu âmbito de trabalho. Objetivos: Avaliar os parâmetros morfofuncionais, a aptidão física e os sintomas osteomusculares dos trabalhadores das cooperativas de reciclagem de resíduos sólidos de Maringá, no estado do Paraná. Métodos: Tratou-se de estudo quantitativo do tipo transversal descritivo. Foram coletados dados de 60 cooperados, de ambos os sexos, vinculados à Associação de Reciclagem Popular e Solidária de Maringá. Os participantes foram submetidos a uma triagem médica na cooperativa, envolvendo anamnese, ausculta pulmonar e cardíaca e mensuração da pressão arterial. Em um segundo momento, foram submetidos à avaliação física em laboratório, com a utilização de instrumentos para testes físicos e preenchimento de questionários. Resultados: Na amostra, houve predomínio do sexo feminino (54%), com média de idade de 41,82±12,03, e a maioria não praticava exercícios físicos (70%). Quanto à composição corporal, o sexo feminino apresentou maior índice de massa corporal (28,29±6,61 kg/m2); para as variáveis de aptidão física e aeróbia, o sexo masculino apresentou melhores escores em relação ao sexo feminino (p < 0,05). Em relação aos sintomas osteomusculares, a maioria relatou sintomas de dor na parte inferior das costas (56,66%). Conclusões: Apesar de os resultados das variáveis antropométricas da maioria dos cooperados encontrarem-se dentro dos padrões de normalidade, a maioria apresenta sintomas osteomusculares e não pratica atividades físicas, o que pode ter implicações negativas nas suas condições de saúde a médio e longo prazo.

Amigos de Fibro (Fibro Friends): validation of an e-book to promote health in fibromyalgia.

BACKGROUND: Educational strategies are necessary for the care of patients with fibromyalgia. The objective was to develop and validate an e-book to promote the health of individuals with fibromyalgia. METHODS: Methodological research in which, initially, through a bibliographic survey, the available publications on the subject were analyzed. Then, this knowledge was used to build the theoretical content addressed, and the art and layout of the e-book were elaborated. In the third phase, validation of the constructed material, content specialists (n = 23), technicians (n =  23) and design specialists (n = 23), and individuals with fibromyalgia (n = 45) evaluated the e-book through the Delphi technique. For data collection, different questionnaires were used, according to the evaluation focus of each participant group, analyzed for reliability using Cronbach's Alpha (αC) and agreement using the Content Validity Index (CVI). RESULTS: In the global assessment of agreement from all groups of judges, the CVI presented a considerable minimum: content (0.79), technical (0.89), design (0.92), and target audience (0.97). Regarding reliability, all groups also had a αC within the acceptable range: content (0.960), technical (0.963), design (0.977), and target audience (1.08). CONCLUSIONS: The e-book was developed and validated in terms of content and relevance and can be used to promote the health of individuals with fibromyalgia.

The role of physiotherapy in fibromyalgia: Current and future perspectives.

Fibromyalgia is a chronic pain condition characterized by generalized musculoskeletal pain, hyperalgesia and allodynia, commonly associated with other symptoms such as fatigue, poor sleep quality, anxiety and depression. The clinical manifestations of this rheumatic disease have significant psychosocial and economic repercussions, with a substantial impact on health status, quality of life and social activities. Currently, recommendations for the management of fibromyalgia include patient education and non-pharmacological interventions, and among the indicated treatments, clinical guidelines include several physiotherapeutic resources, essential for individuals affected by this syndrome. Research in the physiotherapy field has demonstrated its effectiveness, but there is a need to update the literature. This study aims to identify the effectiveness of physiotherapy in the treatment of individuals with fibromyalgia. We performed a literature review looking for articles dated from March 2012 to March 2022 using the terms "fibromyalgia", "physiotherapy", "physical therapy", "rehabilitation" in different languages in various databases and their main information was read and collected and presented in a descriptive way. The effects of physiotherapy interventions are summarized in order to provide a reference for future research and clinical application. Research on non-pharmacological physiotherapy-oriented treatments has grown in recent years as an alternative for fibromyalgia treatment. This review allows fibromyalgia patients to receive appropriate physical therapy interventions to promote their health.

Amigos de Fibro (Fibro Friends): development of an educational program for the health promotion of fibromyalgia patients.

BACKGROUND: Educational practices are indicated to promote the health of people with fibromyalgia in primary health care. We aimed to develop an educative interdisciplinary program intended at the health promotion of individuals with fibromyalgia. METHODS: It is a study protocol that was developed following three phases in the city of São Paulo city, Brazil. Qualitative research was carried out, through a focal group, with 12 individuals with fibromyalgia and 10 health professionals. A thematic content analysis was made according to the content proposed by Bardin. RESULTS: Fibro Friends is an interdisciplinary program with educational approaches that must be performed in 15 meetings, once a week for 1 h and 20 min. Participants were the following professionals: a Physiotherapist, a Doctor, a Psychologist, a Nutritionist, a Nurse, a Pharmacist/Druggist, a Speech Therapist, an Occupational Therapist, a Naturopath, and a Social Worker. A physical exercise program will also be carried out. The professionals must discuss in a lecture, conversation hearing, and/or group dynamic, about strategies to promote health and pain control in fibromyalgia. CONCLUSION: Fibro Friends is a program presenting educational interdisciplinary information to individuals with fibromyalgia, being considered a trend to future care. Fibro Friends is a practical guide, logical, and efficient to patients with fibromyalgia at the basic attention to health.

Amigos de Fibro (Fibro Friends): Validation of an Educational Program to Promote Health in Fibromyalgia.

Health education is one of the main items to enable the promotion of health for individuals with fibromyalgia (FM) in Primary Health Care (PHC) in Brazil. The purpose of this study was to validate a multidisciplinary educational health promotion program called Amigos de Fibro (Fibro Friends) for individuals with FM. Methodological research involving 23 health professionals (expert judges) and 45 individuals with FM (target audience) used an instrument to assess the objectives, proposed themes and initiatives, relevance, writing style, and structure of the program through the Delphi technique. The content validity index (CVI) ≥ 0.78 and coefficient kappa ≥ 0.61 were used for data analysis. All 25 items evaluated in both groups presented considerable minimum CVI by CVI and the kappa coefficient. In the global evaluation of Amigos de Fibro, the CVI of the specialist judges was 0.90, while the values of the target audience judges were 0.95. The kappa coefficient of the expert judges was 0.90 and that of the target audience judges was 0.85. Amigos de Fibro, a light technology in health, was considered with adequate content validity and internal consistency and is, therefore, valid in the use by health professionals with the target audience in PHC, making it possible for them to act as health-promoting agents.

Sintomas depressivos em idosos da atenção básica à saúde de um município do noroeste paranaense - estudo transversal / Symptoms of depression in older adults in a basic health care unit of a municipality in northwestern Paraná - cross-sectional study

Resumo Introdução a interação complexa entre fatores sociais, psicológicos e biológicos, que resultam na depressão, poderá acelerar a diminuição da capacidade funcional e, consequentemente, a qualidade de vida do idoso. Objetivo Esta pesquisa teve como objetivo investigar os fatores associados aos indicativos de sintomas depressivos de idosos da atenção básica à saúde de um município do noroeste paranaense. Método Estudo epidemiológico, de corte transversal e base populacional realizado em 12 Unidades Básicas de Saúde (UBS), com 654 homens e mulheres idosos. Foi utilizado um instrumento para caracterização do perfil sociodemográfico dos participantes, assim como o instrumento Geriatric Depression Scale (GDS), versão curta. Os dados foram analisados pelo teste de Qui-quadrado e da Regressão de Poisson (p<0,05). Resultados Os resultados evidenciaram que parece existir uma associação dos idosos com boa percepção de saúde (p=0,001), que não ingerem medicamentos (p=0,001), que não sofreram quedas nos últimos seis meses (p=0,011) e que não apresentaram comorbidades (p=0,001), com a ausência de sintomas depressivos. Os idosos com autopercepção de saúde regular (RP = 1,733; 95%IC = 1280-2,347) e ruim (RP = 2,222; 95%IC = 1,525-3,237) demonstraram maior razão de prevalência de presença de indicativo de depressão. Conclusão Conclui-se que os idosos com pior autopercepção de saúde demonstraram maior razão de prevalência de apresentar indicativos de depressão.

Abstract Background the complex interaction between social, psychological and biological factors, which result in depression, may accelerate the decrease in functional capacity and, consequently, the quality of life of the older adults. Objective This research aimed to investigate the factors associated with suggestive symptoms of depression in older adults of primary health care in a municipality in northwest Paraná. Method Epidemiological, cross-sectional and population-based study was carried out in 12 basic health units, with 654 older adult men and women. The Geriatric Depression Scale (GDS), short version, as well an instrument to characterize the participants sociodemographic profile. Data were analyzed using Chi-square test and Poisson regression (p <0.05). Results Results showed that there seems to be an association of the older adult with good health perception (p = 0.001), when they did not take medication (p = 0.001), have not suffered falls in the last six months (p = 0.011) and have not presented comorbidities (p = 0.001) in the absence of depressive symptoms. Older adult with self-perceived regular health (PR = 1.733; 95% CI = 1280-2.347) and poor health (PR = 2.222; 95% CI = 1.525-3.237) showed a higher prevalence ratio for the presence of depression. Conclusion Older adult with worse self-perceived health showed a higher prevalence ratio of presenting suggestive symptoms of depression.

Effectiveness of interdisciplinary health education programs for individuals with fibromyalgia: A systematic review.

Fibromyalgia has been increasing worldwide and is considered a public health problem. Nonpharmacological treatment through exercise and education is recommended for fibromyalgia management. In this sense, there is a need for interdisciplinary programs to promote health and improve symptoms in fibromyalgia. The purpose of this study was to verify the effectiveness of interdisciplinary health education programs for individuals with fibromyalgia. This is a systematic review that followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations and was registered at Prospective Register of Systematic Reviews (CRD4201913228). A search was conducted in the following databases: Scientific Electronic Library Online, Lilacs, Medical Literature Analysis and Retrieval System Online, Scopus, Web of Knowledge ISI, Physiotherapy Evidence Database, Excerpta Medica Database, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, and SPORTDiscus. The descriptors used were "Fibromyalgia" and "Health Education." Clinical trials published between 1990 and 2019 were selected. The Jadad Quality Scale and the Cochrane Risk-of-Bias Tool were used to evaluate the risk of bias and the methodological quality of the clinical trials. The search found 2887 articles, and only two studies were included in the analysis. Both studies conducted the interventions through lectures and group activities. In particular, the topics most frequently approached at the interdisciplinary health education programs were general information about fibromyalgia, body practices, physical activities, and pharmacological approaches. An interdisciplinary health education program can improve pain and quality of life in people with fibromyalgia; however, evidence shows low methodological quality. This systematic review indicates that studies are of low quality, interfering with the effectiveness of interdisciplinary health education programs.

Mídia social na promoção do aleitamento materno / Social media in promoting breastfeeding

Os conteúdos sobre saúde vêm sendo cada vez mais pesquisados na internet, especialmente por meio das mídias sociais, consideradas teias de relações estabelecidas entre pessoas. O objetivo deste estudo foi caracterizar o conteúdo dos vídeos publicados no YouTube sobre aleitamento materno, verificando a associação entre variáveis comportamentais, qualidade do material e problemas na amamentação. Trata-se de uma pesquisa descritivo-analítica, em que se utilizou o teste qui-quadrado para avaliar possíveis associações entre as variáveis (p<0,05). Foram encontrados 62 vídeos, e a maioria (72,6%) não apresentou técnicas de amamentação. Houve associação estatisticamente significativa entre ser profissional da saúde e falar sobre produção de leite (p=0,0105), experiência pessoal (p=0,0001) e problemas na amamentação (p=0,0001). Concluiu-se que os vídeos são uma boa ferramenta promotora de saúde, porém na temática sobre aleitamento materno, aqueles sem profissionais tendem a não tratar sobre produção de leite; normalmente são relatos de experiência pessoal e não trazem informação científica.

Health content has been increasingly searched on the internet, especially through social media, and they are webs of relationships established between people. The objective of the study was to characterize the content of videos published on YouTube on breastfeeding, verifying the association between behavioral variables, quality of the video content, and problems with breastfeeding. This is a descriptive-analytical study, e he chi-square test was used to assess possible associations between variables (p<0,05). 62 videos were found and most of them (72.6%) did not have breastfeeding techniques. There was a statistically significant association between being a health professional and talking about milk production (p=0,0105), personal experience (p=0,0001), and problems with breastfeeding (p=0,0001). This study concludes that videos are a good health-promoting tool, however, on the topic of breastfeeding, videos without professionals tend not to deal with milk production; they are usually reported on personal experience and do not bring scientific information.

Sintomas de ansiedade e indicativos de depressão em idosas praticantes do método pilates no solo / Symptoms of anxiety and indicative of depression in elderly women practicing the mat pilates method / Los sintomas de ansiedad e indicativo de depresión en las mujeres de más edad practicantes del método pilates en el suelo

Este estudo analisou sintomas de ansiedade e indicativos de depressão em idosas praticantes do Método Pilates (MP) no solo e seus fatores associados. Participaram desta pesquisa transversal 90 idosas praticantes do MP no solo. Como instrumentos, foram utilizados a Escala de Depressão Geriátrica e o Inventário de Ansiedade Geriátrica. A análise de dados foi conduzida por meio dos testes de Qui-Quadrado e Exato de Fisher (p < 0,05). Os resultados evidenciaram associação significativa dos sintomas de ansiedade com a presença de osteoartrite (p = 0,0004), depressão (p = 0,005) e quantidade de doenças associadas (p = 0,012). Não foi encontrada associação significativa (p > 0,05) dos indicativos de depressão com nenhuma das variáveis sociodemográficas e de saúde. Concluiu-se que a presença de doenças nos idosos deste estudo, como a osteoartrite e a depressão, e o acúmulo de comorbidades podem levar ao aumento do nível de ansiedade de idosas praticantes do MP no solo.

This study analyzed symptoms of anxiety and indicative of depression in elderly women practicing the Mat Pilates Method (MPM) and its associated factors. A cross-sectional study of 90 elderly women practicing MPM. The Geriatric Depression Scale and the Geriatric Anxiety Inventory were used as instruments. Data analysis was performed using Chi-Square and Fisher's Exact tests (p < 0.05). The results showed a significant association of anxiety symptoms with osteoarthritis (p = 0.0004), depression (p = 0.005), and number of associated diseases (p = 0.012). There was no significant association (p > 0.05) of the indicators of depression with none of the sociodemographic and health variables. It was concluded that the presence of diseases in the elderly of this study, such as osteoarthritis and depression, and the accumulation of comorbidities may lead to an increase in the level of anxiety of elderly MPM.

Este estudio analizó síntomas de ansiedad e indicativo de depresión en las mujeres de más edad que practican el método Pilates (MP) en el suelo y sus factores asociados. Participaron del estudio transversal 90 mujeres mayores practicantes del MP suelo. Se utilizaron la Escala de Depresión Geriátrica y el Inventario de Ansiedad Geriátrica. El análisis de datos se realizó mediante las pruebas de Chi-Cuadrado y Exacto de Fisher (p < 0.05). Los resultados obtenidos evidenciaron una asociación significativa de síntomas de ansiedad con osteoartritis (p = 0.0004), depresión (p = 0.005) y el número de enfermedades asociadas (p = 0,012). No hubo una asociación significativa (p > 0.05) de los indicadores de la depresión con ninguno de las variables socioeconómicas e de la salud. Se concluyó que la presencia de enfermedades en los ancianos de este estudio, como la osteoartritis y la depresión, y la acumulación de comorbilidades pueden conducir al aumento del nivel de ansiedad de las personas mayores practicantes del MP en el suelo.

Fatores associados à qualidade de vida dos idosos octogenários da zona rural de Uberaba/MG / Factors associated with life quality of the octogenarian elderly in the rural area

Resumo Introdução A longevidade pode ser acompanhada de diversos fatores que interferem negativamente na qualidade de vida (QV) dos idosos e torna-se necessário investigar quais são estes fatores na zona rural. Objetivo Identificar os fatores associados à QV de idosos octogenários da zona rural de Uberaba-MG. Método Estudo transversal com 74 idosos octogenários residentes na zona rural que foram avaliados quanto ao perfil sociodemográfico, número de morbidades, qualidade de vida e funcionalidade. A análise dos dados foi conduzida por meio dos testes t-Student, correlação de Pearson e a Regressão linear múltipla (p < 0,05). Resultados No domínio físico da QV, os menores escores relacionaram-se ao maior número de morbidades e de incapacidade funcional nas atividades instrumentais de vida diária. Conclusão Os menores escores de QV em idosos octogenários da zona rural de Uberaba-MG estão associados ao maior número de morbidades e de incapacidade funcional.

Abstract Background The longevity can be followed by several factors that interfere negatively in the life quality (LQ) of the elderly, for this reason it is necessary to investigate which are these factors in the rural area. Objective To identify the factors associated with QoL of octogenarian elderly in the rural area of Uberaba-MG. Method A cross-sectional study with 74 octogenarian elderly living in the rural area was carried out. The sociodemographic profile, number of morbidities, quality of life and functionality were evaluated. Data analysis was performed using Student's t-tests, Pearson's correlation and Multiple linear regression (p <0.05). Results In the physical domain of LQ, the lowest scores were related to the greater number of morbidities and functional inability in the instrumental activities of daily living. Conclusion The lower LQ scores in the octogenarian elderly in the rural area of Uberaba-MG are associated with greater morbidity and functional disability.

Satisfação com a vida e atitudes em relação à velhice de idosos frequentadores de centros de convivência em função do nível de atividade física / Satisfaction with life and attitudes in relation to the old age of frequenters of coexistence centers in function of the physical activity level / Satisfacción con la vida y actitudes en relación a la vejez de los ancianos frecuentadores del centro de convivencia en función del nivel de actividad física

Estudo transversal, que teve como objetivo comparar a satisfação com a vida e as atitudes em relação à velhice de idosos frequentadores de centros de convivência em função do nível de atividade física (AF). Participaram 133 idosos, de ambos os sexos. Foi utilizado questionário sociodemográfico, o Mini Exame do Estado Mental, a Escala de Satisfação com a Vida, a Escala para Avaliação das Atitudes em Relação à Velhice e o Questionário Internacional de Atividade Física (International Physical Activity Questionnaire [IPAQ]), em sua versão curta. Os dados foram analisados por meio dos testes Kolmogorov-Smirnov e "U" de Mann-Whitney. Considerou-se um nível de significância de p < 0,05. Os idosos ativos fisicamente são mais satisfeitos com a vida (p = 0,013) e possuem mais sentimentos de apreensão quanto ao futuro em relação à velhice (p = 0,002) do que os idosos irregularmente ativos. Conclui-se que, para os idosos frequentadores do centro de convivência do município de Sarandi, Paraná, PR, a prática de AF é um fator interveniente para a maior satisfação com a vida.

This cross-sectional study aimed at comparing satisfaction with life and attitudes regarding old age of elderly people frecuenters of the coexistence centers according to the level of physical activity (PA). A total of 133 elderly people of both genders participated. A sociodemographic questionnaire was used, the Mini Mental State Examination, the Life Satisfaction Scale, the Scale for Assessing Attitudes Towards Old Age and the International Physical Activity Questionnaire (IPAQ), in its short version. Data were analyzed using the Kolmogorov-Smirnov test and the Mann-Whitney "U" test. A level of significance of p < 0.05 was considered. Physically active seniors are more satisfied with life (p = 0.013) and have more feelings of apprehension about the future in relation to old age (p = 0.002) than irregularly active elderly. It is concluded that for elderly people frecuenters of the coexistence center in the city of Sarandi, Paraná, PR, the practice of PA is an intervening factor for greater satisfaction with life.

Estudio transversal, que tuvo como objetivo comparar la satisfacción con la vida y las actitudes en relación a la vejez de ancianos frecuentadores de centros de convivencia en función del nivel de actividad física. Participaron 133 ancianos, de ambos sexos. Se utilizó cuestionario sociodemográfico, lo Mini Examen del Estado Mental, la Escala de Satisfacción con la Vida, la Escala para Evaluación de las Actitudes en Relación a la Vejez y el Cuestionario Internacional de Actividad Física (International Physical Activity Questionnaire [IPAQ]), en su versión corta. Los datos fueron analizados a través de las pruebas Kolmogorov-Smirnov y "U" de Mann-Whitney. Se consideró un nivel de significancia de p < 0,05. Los ancianos activos físicamente son más satisfechos con la vida (p = 0,013) y poseen más sentimientos de aprehensión en cuanto al futuro en relación a la vejez (p = 0,002) que los ancianos irregularmente activos. Se concluye que, para los ancianos frecuentadores del centro de convivencia del municipio de Sarandi, Paraná, PR, la práctica de AF es un factor interviniente para la mayor satisfacción con la vida.

Physical fitness of third-age-gym goers with systemic arterial hypertension in maringá, brazil / Aptidão física de idosos com hipertensão arterial sistêmica usuários das academias da terceira idade de maringá-pr

ABSTRACT This study investigated the physical fitness of elderly individuals with Systemic Arterial Hypertension (SAH) who use third-age gyms (TAGs) in the municipality of Maringá, Paraná, Brazil. It included 79 senior citizens, of both sexes, users of 13 TAGs located in the city and diagnosed with SAH. For identification of their sociodemographic and health profile, a semi-structured questionnaire was used. Resting blood pressure and Body Mass Index (BMI) were measured. Muscle strength was assessed through elbow flexion and sit-to-stand tests. The participants' physical fitness level was assessed by the International Physical Activity Questionnaire (IPAQ). The findings reveal active/very active seniors, with controlled blood pressure, low index of sedentary behavior and high upper limb strength, but with BMI representing overweight, and low lower limb strength. When it comes to sex, men presented greater values for body mass (p = 0.020), but other factors related to physical fitness showed no statistically significant difference between elderly males and females. It is possible to conclude that the senior TAG goers with SAH, both men and women, presented excellent physical activity levels, associated with good health behaviors, low indexes of sedentary behavior, and controlled blood pressure.

RESUMO Este estudo investigou a aptidão física de idosos com Hipertensão Arterial Sistêmica (HAS) usuários das academias da terceira idade (ATI) do município de Maringá-PR. Foram inclusos 79 idosos de ambos os sexos, usuários de 13 ATI localizadas no município de Maringá-PR, com diagnóstico de HAS. Para identificação do perfil sociodemográfico e de saúde foi utilizado um questionário semiestruturado. Foi aferida a pressão arterial em repouso e o Índice de Massa Corporal (IMC). Para avaliar a força muscular foram utilizados os testes de flexão de cotovelo e o levantar e sentar na cadeira. O nível de atividade física dos idosos foi avaliado pelo Questionário Internacional de Atividade Física (IPAQ). Os achados demonstraram idosos ativos/muito ativos, com pressão arterial controlada, baixo índice de comportamento sedentário e alta força de membros superiores, porém com IMC representando sobrepeso e baixa força de membros inferiores. Em função do sexo, os homens apresentaram maior valor de massa corporal (p = 0,020), porém outros fatores relacionados à aptidão física não demonstraram diferença estatisticamente significativa entre os idosos do sexo masculino e feminino. Concluiu-se que os idosos com HAS frequentadores das ATIs, ambos os sexos, apresentam excelentes níveis de atividade física, associados a boas condutas de saúde, baixos índices de comportamento sedentário e pressão arterial controlada.

Posture and balance in elderly who practice and who do not practice physical activities / Postura e equilíbrio em idosos praticantes e não praticantes de exercícios físicos

ABSTRACT This study aimed to compare body posture and equilibrium between the elderly who practice and who do not practice physical activities. This is a cross-sectional and analytical study, with a convenience sample of 245 elderly people, divided into practicing group of physical activity (PG) (n=169) and non-practicing group of physical activity (NPG) (n=76). The balance was evaluated using the Berg scale and the orthostatic body posture through SAPO software and the seated posture by the Rocha and Souza protocol. It was found that the elderly of the PG had better-seated posture (p=0.046), vertical alignment of the right trunk (p=0.039), vertical alignment of the right (p=0.027) and left (p=0.004) left ankle angle (p=0.023), asymmetry of the frontal plane (p=0.008) and balance (p=0.001), compared to the elderly of NPG. It is concluded that the elderly who practice physical activities have better posture and equilibrium, compared to non-practicing ones. This information can be useful to increase and encourage physical practices and physical activities for the elderly programs in Brazil.

RESUMO Esse estudo teve como objetivo comparar a postura corporal e o equilíbrio entre idosos praticantes e não praticantes de exercícios físicos. Trata-se de um estudo transversal e analítico, com uma amostra por conveniência de 245 idosos, distribuída em grupo de praticantes de exercício físico (GP) (n=169) e grupo de não praticantes de exercícios físicos (GNP) (n=76). O equilíbrio foi avaliado pela escala de Berg, a postura corporal ortostática por meio do software SAPO e a postura sentada pelo protocolo Rocha e Souza. Foi encontrado que os idosos do GP possuem melhor postura sentada (p = 0,046), alinhamento vertical do tronco direito (p = 0,039), alinhamento vertical do corpo direito (p = 0,027) e esquerdo (p = 0,004), ângulo do tornozelo esquerdo (p = 0,023), assimetria do plano frontal (p = 0,008) e equilíbrio (0.001), comparados aos idosos do GNP. Conclui-se que os idosos que praticam exercícios físicos apresentam melhor postura e equilíbrio, em comparação aos não praticantes. Essas informações podem ser úteis para aumentar e incentivar programas de práticas corporais e exercícios físicos para idosos no Brasil.

Efeito das estações do ano no pico de fluxo expiratório de idosos institucionalizados e não institucionalizados / Efecto de las estaciones del año en el flujo espiratorio máximo de ancianos institucionalizados y no institucionalizados / Effect of the seasons on the peak expiratory flow in institutionalized and noninstitutionalized elderly

RESUMO As doenças respiratórias afetam milhões de pessoas, principalmente os idosos, e as mudanças climáticas estão entre os fatores predisponentes, interferindo na saúde dessa população. O objetivo deste estudo foi avaliar o pico de fluxo expiratório de idosos institucionalizados e não institucionalizados durante as quatro estações do ano. Estudo de coorte prospectivo com 67 idosos de ambos os sexos, residentes na cidade de Maringá (PR) e divididos em dois grupos: idosos institucionalizados (n=37) e idosos não institucionalizados (n=30). Os dados foram coletados durante um mês, uma vez por semana nas quatro estações do ano, totalizando 16 avaliações. O pico de fluxo expiratório foi avaliado com o equipamento peak flow meter. A comparação dos dois grupos de idosos foi feita por análise de variância de dois fatores utilizando o post-hoc de Bonferroni. A menor média de pico de fluxo expiratório para os idosos institucionalizados e não institucionalizados foi no verão (176,2±60,2 e 263,2±116,2), seguido pelo outono (193,4±59,5 e 287,5±118), inverno (215,3±82,5 e 291,5±08,4) e primavera (221,7±83,5 e 291,5±08,4). Conclui-se que o pico de fluxo expiratório de idosos varia de acordo com as estações do ano, porém os institucionalizados apresentam valores mais baixos. Os mais altos são encontrados na primavera, embora aquém do valor predito para os idosos de ambos os grupos.

RESUMEN Las enfermedades respiratorias afectan a millones de personas, especialmente a los ancianos, y el cambio climático es uno de los factores predisponentes que interfieren en la salud de esta población. El presente estudio tuvo como objetivo evaluar el flujo espiratorio máximo de ancianos institucionalizados y no institucionalizados durante las cuatro estaciones del año. Se realizó un estudio prospectivo de cohorte con 67 ancianos de ambos sexos que viven en la ciudad de Maringá (PR), los cuales se dividieron en dos grupos: ancianos institucionalizados (n=37) y ancianos no institucionalizados (n=30). Los datos se recolectaron durante un mes, una vez a la semana en las cuatro estaciones del año, y totalizó 16 evaluaciones. El flujo espiratorio máximo se evaluó con la herramienta peak flow meter. La comparación de los dos grupos de ancianos se realizó mediante el análisis de la varianza de dos factores utilizando el post hoc de Bonferroni. El promedio más bajo del flujo espiratorio máximo para los ancianos institucionalizados y no institucionalizados se registró en verano (176,2±60,2 y 263,2±116,2), seguido del otoño (193,4±59,5 y 287,5±118), invierno (215,3±82,5 y 291,5±08,4) y primavera (221,7±83,5 y 291,5±08,4). Se concluye que el flujo espiratorio máximo de los ancianos varía según las estaciones del año, sin embargo, los ancianos institucionalizados tienen los valores más bajos. Los más altos se encuentran en la primavera, aunque por debajo del valor previsto para los ancianos de ambos grupos.

ABSTRACT Respiratory diseases affect millions of people, especially the elderly, and climate change is among the predisposing factors interfering with the health of this population. This study aimed to evaluate the peak expiratory flow in institutionalized and noninstitutionalized elderly during the four seasons of the year. A prospective cohort study with 67 elderly men and women living in the city of Maringá, Paraná, Brazil, divided into two groups: institutionalized elderly (n=37) and noninstitutionalized elderly (n=30). The data were collected for one month, once a week in the four seasons of the year, totaling 16 evaluations. The peak expiratory flow was evaluated using the Peak-Flow Meter equipment. The two groups of elderly were compared by two-way analysis of variance using the Bonferroni post-hoc. The lowest mean peak expiratory flow for institutionalized and noninstitutionalized elderly was observed in the summer (176.2±60.2 and 263.2±116.2), followed by fall (193.4±59.5 and 287.5±118), winter (215.3±82.5 and 291.5±08.4), and spring (221.7±83.5 and 291.5±08.4). The conclusion was that the peak of expiratory flow of the elderly varies according to the seasons, but the institutionalized ones have lower values. The highest values are found in the spring, although below the value predicted for the elderly of both groups.

O método pilates no solo na qualidade de vida, função pulmonar e força muscular respiratória de idosas / Pilates method in life quality, lung function and respiratory muscular force in elderly people

Este estudo teve o objetivo de analisar os efeitos do método Pilates no solo na qualidade de vida, função pulmonar e força muscular respiratória em mulheres idosas. Estudo quasi-experimental, realizado com 19 idosas no município de Maringá, Paraná, avaliadas por meio do SF-36, da espirometria e manovacuometria. As idosas foram submetidas a dez sessões de Pilates no solo, realizadas três vezes por semana, durante 60 minutos. Ao término do tratamento as pacientes foram reavaliadas e os dados analisados pelos testes de Wilcoxon e Mann Whitney (p < 0,05). Houve melhora da força muscular inspiratória (40,5%), expiratória (42,9%), da capacidade vital forçada (9,1%), do volume expiratório forçado no primeiro minuto (13,3%); e principalmente na qualidade de vida nos domínios de limitação por aspectos físicos (68,42%), aspectos emocionais (43,42%), capacidade funcional (35,0%) e dor (34,37%). O método Pilates no solo mostrou-se eficaz para melhorar a qualidade de vida, na função pulmonar e força muscular respiratória.

The effects of the Pilates method on life quality, lung functions and respiratory muscular force in elderly females were analyzed. The quasi-experimental study was undertaken with 19 elderly women in Maringá, Brazil, and evaluated by SF-36, spirometry and manovacuometry. Elderly females underwent ten Pilates sessions on the ground, during 60 min, three times a week. Patients were then re-evaluated and data analyzed by Wilcoxon´s and Mann Whitney´s tests (p < 0.05). Improvement in inspiratory muscular force (40.5%), expiratory (42.9%) muscular force, forced vital ability (9.1%), forced expiratory volume at the first minute (13.3%) and mainly in life quality in domains limitation by physical aspects (68.42%), emotional aspects (43.42%), functional ability (35.0%) and pain (34.37%). Pilates method was efficient to improve life quality, and for lung functioning and respiratory muscular force.

Physical activity level and lifestyle perception in prebariatric surgery patients.

OBJECTIVE: To determine sociodemographic characteristics, lifestyle perception and physical activity levels in obese prebariatric surgery patients. METHODS: A quantitative, cross-sectional study. The sample comprised 96 male and female morbidly obese prebariatric surgery patients. Questionnaires addressing sociodemographic profile, lifestyle perception and physical activity levels were applied. RESULTS: Patients were aged 40.3±11.45 years. Inadequate levels of physical activity were reported by 47.8% of patients; most respondents (79.2%) attributed scores defined as inadequate to the physical activity domain of the lifestyle questionnaire. Time spent on physical activity practice per week differed significantly between patients reporting being physically active or physically inactive in adolescence (p=0.046). CONCLUSION: Most obese prebariatric surgery patients perceive their lifestyle as inadequate, in spite of eligibility for bariatric surgery. Results also indicate that physical activity practice and nutrition are the domains with greatest impacts on patient lifestyle, and that physical activity practice in adolescence may contribute to adoption of a more active behavior in adulthood, which may represent a vital tool for health promotion in patients undergoing bariatric surgery.

BENEFÍCIOS DO MÉTODO PILATES ASSOCIADO À EDUCAÇÃO EM SAÚDE NA SOBRECARGA E QUALIDADE DE VIDA DE CUIDADORES DE PACIENTES NEUROLÓGICOS / BENEFITS OF THE PILATES METHOD ASSOCIATED WITH HEALTH EDUCATION IN OVERLOAD AND QUALITY OF LIFE OF NEUROLOGICAL PATIENTS

Este trabalho teve como objetivo verificar as contribuições do Método Pilates e das orientações posturais na dor, na qualidade de vida e na sobrecarga de cuidadores de pacientes neurológicos. Trata-se de um estudo do tipo série de casos, o qual foi realizado na clínica escola de fisioterapia da Unicesumar com dez cuidadores independente do sexo, com idade variando entre 40 a 65 anos. Inicialmente os cuidadores foram submetidos a uma avaliação da dor através da Escala Visual Analógica (EVA); da qualidade de vida pelo questionário SF-36 e de sobrecarga por meio do questionário de Avaliação do Cuidador Informal (QASCI). Após a avaliação, os mesmos receberam orientações posturais gerais relacionadas ao posicionamento correto para exercer atividades de vida diárias (AVDs) e foram submetidos a dez sessões com o método Pilates na bola suíça. Ao término do tratamento, os cuidadores foram reavaliados com os mesmos instrumentos para verificar os resultados alcançados e os dados foram submetidos à análise estatística e interferencial, apresentados em formas de gráficos e tabelas, utilizando o programa estatístico Statistical Package for Social Science versão 20 e empregados os testes Kolmogorov-Smirnov e T-Student. Nesse estudo, concluiu-se que o Método Pilates proporcionou a redução da dor e da sobrecarga de cuidadores de pacientes neurológicos. Em relação a qualidade de vida os resultados mais favoráveis foram observados nos domínios capacidade funcional, limitação por aspectos físicos, estado geral da saúde e saúde mental.

This present study aims at verifying the contributions of Pilates Method and guidance the postural advices when in pain, on the quality of life and on the overload of neurological caregivers. This is a study of series reports and it was performed at a school clinic of physiotherapy at Unicesumar´s University, with ten caregivers regardless of gender, with ages varying from 40 to 65 years. At first, the caregivers were subjected to a pain evaluation based on Visual Analog Scale (VAS); from the questionnaire of quality of life SF-36 and the overload by the questionnaire of assessment of the informal caregivers (QAIC). After the evaluation, they received general postural orientations related to properly positioning in the performance of daily life activities (AVDs) and were submitted to ten sections of the Pilates Method on the Swiss Ball. By the end of the treatment, the caregivers were revaluated with the same instruments in order to verify the achieved results. All data were sent to statistical and interferential assessment, For the statistical treatment of the study data the SPSS(Statistical Package for Social Science) version of 20.0 was used and the following statistics tests were employed Kolmogorov-Smirnov and T-Student. The study concluded that Pilates Method afforded the reduction of pain and the overload of neurological caregivers. In relation to the quality of life, the favorable results were verified in the field of functional capacity and limitation by the physical appearance, general state of health and mental health.

Comparação da atividade física e satisfação com a vida em idosos institucionalizados e dos centros dia / Comparing physical activities and life satisfaction in elderly people in institutions and day care centers

É de grande importância entender a relação entre atividade física e comportamento sedentário com a satisfação com a vida de idosos. O objetivo deste estudo foi comparar a atividade física e a satisfação com a vida entre idosos institucionalizados e idosos usuários dos Centro Dia. Trata-se de estudo transversal, realizado entre fevereiro a junho de 2017, com 31 idosos de ambos os sexos, sendo 19 institucionalizados e 11 frequentadores de Centro Dia, do município de Maringá, Paraná. Foi utilizado um questionário com questões sociodemográficas, Escala de Satisfação com a vida e o International Physical Activity Questionnaire (IPAQ), versão curta. Para a análise dos dados, foi utilizado o teste de Shapiro-Wilk, Qui-quadrado, exato de Fisher, "U" de Mann-Whitney e o coeficiente de correlação de Spearman. A significância adotada foi de p < 0,05. Os idosos frequentadores dos Centro Dia caminham mais dias por semana (p = 0,001), praticaram mais dias de atividades moderadas por semana (p = 0,039) e mais minutos por dia (p = 0,039), por semana (p = 0,032) destas atividades. O tempo sentado durante a semana apresentou correlação significativa (p < 0,05) e negativa como os minutos de caminhada por dia, os minutos de caminhada por semana e a satisfação com a vida. Já o tempo sentado durante o fim de semana apresentou correlação significativa (p < 0,05) e negativa apenas com os minutos de caminhada por dia. Idosos institucionalizados são menos ativos fisicamente, apesar de ficarem menos tempo sentados durante os fins de semana. Além disso, o comportamento sedentário do idoso é um fator que pode estar relacionado à redução de atividades físicas leves e da satisfação com a vida

It is highly relevant to understand the relationship between physical activity and sedentary behavior with elderly people´s life satisfaction. Physical activity and life satisfaction between elderly people in institutions and elderly ones in day care centers are compared. Current transversal study was undertaken with 31 elderly people of both genders between February and June 2017. Nineteen elderly people were in institutions and 11 were kept in day care centers, in Maringá PR Brazil. A sociodemographic questionnaire, Life Satisfaction Scale and abridged International Physical Activity Questionnaire (IPAQ) were employed. Data analyses employed Shapiro-Wilk test, Chi-square test, Fisher´s Exact test, Mann-Whitney U test and Spearman´s correlation coefficient, at p < 0.05. Elderly people from day centers walk more days per week (p = 0.001), practice more days of the week in moderate activities (p = 0.039) and more minutes per day (p = 0.039), week (p = 0.032) in these activities. Sitting periods during the week provided significant co-relationship (p < 0.05) and negative co-relationship as minutes walking per day, minutes walking per week and life satisfaction. Sitting time during the weekend had a significant co-relationship (p < 0.05) and negative co-relationship only with walking minutes per day. Institutionalized elderly people are less active physically in spite of the fact that they spend less time sitting during the weekend. Sedentary behavior of the elderly is a factor that may be related to a decrease in light physical activities and life satisfaction