Natália Boneti Moreira

Association between physical activity and quality of life in the elderly: a systematic review, 2000-2012

OBJECTIVE To review information regarding the association of physical activity (PA) with quality of life (QoL) in the elderly and to identify the study designs and measurement instruments most commonly used in its assessment, in the period 2000-2012. METHODS Relevant articles were identified by a search of four electronic databases and cross-reference lists and by contact with the authors of the included manuscripts. Original studies on the association between PA and QoL in individuals aged 60 years or older were examined. The quality of studies as well as the direction and the consistency of the association between PA and QoL were evaluated. RESULTS A total of 10,019 articles were identified as potentially relevant, but only 42 (0.42%) met the inclusion criteria and were retrieved and examined. Most studies demonstrated a positive association between PA and QoL in the elderly. PA had a consistent association with the following QoL domains: functional capacity; general QoL; autonomy; past, present and future activities; death and dying; intimacy; mental health; vitality; and psychological. CONCLUSION PA was positively and consistently associated with some QoL domains among older individuals, supporting the notion that promoting PA in the elderly may have an impact beyond physical health. However, the associations between PA and other QoL domains were moderate to inconsistent and require further investigation.

Condições de saúde e variáveis sociodemográficas associadas à qualidade de vida em idosas de um programa de atividade física de Curitiba, Paraná, Sul do Brasil

O presente estudo teve como objetivo analisar a associacao entre variaveis sociodemograficas e condicoes de saude com os dominios da qualidade de vida em idosas participantes do programa Idoso em Movimento. A amostra do estudo foi composta por 1.806 idosas, que foram avaliadas por meio de entrevista para os potenciais correlatos de qualidade de vida (WHOQOL-BREF e WHOQOL-OLD). O indice de massa corporal foi calculado apos afericao do peso e da estatura. Os dominios da qualidade de vida foram classificados em tercis. Para analise dos dados, foi utilizada a regressao logistica ordinal. Apos ajustes para variaveis de confusao, a faixa etaria, classe economica, escolaridade, situacao ocupacional e estado civil estiveram associados a alguns dominios da qualidade de vida (p < 0,05). Alem disso, idosas obesas ou com problemas de saude apresentaram menor razao de chance de estar nos escores mais elevados de qualidade de vida, e as idosas que usavam um ou dois medicamentos apresentaram maior razao de chance de estar nos escores mais elevados do dominio fisico. Como conclusao, os fatores sociodemograficos e as condicoes de saude estao associados com a qualidade de vida em idosas.

The prevalence and correlates of meeting the current physical activity for health guidelines in older people: a cross-sectional study in Brazilian women.

This study aimed to identify the prevalence and correlates of meeting the current physical activity for health (PAfH) guidelines, proposed by the World Health Organization in 2010, in community-dwelling older women from Brazil. A cross-sectional study was performed with 1806 women (aged 60.0-92.7 years) who were randomly selected from eighteen care centers. The short version of the International Physical Activity Questionnaire was used to determine the weekly time spent in physical activities, and this variable was categorized into three categories (0<150min/wk; 1: 150-299.9min/wk; 2: ≥300min/wk). Age, race/ethnicity, economic class, education level, occupational and marital status, body mass index and blood pressure status, medical conditions, use of medications, and self-rated health status were the potential correlates. The ordinal logistic regression was used as a measure of association. From the total group of participants, 49.9% followed the current recommendations related to basic health benefits (150-299min/wk), and 35.9% met the guidelines for additional health effects (300 or more min/wk). Women with secondary complete education (OR=1.43, 95% confidence interval [CI]: 1.17-1.74), positive self-rated health (OR=5.25, 95% CI: 2.10-13.09), and high blood pressure (OR=1.33, 95% CI: 1.09-1.62) were more likely to meet the current PAfH guidelines than their peers with primary incomplete education, negative self-rated health, and normal blood pressure. Increasing age was inversely associated with meeting the PAfH guidelines (odds ranging: 0.77-0.48). These results highlighted the elderly population subgroups, in a developing country, that needspecific guidelinesfor inclusion inhealth programs andmotivation toparticipate in physical activities.

The Association Between Physical Activity and Quality of Life Domains Among Older Women

This study examined whether the weekly volume and frequency of moderate to vigorous physical activity (MVPA) and light walking (LW) were associated with quality of life (QOL) domains of 1,806 older women from Brazil. The WHOQOL-BREF and WHOQOL-OLD instruments were used to measure QOL, while the weekly volume and frequency of MVPA and LW were assessed by IPAQ. An ordinal logistic regression was used as a measure of association. The weekly volumes of MVPA and LW were associated with several domains of QOL. Higher frequency of MVPA was associated with better scores in 10 QOL domains. The weekly frequency of LW, in turn, was associated with all QOL domains. In conclusion, promoting active transport and encouraging physical activity in older adults, for at least 150 min and distributed several days per week, help to increase QOL.

Association between moment of the undergraduate course and cardiovascular risk factors in university students

Objetivo: verificar la asociacion entre el periodo de la graduacion y factores de riesgo cardiovascular en una muestra representativa de universitarios. Metodos: se observo 1.599 universitarios (1.197 alumnos del primer ano y 402 del ultimo ano) en cuanto a los siguientes factores de riesgo: practica insuficiente de actividad fisica, consumo de tabaco y bebidas alcoholicas, habitos alimenticios, exceso de peso corporal, circunferencia de la cintura aumentada y presion arterial elevada. Informaciones referentes a la practica de actividad fisica fueron obtenidas por el instrumento International Physical Activity Questionnaire (IPAQ), los comportamientos por el Youth Risk Behavior Surveillance, y las informaciones socio-ambientales con la metodologia de la Associacao Brasileira de Empresas de Pesquisa. Resultados: fue verificada una significativa mayor probabilidad, en los alumnos del ultimo ano, de presentar los siguientes factores de riesgo: practica insuficiente de actividad fisica, haber fumado en los ultimos treinta dias, haber consumido alcohol e ingerido bebida alcoholica en exceso en el mismo periodo. Conclusion: los resultados sugieren que los estudiantes que estan mas proximos del termino de la graduacion, demuestran mayor probabilidad de presentar algunos factores de riesgo cardiovascular que los alumnos del primer ano. En este sentido, se podria pensar en programas de prevencion y promocion de la salud durante todo el periodo de la graduacion.AIM This study aimed to verify the association between moment of the undergraduate course and cardiovascular risk factors in a representative sample of university students. METHODS A total of 1,599 university students (1,197 freshmen and 402 seniors) were investigated for the following risk factors: insufficient practice of physical activity, tobacco and alcohol consumption, poor eating habits, excess body weight, increased waist circumference and elevated arterial pressure. Information regarding the practice of physical activity were obtained using the International Physical Activity Questionnaire (IPAQ) instrument, the behaviors using the Youth Risk Behavior Surveillance, and the socio-environmental information using the methodology of the Associação Brasileira de Empresas de Pesquisa (Brazilian Association of Research Companies). RESULTS A significantly higher probability of presenting the following risk factors was verified among the senior students: insufficient practice of physical activity, smoked, consumed alcohol or drank alcohol in excess within the last thirty days. CONCLUSION The results suggest that students closer to the end of the undergraduate course show a higher possibility of presenting some cardiovascular risk factors than those just entering the university environment. Therefore, prevention programs and health promotion during the undergraduate course should be investigated.

Quality of life perception of basketball master athletes: association with physical activity level and sports injuries

Abstract This study aimed to verify the prevalence and characteristics of sports injuries (SI) and determine the association between the physical activity level (PA) and SI with perception of health-related quality of life (HRQoL) in Brazilian basketball master athletes. A cross-sectional study was conducted with 410 male master athletes, between 35 and 85 years of age (mean 52.26, SD ±11.83). The HRQoL was assessed using the Medical Outcomes Study – Short Form-36. The PA was evaluated using the International Physical Activity Questionnaire. Information regarding SI was collected using the Reported Morbidity Survey. Poisson regression, as estimated by the prevalence ratio (PR), was used as a measure of the association of PA and SI with HRQoL. The majority of athletes showed a high SI prevalence (58.3%) and reported one injury (67.8%) that occurred during training (61.1%) and primarily affected a lower limb (74.6%). The adjusted regression models showed a positive association of PA with the Functional Capacity (PR = 1.46, 95% confidence interval [CI] = 1.12–1.90) and Physical Component (PR = 1.32, 95% CI = 1.03–1.70) of HRQoL. Furthermore, the SI were negatively associated with HRQoL in Functional Capacity (PR = 1.85, 95% CI = 1.51–2.27), Physical Aspects (PR = 3.99, 95% CI = 3.08–5.18), Pain (PR = 1.65, 95% CI = 1.26–2.16), Social Functioning (PR = 1.79, 95% CI = 1.41–2.27), Emotional Aspects (PR = 4.40, 95% CI = 3.35–5.78), Mental Health domains (PR = 1.37, 95% CI = 1.06–1.68), Physical Component (PR = 2.35, 95% CI = 1.90–2.90) and Mental Component (PR = 2.65, 95% CI = 2.14–3.29). These results highlighted that master athletes showed a high SI prevalence, primarily in the lower limbs. PA positively correlates with the physical HRQoL domain, whereas SI may decrease the HRQoL levels of both physical and mental domains.

Associação entre o período de graduação e fatores de risco cardiovascular em universitários

Objetivo: verificar la asociacion entre el periodo de la graduacion y factores de riesgo cardiovascular en una muestra representativa de universitarios. Metodos: se observo 1.599 universitarios (1.197 alumnos del primer ano y 402 del ultimo ano) en cuanto a los siguientes factores de riesgo: practica insuficiente de actividad fisica, consumo de tabaco y bebidas alcoholicas, habitos alimenticios, exceso de peso corporal, circunferencia de la cintura aumentada y presion arterial elevada. Informaciones referentes a la practica de actividad fisica fueron obtenidas por el instrumento International Physical Activity Questionnaire (IPAQ), los comportamientos por el Youth Risk Behavior Surveillance, y las informaciones socio-ambientales con la metodologia de la Associacao Brasileira de Empresas de Pesquisa. Resultados: fue verificada una significativa mayor probabilidad, en los alumnos del ultimo ano, de presentar los siguientes factores de riesgo: practica insuficiente de actividad fisica, haber fumado en los ultimos treinta dias, haber consumido alcohol e ingerido bebida alcoholica en exceso en el mismo periodo. Conclusion: los resultados sugieren que los estudiantes que estan mas proximos del termino de la graduacion, demuestran mayor probabilidad de presentar algunos factores de riesgo cardiovascular que los alumnos del primer ano. En este sentido, se podria pensar en programas de prevencion y promocion de la salud durante todo el periodo de la graduacion.AIM This study aimed to verify the association between moment of the undergraduate course and cardiovascular risk factors in a representative sample of university students. METHODS A total of 1,599 university students (1,197 freshmen and 402 seniors) were investigated for the following risk factors: insufficient practice of physical activity, tobacco and alcohol consumption, poor eating habits, excess body weight, increased waist circumference and elevated arterial pressure. Information regarding the practice of physical activity were obtained using the International Physical Activity Questionnaire (IPAQ) instrument, the behaviors using the Youth Risk Behavior Surveillance, and the socio-environmental information using the methodology of the Associação Brasileira de Empresas de Pesquisa (Brazilian Association of Research Companies). RESULTS A significantly higher probability of presenting the following risk factors was verified among the senior students: insufficient practice of physical activity, smoked, consumed alcohol or drank alcohol in excess within the last thirty days. CONCLUSION The results suggest that students closer to the end of the undergraduate course show a higher possibility of presenting some cardiovascular risk factors than those just entering the university environment. Therefore, prevention programs and health promotion during the undergraduate course should be investigated.

ASSIMETRIA CORPORAL E LESÕES ESPORTIVAS EM NADADORES MASTER

A exposicao constante a modalidades esportivas associado a assimetria corporal pode ser um preditor para o aumento do risco de lesoes esportivas. O objetivo foi comparar as caracteristicas pessoais, esportivas e posturais entre nadadores masters lesionados e nao lesionados de Curitiba – PR. O estudo possui delineamento transversal. A amostra foi composta por 102 nadadores de ambos os sexos, com idade igual ou superior a 25 anos, que praticam a natacao ha pelo menos 08 meses. A analise estatistica foi realizada com o teste de Mann Whitney e teste Qui-Quadrado. Os resultados evidenciaram que o grupo dos atletas lesionados realizava mais atividade fisica em relacao aos nao lesionados (664,12 vs. 536,9 min/sem), apresentando menor forca de preensao manual (54,44 vs. 65,66), e reducao na ADM nos movimento de flexao de ombro direito e esquerdo, e da rotacao de lateral de ombro direito. Alem disso, os atletas lesionados apresentaram maior prevalencia de hipercifose (69,2%), protusao de ombro (71,8%) e protusao cervical (69,2%). Ja os atletas nao lesionados apresentaram menor prevalencia de hipercifose (61,7%), assimetria de ombros (71,2%), discrepância dos membros (71,4%), protusao cervical (66,7%) e hipercifose toracica (71,4%). Em conclusao os atletas lesionados apresentaram diferentes caracteristicas pessoais, esportivas e posturais quando comparados aos atletas nao lesionados. Deste modo, torna-se evidente a necessidade de programas de prevencao a assimetrias posturais em atletas de natacao master.

Does functional capacity, fall risk awareness and physical activity level predict falls in older adults in different age groups?

The aims of this study were to examine whether: i) functional capacity and physical activity level differ between fallers and non-fallers older adults, by controlling for fall risk awareness; ii) functional capacity, fall risk awareness and physical activity differ between fallers and non-fallers older adults, by controlling for age; iii) variables and which may predict falls in different age groups. 1826 older adults performed a series of functional tests and reported their fall episodes, fall risk awareness and physical activity level. The overall incidence of falls was high (40.2%), and falls risk awareness scores reduced with age. The older adults with greater falls risk awareness and non-fallers presented better scores in all functional tests and physical activity level (P < .05). Functional tests and falls risk awareness differed among age groups and differed between fallers and non-fallers, irrespective of age group (P < .05). Falls risk awareness predicted falls in all age groups (odds ranging: 1.05-1.09). Handgrip strength and balance scores predicted falls until 79 years (OR = 1.04, 95%CI = 1.01-1.06). The physical activity level predicted falls up to 70 years (OR = 1.09, 95%CI = 1.06-1.12). Functional mobility was able to predict falls up to 80 years (OR = 1.06, 95%CI = 1.01-1.08). Therefore, according to age, functional capacity, physical activity level and falls risk awareness can be a predictor of falls in older adults.

Investigação dos saberes quanto à capacidade funcional e qualidade de vida em idosas institucionalizadas, sob a ótica da CIF

Objective: To evaluate the functional capacity and quality of life (QoL) of the institutionalized elderly from an ICF perspective. Method: A cross-sectional observational analytic study was conducted with 22 elderly residents (77.9 ± 9.41 years) of a long-stay care institution in Curitiba, Paraná. The following assessment instruments were applied: the Barthel Index, the Nottingham Health Profile Questionnaire, and the International Classification of Functioning, Disability, and Health (ICF). Analysis of the data was done by measures of central tendency (mean) and dispersion (standard deviation). The ICF was analyzed by the distribution of relative and absolute frequencies. Results: The majority of the sample had medium cognitive status and light functional dependency. The domain that most interfered with the elderly’s QOL was physical ability, energy level, sleep, and emotional and social pain, respectively. The ICF frequency distribution showed aspects not observed in the conventional assessment of the participants; in particular, it showed great specificity in the following functions: mental, sensory, and pain, the digestive, metabolic, and endocrine systems, psychomotor, movement, personal care, support and relationships, and individual activities. Conclusions: It is expected that the ICF will be adopted and used in various areas of health, including long-stay care facilities and multidisciplinary teams, so that professionals, through a unified and standard language, may intervene in the health of the individual as a whole.Objetivo: Avaliar a funcionalidade por meio da capacidade funcional e qualidade de vida (QV), sob a otica da CIF, de idosas institucionalizadas. Metodo: Foi realizado um estudo observacional transversal com 22 idosas (77,9 ± 9,41 anos) de uma instituicao de longa permanencia da cidade de Curitiba/Parana. Foram aplicados os seguintes instrumentos de avaliacao: Indice de Barthel, Questionario Perfil de Saude de Nottingham e a Classificacao Internacional de Funcionalidade, Incapacidade e Saude (CIF). A descricao dos dados foi feita por meio de medidas de tendencia central (media) e dispersao (desvio-padrao). A CIF foi analisada de acordo com a distribuicao de frequencia relativa e absoluta. Resultados: A maioria das idosas apresentaram um medio estado cognitivo e dependencia funcional leve. O dominio que mais interferiu a QV das idosas foi a habilidade fisica, nivel energetico, sono, dor, emocional e social, respectivamente. A distribuicao de frequencia da CIF evidenciou aspectos nao observados na avaliacao convencional das idosas, sobretudo, apresentou grande especificidade nas funcoes mentais, sensoriais e dor, sistema digestivo, metabolico e endocrino, psicomotora, movimento, cuidado pessoal, apoio e relacionamentos e atividades individuais. Conclusao: Espera-se que a CIF seja incorporada e utilizada em diversos setores da saude, inclusive em instituicoes de longa permanencia e equipes multidisciplinares, para que profissionais tenham acoes de saude que contemplem o individuo como um todo