Cláudio Joaquim Borba-Pinheiro

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

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

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

Background: The objective of this study was to determine the effects of different physical activity (PA) programs on bone density, balance and quality of life of postmenopausal women taking concomitant alendronate. A quasi-experimental study was conducted with 35 volunteers divided into four groups: practitioners of resistance training (RTG, n = 9, 49.8±4.2 years), judo (JUG, n = 11, 52.2±5.3 years), water aerobics (WAG, n = 8, 57.1±7.4 years) and the control group (CG, n = 7, 53.8±4.4 years). Methods: The following assessment tools were used: bone mineral density (BMD) measured by dual X-ray absorptiometry of the spine and proximal femur, the ‘Osteoporosis Assessment Questionnaire’ (OPAQ) and the ‘Static Balance Test with Visual Control’. The physical activities were planned for 12 months in cycles with different intensities. A two-way analysis of variance (ANOVA) was used for analysis between groups, and a Scheffé post-hoc test was used for multiple comparisons. Results: The multiple comparisons results showed that the RTG and JUG groups were significantly more efficient in the variables studied, including: lumbar BMD (Δ% = 6.8%, p = 0.001), balance (Δ% = 21.4%, p = 0.01), OPAQ (Δ% = 9.1%, p = 0.005) and lumbar BMD (Δ% = 6.4%, p = 0.003), balance (Δ% = 14%, p = 0.02) and OPAQ (Δ% = 16.8%, p = 0.000) compared with the CG. Furthermore, the RTG (Δ% = 4.8%, p = 0.02) was significantly better than the WAG for the neck of femur BMD, and the JUG (Δ% = 16.8, p = 0.0003) also demonstrated superiority to the WAG in the OPAQ. Conclusions: The physical activities studied appear to improve BMD, balance and quality of life of postmenopausal women taking a bisphosphonate. In this small sample, the RTG and the JUG groups were superior to the other groups.

Efeitos do treinamento resistido sobre variáveis relacionadas com a baixa densidade óssea de mulheres menopausadas tratadas com alendronato

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

Impact of a music therapy program on the stress level of health professionals

Objetivou-se verificar os efeitos de um programa de musicoterapia sobre o nivel de estresse de profissionais de saude. Participaram do estudo 34 voluntarios do sexo feminino com 33,3 ± 8,5 anos de idade, de diferentes niveis de atuacao profissional. Utilizouse o inventario de sintomas de Stress para adultos de Lipp (ISSL) para avaliar o nivel de estresse dos participantes antes e apos a musicoterapia. O programa foi composto por 12 sessoes utilizando as tecnicas musicoterapicas de Improvisacao e Recriacao Musical, realizado uma vez por semana com 50 minutos/sessao em um periodo de tres meses. O teste de Wilcoxon para medidas repetidas foi utilizado para analise estatistica. Observou-se uma diminuicao estatistica significativa (Δ = - 60%, p<0,001) no nivel de estresse das profissionais estudadas apos o programa de musicoterapia. Conclui-se com o presente estudo que o programa de musicoterapia foi efetivo para diminuir o nivel de estresse de mulheres profissionais de saude que atuam em um hospital privado no municipio do Rio de Janeiro-RJ.The study aimed to assess the effects of a music therapy program on the level of stress for female professionals working in a private hospital in Rio de Janeiro-RJ, Brazil. Thirty four female volunteers with 33.3 ± 8.5 years of age from different levels of professional participated in the study. We used the Lipps inventory of symptoms of stress for adults (ISSL) to evaluate the level of stress of participants before and after music therapy. The program consisted of twelve sessions using the techniques of music therapy Improvisation and Musical Re-creation held once a week with 50 minutes / session in a period of three months. The Wilcoxon test for repeated measures was used for statistical analysis. The study showed a statistically significant decrease (Δ = - 60%, p <0.001) in the level of stress professionals studied after the music therapy program. In conclusion, the present study that the music therapy program was effective in decrease the level of stress of women health professionals working in a private hospital in Rio de Janeiro-RJ, Brazil.

Impacto de um programa de musicoterapia sobre o nível de estresse de profissionais de saúde

Objetivou-se verificar os efeitos de um programa de musicoterapia sobre o nivel de estresse de profissionais de saude. Participaram do estudo 34 voluntarios do sexo feminino com 33,3 ± 8,5 anos de idade, de diferentes niveis de atuacao profissional. Utilizouse o inventario de sintomas de Stress para adultos de Lipp (ISSL) para avaliar o nivel de estresse dos participantes antes e apos a musicoterapia. O programa foi composto por 12 sessoes utilizando as tecnicas musicoterapicas de Improvisacao e Recriacao Musical, realizado uma vez por semana com 50 minutos/sessao em um periodo de tres meses. O teste de Wilcoxon para medidas repetidas foi utilizado para analise estatistica. Observou-se uma diminuicao estatistica significativa (Δ = - 60%, p<0,001) no nivel de estresse das profissionais estudadas apos o programa de musicoterapia. Conclui-se com o presente estudo que o programa de musicoterapia foi efetivo para diminuir o nivel de estresse de mulheres profissionais de saude que atuam em um hospital privado no municipio do Rio de Janeiro-RJ.The study aimed to assess the effects of a music therapy program on the level of stress for female professionals working in a private hospital in Rio de Janeiro-RJ, Brazil. Thirty four female volunteers with 33.3 ± 8.5 years of age from different levels of professional participated in the study. We used the Lipps inventory of symptoms of stress for adults (ISSL) to evaluate the level of stress of participants before and after music therapy. The program consisted of twelve sessions using the techniques of music therapy Improvisation and Musical Re-creation held once a week with 50 minutes / session in a period of three months. The Wilcoxon test for repeated measures was used for statistical analysis. The study showed a statistically significant decrease (Δ = - 60%, p <0.001) in the level of stress professionals studied after the music therapy program. In conclusion, the present study that the music therapy program was effective in decrease the level of stress of women health professionals working in a private hospital in Rio de Janeiro-RJ, Brazil.

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

Background: The aim of this study was to verify socioeconomic differences, nutrition, body balance and quality of life (QoL) in postmenopausal women with low bone mineral density (BMD) in two Amazonian communities. Methods: A total of 42 female volunteers participated in the study. The volunteers were separated into two groups: Villa (n = 20; 53 ± 5.5 years) and City (n = 22; 56 ± 7.9 years). The following evaluation instruments were used: dual energy X-ray absorptiometry (DXA); a socioeconomic questionnaire; a QoL questionnaire; a dietary habits questionnaire; and a balance test. Parametric and nonparametric tests were used. Results: The data showed significant differences in socioeconomic level (Δ%=+15.9%, p = 0.000), lumbar spine L2-L4 (Δ% = +0.10%, p = 0.007), balance (Δ% = +4.3%, p = 0.03) and some important aspects of nutrition, such as the consumption of milk (Δ%=+34%, p = 0.01) and alcohol (+14.8%, p = 0.0001). These significant differences also contributed to the total QoL score (Δ%=+76.2%, p = 0.000) and the majority of the QoL-related functions. Conclusion: This study verified that socioeconomic level, nutritional status, physical activity levels and QoL can influence the BMD of postmenopausal women. The study suggests new strategies for official health organizations to use in order to prevent and treat osteoporosis. In addition, this study can provide an orientation to physical activity, nutrition and medical professionals.

Bone variables after a water aerobics program in postmenopausal women undergoing pharmacological treatment

AimTo determine the effects of water aerobics on bone mineral density (BMD) and quality of life (QoL) in postmenopausal women undergoing pharmacological treatment.MethodsIncluded in the study were 84 women volunteers who were separated into two groups: water aerobics (43 women, age 55.4 ± 6.4 years) and a control group (41 women, age 54.3 ± 4.5 years). Dual X-ray absorptiometry and the “Osteoporosis Assessment Questionnaire” were used for evaluation. Water aerobics training was scheduled for 12 months. Analysis of variance and the Kruskal-Wallis test were used.ResultsNo significant intergroup differences were found in the lumbar spine (L2–L4) and femoral neck. However, favorable differences in the trochanter (0.018% difference, p = 0.01) and in QoL (3.4% difference, p = 0.01) were found in the water aerobics group.ConclusionThe results suggest that water aerobics may be beneficial for QoL and BMD in the trochanter in postmenopausal women. However, more recommendation criteria need to be established for BMD.

Impacto de un programa de musicoterapia en el nivel de estrés de profesionales de la salud

Objetivou-se verificar os efeitos de um programa de musicoterapia sobre o nivel de estresse de profissionais de saude. Participaram do estudo 34 voluntarios do sexo feminino com 33,3 ± 8,5 anos de idade, de diferentes niveis de atuacao profissional. Utilizouse o inventario de sintomas de Stress para adultos de Lipp (ISSL) para avaliar o nivel de estresse dos participantes antes e apos a musicoterapia. O programa foi composto por 12 sessoes utilizando as tecnicas musicoterapicas de Improvisacao e Recriacao Musical, realizado uma vez por semana com 50 minutos/sessao em um periodo de tres meses. O teste de Wilcoxon para medidas repetidas foi utilizado para analise estatistica. Observou-se uma diminuicao estatistica significativa (Δ = - 60%, p<0,001) no nivel de estresse das profissionais estudadas apos o programa de musicoterapia. Conclui-se com o presente estudo que o programa de musicoterapia foi efetivo para diminuir o nivel de estresse de mulheres profissionais de saude que atuam em um hospital privado no municipio do Rio de Janeiro-RJ.The study aimed to assess the effects of a music therapy program on the level of stress for female professionals working in a private hospital in Rio de Janeiro-RJ, Brazil. Thirty four female volunteers with 33.3 ± 8.5 years of age from different levels of professional participated in the study. We used the Lipps inventory of symptoms of stress for adults (ISSL) to evaluate the level of stress of participants before and after music therapy. The program consisted of twelve sessions using the techniques of music therapy Improvisation and Musical Re-creation held once a week with 50 minutes / session in a period of three months. The Wilcoxon test for repeated measures was used for statistical analysis. The study showed a statistically significant decrease (Δ = - 60%, p <0.001) in the level of stress professionals studied after the music therapy program. In conclusion, the present study that the music therapy program was effective in decrease the level of stress of women health professionals working in a private hospital in Rio de Janeiro-RJ, Brazil.

Correlation between Quality of Life Related Variables and Body Mass Indexin Biology Students

Background: To determine the association between the Quality of Life (QoL) related variables and Body Mass Index (BMI) of the students in a biology course of a Federal Educational Institution of Brazil. Methods: The QoL variables and BMI analysis was evaluated in 28 students of Full Degree in Biology course from the Federal Institute of Para, separated in two groups: Female; n=21, 23.2 ± 3.3 years old and Male; n=7, 26.5 ± 4.4 years old. The values of weight and height to identify BMI and to assessment QoL by SF-36 questionnaire were used. The data obtained were subjected to statistical procedures, descriptive, and inferential statistics with the Pearson correlation test according to the normality of the data. Results: The analysis identified high positive correlation between the variables of QoL related to Male group: Physical Health vs. Total score (r=0.91, p=0.004), Mental Health vs. Total score (r=0.93, p=0.002), and in Female group: Physical Health vs. Total score (r=0.89, p<0.0001), Mental Health vs. Total score (r=0.92, p<0.0001). In addition, to correlations: Physical Health vs. Mental (r=0.68, p=0.0006) in the Female group and also a negative correlation between BMI vs. Physical Health (r=-0.81, p=0.027) in Male group. Conclusion: In this study, we found correlations between measures of BMI and physical health in men. In addition, correlations between QoL variables for both men as for women were verified.

Muscular strength, bone density and body composition of a woman with systemic lupus erythematosus submitted to a resistance training program: a case report

Universidade Federal do Estado do Rio de Janeiro (UNIRIO) Programa de Pos Graduacao Stricto Sensu (Doutorado/PPGEnfBio), Rio de Janeiro