Combat sport in the body composition of the elderly: A systematic review and meta-analysis study.

OBJECTIVE: To analyze possible changes in body composition in elderly individuals with combat sports as an intervention. METHODS: This study is characterized as a systematic review and meta-analysis. The PRISMA criteria were followed, and the study was registered in PROSPERO under the number CRD42023392613. The databases used were MEDLINE (via PubMed), Scopus, SPORTDiscus, Web of Science, and Science Direct. The risk of bias and methodological quality were assessed using Robins-I, Cochrane, and Testex tools. RESULTS: Of the 126 publications found, 9 studies were included (5 controlled and randomized studies and 4 intervention studies). Of these studies, 6 provided data for the meta-analysis. A total of 126 publications were found and, the studies included in this systematic review had an average of 51 weeks, 3 times a week, and 50 min per session. In the results presented by the meta-analysis the variable body fat showed a reduction (SMD: -0.11; 95% CI: -0.99 to 0.09; p = 0.02; I2 = 0%). CONCLUSION: Combat sports showed an improvement in the body composition of the elderly, with a reduction in the percentage of body fat.

Caracterização epidemiológica dos casos de intoxicação exógena no estado do Pará entre 2012 e 2021 / Epidemiological characterization of exogenous poisoning cases in the state of Pará between 2012 and 2021

Objetivo: Caracterizar o perfil epidemiológico dos casos de intoxicação exógena no estado do Pará, entre 2012 e 2021. Métodos: Estudo quantitativo, de caráter descritivo e delineamento transversal, realizado a partir da coleta de dados no Sistema de Informação de Agravos de Notificação. Resultados: Nesse período, foram registrados 5.803 casos de intoxicação exógena no Pará. Houve predominância no sexo feminino (56,92%), faixa etária de 20 a 39 anos (39,10%) e cor/raça parda (74,93%). Sobressaíram-se as circunstâncias de tentativa de suicídio (32,62%)e uso acidental (24,47%), os agentes tóxicos medicamentos (25,52%) e agrotóxicos agrícolas (13,42%), casos de exposição aguda-única (58,94%), diagnóstico clínico (47,11%) como critério de confirmação e evolução para cura sem sequelas (65,88%). Ao relacionar circunstâncias com faixa etária e sexo, identificou-se número elevado de tentativas de suicídio entre jovens e adultos (n=1.633), principalmente mulheres (n=1.198), enquanto que no uso acidental, os principais acometidos foram as crianças (n=840), em especial, do sexo masculino (n=740). Conclusão: As intoxicações exógenas surgem como uma problemática de saúde no estado do Pará, apresentando características específicas, sendo necessária a promoção de ações de educação em saúde para servir de auxílio no alerta às crianças, jovens, famílias e à comunidade como um todo. Descritores: Epidemiologia; Sistemas de Informação em Saúde; Intoxicação

Objective: To characterize the epidemiological profile of exogenous poisoning cases in the state of Pará between 2012 and 2021. Methods: Quantitative, descriptive and cross-sectional study, based on data collected from the Notifiable Diseases Information System. Results: During this period, 5,803 cases of exogenous poisoning were recorded in Pará. There was a predominance of females (56.92%), aged between 20 and 39 (39.10%) and brown (74.93%). The circumstances that stood out were suicide attempts (32.62%) and accidental use (24.47%), the toxic agents drugs (25.52%) and agricultural pesticides (13.42%), cases of acute-single exposure (58.94%), clinical diagnosis (47.11%) as a confirmation criterion and progression to cure without sequelae (65.88%). When relating circumstances to age group and gender, a high number of suicide attempts were identified among young people and adults (n=1,633), mainly women (n=1,198), while in accidental use, the main victims were children (n=840), especially males (n=740). Conclusion: Exogenous poisoning has become a health problem in the state of Pará, with specific characteristics, and it is necessary to promote health education to help alert children, young people, families and the community as a whole. Descriptors: Epidemiology; Health Information Systems; Poisoning

Caracterização epidemiológica de acidentes com animais peçonhentos entre 2012-2021: revisão sistemática / Epidemiological characterization of accidents with poisonous animals between 2012-2021: systematic review / Caracterización Epidemiológica de acidentes con animales venenosos entre 2012-2021: revisión sistemática

Acidentes por animais peçonhentos são considerados um problema cosmopolita de saúde pública.Poucos são os estudos de revisão acerca da temática encontrados na literatura. Objetivo:definir os principaisaspectos epidemiológicos envolvidos nos acidentes com animais peçonhentos no período 2012-2021.Metodologia:Revisão sistemática, com base no protocolo PRISMA, incluindoartigos publicados entre 2012 e 2021, nos idiomas inglês, espanhol e português, a partir da busca nas bases de dados PUBMED, SCIELO, LILACS e Portal de Periódicos CAPES, utilizando a combinação dos descritores "Venoms" AND "Accidents" AND/OR "Epidemiological".Resultados:Foram encontrados 729 artigos, dos quais 17 foram selecionados para comporem esta revisão. A maioria(64,7%)dos artigos utilizaram o Sistema de Informação de Agravos de Notificação como fonte de dados, 76,4% evidenciaram o sexo masculino como o principal acometido, 64,7% apontaram a zona rural como principal área de ocorrência e faixa etária de 21-30 anos representou 47,05% dos artigos. Acidentes ofídicos demonstraram maior prevalência(47,05%), seguidos pelos escorpiônicos(23,5%). Os membros inferiores foram os mais acometidos(76,4%). Destacou-se tempo de atendimento de uma até 6 hora. Prevaleceram acidentes leves(82,3%), com bons índices de cura e poucos óbitos quanto comparado com o número total de casos. A soroterapia foi trabalhada em 11(64,7%)estudos, sendo utilizada principalmente em acidentes com serpentes. Dor e edema foram as principais manifestações locais, alterações vagais foram as principais manifestações sistêmicas e necrose, alterações do sistema circulatório e renal foram as principais complicações apontadas.Conclusões:Os achados possibilitaram melhor visualização e entendimento da problemática, reforçando a importância do desenvolvimento de ações interventivas que venham a melhorar os sistemas de saúde locais, colaborando na identificação de falhas e melhorias no atendimento imediato e preventivo em saúde (AU).

manifestations, vagal changes the main systemic manifestations, and necrosis, circulatory and renal system alterations the most important complications reported.Conclusions: The findings allow better visualization and understanding of the problem, reinforcing the importance of intervention to improve local health systems, thereby helping identify the shortcomings and improvements in prompt and preventive treatment (AU).

Los accidentes con animales ponzoñosos constituyen un problema de salud pública cosmopolita. Pocos estudios han realizado una revisión de la literatura sobre el tema.Objetivo: Determinar los principales aspectos epidemiológicos involucrados en los accidentes con animales ponzoñosos entre 2012 y 2021. Metodología: Se trata de una revisión sistemática, basada en el protocolo PRISMA, que incluye artículos publicados entre 2012 y 2021, en inglés, español y portugués, mediante búsquedas en las bases de datos PUBMED , SCIELO, LILACS y CAPES, y una combinación de los descriptores "Venenos" Y "Accidentes" Y/O "Epidemiológico". Resultados: Se encontraron un total de 729 artículos, de los cuales 17 fueron seleccionados para la revisión. La mayoría (64,7%) de los artículos utilizaron el Sistema de Información de Enfermedades de Declaración Obligatoria como fuente de datos, el 76,4% encontró que el sexo masculino fue el más afectado, el 64,7% se presentó en la zona rural y el grupo etario de 21 a 30 años representó el 47,05% de las publicaciones. Las mordeduras de serpientes fueron las más prevalentes (47,05%), seguidas de las picaduras de escorpión (23,5%), y los miembros inferiores fueron los más afectados (76,4%). El tiempo de tratamiento fue de hasta 6 horas. Las mordeduras leves fueron las más comunes (82,3%), con buenas tasas de curación y pocas muertes en comparación con el número de casos. La seroterapia se aplicó en 11 (64,7%) estudios, principalmente en mordeduras de serpientes. El dolor y la tumefacción fueron las principales manifestaciones locales, los cambios vágales las principales manifestaciones sistémicas y la necrosis, las alteraciones del sistema circulatorio y renal las complicaciones más importantes reportadas.Conclusiones: Los resultados permiten una mejor visualización y comprensión del problema, reforzando la importancia de la intervención para mejorar los sistemas locales de salud, ayudando así a identificar las falencias y mejoras en el tratamiento oportuno y preventivo (AU).

Effects of Multicomponent Exercise Training on the Health of Older Women with Osteoporosis: A Systematic Review and Meta-Analysis.

This study aimed to analyze the effects of multicomponent exercise training in older women with osteoporosis. We conducted a systematic review following the PRISMA guidelines and registered on PROSPERO (number CRD42022331137). We searched MEDLINE (via PubMed), Web of Science, Scopus, and CINHAL databases for randomized experimental trials that analyzed the effects of physical exercise on health-related variables in older women with osteoporosis. The risk of bias in the studies was verified using the Cochrane Collaboration tool and the Jadad scale was used to assess the methodological quality of the studies. Fourteen randomized controlled trials were included, with a total of 544 participants in the experimental group and 495 in the control group. The mean age of all participants was 68.4 years. The studies combined two to four different exercise types, including strength, aerobic, balance, flexibility, and/or functional fitness training. The practice of multicomponent training with an average of 27.2 weeks, 2.6 sessions per week, and 45 min per session showed improvements in strength, flexibility, quality of life, bone mineral density, balance, and functional fitness and reduced the risk of falls in older women with osteoporosis. Multicomponent training was shown to be effective in improving health-related variables in older women with osteoporosis.

The Impact of Yoga Nidra and Seated Meditation on the Mental Health of College Professors.

BACKGROUND: World statistics for the prevalence of anxiety and mood disorders shows that a great number of individuals will experience some type of anxiety or mood disorder at some point in their lifetime. Mind-body interventions such as Hatha Yoga and seated meditation have been used as a form of self-help therapy and it is especially useful for challenging occupations such as teachers and professors. AIMS: In this investigation, we aimed at observing the impact of Yoga Nidra and seated meditation on the anxiety and depression levels of college professors. MATERIALS AND METHODS: Sixty college professors, men and women, aged between 30 and 55 years were randomly allocated in one of the three experimental groups: Yoga Nidra, seated meditation, and control group. Professors were evaluated two times throughout the 3-month study period. Psychological variables included anxiety, stress, and depression. RESULTS: Data analysis showed that the relaxation group presented better intragroup results in the anxiety levels. Meditation group presented better intragroup results only in the anxiety variable (physical component). Intergroup analysis showed that, except for the depression levels, both intervention groups presented better results than the control group in all other variables. CONCLUSIONS: Prepost results indicate that both interventions represent an effective therapeutic approach in reducing anxiety and stress levels. However, there was a tendency toward a greater effectiveness of the Yoga Nidra intervention regarding anxiety, which might represent an effective tool in reducing both cognitive and physiological symptoms of anxiety.

Efeitos de 20 semanas de treinamento combinado na capacidade funcional de idosas / Effects of 20 weeks of combined training on the functional capacity of elderly / Efectos de 20 semanas de entrenamiento combinado en la capacidad funcional de mujeres ancianas

Resumo O estudo baseou-se em avaliar os efeitos de 20 semanas de treinamento combinado na capacidade funcional de idosas; 66 foram divididas por randomização em dois grupos, um grupo treinamento combinado (GTC, n = 33, com 69,12 ± 7 anos) e outro grupo controle (GC, n = 33, com 69,21 ± 6,60 anos). O período de intervenção da pesquisa ocorreu durante 20 semanas. A avaliação da CF foi feita pela Escala de Atividade da Vida Diária (AVD) proposta por Katz, associada à Escala das Atividades Instrumentais da Vida Diária (AIVD) proposta por Lawton. Para o treinamento de força muscular, usou-se carga máxima entre 70-85% de 1RM e no treinamento de resistência cardiovascular optou-se pelo uso de 70-89% da FC de reserva. Os resultados apresentam melhorais estatisticamente significativas na escala de CF de Lawton (Δ% = 21,04%, p = 0,007) e na escala de CF de Katz, (Δ% = 7,31%, p < 0,001) comparados com os do GC. Os resultados possibilitam concluir que a prática do treinamento combinado melhorou a CF de idosas.

Abstract The study was based on evaluating the effects of 20 weeks of concurrent training on the functional capacity of elderly. 66 elderly women were divided by randomization into two groups, a concurrent training group (CTG, n = 33, with 69,12 ± 7,00 years) and a control group (CG, n = 33, with 69,21 ± 6,60 years). The study intervention period occurred during 20 weeks. The evaluation of the CF was made by the Daily Life Activity Scale (ADL) proposed by Katz, associated with the Scale of Instrumental Activities of Daily Living (IADL) proposed by Lawton. For muscle strength training, maximum load was used between 70-85% of 1RM and in cardiovascular resistance training, 70-89% of reserve HR was used. The results show statistically significant improvement in CF Lawton scale (Δ% = 21,04%, p = 0,007) and CF scale Katz (Δ% = 7.31%, p < 0,001) compared to the control group. The results allow to conclude that the practice of concurrent training improved CF elderly.

Resumen El estudio se basó en la evaluación de los efectos de 20 semanas de entrenamiento combinado en la capacidad funcional (CF) de mujeres ancianas. Se dividió a 66 mujeres ancianas en dos grupos de forma aleatoria: un grupo de entrenamiento combinado (GEC, n = 33, con 69,12 ± 7,00 años) y un grupo control (GC, n = 33, con 69,21 ± 6,60 años). El período de la intervención fue 20 semanas. La evaluación de la CF se llevó a cabo con la Escala de Actividades de la Vida Diaria (AVD), propuesta por Katz, relacionada con la Escala de Actividades Instrumentales de la Vida Diaria (AIVD), propuesta por Lawton. Para el entrenamiento de la fuerza muscular se utilizó una carga máxima del 70-85% de 1RM y para el entrenamiento cardiovascular se optó por el uso del 70-89% de la reserva de la FC. Los resultados muestran una mejora estadísticamente considerable en la escala de la CF de Lawton (Δ% = 21,04%, p = 0,007) y la escala de la CF de Katz (Δ% = 7,31%, p < 0,001) en comparación con el grupo control. Los resultados permiten concluir que la práctica de entrenamiento combinado mejoró la CF de las mujeres ancianas.

Long-lasting insecticide-treated nets (LLINs) used to reduce the incidence of malaria in a municipal district of the Brazilian Amazon

Malaria is still the parasitic disease with the greatest worldwide impact. Recently in Brazil, almost all cases of the disease have been recorded in the Amazon region. The struggle against the vectors through insecticide treated nets associated with rapid diagnosis and treatment, is currently the main strategy. This study aimed to determine the protective effect of these devices on the incidence of malaria in one municipality in the Amazon, and was conducted with information from the Brazilian Ministry of Health and with the analysis of 10,050 slides of thick blood smears that were prepared and examined in loco. The Shapiro-Wilk test was used to determine the normality of the data and the Mann-Whitney test was used for all comparisons of the analyzed variables. The significance level was set at p≤0.01. The results revealed a significant reduction in the number of malaria cases in all analyzed variables, including the species of the parasite, the level and type of infection, and the gender and age of the diagnosed individual (p˂0.01). These findings confirmed that these devices are an important tool for disease control, presenting a new variable in combating the disease in the studied population. Therefore, the use of insecticide-treated nets is recommended as a preventive measure and guidance to the population regarding the correct way to use this device is required to avoid problems such as the loss of naturally acquired immunity, reduction in the protective effect of the device and the development of resistance to the insecticide.

Resistance training programs on bone related variables and functional independence of postmenopausal women in pharmacological treatment: A randomized controlled trial.

INTRODUCTION: Osteoporosis is a chronic disease that leads to bone fragility and is associated with fracture risks and serious consequences for mobility. OBJECTIVE: To verify the effects of two linear programs of resistance training (RT) on bone mineral density (BMD), functional autonomy (FA), muscular strength and quality of life (QoL) of postmenopausal women in pharmacological treatment. STUDY DESIGN: Randomized controlled trial, code: RBR-6bqsw8. METHODS: 52 volunteers were distributed into three groups, according to randomly parallel form: RT3times-per-week (RT3, n=20); RT2times-per-week (RT2, n=16) and control group (CG, n=16). The following assessment tools were used: bone mineral density (BMD) by dual X-ray absorptiometry, 'Latin America Group for maturity' (GDLAM) protocol for FA, 10RM test for leg exercises and the 'Osteoporosis Assessment Questionnaire' (OPAQ) for QoL. The physical activities were planned for 13 months in cycles with different intensities. A two-way ANOVA with Bonferroni post-hoc test were used. RESULTS: The results showed that the RT3/week was significantly more efficient (p<0.05) compared with RT2/week, including: All BMD variables, FA (Δ%=29.3%), leg press at 45° (Δ%=24.97%) and OPAQ (Δ%=20.23%). In addition, both RT3 and RT2 groups were more efficient (p<0.05) compared with CG, including: total BMD (Δ%=0.09%) and (Δ%=0.06%); FA (Δ%=7.1%) and RT2 (Δ%=3.78%); Leg press at 45° (Δ%=84.1%) and (Δ%=59.1%); keen extension (Δ%=15.28%) and (Δ%=20.37%); OPAQ (Δ%=57.61%) and (Δ%=37.37%), respectively. CONCLUSION: The study showed that both experimental groups presented favorable results for BMD, strength, FA and QoL. However, the RT3 showed the best results compared to other groups after 13 months of intervention.

NÍVEL SOCIOECONÔMICO, ESTADO NUTRICIONAL E COORDENAÇÃO MOTORA GROSSA DE ESCOLARES COM 6 A 10 ANOS NA AMAZÔNIA / SOCIOECONOMIC LEVEL, NUTRITIONAL STATUS AND GROSS MOTOR COORDINATION OF SCHOOLCHILDREN WITH 6-10 YEARS IN AMAZONIAN

RESUMO O objetivo deste estudo foi comparar o nível socioeconômico, estado nutricional e a coordenação motora grossa entre escolares de 6-10 anos de diferentes bairros na cidade de Tucuruí-PA. 102 escolares de 6-10 anos de ambos os sexos foram separados da seguinte forma: feminino: Grupo Vila, n= 14 (7,3±0,8 anos de idade); Grupo Cidade, n= 32 (8,3± anos de idade) e masculino: Grupo Vila, n= 24 (8,3±1,06 anos de idade); Grupo Cidade, n= 32 (8,1±1,1 anos de idade) participaram do estudo. O protocolo Korperkoodinationtest fur Kinder (KTK) para coordenação motora grossa, o critério de classificação econômica Brasil e a classificação de Waterlowforam usados. O teste T de Student e U Mann-Whitney foram usados na análise estatística. O nível socioeconômico apresentou diferenças (p<0,05) onde "Grupo Vila", foi classificado na classe B1 e o "Grupo Cidade" classe D. Houve diferenças (p<0,05) entre os grupos somente para os testes de força entre meninos: Unipodal e agilidade; e meninas: agilidade, favoráveis aos "Grupos Vila". No estado nutricional, os "Grupos Vila" também apresentaram os melhores resultados (p<0,05) para meninos: massa/idade, estatura/idade, massa/estatura; e meninas: massa/idade e estatura/idade. Os "Grupos Vila" com melhores condições socioeconômicas apresentaram os melhores resultados tanto para o estado nutricional, como para a força em ambos os gêneros.

ABSTRACT The objective of this study was compare the socioeconomic level, nutritional status and gross motor coordination of schoolchildren 6-10 years of different districts in the Tucuruı-PA city. 102 schoolchildren 6-10 years of both genres in different districts, namely: female: Villa Group, n = 14 (7.3 ± 0.8 years); City group, n = 32 (± 8.3 years) and male: Villa Group, n = 24 (8.3 ± 1.06 years); City group, n = 32 (8.1 ± 1.1 years) participated in this study. Korperkoodinationtest fur Kinder (KTK) protocol to evaluate the gross motor coordination, the Criterion of Economic Classification Brazil and the Waterlow classification were used. The Student's T and U Mann-Whitney tests were used for statistical analysis. The socioeconomic level showed differences (p <0.05) where "Villa Groups" with a class B1 and "City Groups" Class D. Differences (p <0.05) were only observed to strength tests between males: single leg and agility; and females: agility in favor of Vila Groups. In the nutritional status, "Vila Groups" also showed the best results (p <0.05) for males: mass/age, height/age, mass/height; and to females: weight/age; and height/age. The "Village Groups" with the best socioeconomic conditions, showed the best results for nutritional status and strength for males and females.

Composição corporal e autonomia funcional de mulheres idosas após um programa de treinamento resistido / Composición corporal y autonomía funcional de mujeres adultas mayores después de un programa de entrenamiento resistido / Body composition and functional autonomy of older adult women after a resistance training program

Objectives: To assess the effects of a resistance training program for older adult women's functional autonomy and body composition. Method: A total of 13 volunteer women aged 55±5.1 years participated in this study. Functional autonomy and body composition were assessed. The linear training program lasted for three months with 65, 70 and 75% intensity with 10 maximum repetitions. Results: Statistical improvement in fat percentage (∆% = -6.92%, p=0.04) and the WHR index (∆% = -3.44%, p<0.001) was confirmed. In addition, statistical improvement in functional autonomy was observed in the tests: POTOS (∆% = - 36.9%, p<0.001); 10mW (∆% = - 8.9%, p=0.01); RSP (∆% = - 16.7%, p=0.002); RCWH (∆% = - 16.5%, p<0.001); and in the GDLAM index (∆% = - 14.3%, p<0.001). Conclusion: The resistance training showed positive effects on older adult women's functional capacity and body composition.

Objetivo: Avaliar os efeitos de um programa de treinamento resistido sobre a autonomia funcional e composição corporal de mulheres com idade avançada. Método: Um total de 13 mulheres com 55±5,1 anos de idade participaram da pesquisa. Avaliou-se a autonomia funcional e a composição corporal. O treinamento linear durou três meses com intensidade de 65, 70 e 75% com 10 repetições máximas. Resultados: Verificou-se melhora estatística para o percentual de gordura (∆% = -6,92%, p=0,04) e para a RCQ (∆% = -3,44%, p<0,001). Além disso, observaram-se melhoras estatísticas para a autonomia funcional nos testes: VTC (∆% = - 36,9%, p<0,001); C10m (∆% = - 8,9%, p=0,01); LPS (∆% = - 16,7%, p=0,002); LCLC (∆% = - 16,5%, p<0,001); e no Índice GDLAM (∆% = - 14,3%, p<0,001). Conclusão: O treinamento resistido mostrou efeitos positivos para a capacidade funcional e composição corporal das mulheres em idade avançada.

Objetivo: Evaluar los efectos de un programa de entrenamiento resistido sobre la autonomía funcional y la composición corporal de mujeres adultas mayores. Método: Un total de 13 mujeres de 55±5,1 años de edad participaron en el estudio. Se evaluó la autonomía funcional y la composición corporal. El entrenamiento linear tuvo una duración de tres meses con intensidad de 65, 70 y 75% de 10 repeticiones máximas. Resultados: Hubo mejoría estadística en el porcentaje de grasa (Δ% = -6,92%, p = 0,04) y la RCC (Δ% = -3,44%, p <0,001). Además, se observó mejoría estadística de la autonomía funcional en las pruebas: PSC (Δ% = - 36,9%, p <0,001); C10M (Δ% = - 8,9%, p = 0,01); LPS (Δ% = - 16,7%, p = 0,002); LSCC (Δ% = - 16,5%, p <0,001); y en el índice GDLAM (Δ% = - 14,3%, p <0,001). Conclusión: El entrenamiento resistido mostró efectos positivos para la capacidad funcional y la composición corporal de las mujeres adultas mayores.

[Impact of a music therapy program on the stress level of health professionals]. / Impacto de um programa de musicoterapia sobre o nível de estresse de profissionais de saúde.

The study aimed to assess the effects of a music therapy program on the level of stress for female professionals working in a private hospital in Rio de Janeiro-RJ, Brazil. Thirty four female volunteers with 33.3 ± 8.5 years of age from different levels of professional participated in the study. We used the Lipp's inventory of symptoms of stress for adults (ISSL) to evaluate the level of stress of participants before and after music therapy. The program consisted of twelve sessions using the techniques of music therapy Improvisation and Musical Re-creation held once a week with 50 minutes / session in a period of three months. The Wilcoxon test for repeated measures was used for statistical analysis. The study showed a statistically significant decrease (Δ = - 60%, p <0.001) in the level of stress professionals studied after the music therapy program. In conclusion, the present study that the music therapy program was effective in decrease the level of stress of women health professionals working in a private hospital in Rio de Janeiro-RJ, Brazil.

Impacto de um programa de musicoterapia sobre o nível de estresse de profissionais de saúde / Impact of a music therapy program on the stress level of health professionals / Impacto de un programa de musicoterapia en el nivel de estrés de profesionales de la salud

Objetivou-se verificar os efeitos de um programa de musicoterapia sobre o nível de estresse de profissionais de saúde. Participaram do estudo 34 voluntários do sexo feminino com 33,3 ± 8,5 anos de idade, de diferentes níveis de atuação profissional. Utilizouse o inventário de sintomas de Stress para adultos de Lipp (ISSL) para avaliar o nível de estresse dos participantes antes e após a musicoterapia. O programa foi composto por 12 sessões utilizando as técnicas musicoterápicas de Improvisação e Recriação Musical, realizado uma vez por semana com 50 minutos/sessão em um período de três meses. O teste de Wilcoxon para medidas repetidas foi utilizado para análise estatística. Observou-se uma diminuição estatística significativa (Δ = - 60%, p<0,001) no nível de estresse das profissionais estudadas após o programa de musicoterapia. Conclui-se com o presente estudo que o programa de musicoterapia foi efetivo para diminuir o nível de estresse de mulheres profissionais de saúde que atuam em um hospital privado no município do Rio de Janeiro-RJ.

The study aimed to assess the effects of a music therapy program on the level of stress for female professionals working in a private hospital in Rio de Janeiro-RJ, Brazil. Thirty four female volunteers with 33.3 ± 8.5 years of age from different levels of professional participated in the study. We used the Lipp's inventory of symptoms of stress for adults (ISSL) to evaluate the level of stress of participants before and after music therapy. The program consisted of twelve sessions using the techniques of music therapy Improvisation and Musical Re-creation held once a week with 50 minutes / session in a period of three months. The Wilcoxon test for repeated measures was used for statistical analysis. The study showed a statistically significant decrease (Δ = - 60%, p <0.001) in the level of stress professionals studied after the music therapy program. In conclusion, the present study that the music therapy program was effective in decrease the level of stress of women health professionals working in a private hospital in Rio de Janeiro-RJ, Brazil.

Objetivó-se evaluar los efectos de un programa de musicoterapia en el nivel de estrés para las mujeres profesionales que trabajan en un hospital privado en Rio de Janeiro-RJ, Brasil. Participaran del estudio 34 voluntarios de sexo femenino con 33,3 ± 8,5 años de edad, de diferentes niveles de desempeño profesional. Se utilizó un inventario de síntomas de estrés para los adultos de Lipp (ISSL) para evaluar el nivel de estrés de los participantes antes y después de la terapia musical. El programa consistió en 12 sesiones que utilizan las técnicas de improvisación en musicoterapia y la re-creación musical a cabo una vez a la semana con 50 minutos por sesión en un plazo de tres meses. El test de Wilcoxon para medidas repetidas fue utilizado para el análisis estadístico. El estudio mostró una disminución estadísticamente significativa (Δ = - 60%, p <0,001) en el nivel de estrés de los profesionales estudiados después de que el programa de terapia musical. En conclusión, el presente estudio demostró que el programa de musicoterapia fue efectivo en disminuir el nivel de estrés de los profesionales de la salud que trabajan en un hospital privado en Río de Janeiro-RJ, Brasil.

Functional autonomy, bone mineral density (BMD) and serum osteocalcin levels in older female participants of an aquatic exercise program (AAG).

The aim of the present study was to evaluate the effects of an AAG on BMD, osteocalcin and functional autonomy in older women. The sample consisted of eighty-two post-menopausal women with low BMD, randomly divided into two groups: the Aquatic Aerobics Group [AAG; n=42; age: 66.8±4.2years], submitted to two weekly sessions over eight months, and the Control Group (GC; n=42; age: 66.9±3.2years), which did not participate in regular exercise. BMD was measured by Dual Energy X-ray Absorptiometry [DXA] of the lumbar and femur, and serum osteocalcin was measured using electrochemiluminescence. A functional autonomy assessment protocol (GDLAM, 2004) was also applied. Statistical analyses used were repeated measures ANOVA and Tukey's post hoc tests. The results showed a significant improvement in tests following the GDLAM protocol: 10 meters walk (10mw) -p=0.003; rising from a ventral decubitus position (RVDP) - Δ%=0.78, p<0.001; rising from a chair and moving around the house (RCMH) -p<0.001 and autonomy index (AI) -p=0.007, with more favorable results observed in the AAG when compared to the CG. The AAG achieved the best results for BMD; however, no inter or intragroup statistical differences were recorded for total femur -p=0.975 and lumbar L(2)-L(4)p=0.597. For serum osteocalcin, intra and intergroup statistical differences of p=0.042 and p=0.027 were observed in the AAG, respectively. This demonstrates that an eight-month aquatic aerobic exercise program can improve functional autonomy and osteocalcin levels, although training did not improve lumbar and total femur BMD in the older women.

Factors that contribute to low bone density in postmenopausal women in different amazonian communities.

BACKGROUND: The aim of this study was to verify socioeconomic differences, nutrition, body balance and quality of life (QoL) in postmenopausal women with low bone mineral density (BMD) in two Amazonian communities. METHODS: A total of 42 female volunteers participated in the study. The volunteers were separated into two groups: Villa (n = 20; 53 ± 5.5 years) and City (n = 22; 56 ± 7.9 years). The following evaluation instruments were used: dual energy X-ray absorptiometry (DXA); a socioeconomic questionnaire; a QoL questionnaire; a dietary habits questionnaire; and a balance test. Parametric and nonparametric tests were used. RESULTS: The data showed significant differences in socioeconomic level (Δ%=+15.9%, p = 0.000), lumbar spine L(2)-L(4) (Δ% = +0.10%, p = 0.007), balance (Δ% = +4.3%, p = 0.03) and some important aspects of nutrition, such as the consumption of milk (Δ%=+34%, p = 0.01) and alcohol (+14.8%, p = 0.0001). These significant differences also contributed to the total QoL score (Δ%=+76.2%, p = 0.000) and the majority of the QoL-related functions. CONCLUSION: This study verified that socioeconomic level, nutritional status, physical activity levels and QoL can influence the BMD of postmenopausal women. The study suggests new strategies for official health organizations to use in order to prevent and treat osteoporosis. In addition, this study can provide an orientation to physical activity, nutrition and medical professionals.

Efeitos do treinamento resistido sobre variáveis relacionadas com a baixa densidade óssea de mulheres menopausadas tratadas com alendronato / Effects of resistance training on low bone density-related variables in menopausal women taking alendronate

A osteoporose é uma doença crônica que atinge o esqueleto humano. OBJETIVO: Verificar os efeitos do treinamento resistido sobre a densidade mineral óssea (DMO), força muscular, equilíbrio e qualidade de vida em mulheres menopausadas em tratamento com alendronato. MÉTODOS: Participaram do estudo 16 voluntárias. Elas foram separadas em dois grupos: que praticaram o treino resistido (n = 9, 49,7 ± 4,2 idade) e que constituíram o grupo controle (n = 7, 53,8 ± 4,4 idade). Os instrumentos de avaliação seguintes foram usados: a absorciometria de dupla energia por raios X -DXA (que mediu a coluna lombar L2-L4, colo do fêmur, triângulo de Wards e trocanter maior), o Osteoporosis Assessment Questionnaire (OPAQ) e um teste de equilíbrio. O treinamento foi periodizado em 12 meses, divididos em seis ciclos com intensidade de 70-90 por cento da carga máxima (10RM). Testes paramétricos (t ou Wilcoxon), para análise intragrupo e (Anova) para intergrupos, foram usados. RESULTADOS: Foram encontradas diferenças significativas favoráveis ao grupo que treinou nos sítios da lombar L2-L4 (6,8 por cento, p = 0,001), colo do fêmur (4,8 por cento, p = 0,005) e trocanter (0,76 por cento, p = 0,005). Além de diferenças significativas também para o equilíbrio corporal (21,4 por cento, p = 0,001), qualidade de vida (9,1 por cento, p = 0,001) e todas as medidas de força como na pressão de pernas 45º (49,3 por cento, p < 0,001). CONCLUSÃO: Os resultados sugerem que a metodologia aplicada ao treino resistido pode ser recomendada a mulheres menopausadas com baixa DMO.

Osteoporosis is a chronic disease of the human skeleton. OBJECTIVE: To verify the effects of resistance training on bone mineral density (BMD), muscular strength, balance and quality of life in menopausal women taking Alendronate. MATERIALS AND METHODS: Sixteen female volunteers participated in the study. The volunteers were separated into two groups: resistance training participants (n=9; 49.7±4.2 years) and control group (n=7; 53.8±4.4 years). The following evaluation instruments were used: absorptiometry-DXA (which measured the lumbar spine L2-L4, neck femur, Wards triangle and major trochanter), the Osteoporosis Assessment Questionnaire (OPAQ) and a balance test. The training was applied in 12 months, divided in six cycles with intensity of 70-90 percent of the maximum load (10RM). Parametric tests for intra-group analysis (t or Wilcoxon) and (Anova) for inter-groups, were used. RESULTS: Significant differences in the resistance training group were found in the bones variables: lumbar L2-L4 (6.8 percent, p=0.001), neck femur (4.8 percent, p=0.005) and trochanter (0.76 percent, p=0.005). In addition, significant differences were also found for body balance (21.4 percent, p=0.001), quality of life (9.1 percent, p=0.001) and all muscular strength measurements, such as in leg press 45º (49.3 percent, p<0.001). CONCLUSION: The results suggest that the methodology applied to resistance training can be recommended for menopausal women with low BMD.

Bone density, balance and quality of life of postmenopausal women taking alendronate participating in different physical activity programs.

BACKGROUND: The objective of this study was to determine the effects of different physical activity (PA) programs on bone density, balance and quality of Life of postmenopausaL women taking concomitant aLendronate. A quasi-experimental study was conducted with 35 volunteers divided into four groups: practitioners of resistance training (RTG, n = 9, 49.8±4.2 years), judo (JUG, n= 11, 52.2 ±5.3 years), water aerobics (WAG, n = 8, 57.1 ±7.4 years) and the control group (CG, n = 7, 53.8±4.4 years). METHODS: The following assessment tools were used: bone mineral density (BMD) measured by dual X-ray absorptiometry of the spine and proximal femur, the 'Osteoporosis Assessment Questionnaire' (OPAQ) and the 'Static Balance Test with Visual Control'. The physical activities were planned for 12 months in cycles with different intensities. A two-way analysis of variance (ANOVA) was used for analysis between groups, and a Scheffe post-hoc test was used for multiple comparisons. RESULTS: The multiple comparisons results showed that the RTG and JUG groups were significantly more efficient in the variables studied, including: Lumbar BMD (Δ% = 6.8%, p = 0.001), balance (Δ% = 21.4%, p = 0.01), OPAQ (Δ% = 9.1%, p = 0.005) and Lumbar BMD (Δ% = 6.4%, p = 0.003), balance (Δ% = U%, p = 0.02) and OPAQ (Δ% = 16.8%, p =0.000) compared with the CG. Furthermore, the RTG (Δ% = 4.8%, p =0.02) was significantly better than the WAG for the neck of femur BMD, and the JUG (Δ% = 16.8, p = 0.0003) also demonstrated superiority to the WAG in the OPAQ. CONCLUSIONS: The physical activities studied appear to improve BMD, balance and quality of Life of postmenopausaL women taking a bisphosphonate. In this small sample, the RTG and the JUG groups were superior to the other groups.