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1.
Educ. med. (Ed. impr.) ; 21(6): 357-363, nov.-dic. 2020.
Artigo em Espanhol | IBECS | ID: ibc-198372

RESUMO

Los escenarios de simulación clínica han sido explorados en medicina y enfermería como estrategia de aprendizaje y han demostrado ser efectivos para la adquisición de competencias acercando a los estudiantes a su práctica clínica real. En fisioterapia, su utilización ha sido recientemente incluida y aún no se ha documentado su potencial como estrategia de fortalecimiento curricular. Este trabajo buscó revisar en la literatura el empleo de la simulación clínica como estrategia pedagógica para la fisioterapia. Para ello, se desarrolló un proceso integrativo con base en el análisis de competencias transversales o específicas. Sus resultados señalan que la simulación mejora la calidad y competencia del fisioterapeuta en formación; el dominio donde más se usa la simulación es el cardiovascular pulmonar, seguido del musculoesquelético. Sin embargo, en fisioterapia se requiere incrementar el uso de simulación en todos los dominios para poder cualificar aún más la formación


Clinical simulation scenarios have been explored in medicine and nursing as a learning strategy. They have shown to be effective for the acquisition of skills, bringing students closer to their actual clinical practice. Its use has recently been included in physiotherapy, but its potential as a curriculum strengthening strategy has not yet been documented. This work aims to carry out a review of the literature on the use of clinical simulation as a pedagogical strategy for physiotherapy. To do this, an integrated process was developed, based on the analysis of cross-sectional or specific skills. The results indicate that simulation improves the quality and skills of the physiotherapist in training. The domain where the simulation is most used is pulmonary cardiovascular, followed by the musculoskeletal system. However, in physiotherapy it is necessary to increase the use of simulation in all domains in order to qualify the training even more


Assuntos
Humanos , Treinamento por Simulação/métodos , Medicina Física e Reabilitação/educação , Treinamento com Simulação de Alta Fidelidade/métodos , Treinamento com Simulação de Alta Fidelidade/tendências , Competência Clínica
2.
Rev. cuba. med. trop ; 72(2): e461, mayo.-ago. 2020. tab, graf
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1149913

RESUMO

RESUMEN Introducción: La enfermedad de Chagas es de alta endemia en Colombia y es considerada un problema de salud pública por la morbilidad y mortalidad que ocasiona. Conocer la percepción de las comunidades frente a esta enfermedad es relevante en cuanto a las estrategias oportunas que se pueden establecer para su prevención. Objetivo: Evaluar la fiabilidad y validez de un instrumento que permita medir los conocimientos, actitudes y prácticas frente a la enfermedad de Chagas en comunidades endémicas. Métodos: Se desarrolló un estudio de corte transversal para la validación del contenido de un instrumento, diseñado con base en la literatura, el cual se sometió a la valoración por un panel de expertos que determinaron la eficiencia, relevancia, claridad y coherencia de cada uno de los ítems. Se determinó el índice Kappa de Randolph para evaluar concordancia. Luego se aplicó a 135 personas de áreas endémicas y se estableció el alfa de Cronbach para determinar consistencia interna. Resultados: El instrumento estudiado demostró concordancia según el índice de Randolph con una Kappa entre 0,7-0,8 para los ítems evaluados, con un alfa de Cronbach de 0,855 lo cual denota una consistencia adecuada. El cuestionario finalmente se estructuró con un total de 27 ítems que abordan: factores epidemiológicos y conocimientos de la enfermedad junto con actitudes y prácticas frente a esta. Conclusiones: El instrumento tiene un nivel adecuado de consistencia interna y concordancia, que permitiría su aplicación en áreas endémicas con poblaciones en riesgo a adquirir la enfermedad de Chagas.


ABSTRACT Introduction: Chagas disease is highly endemic in Colombia and considered to be a public health problem due to its morbidity and mortality. Learning about community perception of this disease is relevant to devise timely strategies for its prevention. Objective: Evaluate the reliability and validity of an instrument to measure knowledge, attitudes and practices in response to Chagas disease in endemic communities. Methods: A cross-sectional study was conducted to validate the content of a tool based on the literature and assessed by an expert panel to determine the efficiency, relevance, clarity, and coherence of each of its items. Determination was made of Randolph's kappa index to evaluate agreement. Then it was applied to 135 people from endemic areas and Cronbach's alpha was established to determine internal consistency. Results: The tool studied showed agreement by Randolph's index with a kappa between 0.7 and 0.8 for the items evaluated and a Cronbach's alpha of 0.855, denoting appropriate consistency. The questionnaire was finally structured with a total 27 items addressing epidemiological factors and knowledge about the disease as well as attitudes and practices in response to it. Conclusions: The tool has an adequate level of internal consistency and agreement, which makes its application advisable in endemic areas with populations at risk of acquiring Chagas disease.


Assuntos
Humanos , Fatores Epidemiológicos , Conhecimentos, Atitudes e Prática em Saúde , Doença de Chagas/epidemiologia , Doenças Endêmicas/prevenção & controle , Epidemiologia Descritiva , Estudos Transversais , Reprodutibilidade dos Testes , Colômbia , Estudo de Validação , Avaliação de Programas e Instrumentos de Pesquisa
3.
J Clin Med ; 9(8)2020 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-32707776

RESUMO

Excess central adiposity accelerates the decline of muscle strength in older people. Additionally, hyperglycemia, independent of associated comorbidities, is related to the loss of muscle mass and strength, and contributes to functional impairment in older adults. We studied the mediation effect of glucose levels, in the relationship between abdominal obesity and relative handgrip strength (HGS). A total of 1571 participants (60.0% women, mean age 69.1 ± 7.0 years) from 86 municipalities were selected following a multistage area probability sampling design. Measurements included demographic and anthropometric/adiposity markers (weight, height, body mass index, and waist circumference). HGS was measured using a digital dynamometer for three sets and the mean value was recorded. The values were normalized to body weight (relative HGS). Fasting glucose was analyzed by enzymatic colorimetric methods. Mediation analyses were performed to identify associations between the independent variable (abdominal obesity) and outcomes (relative HGS), as well as to determine whether fasting glucose levels mediated the relationship between excess adiposity and relative HGS. A total of 1239 (78.8%) had abdominal obesity. Abdominal obesity had a negative effect on fasting glucose (ß = 9.04, 95%CI = 5.87 to 12.21); while fasting glucose to relative HGS was inversely related (ß = -0.003, 95%CI = -0.005 to -0.001), p < 0.001. The direct effect of abdominal obesity on relative HGS was statistically significant (ß = -0.069, 95%CI = -0.082 to -0.057), p < 0.001. Lastly, fasting glucose levels mediates the detrimental effect of abdominal obesity on relative HGS (indirect effect ß = -0.002, 95%CI = -0.004 to -0.001), p < 0.001. Our results suggest that the glucose level could worsen the association between abdominal obesity status and lower HGS. Thus, it is plausible to consider fasting glucose levels when assessing older adults with excess adiposity and/or suspected loss of muscle mass.

4.
J Sport Health Sci ; 9(3): 283-290, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32444153

RESUMO

BACKGROUND: Evidence shows an association between grip strength and health; however, grip strength cut-offs for the detection of metabolic syndrome (MetS) in Latin American populations are scarce. The purpose of this study was to determine cut-offs of normalized grip strength (NGS) for the detection of MetS in a large nonrepresentative sample of a collegiate student population from Colombia. METHODS: A total of 1795 volunteers (61.4% female; age = 20.68 ± 3.10 years, mean ± SD), ranging between 18 and 30 years of age participated in the study. Strength was estimated using a handheld dynamometer and normalized to body mass (handgrip strength (kg)/body mass (kg)). Anthropometrics, serum lipids indices, blood pressure, and fasting plasma glucose were measured. Body composition was measured by bioelectrical impedance analysis. MetS was defined as including ≥3 of the 5 metabolic abnormalities according to the International Diabetes Federation definition. A metabolic risk score was computed from the following components: waist circumference, triglycerides, high-density lipoprotein cholesterol, glucose, and systolic and diastolic blood pressure. RESULTS: Receiver operating curve analysis showed significant discriminatory accuracy of NGS in identifying the thresholds and risk categories. Lower strength was associated with increased prevalence of MetS. In males, weak, intermediate, and strong NGS values at these points were <0.466, 0.466-0.615, >0.615, respectively. In females, these cut-off points were <0.332, 0.332-0.437, >0.437, respectively. CONCLUSION: Our sex-specific cut-offs of NGS could be incorporated into a clinical setting for identifying college students at cardiometabolic disease risk.


Assuntos
Força da Mão , Síndrome Metabólica/diagnóstico , Adolescente , Adulto , Antropometria , Biomarcadores/sangue , Glicemia/metabolismo , Pressão Sanguínea , Composição Corporal , Colômbia , Estudos Transversais , Feminino , Humanos , Lipídeos/sangue , Masculino , Síndrome Metabólica/sangue , Debilidade Muscular/fisiopatologia , Estudo de Prova de Conceito , Fatores de Risco , Adulto Jovem
5.
Rev. ecuat. neurol ; 28(2): 92-104, may.-ago. 2019. tab, graf
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1058460

RESUMO

Resumen Introducción: La enfermedad cerebrovascular genera deficiencias que afectan el movimiento; entre ellas se encuentran el déficit en la función motora, la integridad refleja, la integridad sensorial, y la marcha. Objetivo: determinar el efecto de la funcionalidad de la marcha en la calidad de vida relacionada con la salud en adultos con enfermedad cerebrovascular. Método: se consultaron las bases de datos PUBMED/MEDLINE, EMBASE, LILACS, SCIELO, Registro Cochrane Central de Ensayos Controlados (CENTRAL), entre noviembre de 2016 y febrero de 2017, seleccionando artículos con diseño de ensayos clínicos aleatorizados randomizados. Para el análisis se evaluó la calidad metodológica mediante el Physiotherapy Evidence Database, puntuación PEDro y el Riesgo de sesgo con los criterios de Review Manger 5.3 (RevMan), este último, igual se empleó para análisis y la extracción de los datos según los criterios de elegibilidad. Resultados: El Lokomat como estrategia de rehabilitación para la funcionalidad de la marcha tiene un efecto positivo en la mejora de la calidad de vida en personas con enfermedad cerebrovascular. El análisis de los estudios incluidos mostró un bajo nivel de heterogeneidad estadística con base en el I2 y Chi2, para la escala global de la calidad de vida. Los resultados obtenidos para la calidad de vida relacionada con la salud, cuando la intervención propuesta se desarrolla con el uso de Lokomat y medida con la escala SF-36, se evidencia post- intervención un aumento de 1.83 puntos. Conclusiones: La rehabilitación de la funcionalidad de la marcha a través de diferentes protocolos y estrategias de intervención no presenta diferencias, debido a su variabilidad en cuanto a la técnica, método de aplicación, compromiso clínico de la enfermedad cerebrovascular y el tiempo de duración en su aplicación, no obstante, se observan cambios clínicos que favorecen la calidad de vida relacionada con la salud.


Abstract Introduction: Stroke causes deficiencies that affect movement; these include deficit in motor function, reflex integrity, sensory integrity, and gait. Objective: determine the effect of gait functionality on health-related quality of life in adults with Stroke. Method: databases PUBMED / MEDLINE, EMBASE, LILACS, SCIELO, Central Cochrane Registry of Controlled Trials (CENTRAL) were consulted between November 2016 and February 2017. Randomized clinical trials were selected. For the analysis, the methodological quality was evaluated using the Physiotherapy Evidence Database, PEDro score and the Risk of bias with the Review Manger 5.3 (RevMan) criterias, also RevMan was being used for analysis and data extraction according to the eligibility criteria. Results: Lokomat as a rehabilitation strategy for gait functionality has a positive effect on improving the quality of life in people with stroke. The analysis of the included studies demonstrated a low level of statistical heterogeneity based on I2 and Chi2, for the global scale of quality of life. The results obtained for quality of life related to health, when the proposed intervention is carried out with the use of Lokomat and measured with the SF-36 scale, an increase of 1.83 points. Conclusions: The rehabilitation of gait functionality through different protocols and intervention strategies does not present differences, due to its variability in terms of technique, application method, clinical involvement of stroke and the duration of its application. However, clinical changes that favor quality of life related to health are observed.

6.
Sci Rep ; 9(1): 6986, 2019 05 06.
Artigo em Inglês | MEDLINE | ID: mdl-31061449

RESUMO

The aims of this study are to (i) examine a clustered metabolic syndrome composite score (MetScore) and fatness among college students across body mass index (BMI) categories, and (ii) determine whether fit individuals have lower MetScores, fewer individual metabolic syndrome components, and lower fatness than unfit individuals across BMI categories. A total of 1,795 participants aged  >18 years who participated in The FUPRECOL Study were selected for the present analyses. Handgrip strength was tested by a grip dynamometer and used to classify adults as fit or unfit. Among all participants, MetScore, percentage of body fat, and visceral adiposity increased linearly across the BMI categories among college students (all P < 0.001). Individuals who were overweight and fit had a lower MetScore (-0.6 SD; P = 0.02), body fat percentage (-2.6%; P < 0.001) and visceral adiposity (-0.2; P = 0.01) than unfit peers. Moderately fit obese individuals had significantly lower visceral fat levels than unfit obese peers (-3.0; P = 0.03). These results suggest that having adequate handgrip strength-a proxy of overall strength capacity-may attenuate obesity-related cardiometabolic risk. Moreover, weight loss should be recommended to all individuals with obesity, even among those who are currently considered fit.


Assuntos
Tecido Adiposo/fisiopatologia , Força da Mão/fisiologia , Síndrome Metabólica/fisiopatologia , Obesidade/fisiopatologia , Tecido Adiposo/metabolismo , Adolescente , Pressão Sanguínea/fisiologia , Índice de Massa Corporal , Doenças Cardiovasculares/sangue , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/fisiopatologia , HDL-Colesterol/sangue , LDL-Colesterol/sangue , Colômbia/epidemiologia , Estudos Transversais , Feminino , Humanos , Gordura Intra-Abdominal/metabolismo , Gordura Intra-Abdominal/fisiopatologia , Masculino , Síndrome Metabólica/sangue , Síndrome Metabólica/complicações , Síndrome Metabólica/epidemiologia , Obesidade/sangue , Obesidade/complicações , Obesidade/epidemiologia , Fatores de Risco , Triglicerídeos/sangue , Adulto Jovem
7.
J Strength Cond Res ; 33(3): 747-754, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30664113

RESUMO

Garcia-Hermoso, A, Correa-Bautista, JE, Izquierdo, M, Tordecilla-Sanders, A, Prieto-Benavides, D, Sandoval-Cuellar, C, González-Ruíz, K, and Ramírez-Vélez, R. Ideal cardiovascular health, handgrip strength, and muscle mass among college students: the FUPRECOL Adults study. J Strength Cond Res 33(3): 747-754, 2019-The American Heart Association established the 2020 Strategic Impact Goals to define the concept of ideal cardiovascular health (CVH) and the metrics needed to monitor it across populations. The purpose of this study was to investigate the relationship between handgrip strength, muscle mass, and ideal CVH among Colombian college students. Data from 1,835 college students were analyzed (1,128 female). Muscular strength was estimated using a hand-held dynamometer and normalized to body mass (normalized grip strength [NGS]). The percentage of body fat was determined for bioelectrical impedance analysis using tetrapolar whole-body impedance. Ideal CVH was defined as meeting the ideal levels of 4 behaviors (smoking, body mass index, physical activity, and diet adherence) and 3 factors (total cholesterol, fasting glucose, and blood pressure). Higher levels of NGS and muscle mass (relative to body mass) were associated with a higher number of ideal CVH metrics in both sexes (p for trend <0.001). For the total ideal CVH metrics scored on a continuous scale from 0 (all 7 poor) to 7 (all 7 ideal), a 1-metric increase was associated with reduced odds of weak NGS (33 and 36%) and low-medium muscle mass (28 and 34%) mass in men and women, respectively (all p < 0.001). This study indicates that in Colombian college students, both handgrip strength and muscle mass are positively associated with the ideal CVH metrics. To reduce the possible future public health burden of muscular weakness, health professionals need to encourage the public to optimize lifestyle-related risk factors during the young adult stage.


Assuntos
Doenças Cardiovasculares/epidemiologia , Comportamentos Relacionados com a Saúde , Força Muscular/fisiologia , Músculo Esquelético/fisiologia , Adulto , Glicemia , Pressão Sanguínea , Índice de Massa Corporal , Pesos e Medidas Corporais , Colômbia/epidemiologia , Estudos Transversais , Dieta , Exercício Físico/fisiologia , Feminino , Força da Mão/fisiologia , Humanos , Estilo de Vida , Lipídeos/sangue , Masculino , Dinamômetro de Força Muscular , Fatores de Risco , Fumar/epidemiologia , Estudantes , Estados Unidos , Adulto Jovem
8.
Rev. Investig. Salud. Univ. Boyacá ; 6(2): 69-96, 2019. tab, esq
Artigo em Espanhol | LILACS | ID: biblio-1100624

RESUMO

Introducción. En la práctica deportiva, la fatiga muscular es un factor de riesgo para lesión muscular, constituyéndose en un problema que aparece cuando la carga mecánica a la cual se somete un músculo o grupo muscular es superior a la resistencia de este. Objetivo. Describir las intervenciones con crioterapia en Fatiga Muscular post esfuerzo, en individuos que realizan práctica deportiva, a través de una Revisión Sistemática. Método. Se realizó la búsqueda en bases de datos PUBMED/MEDLINE, EMBASE, LILACS, SCIELO, SCIENCE DIRECT, Registro Cochrane Central de Ensayos Controlados con la estrategia de búsqueda: Sports Medicine, Cryotherapy, Muscle Fatigue, Recovery of Function, Physical Exertion, Muscle Damage. La identificación y detección de las referencias fueron exportadas al gestor de referencias MENDELEY. La evaluación del Riesgo de Sesgo se realizó con el uso del software Review Manager y la calidad metodológica con lo reportado por la Base de Datos PEDro. Resultados. Se evaluaron 19 ensayos clínicos aleatorizados en los cuales se evidencia que la crioterapia reporta cambios en la fatiga muscular desde la disminución del dolor y biomarcadores. La inmersión en agua fría fue la modalidad más efectiva para acelerar la cinética de recuperación 72 horas después del ejercicio; demostró menor dolor y mayores niveles de recuperación, percibidos a lo largo de 24 a 48 horas después del ejercicio. Conclusión. De la totalidad de modalidades de crioterapia, la inmersión en agua fría es la que reporta mejores resultados en el proceso de recuperación de la fatiga muscular.


Introduction. In sports practice, muscle fatigue is a risk factor for muscle injury becoming a problem that appears when the mechanical load to which a muscle or muscle group is subjected is greater than its resistance. Objective. Describe post-effort Muscular Fatigue in active Men and Women who perform sports practice against interventions with cryotherapy, through a Systematic Review. Method. PUBMED / MEDLINE, EMBASE, LILACS, SCIELO, SCIENCE DIRECT, Central Cochrane Registry of Controlled Trials with the search strategy were searched: Sports Medicine, Cryotherapy, Muscle Fatigue, Recovery of Function, Physical Exertion, Muscle Damage The identification and detection of references were exported to the MENDELEY reference manager. The Bias Risk assessment was performed with the use of Review Manager software and methodological quality as reported by the PEDro Database. Results. 19 randomized clinical trials were evaluated in which it is evident that cryotherapy reports changes in muscle fatigue since the decrease in pain, and biomarkers. Cold water immersion was the most effective modality to accelerate recovery kinetics 72 hours after exercise; showed less pain and higher levels of recovery perceived over 24 to 48 hours after exercise. Conclusion. Of all the cryotherapy modalities, the immersion in cold water is the one that reports the best results in the process of recovery of muscular fatigue.


Introdução. Na prática esportiva, a fadiga muscular é um fator de risco para a lesão muscular, tornando- se um problema que ocorre quando a carga mecânica à qual um músculo ou grupo muscular é submetido é superior à resistência do músculo. Objetivo. Descrever as intervenções com crioterapia na fadiga muscular pós-esforço, em indivíduos que realizam prática esportiva, por meio de uma revisão sistemática. Método. Foi realizada uma busca nas bases de dados PUBMED/MEDLINE, EMBASE, LILACS, SCIELO, SCIENCE DIRECT, Registro Central Cochrane de Ensaios Controlados com a estratégia de busca: Medicina Esportiva, Crioterapia, Fadiga Muscular, Recuperação da Função, Esforço Físico, Dano Muscular. A identificação e detecção das referências foram exportadas para o gerenciador de referência do MENDELEY. A avaliação do risco de viés foi realizada com o uso do software Review Manager de revisão e qualidade metodológica com a relatada pelo banco de dados PEDro. Resultados. Dezenove ensaios clínicos randomizados foram avaliados nos quais se evidencia que a crioterapia relata alterações na fadiga muscular desde a diminuição da dor e dos biomarcadores. A imersão em água fria foi a modalidade mais eficaz para acelerar a cinética de recuperação 72 horas após o exercício; demonstrou menos dor e níveis mais altos de recuperação, percebidos entre 24 e 48 horas após o exercício. Conclusão. De todas as modalidades de crioterapia, a imersão em água fria é a que proporciona os melhores resultados no processo de recuperação da fadiga muscular.


Assuntos
Fadiga Muscular , Medicina Esportiva , Crioterapia , Recuperação de Função Fisiológica , Esforço Físico , Mialgia
9.
BMC Public Health ; 18(1): 523, 2018 04 19.
Artigo em Inglês | MEDLINE | ID: mdl-29673340

RESUMO

BACKGROUND: There is limited evidence concerning how active commuting (AC) is associated with health benefits in young. The aim of the study was to analyze the relationship between AC to and from campus (walking) and obesity and metabolic syndrome (MetS) in a sample of Colombian university students. METHODS: A total of 784 university students (78.6% women, mean age = 20.1 ± 2.6 years old) participated in the study. The exposure variable was categorized into AC (active walker to campus) and non-AC (non/infrequent active walker to campus: car, motorcycle, or bus) to and from the university on a typical day. MetS was defined in accordance with the updated harmonized criteria of the International Diabetes Federation criteria. RESULTS: The overall prevalence of MetS was 8.7%, and it was higher in non-AC than AC to campus. The percentage of AC was 65.3%. The commuting distances in this AC from/to university were 83.1%, 13.4% and 3.5% for < 2 km, 2-5 km and > 5 km, respectively. Multiple logistic regressions for predicting unhealthy profile showed that male walking commuters had a lower probability of having obesity [OR = 0.45 (CI 95% 0.25-0.93)], high blood pressure [OR = 0.26 (CI 95% 0.13-0.55)] and low HDL cholesterol [OR = 0.29 (CI 95% 0.14-0.59)] than did passive commuters. CONCLUSIONS: Our results suggest that in young adulthood, a key life-stage for the development of obesity and MetS, AC could be associated with and increasing of daily physical activity levels, thereby promoting better cardiometabolic health.


Assuntos
Síndrome Metabólica/epidemiologia , Obesidade/epidemiologia , Estudantes/estatística & dados numéricos , Transportes/métodos , Caminhada/estatística & dados numéricos , Adolescente , Colômbia/epidemiologia , Feminino , Humanos , Masculino , Prevalência , Universidades , Adulto Jovem
10.
Nutrients ; 10(4)2018 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-29677099

RESUMO

The aim of the study was to investigate the combined association of adherence to a Mediterranean diet (MedDiet) and muscular fitness (MF) with cardiometabolic health in collegiate students. The present cross-sectional analysis consisted of 1248 (714 females) healthy collegiate students (20.1 ± 2.7 years old). Adherence to a MedDiet was assessed by a KIDMED (Mediterranean Diet Quality Index) questionnaire. Standing broad jump, standing vertical jump, and isometric handgrip dynamometry were used as indicators of MF. The cardiometabolic profile was assessed using the following components: triglycerides, blood pressure, triglycerides, high-density lipoprotein (HDL)-cholesterol, glucose, and waist circumference. Analysis of covariance shows a significant difference in the cardiometabolic profile of both genders between the high MF/low MedDiet and high MF/optimal MedDiet groups, and the low MF/low MedDiet and low MF/optimal MedDiet groups (p < 0.001). No difference was found on cardiometabolic profile between high MF/optimal MedDiet and high MF/low MedDiet, both in males and females. Additionally, logistic regression shows that both female (odds ratio (OR) = 2.01; 95% confidence interval (CI): (1.8⁻3.7); p = 0.02) and male (OR = 3.38; 95% CI: (1.9⁻5.8); p < 0.001) participants in the optimal MedDiet/high MF group had the highest odds of expressing a healthier cardiometabolic profile as compared to those in the low MF/low MedDiet group. In conclusion, a combination of high MF levels and optimal adherence to a MedDiet is associated with a healthier cardiometabolic profile; however, high MF levels seem to circumvent the deleterious effects of having a low adherence to a MedDiet.


Assuntos
Dieta Saudável , Dieta Mediterrânea , Síndrome Metabólica/prevenção & controle , Contração Muscular , Força Muscular , Músculo Esquelético/fisiologia , Aptidão Física , Estudantes , Adolescente , Adulto , Biomarcadores/sangue , Glicemia/análise , Pressão Sanguínea , Distribuição de Qui-Quadrado , HDL-Colesterol/sangue , Colômbia , Estudos Transversais , Inquéritos sobre Dietas , Comportamento Alimentar , Feminino , Humanos , Modelos Logísticos , Masculino , Síndrome Metabólica/sangue , Síndrome Metabólica/diagnóstico , Síndrome Metabólica/fisiopatologia , Estado Nutricional , Valor Nutritivo , Razão de Chances , Fatores de Proteção , Fatores de Risco , Triglicerídeos/sangue , Circunferência da Cintura , Adulto Jovem
11.
Rev. peru. med. exp. salud publica ; 34(4): 672-676, oct.-dic. 2017. tab
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-902964

RESUMO

RESUMEN Con el objetivo de determinar la asociación entre la capacidad aeróbica y la calidad de vida relacionada con la salud en adultos mayores, se encuestaron 121 personas en quienes se realizó el protocolo de Bruce modificado, como predictor del consumo máximo de oxígeno (VO2 máximo) y el cuestionario de calidad de vida SF-36. El promedio de VO2 máximo para hombres fue de 26,56±12,67 mL/kg/min, y para mujeres de 25,36±10,72 mL/kg/min, obteniéndose asociación significativa entre el sexo y el nivel de VO2 máximo (p=0,018), las dimensiones de función física y función social fueron las de mayor promedio en el total de la muestra y la capacidad aeróbica explica en un 15,3% la función física. Se concluye que el nivel pobre de VO2 máximo predomino en ambos sexos y existe asociación entre el nivel de VO2 máximo con las dimensiones de función física, desempeño físico, salud general, vitalidad y función social.


ABSTRACT The objective of this study was to determine the association of aerobic capacity with health-related quality of life in 121 subjects using the modified Bruce protocol as a predictor of maximum oxygen consumption (VO2 maximum) and the SF-36 quality of life questionnaire. The average maximum VO2 was 26.56 ± 12.67 mL/kg/min for men and 25.36 ± 10.72 mL/kg/min for women. There was a significant association between sex and maximum VO2 (p = 0.018). Physical function and social function were the variables with the highest average values in the total sample, and aerobic capacity explained 15.3% of the physical function. In conclusion, low maximum VO2 was found in both sexes, and there was a significant association of maximum VO2 with physical function, physical performance, general health, vitality, and social function.

12.
Rev. Fac. Med. (Bogotá) ; 65(2): 227-231, Apr.-June 2017. tab
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-896709

RESUMO

Resumen Introducción. La organización mundial de la salud define el estilo de vida como una forma general de vivir, basada en la interacción entre las condiciones de vida y los patrones individuales de conducta. Objetivo. Identificar estilos de vida saludables en estudiantes universitarios. Materiales y métodos. Estudio en 109 estudiantes, donde se aplicó un instrumento sobre hábitos de vida saludables y medidas antropométricas, de las cuales se obtienen medidas de magnitud, tendencia central y asociación. Resultados. El 38.5% presentó estilo de vida saludable. Sus promedios fueron: edad de 20.75 años, talla de 1.59cm, peso de 56.34kg e índice de masa corporal (IMC) de 22.16 m/t2. Los comportamientos frente a la presencia o no de un estilo de vida saludable fueron estadísticamente significativos: p=0.019 para realizar 30 minutos de actividad física al menos tres veces por semana; p=0.050 si le gustaría realizar más o mejor actividad física regularmente; p=0.046 si ingiere frutas, verduras, granos y alimentos sin procesar; y p=0.008 al dormir entre 7 y 8 horas. Conclusión. Hubo un alto porcentaje de participantes sin estilos de vida saludables, según factores como abandono del domicilio familiar, interacción con personas de diferentes sitios de origen, cambio en hábitos nutricionales, actividades académicas y patrones de sueño y descanso, los cuales interfieren en el intento por mantener una vida saludable.


Abstract Introduction: The World Health Organization defines lifestyle as a general way of living, based on the interaction between living conditions and individual behavior patterns. Objective: To identify healthy lifestyles in university students. Materials and methods: Study conducted in 109 students, in which an instrument was applied to inquire about healthy living habits and anthropometric measurements. Magnitude, central tendency and association measures were obtained. Results: 38.5% of the sample studied had a healthy lifestyle. The average age was 20.75 years, while the average height was 1.59 cm, and the average weight was 56.34 kg; the body mass index (BMI) was 22.16 m/t2. Behaviors related to presence or not of a healthy lifestyle were statistically significant, and included 30 min of physical activity at least three times a week (p 0.30); intention to do more or frequent physical activity (p 0.050); eating fruits, vegetables, grains and unprocessed food (p 0.046), and sleeping between 7 and 8 hours (p 0.008). Conclusion: A high percentage of participants did not have a healthy lifestyle due to factors such as leaving the parental home, interaction with people from different places of origin, change in nutritional habits, academic activities, and sleep and rest patterns, which interfere in the attempt to maintain a healthy lifestyle.

13.
Rev Peru Med Exp Salud Publica ; 34(4): 672-676, 2017.
Artigo em Espanhol | MEDLINE | ID: mdl-29364421

RESUMO

The objective of this study was to determine the association of aerobic capacity with health-related quality of life in 121 subjects using the modified Bruce protocol as a predictor of maximum oxygen consumption (VO2 maximum) and the SF-36 quality of life questionnaire. The average maximum VO2 was 26.56 ± 12.67 mL/kg/min for men and 25.36 ± 10.72 mL/kg/min for women. There was a significant association between sex and maximum VO2 (p = 0.018). Physical function and social function were the variables with the highest average values in the total sample, and aerobic capacity explained 15.3% of the physical function. In conclusion, low maximum VO2 was found in both sexes, and there was a significant association of maximum VO2 with physical function, physical performance, general health, vitality, and social function.


Assuntos
Avaliação Geriátrica , Consumo de Oxigênio/fisiologia , Resistência Física/fisiologia , Qualidade de Vida , Idoso , Colômbia , Estudos Transversais , Feminino , Humanos , Masculino
14.
Rev. Investig. Salud. Univ. Boyacá ; 4(2): 221-247, 2017. ilus, tab
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-909046

RESUMO

Introducción. Los estudios de graduados evalúan el ejercicio profesional y en ellos se describen características como el perfil, las competencias adquiridas, la situación laboral, la identidad con la institución de educación superior y la percepción frente a la formación docente, permitiendo establecer acciones de mejoramiento. Objetivo. Describir las características sociodemográficas,la situación laboral, la satisfacción y la identidad percibida por los egresados de los programas de la Facultad de Ciencias de la Salud al momento del grado,en las cohortes 2014 y 2015. Materiales y métodos.Se llevó a cabo un estudio descriptivo con diseño de cohorte única, muestreo estratificado y muestra de 120 graduados. Resultados. La edad promedio de finalización de los estudios de secundaria fue de 16 años; la formación académica del padre y de la madre evidenció la finalización de la secundaria completa, y las madres eran quienes en mayor porcentaje habían culminado sus estudios universitarios. Después de culminar el bachillerato,el 43% de los graduados ingresaron en menos de tres meses a la universidad. El 22% trabaja en instituciones prestadoras de salud (IPS). El 39.2% expresó que volvería a adelantar estudios de pregrado en la institución atendiendo a la calidad de la formación ofrecida, seguida por la calidad de los 2 profesores; frente a procesos investigativos, el 16,7% refirió haber participado en un grupo de investigación. Referente a las competencias adquiridas por los graduados,manifestaron estar satisfechos frente a las competencias comunicativas, de liderazgo, afrontamiento al cambio, investigativas y de procesamiento de la información. Conclusiones. Se percibe que la formación impartida por la universidad se relaciona directamente con el desempeño laboral, estando satisfechos con las competencias comunicativas, investigativas y de procesamiento de la información.


Introduction: The graduate studies evaluate professional practice, in which characteristics such as profile, acquired competences, employment status, identity with the institution of higher education and the perception of teacher training are described, allowing establishing improvement actions. Objective: Describe sociodemographic characteristics, employment situation, satisfaction and identity perceived by the graduates of the programs of the Faculty of Health Sciences at the time of the degree in the 2014 and 2015 cohorts. Materials y methods: A descriptive study with a single cohort design, stratified sampling, and a sample of 120 graduates was carried out. Results: The average age of completion of secondary education was 16 years; the academic formation of the father and the mother evidenced the completion of secondary education, with the mothers being the highest percentage culminating university studies. After completing high school, 43% of graduates entered the university in less than 3 months. Twenty-two per cent work at IPS. A high percentage expressed that they would return to carry out undergraduate studies in the institution attending to the quality of the offered training, followed by the quality of professors; compared to investigative processes refer 16.7% to have participated in a research group. Regarding the competences acquired by the graduates, they show satisfaction with the communicative skills, leadership, coping with change, research and information processing. Conclusions: The training imparted by the university was perceived as directly related to the job performance, being satisfied with the communicative, investigative and information processing skills.


Assuntos
Humanos , Análise e Desempenho de Tarefas , Trabalho , Educação Baseada em Competências , Ciências da Saúde
15.
Arch. med. deporte ; 33(176): 382-386, nov.-dic. 2016. tab
Artigo em Espanhol | IBECS | ID: ibc-160571

RESUMO

Introducción: El Senior Fitness Test, batería de pruebas de la capacidad funcional del adulto mayor, compuesto por siete test confiables en versión original de Rikli y Jones, que evalúan la fuerza muscular, la resistencia aeróbica, la flexibilidad y la agilidad. Este texto, es resultado del proceso de investigación 'Validación del Senior Fitness Test', que en su primera etapa, identificó la validez de apariencia de la versión en español, por medio de un estudio descriptivo, a través de la adaptación transcultural manteniendo la equivalencia semántica, idiomática y conceptual, con un índice de acuerdo global de 0,9485. Objetivo: Determinar la confiabilidad de la versión en español del Senior Fitness Test a partir de la consistencia interna y la reproducibilidad de los tests de la batería. Metodología: Se aplicó el Senior Fitness Test versión en español a 237 adultos mayores entre 60 y 90 años. La confiabilidad se estableció mediante el Alpha de Cronbach y la reproducibilidad a través del coeficiente de correlación intraclase, al aplicarse la prueba con 12 días de diferencia. Para el registro y análisis de datos se usó programa estadístico SPSS® versión 20.0. Resultados: El Alfa de Cronbach fue de 0,708, la reproducibilidad de las pruebas obtuvo un CCI entre 0,851 y 0,960 con IC del 95% y un p < 0,005 en el test - retest. Conclusiones: Las pruebas del Senior Fitness Test versión en español, presentan altas propiedades psicométricas, evidenciado en el nivel de acuerdo de los expertos dentro de la validez de apariencia, sumado a los valores obtenidos en la consistencia interna y reproducibilidad, lo avala la utilidad de la batería para evaluar la capacidad funcional de los adultos mayores colombianos


Introduction: Senior Fitness Test, test battery of functional capacity of the elderly, reliable test consists of seven original version of Rikli and Jones, evaluating the muscular strength, endurance, flexibility and agility. This text is the result of the research process 'Validation of the Senior Fitness Test' which in its first stage, identified the face validity of the Spanish version, through a descriptive study, through the cross-cultural adaptation maintaining equivalence semantic, idiomatic and conceptual, with an index of global agreement of 0.9485. To determine the reliability of the Spanish version of the Senior Fitness Test from the internal consistency and reproducibility of the tests of the battery. Methodology: Senior Fitness Test version 237 older adults between 60 and 90 years was applied in Spanish. Reliability was established by Cronbach Alpha and reproducibility through the intraclass correlation coefficient, the test applied 12 days apart. For registration and data analysis statistical program SPSS version 20.0 was used. Results: Cronbach’s alpha was 0.708, the reproducibility of evidence obtained an ICC between 0.851 and 0.960 with 95% and p< 0.005 in the test - retest. Conclusions: Senior Fitness Test test version in Spanish, have high psychometric properties, as evidenced by the level of agreement among experts within the validity of appearance, combined with the values obtained from the internal consistency and reproducibility, which supports the usefulness of Battery for assessing the functional capacity of older adults Colombians


Assuntos
Humanos , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Aptidão Física , Psicometria/instrumentação , Resistência Física , Reprodutibilidade dos Testes , Reprodutibilidade dos Testes , Autorrelato
16.
Rev. Univ. Ind. Santander, Salud ; 48(1): 51-59, ene.-abr. 2016. tab
Artigo em Espanhol | LILACS-Express | LILACS | ID: lil-779693

RESUMO

Introducción: La práctica de actividad física reduce el riesgo y previene enfermedades no trasmisibles, mejora la salud ósea y funcional, mantiene el equilibrio calórico y el control del peso, mejorando no sólo la condición física o perfil fitness, el cual se ve reflejado en la habilidad para llevar a cabo las tareas diarias con vigor y sin fatiga; en relación con la salud. Objetivo: Determinar el perfil fitness de estudiantes universitarios en el departamento de Boyacá. Metodología: Estudio descriptivo con diseño transversal, el cual contó con una población de 204 universitarios, de los cuales se obtuvo una muestra de 40 con el uso del software Epidat®, con una confiabilidad del 95% y error estimado del 5%, el muestreo fue estratificado con afijación proporcional. Se evaluaron los componentes fitness relacionados con la salud: capacidad aeróbica, fuerza muscular, flexibilidad y composición corporal. Se obtuvieron medidas de tendencia central, frecuencia y se aplicaron pruebas de asociación como Chi cuadrado, Pearson, Spearman y U de Mann-Whitney. Resultados: La edad promedio de la población fue 21,13 años (DS 2,79), el 67,5% se clasifico según Índice de masa corporal en normopeso, el 35% se ubicó en el rango obeso según su porcentaje graso, la fuerza muscular promedio para prensión manual fue de 30,02 Kilogramos (DS 12,85), miembros inferiores 70,48 Kilogramos (DS 40,88) y tronco 69,6 kilogramos (DS 38,5). El 85% de las mujeres y el 81,8% de los hombres en la evaluación de la capacidad aeróbica se clasificaron en el rango muy pobre. Se reportan asociaciones estadísticamente significativas entre la capacidad aeróbica y el género (p 0.00), la fuerza de tronco, miembro superior e inferior con el género con (p 0.003), (p 0,04) y (p 0,038) respectivamente. Conclusiones: La condición física o perfil fitness no es adecuado para la edad de los participantes teniendo en cuanta los bajos niveles de la fuerza muscular y la capacidad aeróbica obtenidos, así como el contar estudiantes en una alta frecuencia clasificados como obesos según su porcentaje graso.


Introduction: Regular physical exercise prevents and reduces the risk of transmissible disease, improves functional bone health, maintains caloric balance and weight control, improving not only the physical condition or fitness profile, which is reflected in the ability to complete daily tasks with vigor and without fatigue; all relative to health. Objective: To determine the fitness profile of university students in the Department of Boyacá. Methodology: A descriptive study with cross-sectional design, which includes a population of 204 university students, of which a sample of 40 was obtained using Epidat® software, with 95% reliability and 5% error, the sampling was stratified with proportional allocation. The following fitness components were evaluated relative to health: aerobic capacity, muscular strength, flexibility and body composition. Measurements of central tendency and frequency were obtained, and association tests were applied such as Chi-squared, Pearson, Spearman and U Mann-Whitney. Results: The average age of the population was 21.13 years (SD 2.79), 67.5% were classified as normal weight under the Body Mass Index, 35% were placed in the obese range based on percent body fat, the average muscular strength for hand grip was 30.02 kilograms (SD 12.85), 70.48 kilograms (SD 40.88) for lower extremities and 69.6 (SD 38.5) kilograms for core. 85% of women and 81.8% of men were classified in the very poor range when evaluating for aerobic health. Significant statistical association was reported between aerobic capacity and gender (p 0.00), core strength, upper and lower extremities with gender at (p 0.0030, (p 0.04) and (p 0.038) respectively. Conclusions: The physical condition or fitness profile is not adequate for the age of the participants considering the low levels of muscular strength and aerobic capacity that were obtained, similar to the high frequency of students classified as obese according to body fat percentage.

17.
Rev. Investig. Salud. Univ. Boyacá ; 3(1): 33-49, 2016. tab, graf
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-910666

RESUMO

Introducción. La actividad física es un determinante de la calidad de vida del adulto mayor, razón por la cual, es necesario mantener la funcionalidad y la independencia mediante la potenciación de las cualidades físicas dado que el cuerpo envejece y sufre modificaciones de manera progresiva. Objetivo. Caracterizar las cualidades físicas del adulto mayor activo de la ciudad de Tunja. Materiales y métodos. Se llevó a cabo un estudio cuantitativo, descriptivo y transversal, en una muestra de 237 participantes, obtenida por muestreo probabilístico estratificado por afijación proporcional. Para la medición de las cualidades físicas, se empleó el Senior Fitness Test. Resultados. La muestra incluyó 88,2 % de mujeres y 11,8 % de hombres, con una edad promedio de 68,73 años (desviación estándard, DE=6,65), la mayoría (48,1 %) del estrato socioeconómico 2. El promedio del índice de masa corporal fue de 27,67 kg/m2 (DE=3,94), la flexibilidad del tren inferior y el superior, de 4,2 % y 17,7 % presentaron desempeño excelente. Se reportaron asociaciones signi-ficativas entre el estrato socioeconómico y la fuerza muscular del tren superior (p=0,042) y, además, de la flexibilidad del tren inferior, la agilidad y el equilibrio dinámico, con el sexo (p=0,013 y p=0,042, respectivamente). Conclusiones. Se obtuvo una clasificación buena en fuerza, equilibrio y capacidad aeróbica, y una mala en flexibilidad, lo que se corresponde con lo reportado en la literatura científica que ratifica que con mejores condiciones de vida, se favorecen las prácticas de autocuidado, entre ellas, la realización de actividad física.


Physical activity is a determinative factor in the quality of life of the older adult; therefore it is neces-sary to maintain the functionality and independence through the potentiation of physical qualities, because the body ages and this process undergoes changes gradually. Objective: To characterize the physical qualities of the active older adult in the city of Tunja. Materials and Methods: quantitative, cross-sectional-descriptive study with correlation phase and a sample of 237 participants, proportional allocation of stratified sampling was used. For the measure-ment of the physical qualities the Senior Fitness Test was applied. Results: 88.2% were female, 11.8% male, the mean age was 68.73 years DS 6.65, the predominant socioeconomic stratum was two with 48.1%. The average BMI 27.67 kg / m2 DS 3.94 kg / m2, upper and lower body flexibility: 4.2% and 17.7% of them showed an excellent performance.In the same classification 10.1% in aerobic capacity, as well as, agility and dynamic balance: 6.8%. Significant associations are reported between socioeconomic stratum and muscle strength of upper body (p = 0.042), another association was found between lower body flexibility, agility, and dynamic balance with gender (p = 0.013- p = 0.042) respectively. Conclusions: A good ranking was obtained in strength, balance, and aerobic capacity, while poor in flexibility. This findings are consistent with the scientific literature asserting that better living condi-tions favor self-care practices, including performing physical activity


Assuntos
Humanos , Idoso , Índice de Massa Corporal , Exercício Físico , Força Muscular , Aptidão Física
18.
Rev. Fac. Med. (Bogotá) ; 62(4): 559-570, Oct.-Dec. 2014. ilus, tab
Artigo em Inglês | LILACS-Express | LILACS | ID: lil-742682

RESUMO

Background. The physical condition of the elderly is related to health and functional independence. One specific and scientifically valid instrument measuring this parameter is the Senior Fitness Test, of which the original version is in English. Objective. To identify the face validity of the test for use in Spanish language based on the cultural adaptation of the English version. Materials and methods. Descriptive study, for which cross-cultural adaptation to Spanish was performed. This involved translation, evaluation of conceptual equivalence by three bilingual experts, synthesis of observations, calculation of values for the index of agreement and applicability. Results. The overall agreement rate is 0.9485. No disagreements arose between the judges for any of the items, and intelligibility is of 85.2%, according to subjects of different ages and levels of schooling. Conclusions. A version of the Senior Fitness Test adapted to Spanish was obtained. The test is backed up by face validity and comprehensibility, and conserves semantic, idiomatic, and conceptual equivalence to the original version.


Antecedentes. La condición física del adulto mayor está relacionada con el estado de salud y su independencia funcional. Uno de los instrumentos específicos y científicamente validos que mide este parámetro es el Senior Fitness Test, cuya versión original es en inglés. Objetivo. Identificar la validez de apariencia del test para uso en español desde la adaptación transcultural de la versión en inglés. Materiales y métodos. Estudio descriptivo, donde se realizó la adaptación transcultural al español, así: traducción, valoración de la equivalencia conceptual por tres expertos bilingües, síntesis de las observaciones, obtención del índice de acuerdo y prueba de aplicabilidad. Resultados. El índice de acuerdo global es de 0,9485; en ninguno de los ítems se presentó desacuerdo entre los jueces y la comprensibilidad es de 85,2%, referida por sujetos de diversa escolaridad y edad. Conclusiones. Se obtuvo la versión adaptada al español del Senior Fitness Test, respaldada en la validez de apariencia y comprensibilidad, conservando la equivalencia semántica, idiomática y conceptual en relación a la versión original.

19.
Rev. Fac. Med. (Bogotá) ; 61(1): 3-8, ene.-mar. 2013. ilus, tab
Artigo em Espanhol | LILACS-Express | LILACS | ID: lil-677482

RESUMO

Resumen Antecedentes. Se determinó la prevalencia de sedentarismo (76%) en Tunja n=456 individuos, el género, el índice de masa corporal y el estado civil fueron los factores asociados a esta condición. Objetivo. Determinar la prevalencia de sedentarismo en personas de 18 a 60 años de Tunja y los factores asociados con este comportamiento. Materiales y métodos. Estudio de corte transversal con fase correlativa; el cálculo de la muestra se realizó con el uso de una fórmula para poblaciones finitas y variables categóricas obteniéndose una n=456 individuos, contó con un muestreo no probabilístico a conveniencia y por cuotas. Se describen las características sociodemográficas, factores de riesgo; se determina el nivel de sedentarismo por medio de la prueba de Pérez Rojas García 1996, previo consentimiento informado, además de un CAAF negativo. Resultados. Se estableció una prevalencia de sedentarismo del 76,1% [IC 95% 72-79], así como correlaciones estadísticamente significativas en variables género (X2=81,9; p=0,000), índice de masa corporal (X2=65,448; P=0,000) y estado civil (X2=15,325 p=0,000). Conclusión. Se evidenció en los participantes una alta frecuencia de sedentarismo y las variables que se asociaron de forma estadística fueron género, índice de masa corporal y estado civil.


Background. The prevalence of physical inactivity (76%) in the city of Tunja n = 456 individuals, gender body mass index, and marital status were the factors associated with this condition. Objective. The present study was designed to determine the prevalence of physical inactivity in people 18 to 60 years in Tunja and factors associated with this behavior. Material and Methods. Cross-sectional study with phase correlational sample calculation was performed with the use of a finite population formula and categorical variables yielding a n=456 individuals, was a non-probability sampling and convenience fees. We describe the sociodemographic characteristics, risk factors determining the level of inactivity by the test Rojas García Pérez 1996, prior informed consent, and a negative CAAF. Results. The prevalence of sedentary established a 76.1% [95% CI 72-79] and statistically significant correlations in variables gender (X2=81.9, P=0.000), BMI (X2=65.448; p=0.000) and marital status (X2=15.325 p=0.000). Conclusion. It is evident in the participants of this study, a high frequency of sedentary and variables that were statistically associated with gender, body mass index, and marital status.

20.
Rev. salud pública ; 14(5): 776-788, Sept.-Oct. 2012. ilus
Artigo em Espanhol | LILACS | ID: lil-703394

RESUMO

Objetivo El propósito del presente artículo es presentar la magnitud de la discapacidad en el Departamento de Boyacá a través del establecimiento de sus distribuciones y relaciones de dependencia. Materiales y Métodos Estudio de corte transversal, donde el instrumento empleado fue el propuesto por el DANE para el registro, localización y caracterización de la discapacidad. Se realiza un análisis univariado y bivariado para las 89 preguntas del instrumento. Resultados Se encontró una mayor proporción de discapacidad en mujeres, con ubicación geográfica en el área rural dispersa, con bajos niveles educativos y de participación. Predomino la deficiencia del movimiento de cuerpo, manos, brazos y piernas, así como la dificultad para caminar, correr y saltar. Conclusión Se concluye que existe una dependencia estadísticamente significativa calculada a través del Chi cuadrado de Pearson, entre el fenómeno y los factores sociales, culturales y biológicos.


Objective This paper was aimed at ascertaining the magnitude of disability in the Boyacá Department by establishing its distribution and dependent relationships. Materials and Methods This was a cross-sectional study which involved using the instrument proposed by DANE for recording, localizing and characterizing disability. The instrument's 89 questions were subjected to univariate and bivariate analysis. Results A greater prevalence of disability was found amongst females; it was geographically located in scattered rural areas and amongst those having low educational attainment and poor attendance at school. A deficiency in body, hand, arm and leg movements predominated, as did difficulty in walking, running and jumping. Conclusions There was a statistically significant dependence (calculated by Pearson's chi-square test) between disability and social, cultural and biological factors.


Assuntos
Feminino , Humanos , Masculino , Pessoas com Deficiência/estatística & dados numéricos , Atividades Cotidianas , Atitude Frente a Saúde , Estudos Transversais , Transtornos Cognitivos/epidemiologia , Colômbia/epidemiologia , Avaliação da Deficiência , Escolaridade , Emprego , Transtornos dos Movimentos/epidemiologia , Prevalência , Características de Residência , Fatores Socioeconômicos , Inquéritos e Questionários , Transtornos da Visão/epidemiologia
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