Effectiveness of intervention programs in primary care for the robust elderly.

OBJECTIVE: This study aimed to search the literature for intervention programs in primary care with a multiprofes-sional character, specifically directed at the robust elderly, and with viable and cost-effective interventions. MATERIALS AND METHODS: The search strategies were applied in Cochrane, Lilacs, Pubmed, Scopus, WHOLIS, Embase, Medcarib, SciELO, Web of Science, and PAHO databases. RESULTS: 3 665 articles were found and 32 remained for analysis, grouped into four categories: care management; multidisciplinary intervention; interventions on the basis of risk; and educational interventions with health professionals. CONCLUSION: Strategies such as domestic interventions can promote health and functionality of elderlies, as well as reduce mortality, use of the health system and costs. Besides that, the use of hard and light-hard technologies are important for risk prevention and care management for the elderly.There is a need to create programs for risk prevention and effective management of elderly care at the primary level.

BLOOD PRESSURE IN HYPERTENSIVE WOMEN AFTER AEROBICS AND HYDROGYMNASTICS SESSIONS.

INTRODUCTION: regular exercise has been recommended as an important behavior in controlling blood pressure. In recent years it has been demonstrated that a single session of exercise can lower blood pressure levels compared to pre-exercise period, becoming an effective non-pharmacological therapy for the treatment of hypertension. OBJECTIVE: the purpose of this study was to analyze the levels of blood pressure in post-exercise period of controlled hypertension women after an aerobics session and a hydrogymnastics session. METHODS: twelve elderly (65 ± 3.6 years) who practice regular physical activity for at least two months had their levels of blood pressure measured during 60 minutes after the end of each session. Blood pressure was measured every five minutes after the end of each session until the twentieth minute of recovery. Following, blood pressure was measured every ten minutes. T-student test was used to compare mean and the level of significance adopted was 5%. RESULTS: the mean values of hypotension found during the recovery period after the hydrogymnastics session were not significantly different when compared to blood pressure levels of the pre-exercise period (p = 0.260). However, the result of the same comparison for the aerobics session was statistically significant (p < 0.001). The lowest values of systolic blood pressure reached in the recovery period for hydrogymnastics (120 mmHg) and aerobics (106 mmHg) were significantly different (p < 0.001). CONCLUSIONS: the aerobics session showed to be more effective in reducing post-exercise blood pressure compared to the hydrogymnastics. After practice aerobics, the participants presented lower blood pressure levels and longer duration of the hypotensive effect.

Introducción: la práctica regular de ejercicios ha sido recomendada como conducta importante en el control de la presión arterial. En los últimos años se ha demostrado que una sola sesión de ejercicio físico puede disminuir la presión arterial comparada a los niveles del periodo pre-ejercicio, convirtiéndose en una terapia no farmacológica efectiva para el tratamiento de la hipertensión. Objetivo: analizar el comportamiento de la presión arterial post-ejercicio en mujeres hipertensas controladas tras la realización de una sesión de gimnasia acuática y una sesión de gimnasia aeróbica. Métodos: participaron en el estudio 12 mujeres mayores con edad de 65 ± 3.6 años y practicantes de actividad física por un periodo superior a dos meses. La presión arterial fue medida durante 60 minutos tras el final de cada clase. Este procedimiento fue realizado cada 5 minutos tras el esfuerzo hasta el vigésimo minuto de la recuperación, seguido de mediciones cada 10 minutos hasta el sexagésimo minuto. Fue utilizado el test T-Student para la comparación de los promedios y fue adoptado un nivel de significación del 5%. Resultados: los promedios de hipotensión encontrados durante la recuperación tras la clase de gimnasia acuática no fueron significativamente diferentes comparados con los promedios obtenidos en el pre-ejercicio (p = 0,260). Sin embargo, en la sesión de gimnasia aeróbica la diferencia entre esos valores fue estadísticamente significativa (p < 0,001). Los menores valores de presión arterial sistólica alcanzados en la recuperación para gimnasia acuática (120 mmHg) y gimnasia aeróbica (106 mmHg) también fueron significativamente diferentes (p < 0,001). Conclusión: la gimnasia aeróbica se mostró más eficiente para la reducción de la presión arterial post-ejercicio con respecto a la gimnasia acuática, presentando menores valores y mayor duración del efecto hipotensor.