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1.
Med Clin North Am ; 104(2): 313-325, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32035571

RESUMO

Each year increasing numbers of people participate in a wider variety of athletic endeavors. Unlike previous generations, many patients remain in these activities later into their lives, some well beyond retirement. As the population ages and their activities continue, they are subject to injury of various forms affecting all aspects of their bodies.


Assuntos
Traumatismos em Atletas , Atividades de Lazer , Administração dos Cuidados ao Paciente/métodos , Traumatismos em Atletas/classificação , Traumatismos em Atletas/etiologia , Traumatismos em Atletas/prevenção & controle , Traumatismos em Atletas/terapia , Comportamentos de Risco à Saúde/fisiologia , Humanos , Comportamento Sedentário , Fatores de Tempo
2.
Environ Health Prev Med ; 24(1): 71, 2019 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-31787072

RESUMO

BACKGROUND: Maintenance of instrumental activities of daily living (IADL) and social role (SR) is crucial to keep independent life because the decline in SR and IADL was a significant predictor of dependence in basic ADL in later. The independent effect of physical and cultural leisure activities and their effect modification on the IADL remains unknown. METHODS: We prospectively observed 3241 elderly with intact IADL at baseline for 5 years. Higher level functional capacity such as IADL and SR was assessed using the Tokyo Metropolitan Institute of Gerontology Index of competence (TMIG index). RESULTS: The mean age of the participants was 72.3 years (standard deviation 5.1), and 46.9% were male, and 90.9% of them received a follow-up assessment. Of the participants, 10.4% developed an IADL decline. Engagement in leisure physical activity was associated with a significantly lower risk of IADL decline (adjusted risk ratio, 0.73; 95% confidence interval [CI], 0.60 to 0.89), and cultural leisure activity was also associated with lower risk of IADL decline (adjusted risk ratio, 0.77; 95% CI, 0.63 to 0.95) independent of potential confounders. We also found significant and positive interaction between physical and cultural leisure activities at risk for IADL decline (P = 0.024) and SR decline (P = 0.004). CONCLUSIONS: We found an independent association of physical and cultural leisure activities with a lower risk for functional decline in IADL and SR with positive interaction. Combined engagement in physical and cultural activities may effectively prevent from IADL decline and SR decline.


Assuntos
Atividades Cotidianas , Atividades de Lazer , Idoso , Idoso de 80 Anos ou mais , Feminino , Avaliação Geriátrica/estatística & dados numéricos , Humanos , Vida Independente/estatística & dados numéricos , Japão , Atividades de Lazer/classificação , Masculino , Razão de Chances , Estudos Prospectivos , Risco , Habilidades Sociais
3.
Movimento (Porto Alegre) ; 25(1): e25014, jan.- dez. 2019. Quadros, Figura
Artigo em Português | LILACS | ID: biblio-1047792

RESUMO

Esta pesquisa teve como objetivo geral investigar as manifestações do fenômeno lazer entre trabalhadores docentes que integram o quadro funcional da Secretaria da Educação do Estado de São Paulo. Ao mesmo tempo, como objetivo específico, buscou identificar de que forma as oscilações relativas às distintas relações de trabalho, sobretudo a evidente condição de precariedade, influenciam o lazer da categoria em questão. É um estudo de caso, realizado com 29 trabalhadores docentes que atuam em escolas dessa rede de ensino. Utilizou-se da análise documental de legislações que versam sobre o trabalho docente, da aplicação do questionário sobre os usos do tempo e da realização de entrevistas semiestruturadas. Foi constatado que parte do tempo e espaço de lazer dos professores é permeada pelo trabalho. Ademais, foi possível identificar que condições mais precárias de trabalho tendem a refletir também em um lazer precário


The general goal of this study was to investigate leisure activities among teachers employed by the São Paulo State's Department of Education. At the same time, its specific goal was to find out how oscillations related to various employment relations, especially the clearly precarious working condition, influence their leisure. It is a case study conducted with 29 teachers from São Paulo public's schools. It conducted documentary analysis of laws on teaching work; it applied a questionnaire on use of time; and it conducted semi-structured interviews. It found that part of teachers' leisure time and space is pervaded by work. In addition, it was possible to see that more precarious working conditions tend to result in precarious leisure


Esta investigación tuvo como objetivo general investigar las manifestaciones del fenómeno ocio entre trabajadores docentes que integran el cuadro funcional de la Secretaría de Educación del Estado de São Paulo. Al mismo tiempo, como objetivo específico, buscó identificar de qué forma las oscilaciones relativas a las distintas relaciones de trabajo, principalmente la evidente condición de precariedad, influencian el ocio de la categoría investigada. Se trata de un estudio de caso, realizado con 29 trabajadores docentes que actúan en escuelas públicas del Estado de São Paulo. Se utilizó el análisis documental de legislaciones que versan sobre el trabajo docente, la aplicación del cuestionario sobre los usos del tiempo y la realización de entrevistas semiestructuradas. Se constató que parte del tiempo y espacio de ocio de los profesores está permeado por el trabajo. Además, fue posible identificar que condiciones más precarias de trabajo tienden a reflejar también un ocio precario


Assuntos
Humanos , Masculino , Feminino , Condições de Trabalho , Professores Escolares , Atividades de Lazer , Emprego
4.
Movimento (Porto Alegre) ; 25(1): e25006, jan.- dez. 2019.
Artigo em Português | LILACS | ID: biblio-1047603

RESUMO

Neste artigo, objetivamos identificar e analisar alguns sentidos que o turismo adquire no contemporâneo para os idosos que viajam em excursão. Foram acompanhadas quatro excursões realizadas na Região Sul do Brasil, por meio do Programa Turismo Social do SESC e realizadas 13 entrevistas semiestruturadas. As análises dos resultados apontam que: o turismo contribui na formação de "amizades de excursão" e biossociabilidades que refletem a centralidade do corpo e o teor de superficialidade que regem as relações sociais contemporâneas; o ritmo da viagem, marcado pela extensão da programação e rigidez do horário, parece favorecer a retomada de ritmos de vida laboral, desejada pelo idoso que se encontra desamparado em seu "tempo livre"; para as mulheres a viagem assume um sentido particular de aventura, ligado à transformação de valores patriarcais e à construção de outros espaços e papéis associados ao feminino


This paper aimed identified and analyzed some contemporary meanings of tourism for elderly people who go on field trips. Four trips were carried out in Southern Brazil through the SESC Social Tourism Program and 13 semi-structured interviews were conducted. Analyses of the results show that: tourism contributes to establishing "filed trip friendships" and biossociabilities that reflect the body's centrality and the level of superficiality that governs social relations; the rhythm of the trip, marked by an extended and inflexible schedule, seems to resume labor life rhythms desired by the elderly who are helpless in their "free time". For women, the journey takes on a particular adventure meaning linked to changing patriarchal values and building other spaces and roles associated with the female condition


Este artículo identifica y analiza sentidos contemporáneos del turismo para adultos mayores que viajan en excursión. Se acompañaron cuatro excursiones en el Sur de Brasil, bajo el Programa Turismo Social del Servicio Social del Comercio (SESC), y se realizaron 13 entrevistas semiestructuradas. Los resultados sugieren: el turismo contribuye para formar "amistades de excursión" y biosociabilidades que reflejan la centralidad del cuerpo y el contenido de superficialidad que orientan las relaciones sociales contemporáneas; la extensión de la programación y los horarios rígidos parecen favorecer la recuperación de ritmos de la vida laboral, deseada por adultos mayores desamparados en su "tiempo libre"; para las mujeres, el viaje asume un sentido particular de aventura, ligado a la transformación de valores patriarcales y la construcción de otros espacios y papeles asociados a lo femenino


Assuntos
Humanos , Idoso , Idoso de 80 Anos ou mais , Idoso , Turismo , Atividades de Lazer
5.
Estud. pesqui. psicol. (Impr.) ; 19(3): 623-643, dez. 2019. ilus
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1045921

RESUMO

Este artigo busca compreender algumas ressonâncias da prática de atividades circenses no cotidiano de uma instituição de saúde mental, a partir da inserção em um Centro de Atenção Psicossocial Álcool e outras Drogas, serviço substitutivo à lógica manicomial, pautado na atenção psicossocial e em ações territoriais. Nesse sentido, o trabalho parte de uma contraposição ao modelo biomédico, estabelecendo reflexões sobre as práticas de circo a partir das noções de cuidado, de circo social e de trabalho vivo em ato. Os encontros circenses fundamentaram-se em técnicas de malabarismo, acrobacia e equilibrismo, por meio dos quais foram consolidadas relações afetivas, cooperação e cuidado mútuo. O afeto mostrou-se como um dos pilares das atividades, pelo qual se estabeleceram relações de trocas, de cumplicidade e de confiança, além de possibilitar surpreendentes evoluções técnicas. O trabalho de campo, apreendido por meio de observação participante, diários de campo, fotografias, filmagens e entrevistas semiestruturadas, proporcionou pontuar e refletir uma série de ressonâncias da prática de artes circenses em uma instituição de saúde mental, sendo tratadas neste artigo: a relação risco/segurança, evolução técnica e cuidado.(AU)


This article aims to understand some resonances of the practice of circus activities in the everyday life of a mental health institution, from the insertion in a Center for Psychosocial Care Alcohol and other Drugs, a substitute service to the asylum logic, based on psychosocial attention and territorial actions. In this sense, the work opposes to the biomedical model, establishing reflections on the circus practices from the notions of care, social circus and live work in act. The circus meetings were based on techniques of juggling, acrobatics and balancing, through which they were consolidated affective relationships, cooperation and mutual care. Affection was shown as one of the pillars of the activities, through which relations of exchange, complicity and trust were established, as well as making possible technical evolutions. Fieldwork, seized through participant observation, field journals, photographs, filming and semi-structured interviews, provided a point of reference and reflection of a series of resonances of the practice of circus arts in a mental health institution, being dealt with in this article: the risk/safety relationship, technical evolution and care.(AU)


Este artículo busca comprender algunas resonancias de la práctica de actividades circenses en el cotidiano de una institución de salud mental, a partir de la inserción en un Centro de Atención Psicosocial Alcohol y otras Drogas, servicio sustitutivo a la lógica manicomial, pautado en la atención psicosocial y en acciones territoriales. En ese sentido, el trabajo parte dese efectúa una contraposición al modelo biomédico, estableciendo reflexiones sobre las prácticas de circo a partir de las nociones de cuidado, de circo social y de trabajo vivo en acto. Los encuentros circenses se fundamentaron en técnicas de malabarismo, acrobacia y equilibrismo, a través de los cuales se consolidaron relaciones afectivas, cooperación y cuidado mutuo. El afecto se mostró como uno de los pilares de las actividades, por el cual se establecieron relaciones de intercambio, de complicidad y de confianza, además de posibilitar sorprendentes evoluciones técnicas. El trabajo de campo, incautado por medio de observación participante, diarios de campo, fotografías, filmaciones y entrevistas semiestructuradas, proporcionó puntuar y reflejar una serie de resonancias de la práctica de artes circenses en una institución de salud mental, siendo tratadas en este artículo: la relación riesgo/seguridad, evolución técnica y cuidado.(AU)


Assuntos
Humanos , Masculino , Feminino , Saúde Mental , Atividades de Lazer , Serviços de Saúde Mental
6.
N Engl J Med ; 381(21): 1992-1993, 2019 Nov 21.
Artigo em Inglês | MEDLINE | ID: mdl-31747727
7.
BMC Public Health ; 19(1): 1426, 2019 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-31666049

RESUMO

BACKGROUND: A rapidly growing body of research suggests that qualities of the built environment can promote active living among children and youth. Nevertheless, shortcomings in the current evidence for understanding which built environment characteristics provide opportunities for taking part in activities in childhood remain. This study aimed to examine whether population density, green spaces, and facilities/amenities are associated with participation in leisure-time physical activity (PA), organized activities, and social activities with friends and peers in Norwegian 8-year-olds. METHODS: Data from a sample of 23,043 children from the Norwegian Mother and Child Cohort Study (MoBa) were linked with geospatial data about the built environment. The questionnaire data reported by mothers provided information on the children's leisure activities. We computed exposure to neighborhood population density and access to green spaces and facilities/amenities within 800- and 5000-m radii of the participants' home addresses using geographic information systems. Associations were estimated using logistic regression models. RESULTS: We found beneficial associations between having a park within 800-m and more leisure-time PA during the summer. Furthermore, children living in neighborhoods with higher proportions of green space participated in more PA during the winter. More densely populated areas and access to facilities were associated with participation in organized and social activities. Specifically, we observed that more playgrounds/sport fields in the neighborhood were the strongest and most consistent correlate of activity participation in Norwegian 8-year-olds by being related to more socialization with friends and peers. CONCLUSION: This population-based study underscores the importance of access to a variety of venues and opportunities for different activities in the immediate neighborhood surroundings and in the greater community to support participation in physical activity and organized and social activities in childhood.


Assuntos
Comportamento Infantil , Planejamento Ambiental , Exercício , Parques Recreativos , Densidade Demográfica , Características de Residência , Esportes , Adulto , Criança , Estudos de Coortes , Estudos Transversais , Planejamento Ambiental/estatística & dados numéricos , Feminino , Sistemas de Informação Geográfica , Humanos , Atividades de Lazer , Modelos Logísticos , Masculino , Mães , Noruega , Jogos e Brinquedos , Características de Residência/estatística & dados numéricos , Inquéritos e Questionários
8.
Medicine (Baltimore) ; 98(44): e17667, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31689780

RESUMO

Post-stroke depression (PSD) constitutes an important complication of stroke, leading to great disability. After stroke, the prevalence rate of depression is about 30%. Depression also affects rehabilitation motivation, delays function recovery, and increases family and social burden. The objective of this study was to explore the effect of social support on depression in chronic stroke patients and the relationship between demographic and disease characteristics. Total samples were randomly divided into an intervention group (n = 31) and a control group (n = 31). Sixteen social support interventions were performed over 8 weeks. Social support programs were implemented 2 times a week. Depressive symptoms were assessed at the second week, 4th week, 8th week, and 4 weeks after the end of the study using the 10-item Center for the Epidemiological Studies of Depression Short Form (CES-D10). There was a significant correlation between depression and the economic status of the patients with chronic stroke, satisfaction in leisure, the presence or absence of caregivers, the duration of stroke, and with or without pain. A significant difference was found between two groups after social support for 8 weeks. Our findings suggest that remission of PSD needs at least 8 weeks of social support.


Assuntos
Depressão/epidemiologia , Depressão/terapia , Educação em Saúde/métodos , Apoio Social , Reabilitação do Acidente Vascular Cerebral/métodos , Acidente Vascular Cerebral/epidemiologia , Idoso , Ansiedade/epidemiologia , Ansiedade/terapia , Cuidadores , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Renda , Atividades de Lazer , Masculino , Pessoa de Meia-Idade , Dor/epidemiologia , Fatores Socioeconômicos
9.
BMC Public Health ; 19(1): 1459, 2019 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-31694592

RESUMO

BACKGROUND: Urbanization and aging are global phenomena that offer unique challenges in different countries. A supportive environment plays an important role in addressing the issues of health behavioral change and health promotion (e.g., prevent chronic illnesses, promote mental health) among older adults. With the development of the socio-ecological theoretical model, studies on the impact of supportive environments on physical activity have become popular in the public health field in the EU and US. Meanwhile, very few Chinese studies have examined the relationship between built environment features and older adults' physical activity at the ecological level. The purpose of the study is to investigate how the factors part of the built environment of Nanjing's communities also influence leisure time physical activity among the elderly. METHODS: Using a socio-ecological model as a theoretical framework, we conducted a cross-sectional study of 399 elderly people from 19 communities in Nanjing, China, using a one-on-one questionnaire to collect data, including participants' perceived built environment and self-reported physical activity. A multivariate linear regression method was used to analyze the factors influencing their recreational physical activity. RESULTS: This study found that compared to older people with low average monthly income, the recreational physical activity of the elderly with average monthly incomes between 1001 and 2000 ¥ (ß = 23.31, p < 0.001) and 2001 ¥ or more (ß = 21.15, p < 0.001) are significantly higher. After controlling for individual covariates, street connectivity (ß = 7.34, p = 0.030) and street pavement slope (ß = - 7.72, p = 0.020), we found that two out of ten built environment factors indicators influence their physical activity. The importance of each influencing factor ranked from highest to lowest are monthly average income, street pavement slope, and street connectivity. Other factors were not significantly related to recreational physical activity by the elderly. CONCLUSIONS: Older adults with a high income were more likely to participate in recreational physical activity than those with a low income. In order to positively impact physical activity in older adults and ultimately improve health, policymakers and urban planners need to ensure that street connectivity and street pavement slope are factored into the design and development of the urban environment.


Assuntos
Ambiente Construído , Exercício/psicologia , Atividades de Lazer/psicologia , Apoio Social , Urbanização , Idoso , Idoso de 80 Anos ou mais , China , Estudos Transversais , Fenômenos Ecológicos e Ambientais , Pesquisa Empírica , Planejamento Ambiental , Feminino , Promoção da Saúde , Humanos , Renda , Masculino , Saúde Mental , Modelos Teóricos , Pobreza/psicologia , Análise de Regressão , Autorrelato
10.
Rev Bras Epidemiol ; 22Suppl 02(Suppl 02): E190013.SUPL.2, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31596384

RESUMO

OBJECTIVE: To analyze social inequalities in the prevalence of indicators of active aging in the Brazilian older adult population. METHODS: This is a cross-sectional study with a sample of 11,177 older adults who participated in the Brazilian National Health Survey in 2013. We estimated the prevalence of five domains of active aging (social activities, civic engagement, leisure-time physical activity, paid work, and volunteer work) according to gender, ethnicity, schooling, income, and private health insurance. Prevalence ratios and confidence intervals were calculated using Poisson regression. RESULTS: The percentage of involvement in organized social activities, civic engagement, and physical activity was 25.1, 12.4, and 13.1%, respectively. Regarding work, 20.7% of the sample had a paid job, and 9.7% participated in volunteer work. Women had a higher prevalence of participation in organized social activities and volunteer work; while civic engagement and paid work were more frequent among men. White people were more likely to participate in social activities, volunteer work, and leisure-time physical activity, explained by their schooling. The strata with a higher level of schooling, income, and who had private health insurance showed a greater incidence of participation in all activities studied. CONCLUSION: The five activities analyzed are challenging for the proposed policy of active aging, as they are marked by considerable social inequality.


Assuntos
Envelhecimento/fisiologia , Exercício/fisiologia , Inquéritos Epidemiológicos/métodos , Classe Social , Idoso , Idoso de 80 Anos ou mais , Brasil/epidemiologia , Estudos Transversais , Feminino , Inquéritos Epidemiológicos/estatística & dados numéricos , Humanos , Seguro Saúde/estatística & dados numéricos , Atividades de Lazer , Masculino , Pessoa de Meia-Idade , Distribuição por Sexo , Fatores Sexuais , Fatores Socioeconômicos , Inquéritos e Questionários , Trabalho/fisiologia , Trabalho/estatística & dados numéricos
11.
BMC Public Health ; 19(1): 1308, 2019 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-31623584

RESUMO

BACKGROUND: In the UK a high proportion of adults with long-term conditions do not engage in regular physical activity. General practice (GP) referral to community-based physical activity is one strategy that has gained traction in recent years. However, evidence for the real-world effectiveness and translation of such programmes is limited. This study aimed to evaluate the individual and organisational impacts of the 'CLICK into Activity' programme - GP referral of inactive adults living with (or at risk of) long-term conditions to community-based physical activity. METHODS: A mixed methods evaluation using the RE-AIM framework was conducted with data obtained from a range of sources: follow-up questionnaires, qualitative interviews, and programme-related documentation, including programme cost data. Triangulation methods were used to analyse data, with findings synthesised across each dimension of the RE-AIM framework. RESULTS: A total of 602 individuals were referred to CLICK into Activity physical activity sessions. Of those referred, 326 individuals participated in at least one session; the programme therefore reached 30.2% of the 1080 recruitment target. A range of individual-, social-, and environmental-level factors contributed to initial physical activity participation. Positive changes over time in physical activity and other outcomes assessed were observed among participants. Programme adoption at GP surgeries was successful, but the GP referral process was not consistently implemented across sites. Physical activity sessions were successfully implemented, with programme deliverers and group-based delivery identified as having an influential effect on programme outcomes. Changes to physical activity session content were made in response to participant feedback. CLICK into Activity cost £175,000 over 3 years, with an average cost per person attending at least one programme session of £535. CONCLUSIONS: Despite not reaching its recruitment target, CLICK into Activity was successfully adopted. Positive outcomes were associated with participation, although low 6- and 12-month follow-up response rates limit understanding of longer-term programme effects. Contextual and individual factors, which may facilitate successful implementation with the target population, were identified. Findings highlight strategies to be explored in future development and implementation of GP referral to community-based physical activity programmes targeting inactive adults living with (or at risk of) long-term conditions.


Assuntos
Doença Crônica/prevenção & controle , Exercício , Medicina Geral , Encaminhamento e Consulta , Adolescente , Adulto , Idoso , Serviços de Saúde Comunitária , Feminino , Humanos , Atividades de Lazer , Masculino , Pessoa de Meia-Idade , Avaliação de Programas e Projetos de Saúde , Medição de Risco , Comportamento Sedentário , Reino Unido , Adulto Jovem
12.
Artigo em Inglês | MEDLINE | ID: mdl-31514471

RESUMO

BACKGROUND: Metabolic syndrome (MetS) is a cluster of risk factors for cardiovascular disease, atherosclerosis and diabetes mellitus type 2 which may be reduced by practicing regular physical activity. OBJECTIVE: To assess the leisure-time physical activity (LTPA) of older adults with MetS and without MetS. METHODS: Cross-sectional study of older adults (55-80 years old) from Balearic Islands (Spain) with MetS (n = 333; 55% men) and without MetS (n = 144; 43.8% men). LTPA was assessed with the validated Spanish version of the Minnesota LTPA Questionnaire. Two criteria of physically active were used: >150 min/week of moderate physical activity or >75 min/week of vigorous physical activity or a combination of both, and total leisure-time energy expenditure of >300 MET·min/day. Sociodemographic and lifestyle characteristics, anthropometric variables, MetS components, and adherence to the Mediterranean diet (MD) were also measured. RESULTS: MetS subjects showed lower energy expenditure in LTPA, lower adherence to the MD, higher obesity and waist circumference, and were less active than non-MetS peers. LTPA increased as participants got older and there was higher LTPA intensity as educational level increased. Adherence to MD was as high as LTPA was. CONCLUSIONS: MetS is associated with physical inactivity and unhealthy diet. To increase LTPA recommendations and raise awareness in the population about the health benefits of PA and high adherence to MD is highly recommended.


Assuntos
Dieta Mediterrânea , Exercício , Síndrome Metabólica/epidemiologia , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Atividades de Lazer , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Atividade Motora , Obesidade , Fatores de Risco , Espanha/epidemiologia , Inquéritos e Questionários
13.
Artigo em Inglês | MEDLINE | ID: mdl-31547469

RESUMO

Theoretical explanation concerning the psychological well-being of elderly adults as they participate in a particular leisure activity has been rare. Based on the theory of planned behavior and the technology acceptance model, this study sought to understand the Tai Chi Chuan (TCC) participation influence factors, process, and psychological well-being of Chinese people. A self-developed questionnaire was developed to test the hypotheses of this study. Applying structural equation models, a survey of 769 TCC participations were used to test the theoretical model. The results indicated that perceived usefulness significantly and positively affect respondent attitude, family members' influences significantly and positively affect participants' subjective norm, and resource facilitating conditions significantly and positively affect perceived behavioral control. Perceived behavioral control, attitude, and subjective norm significantly and positively affect TCC participants. The study lends support to the notion that leisure activity participation is vital for elderly adults and their well-being, and it develops a theoretical reference model for better understanding the leisure participation perceptual reasoning processes of elderly adults. Furthermore, the results offer important implications for health policy makers, clinical prevention, and interventions using participation behavior relationships to develop well-constructed leisure programs to attract and inspire participation and, hence, improve the psychological well-being of elderly adults.


Assuntos
Comportamentos Relacionados com a Saúde , Atividades de Lazer , Tai Ji , Idoso , Envelhecimento , China , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida
14.
J Sports Sci ; 37(24): 2826-2834, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31500501

RESUMO

To comprehensively shed light on whether viewing football games is associated with a higher risk of cardiovascular disease (CVD). Electronic databases were searched through 17 May 2018. All studies focusing on the association between viewing football matches and the fatal or non-fatal CVD were identified. Viewing football matches was associated with a higher risk of fatal overall CVD (RR: 1.06, 95%CI: 1.01-1.12) in both men (RR: 1.13, 95%CI: 1.004-1.28) and women (RR: 1.08, 95%CI: 1.01-1.15). Subgroup analysis showed that failure of the team has a higher risk of fatal overall CVD (RR: 1.29, 95%CI: 1.15-1.45). However, lower risk of fatal overall CVD from spectators was observed when team obtained a victory (RR: 0.80, 95%CI: 0.66-0.96). For non-fatal CVD, viewing football matches was associated with a higher risk of non-fatal overall CVD (RR: 1.24, 95%CI: 1.09-1.41) in both men (RR: 1.73, 95%CI: 1.12-2.69) and women (RR: 1.25, 95%CI: 1.08-1.45). Subgroup analysis showed that viewing football matches was associated with a higher risk of non-fatal myocardial infarction (RR: 1.20, 95%CI: 1.04-1.38) in both men and women (RR: 1.51, 95%CI: 0.99-2.28; RR: 1.21, 95%CI: 1.08-1.36, respectively). No significant increase was found in fatal or non-fatal stroke. Viewing football matches was associated with a higher risk of the fatal and non-fatal CVD, especially in male spectators. The victory of team could have a lower risk of fatal CVD. Therefore, precautionary measures should be required for the reduction of healthcare burden in football matches.


Assuntos
Doenças Cardiovasculares/mortalidade , Futebol , Doenças Cardiovasculares/etiologia , Feminino , Humanos , Atividades de Lazer , Masculino , Infarto do Miocárdio/etiologia , Infarto do Miocárdio/mortalidade , Acidente Vascular Cerebral/etiologia , Acidente Vascular Cerebral/mortalidade
15.
Am J Occup Ther ; 73(5): 7305205030p1-7305205030p18, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31484027

RESUMO

IMPORTANCE: Developed in California to enable community-dwelling older adults to maintain healthy and meaningful activities, Lifestyle Redesign® is a well-known cost-effective preventive occupational therapy intervention. The impact of a newly adapted French version on older French-Canadians was, however, unknown. OBJECTIVE: To explore the influence of Lifestyle Redesign on older French-Canadians' health, social participation, leisure, and mobility. DESIGN: A mixed-methods design included a preexperimental component (questionnaires administered before and after the intervention and 3 and 6 mo postintervention) and an exploratory descriptive qualitative clinical study. Individual semidirected interviews were digitally audiotaped and transcribed, then underwent thematic content analysis using mix extraction grids. SETTING: Community. PARTICIPANTS: Sixteen volunteers (10 women) aged 65-90 yr (mean = 76.4, standard deviation = 7.6), 10 without and 6 with disabilities. Inclusion criteria were age ≥65 yr, normal cognitive functions, residence in a conventional or senior home, and French speaking. INTERVENTION: French-Canadian 6-mo version of Lifestyle Redesign. OUTCOMES AND MEASURES: Health, social participation, leisure, and mobility were measured using the 36-item Short Form Health Survey, Social Participation Scale, Leisure Profile, and Life-Space Assessment, as well as a semistructured interview guide. RESULTS: The French-Canadian Lifestyle Redesign had a beneficial effect on participants' mental health (p = .02) and interest in leisure (p = .02) and, in those with disabilities, social participation (p = .03) and attitudes toward leisure (p = .04). Participants reported positive effects on their mental health, leisure, mobility, and social participation, including frequency and quality of social interactions, and indicated that having an occupational routine fostered better health. None of the participants reported no effect. CONCLUSION AND RELEVANCE: The translated and culturally adapted Lifestyle Redesign is a promising occupational therapy intervention for community-dwelling older French-Canadians. WHAT THIS ARTICLE ADDS: This study sheds light on the influence of the French-Canadian version of the intervention not only on older adults' health and social participation but also on their leisure activities and life-space mobility, two important outcomes not addressed in previous Lifestyle Redesign studies. Moreover, this study provides an in-depth understanding of the Lifestyle Redesign experience of French-Canadian older adults with and without disabilities, including participants with significant communication and mobility disabilities.


Assuntos
Atividades de Lazer , Participação Social , Idoso , Idoso de 80 Anos ou mais , California , Canadá , Feminino , Humanos , Estilo de Vida
16.
Psico USF ; 24(3): 541-553, jul.-set. 2019. tab, il
Artigo em Português | LILACS | ID: biblio-1040775

RESUMO

Este estudo mapeou perfis de idosos praticantes de atividades prazerosas e relacionou tais perfis com variáveis sociodemográficas e estado funcional. Idosos (n=330) sem comprometimento cognitivo, residentes da comunidade e com diferentes níveis de vulnerabilidade social (acessado pelo Índice Paulista de Vulnerabilidade Social) responderam um questionário sociodemográfico, a escala de Pfeffer (funcionalidade) e o OPPES-BR (prática de atividades prazerosas). Por meio da análise de cluster combinando-se o método hierárquico e não-hierárquico foram identificados cinco perfis de idosos: muito ativos; muito ativos sociáveis; minimalistas; pouco ativos contemplativos; e pouco ativos intelectuais. Manter alta frequência em diversos tipos de atividades prazerosas associou-se à maior escolaridade, menor vulnerabilidade social e menor dependência funcional. O perfil dos pouco ativos contemplativos foi o mais vulnerável, com maior declínio funcional, vulnerabilidade social e taxa de analfabetismo. Diante da diversidade de perfis de idosos, são necessárias políticas públicas favorecedoras ao acesso a atividades prazerosas, principalmente aos mais vulneráveis. (AU)


This study mapped profiles of older adults who participated in pleasant events, and related these profiles with sociodemographic and functional state. Older adults (n=330) without cognitive impairments, community residents and with different social vulnerability levels (accessed by the Paulista Index of Social Vulnerability) answered a sociodemographic questionnaire, the Pfeffer Scale (functionality) and the OPPES-BR (involvement in pleasant activities). By applying a cluster analysis, which combined the hierarchical and non-hierarchical method, five profiles of older adults were identified: highly active; highly socially active; minimalists; little active contemplative; and little active intellectual. Maintaining high frequency in pleasant activities was associated with a higher education, lower social vulnerability, and less functional dependence. The little active contemplative was the most vulnerable profile, with higher scores on functional decline, social vulnerability, and illiteracy rates. Considering the diversity of the older adult's profiles, public policies favoring the access to pleasant events are needed, especially for the most vulnerable ones. (AU)


Este estudio diseñó perfiles de ancianos que practican actividades placenteras y relacionó estos perfiles con variables sociodemográficas y estado funcional. Los ancianos (n = 330) sin comprometimiento cognitivo, residentes de la comunidad y con diferentes niveles de vulnerabilidad social (accesado por el Índice Paulista de Vulnerabilidad Social) respondieron un cuestionario sociodemográfico, Escala de Pfeffer (funcionalidad) y el OPPES-BR (práctica de actividades placenteras). Por medio de análisis de Cluster, combinando el método jerárquico y no-jerárquico, fueron identificados cinco perfiles de ancianos: muy activos; muy activos sociables; minimalistas; poco activos contemplativos; y poco activos intelectuales. Mantener alta frecuencia en diversas actividades placenteras presentó una asociación con mayor escolaridad, menor vulnerabilidad social y menor dependencia funcional. El perfil de los poco activos contemplativos fue el más vulnerable, con mayor declive funcional, vulnerabilidad social y tasa de analfabetismo. Ante la diversidad de perfiles de ancianos, son necesarias políticas públicas que favorezcan el acceso a actividades placenteras, principalmente a los más vulnerables. (AU)


Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Qualidade de Vida/psicologia , Fatores Socioeconômicos , Atividades de Lazer/psicologia , Política Pública , Estudos Transversais , Vulnerabilidade a Desastres , Prazer
17.
Rev Esp Salud Publica ; 932019 Aug 12.
Artigo em Espanhol | MEDLINE | ID: mdl-31406103

RESUMO

OBJECTIVE: Acquiring the habit of doing regular physical activity in adolescents has shown positive effects in the prevention of diseases and the maintenance of physical and psychological health. The objective was to explore the topics related to physical activity of a group of adolescents, to identify the barriers and motivators of regular physical activity practice. METHODS: Qualitative research of phenomenological explanatory design. The information was obtained through four Discussion Groups conducted with: a) expert professionals (6 participants); b) adolescents of both sexes (10 participants); c) female adolescents (6 participants); d) male adolescents (9 participants). RESULTS: Perceived barriers and motivations were detected in all groups of adolescents, contributing a total of 104 units of analysis. The group of experts emphasized the need to involve the family, the school, and the agents that surround the teenagers. The adolescents showed barriers related to incompatibilities due to lack of time, participation in leisure activities and demotivation due to routine and imposed activities (37; 35.5%). Motivation was related to participation in team sports and the positive influence of friends (28; 28%). The girls also showed concern about their body image and diet (39; 37.5%). CONCLUSIONS: Barriers were identified in relation to the close environment of the adolescents in three main areas: family, friends and school. Motivators were linked to social and multicultural components. Priority actions in this group are to promote activities that include team sports as a mean to enhance social support.


Assuntos
Comportamento do Adolescente/psicologia , Exercício/psicologia , Promoção da Saúde/métodos , Atividades de Lazer , Apoio Social , Adolescente , Atitude Frente a Saúde , Feminino , Hábitos , Humanos , Masculino , Motivação , Pesquisa Qualitativa , Instituições Acadêmicas , Espanha
18.
BMC Public Health ; 19(1): 1155, 2019 Aug 22.
Artigo em Inglês | MEDLINE | ID: mdl-31438911

RESUMO

BACKGROUND: Sedentary behaviour (SB) has been linked with detrimental effects on morbidity and mortality. This study aims to identify the individual, social and environmental correlates of total sedentary behaviour and the contexts in which sitting time accumulates in an Irish adult cohort. METHODS: Cross-sectional analysis of data from 7328 adults of the nationally representative Healthy Ireland Survey. Ordinal regression analyses were used to examine participants' socio-demographic characteristics, lifestyle factors, physical and mental health status, perceived neighbourhood environmental factors, and their association with total daily sitting times and sitting times across the domains of occupation, leisure screen-time and transportation/leisure. RESULTS: Overall median of sitting time per day was 450 min (7.5 h). Male gender, and living in an urban location were associated with increased total-, occupational, and screen-time sitting (p < 0.001). Younger age was associated with increased total and occupational sitting times (p < 0.001), while being older was associated with increased screen-time and transportation/leisure sitting (p < 0.001). Insufficient physical activity levels were associated with increased sitting across all domains (p < 0.001). Higher socio-economic classification and education levels were associated with increased total, occupational, and transportation/leisure SB (p < 0.001), while lower socio-economic classification and education levels were associated with increased screen-time sitting (p < 0.001). Alcohol consumption was associated with screen-time and transportation/leisure sitting (p < 0.01), while smoking was associated with increased screen-time sitting (p < 0.001). Being married was associated with less screen-time (p < 0.001) and transportation/leisure sitting (p = 0.02), while those with a caring role had less total (p = 0.04) and screen-time sitting (p = 0.01). A significant negative association between neighbourhood attributes and total (p = 0.04), and transportation/leisure sitting times (p < 0.001) was found. CONCLUSION: The results of this study provide a starting position for development of targeted interventions aimed at the most sedentary, such as males with sedentary occupations in higher socio-economic groups and education levels, those with insufficient levels of physical activity and who live in an urban location.


Assuntos
Atividades de Lazer/psicologia , Ocupações/estatística & dados numéricos , Tempo de Tela , Comportamento Sedentário , Transportes/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Irlanda , Masculino , Pessoa de Meia-Idade , Modelos Teóricos , Fatores de Risco , Fatores de Tempo , Adulto Jovem
19.
J Sports Sci ; 37(22): 2549-2559, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31366283

RESUMO

The aim of this study was to investigate the association between physical activity (PA), both occupational (OPA) and during leisure time (LTPA), with obesity and cardiovascular risk factors in Chilean adults. 5,157 participants from the Chilean National Health Survey 2009-2010 were included in this study. OPA and LTPA levels were assessed using the Global Physical Activity Questionnaire. The association between both PA with obesity and cardiovascular risk factors was determined using logistic regression. Our findings showed a significant trend between higher LTPA and lower odds for obesity (OR 0.64 [95% CI: 0.53; 0.76], central obesity 0.52 [0.44; 0.61]) and other cardiovascular risk factors including diabetes (OR: 0.72 [0.55; 0.94]), hypertension (OR: 0.59 [0.50; 0.71]) and metabolic syndrome (OR: 0.62 [0.50; 0.78]). In contrast, OPA was only associated with lower odds of diabetes (OR: 0.79 [0.65; 0.98]) and hypertension (0.85 [0.74; 0.98]). In conclusion, LTPA was associated with a lower risk of all major cardiovascular risk factors, whereas OPA was only associated with a lower risk of diabetes and hypertension.


Assuntos
Doenças Cardiovasculares/epidemiologia , Exercício , Atividades de Lazer , Obesidade/epidemiologia , Ocupações , Adulto , Idoso , Chile/epidemiologia , Comorbidade , Estudos Transversais , Diabetes Mellitus Tipo 2/epidemiologia , Feminino , Inquéritos Epidemiológicos , Humanos , Hipertensão/epidemiologia , Masculino , Síndrome Metabólica/epidemiologia , Pessoa de Meia-Idade , Obesidade Abdominal/epidemiologia , Fatores de Risco , Adulto Jovem
20.
Percept Mot Skills ; 126(5): 986-1005, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31368846

RESUMO

Scientific evidence reveals a significant decline in exercise behaviors during adolescence. Although multiple school-based initiatives have been implemented in Canada, little is known of how these initiatives affect students' motivation for subsequent physical activity (PA). The transcontextual model of motivation offers an interesting approach to assessing the long-term, motivational impact of school-based interventions, and we used this model to study how adolescent girls' need satisfactions, first observed within supervised PA (in the FitSpirit FitClub), correlated with their inclinations toward nonsupervised PA behaviors later. Adolescent girls in this study (N = 259; M = 14.34, SD = 1.49 years) completed a transcontextual model of motivation-based questionnaire regarding their basic psychological needs, motivation, attitudes, subjective norms, perceived behavioral control, intentions, and PA practice during their FitSpirit club participation. Three weeks after this participation, they reported their PA levels again. The girls' basic psychological needs predicted their autonomous motivation in the FitClub. Their autonomous motivation predicted subjective norms and perceived behavioral control; these factors then determined their intentions to be physically active, and their PA intentions predicted their actual PA behavior during personal (leisure) time three weeks later. Two indirect paths were statistically significant for predicting PA intentions, and three indirect paths were significant for predicting leisure-time PA. Activity motivation, first developed within a supervised context, can increase subsequent leisure-time PA.


Assuntos
Exercício/psicologia , Motivação , Satisfação Pessoal , Serviços de Saúde Escolar , Adolescente , Atitude , Canadá , Criança , Feminino , Humanos , Intenção , Atividades de Lazer , Teoria Psicológica , Instituições Acadêmicas , Normas Sociais , Estudantes/psicologia , Inquéritos e Questionários
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