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OBJECTIVE: To provide reference values for functional fitness tests (PFFT) and verify the capability of these tests alone and grouped into a general index (GFFI-6), to predict mortality from all causes, during seven years of follow-up of physically independent older adults. METHODS: The sample consisted of 422 older adults, evaluated at baseline using six PFFTs, as well as sociodemographic, behavioral, anthropometric, and comorbidity variables. Mortality from all causes was followed for seven subsequent years. The sample was subdivided into four groups according to sex and age. Performances in the PFFT and GFFI-6 tests were ranked into "low", "regular", and "high". RESULTS: Cox proportional regression, with the adjustment of variables, indicated that the Unipedal Balance Test (BAL), Body Agility (AGI), Sit and Stand-up (SIT-SD) tests, and GFFI-6 were able to significantly predict mortality, indicating that older adults with "low" performance have, respectively, a 2.7 (CI=1.54-4.89, p = 0.01), 4.2 (CI=2.10-8.41), 2.5 (CI=1.44-4.65, p = 0.01), and 4.7 (CI=2.10-10.81, p<0.01) times higher risk of death, compared to older adults with "high" performance. CONCLUSION: BAL, AGI, and SIT-SD tests alone and tests grouped in the GFFI-6 were strong predictors of all-cause mortality in physically independent older adults.

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The purpose of the study was to verify the effect of two dispositions of resistance exercises on rate of perceived of effort (RPE), discomfort and affectivity in older women. Twenty older women (68.0±6.6 years, 69.8±12.7 kg, and 155.9±7.0 cm) performed in a balanced and randomized design two experimental conditions, namely: a circuit (CIRC) fashion and another in a traditional (TRAD) fashion. In both conditions, six resistance exercises in the following order were performed: push press with kettlebell, swing with kettlebell, plantar flexion, squatting, ladder displacement and shoulder flexion with naval rope, with the same load and three sets of 15 repetitions/exercise. In the CIRC condition, the exercises were performed in stations, with no interval among them, and at the end of the last exercise, a three-minute interval was performed. For the TRAD condition the exercises were performed in consecutive sets, with intervals of 90s between the sets and the exercises. After 15 min of the closure of each session, the RPE (OMNI), feeling (Hardy and Rejeski) and a discomfort scale were applied. There was no significant difference (P>0.05) among the sessions for PSE (TRAD = 6.0±1.2 vs. CIRC = 6.1±0.9), feeling (TRAD = 3.7±1.6 vs. CIRC = 3.6±1.2) and discomfort (TRAD = 5.2±1.4 vs. CIRC = 5.1±1.3). The results suggest that PSE, discomfort and affective response to resistance exercises are similar when performed in CIRC or TRAD in older women. (AU)

O objetivo do estudo foi verificar o efeito de duas diferentes disposições de execução de exercícios resistidos sobre a percepção subjetiva de esforço (PSE), o desconforto e a afetividade em mulheres idosas. Vinte mulheres idosas (68,0±6,6 anos, 69,8±12,7 kg e 155,9±7,0 cm) foram distribuídas de forma balanceada e aleatorizada para duas condições experimentais: disposição de circuito (CIRC) e disposição tradicional (TRAD). Em ambas as condições, seis exercícios resistidos foram executados na seguinte ordem: push press com kettlebell, swing com kettlebell, flexão plantar, agachamento, deslocamento em escada e flexão de ombros com corda naval, com mesma carga e três séries de 15 repetições/exercício. Na condição CIRC os exercícios foram executados em forma de estações, sem intervalo entre os exercícios e, ao final de cada série foi concedido intervalo de três minutos. Para condição TRAD os exercícios foram executados em séries consecutivas, com intervalos de 90s entre os exercícios e as séries. Após 15 min do termino de cada sessão foram aplicadas as escalas de PSE (OMNI), sentimento (Hardy e Rejeski) e desconforto. Não ocorreram diferenças significativas (P>0,05) entre as sessões para PSE (TRAD = 6,0±1,2 vs CIRC = 6,1±0,9), sentimento (TRAD = 3,7±1,6 vs CIRC = 3,6±1,2) e desconforto (TRAD = 5,2±1,4 vs CIRC = 5,1±1,3). Os resultados sugerem que a PSE, o desconforto e a resposta afetiva aos exercícios resistidos são semelhantes quando realizados em CIRC ou TRAD em mulheres idosas. (AU)

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Introduction: Physical inactivity is an important risk factor for many aging-related symptoms. Studies suggest that physical activity may help to relieve tinnitus and headache. Objective: To investigate the presence of tinnitus and headache in elderly individuals by associating it with the lack of regular physical activity. Methods: A cross-sectional study including elderly individuals who live independently. The practice of physical activity and the complaints of headache and of tinnitus were checked by means of a questionnaire with objective questions. The statistical analysis was performed using the chi-squared test and relative risk, and a multiple logistic regression model was used to determine how well each factor predicted headache while controlling for each of the other factors. Results: Based on a sample of 494 subjects, it was found that 213 (43.11%) complained of tinnitus. Among the complainants, 97 (45.53%) practiced physical activity regularly. We have confirmed associations between headache with lack of physical activity among elderly individuals with tinnitus (p = 0.0440). It was also observed that certain factors, such as male gender and tinnitus, are independent factors for the complaint of headache. Conclusion: We have found that headache could be a symptom related to the lack of regular physical activity among elderly individuals with tinnitus. (AU)

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Introduction Physical inactivity is an important risk factor for many aging-related symptoms. Studies suggest that physical activity may help to relieve tinnitus and headache. Objective To investigate the presence of tinnitus and headache in elderly individuals by associating it with the lack of regular physical activity. Methods A cross-sectional study including elderly individuals who live independently. The practice of physical activity and the complaints of headache and of tinnitus were checked by means of a questionnaire with objective questions. The statistical analysis was performed using the chi-squared test and relative risk, and a multiple logistic regression model was used to determine how well each factor predicted headache while controlling for each of the other factors. Results Based on a sample of 494 subjects, it was found that 213 (43.11%) complained of tinnitus. Among the complainants, 97 (45.53%) practiced physical activity regularly. We have confirmed associations between headache with lack of physical activity among elderly individuals with tinnitus ( p = 0.0440). It was also observed that certain factors, such as male gender and tinnitus, are independent factors for the complaint of headache. Conclusion We have found that headache could be a symptom related to the lack of regular physical activity among elderly individuals with tinnitus.

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Abstract Background: Fibromyalgia (FM) is a chronic pain syndrome characterized by generalized skeletal muscle chronic pain. Its etiology is not well defined, because there are several factors that may trigger it such as physical and/or emotional stresses, or a genetic susceptibility, involving serotonergic, dopaminergic and catecholaminergic paths. The objective of this study was to investigate the association between the strength of the lower limb, genetic polymorphism of the serotonin receptor gene HTR2a in women with fibromyalgia. Methods: In this observational study of case-control type 48 women were evaluated who belonged to the group with FM (52 ± 12 years) and 100 women in the control group (58±11 years). Socio demographic and anthropometric data were collected and peripheral blood samples for DNA extraction; genotypic analyzes were performed by means of PCR in real time by TaqMan® system. The lower limb muscle strength was assessed through the test of sitting down and standing up for 30 s. The chi-square test or Fischer Exact was used for possible associations among the variables; the t-test for independent samples was used to compare the averages among the groups; the value of significance adopted was 5%. Results: There was an association between the polymorphism of the HTR2A gene with FM, demonstrating that carriers of the genotype GG have 24.39 times more likely to develop the syndrome (IC95% 5.15-115.47; p = 0.01). It was observed an association between FM and the test to sit and stand up demonstrating that women with fibromyalgia have lower limb muscle strength ( p = 0.01). The study showed that the white race has 3.84 times more likely to develop FM (p = 0.01). Conclusion: The results of this study suggest that women of Caucasian ethnicity with GG genotype or G allele presented greater risk of developing fibromyalgia and that these patients have lower limb muscle strength compared to the control group.

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O objetivo deste estudo foi analisar o efeito de dois programas de promoção da atividade física (AF) nos níveis da AF de idosos usuários das Unidades Básicas de Saúde em Florianópolis, Santa Cata-rina, Brasil. Participaram do estudo 50 idosos (68,30 ± 7,01 anos), randomizados em três grupos: a) mudança de comportamento (programa Vida Ativa Melhorando a Saúde ­ VAMOS); b) exercício físico; c) controle. Para avaliar a AF utilizou-se o acelerômetro (GT3x, Actigraph) no baseline, três (término dos programas), seis e 12 meses (follow-up). Verificou-se efeito isolado do momento para a AF leve e AF moderada/vigorosa, aos seis e três meses, respectivamente, para cada nível da AF. Foram identificados aumentos significativos nos minutos/dia despendidos em AF em relação ao ba-seline (p < 0,050), independente do grupo. Não foi identificado efeito isolado do grupo ou interação grupo vs. momento, o que indica que os grupos submetidos aos programas de AF não se diferiram entre si e do grupo controle ao longo do tempo. Não houve influência significante da assiduidade nos programas de intervenção de prática da AF (min/dia). Assim, conclui-se que os programas de promoção da AF avaliados não foram capazes de aumentar o tempo diário despendido em AF, su-gerindo a necessidade de adaptações na forma de estruturação e implementação destes programas

The objective of this study was to analyze the effects of two physical activity promotion programs on levels of physical activity in older adults users of Health Care Units from Florianopolis, Santa Catarina, Brazil. Fifty older adults (68.30 ± 7.01 years old) participated in the study, randomized in three groups: a) Be-havior Change (Active Life Improving Health Program ­ VAMOS); b) Physical Exercise; c) Control. The accelerometer (GT3x, Actigraph) was used to evaluate the level of physical activity at the baseline, three (end of program), six, and 12 months (follow-up). Main effect of time was observed for light and moderate/vigorous physical activity, with increases after six and three months, respectively, compared with baseline (p < 0.050), independently of the group. There was no main effect of group or interaction (group vs. time), showing that the groups submitted to physical activity programs did not differed between them and from control group. There was no significant influence of the attendance on intervention programs on physical activity levels. Then, it was concluded that the physical activity promotion programs assessed were able to increase the daily time spent in physical activity, suggesting the need for adaptations in the structure and in the implementation form of these programs

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Abstract The aim of the study was to compare BMD among physically independent elderly women with different physical-functional profiles and vitamin D receptor gene (VDR) polymorphisms, as well as to analyze the effect of the interaction between these last two aspects on BMD. Overall, 165 elderly women had BMD assessed by bone densitometry. Handgrip and lower limb strength and functional exercise capacity (6MWT) were also assessed. VDR polymorphisms (TaqI, BsmI, ApaI and FokI) were analyzed by polymerase chain reaction. For analyses, elderly women were categorized according to their performance on physical-functional tests into low performance (LP; <25th percentile), normal performance (NP; 25th percentile ≤ NP ≤ 75th percentile) and high performance (HP;> 75th percentile). Regarding functional exercise capacity, LP group showed lower BMD compared to HP and NP groups (p=0,003). With respect to handgrip strength, there was a trend for LP group to have lower bone mineral density compared to NP group (p=0.08). No differences were observed in femur and lumbar BMD in comparisons among the different VDR genotypes (0.07≤p≤0.94); among different groups regarding lower limb strength (p=0.49) and in the interaction analysis among variables (0.17≤p≤0.77). It was concluded that physically independent elderly women with low functional exercise capacity have lower bone mineral density than those classified as normal and high performance. However, apparently, there is no effect of the interaction between VDR gene polymorphisms and physical and functional factors on BMD.

Resumo O objetivo do estudo foi comparar a DMO entre idosas fisicamente independentes com diferentes perfis físico-funcionais e polimorfismos do gene do receptor da vitamina D (VDR), assim como analisar a interação entre estes dois últimos aspectos sobre a DMO. Participaram do estudo 165 idosas, as quais tiveram a DMO avaliada por meio da densitometria óssea. Foram avaliadas também a força de preensão manual (FPM), força de membros inferiores (FMI) e a capacidade funcional de exercício (TC6min). Os polimorfismos do gene VDR (TaqI, BsmI, ApaI e FokI) foram analisados pela reação em cadeia da polimerase. Para as análises, as idosas foram categorizadas de acordo com seu desempenho físico-funcional em baixo desempenho (BD; <percentil 25), desempenho normal (DN; percentil 25 ≤ DN ≤ percentil 75) e alto desempenho (AD; > percentil 75). Para a capacidade funcional de exercício, o grupo BD apresentou menor DMO em comparação ao grupo AD e DN (p=0,003). Em relação à FPM, o grupo BD apresentou uma tendência a menor DMO quando comparado ao grupo DN (p=0,08). Não foram observadas diferenças na DMO do fêmur e da lombar na comparação entre os genótipos do gene VDR (0,07≤p≤0,94); entre os grupos em relação à FMI (p=0,24) e na análise de interação entre as variáveis (0,17≤p≤0,77). Pode-se concluir que as idosas fisicamente independentes com baixa capacidade funcional de exercício apresentam menor DMO que aquelas com desempenho normal e alto desempenho. No entanto, aparentemente não existe interação entre os polimorfismos do gene VDR e o desempenho físico-funcional sobre a DMO.

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Physical inactivity and aging are functional disability factors for older individuals, causing loss of balance and increasing the risk of falls. The purpose of this study was to compare the balance of physically independent older individuals, both participants and non-participants in a regular exercise program. Fifty six physically independent older participants were divided into G1ACTIVE = 28 individuals who participate in a regular exercise program and G2SEDENTARY = 28 individuals who did not participate in any physical exercise program. All participants underwent an eyes-open during one-leg balance test on a force platform. The postural oscillation parameters included center of pressure (COP); sway mean velocity and frequency of COP oscillations. G2 SEDENTARY showed higher postural instability than G1ACTIVE. Significant differences were observed for the main balance parameters. The results of this study support the concept that participation in regular physical activity is beneficial for postural balance of older individuals...

"Controle postural durante suporte unipodal em idosos ativos e sedentários." A inatividade física e o envelhecimento são fatores de incapacidade funcional em idosos, causando perda de equilíbrio e aumentando o risco de quedas. Esta pesquisa comparou o equilíbrio postural de idosos fisicamente independentes, participantes e não participantes de um programa de exercício físico regular. Cinquenta e seis idosos fisicamente independentes foram divididos em G1Ativo (n = 28) participante de um programa de exercício físico regular, e G2Sedentário (n = 28) não inserido em programas de exercício físico. Todos os idosos foram avaliados durante a tarefa de equilíbrio, em apoio unipodal sobre uma plataforma de força, mediante os parâmetros de oscilação posturais centro de pressão (COP), oscilação da velocidade média e frequência de oscilação do COP. O G2 mostrou maior instabilidade postural que o G1. Foram observadas diferenças significativas para os principais parâmetros de equilíbrio. Os resultados levam a conclusão de que um programa de atividade física regular é benéfico para o equilíbrio postural de idosos...

"El control postural durante la pata de apoyo único en activo y sedentario ancianos." La inactividad física y el envejecimiento son factores de discapacidad en los ancianos, causando la pérdida de equilibrio y aumentar el riesgo de caídas. Esta investigación comparó el equilibrio postural en personas mayores físicamente independientes, que participan y que no participan en un programa de ejercicio regular. Cincuenta y seis ancianos físicamente independientes fueron divididos en G1activo (n = 28) que participo en un programa de ejercicio regular, y G2sedentario (n = 28) no incluido en los programas de ejercicio físico. Todos ellos fueron evaluados para la tarea de mantener el equilibrio sobre un pie, sobre una plataforma de fuerza, utilizando los parámetros del centro de balanceo postural de la presión (COP), la velocidad media y la frecuencia de oscilación. G2 mostró una mayor inestabilidad postural que el G1. No se observaron diferencias significativas en los principales parámetros de equilibrio. Los resultados llevan a la conclusión de que un programa de actividad física regular es beneficioso para el equilibrio postural en los ancianos...

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Introduction Physical inactivity is an important risk factor for many age-related diseases and symptoms such as dizziness and vertigo. Objective The aim of the study was to investigate the possible association between benign paroxysmal positional vertigo (BPPV) and regular physical activity in elderly subjects. Methods This cross-sectional study included 491 elderly individuals who lived independently. Physical exercise was assessed through a questionnaire and BPPV by history and the Dix-Hallpike maneuver. Results The present study indicates no significant association between BPPV with lack of physical activity in men and in the total population. We have confirmed associations between BPPV with lack of physical activity in women (p = 0.01). Women with a sedentary lifestyle who do not practice physical activity are 2.62 more likely to have BPPV than those with regular physical activity. Conclusion These results highlight the importance of identifying risk factors for BPPV that can be modified through specific interventions. Regular physical activity is a lifestyle with potential to decrease the risk of vertigo in women.

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Introduction Physical inactivity is an important risk factor for many age-related diseases and symptoms such as dizziness and vertigo. Objective The aim of the study was to investigate the possible association between benign paroxysmal positional vertigo (BPPV) and regular physical activity in elderly subjects. Methods This cross-sectional study included 491 elderly individuals who lived independently. Physical exercise was assessed through a questionnaire and BPPV by history and the Dix-Hallpike maneuver. Results The present study indicates no significant association between BPPV with lack of physical activity in men and in the total population. We have confirmed associations between BPPV with lack of physical activity in women (p = 0.01). Women with a sedentary lifestyle who do not practice physical activity are 2.62 more likely to have BPPV than those with regular physical activity. Conclusion These results highlight the importance of identifying risk factors for BPPV that can be modified through specific interventions. Regular physical activity is a lifestyle with potential to decrease the risk of vertigo in women...

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OBJETIVO: investigar a presença de queixa de vertigem em pacientes idosos associando-a a prática de atividade física regular. MÉTODOS: foi realizado um estudo transversal com inclusão de indivíduos idosos com vida independente. A prática de exercícios físicos foi verificada por meio da aplicação de um questionário com perguntas objetivas a respeito da pratica exercícios físicos e queixa de vertigem. A análise estatística foi realizada por meio dos testes Qui-quadrado e Risco Relativo. RESULTADOS: a amostra foi constituída por 494 indivíduos de 60 a 95 anos e pode-se verificar que houve a associação significante (p = 0,001) entre a falta de prática de atividade física regular e queixa de vertigem e que as pessoas que não praticam atividades físicas têm 2,38 mais chances de ter vertigem do que as que praticam atividades físicas regularmente. Há constatação da associação da vertigem e falta de prática de atividade física nesta população. Houve também associação entre a falta de atividade física regular e queixa de vertigem no gênero feminino, porém, não houve esta associação no gênero masculino. CONCLUSÃO: Neste estudo a presença de queixa de vertigem foi menor nos idosos praticantes de atividade física regular.

PURPOSE: to investigate the presence of vertigo in elderly patients by associating it with the practice of regular physical activity. METHODS: a cross-sectional study including elderly individuals with independent living. The physical exercise was assessed by a questionnaire with objective questions about the practice exercises and vertigo, Statistical analysis was performed using the chi-square and relative risk. RESULT: the sample consisted of 494 individuals from 60 to 95 years and was verify that there was a significant association (p = 0.001) between the lack of regular physical activity and vertigo and people who not practice activities physical are 2.38 more likely to have vertigo than those who engage in regular physical activity. It was observed an association of vertigo and lack of physical activity. There was also a correlation between lack of regular physical activity and vertigo in females, but there was no such association in males. CONCLUSION: In this study the presence of vertigo complaint was lower in elderly practitioners of regular physical activity.

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O objetivo do estudo foi comparar a relação entre diferentes práticas de atividade física e o desempenho cognitivo de idosos. Participaram do mesmo 54 indivíduos idosos sadios, com 70,7 (± 6,6) anos, subdivididos em 3 grupos: 18 idosos praticantes de caratê (GCT), 18 idosos praticantes de caminhadas sem supervisão de profissional (GCA) e 18 não praticantes de atividades físicas regulares (GNP). Foi aplicado o questionário Mini-Exame do Estado Mental (MEEM), associando-o com o período de tempo educacional e o envolvimento na prática de exercícios físicos. Os resultados mostraram que nas variáveis do MEEM, os idosos caratecas apresentaram desempenho significativamente melhor do que os idosos que praticam caminhadas e do que os idosos não treinados. Já no escore total do MEEM, foram encontradas correlações significativas nos grupos GCT e GCA. Dessa forma, conclui-se que idosos tendem a ter melhor estado mental, tanto pela influência dos anos de estudo, como pela prática de exercícios físicos.

The aim of this study was to compare the relation of different typesof physical activity with cognitive performance of the elderly. Thestudy included 54 healthy elderly individuals, 70,7 (± 6,6) years old,subdivided into 3 groups: 18 elderly practitioners of karate (GCT), 18elderly hikers without professional supervision (GCA) and 18 elderlywho do not engage regularly in exercise (GNP). The Mini Mental StateExamination (MMSE) questionnaire was administered, associating itwith the the period of education and involvement in physical exercise.The results showed that on the variables of the MMSE, the elderlykaratekas performed significantly better than the elderly who practicehiking and the untrained group. At the MMSE total score, significantcorrelations were found in the GCT and GCA groups. Thus,we conclude that the elderly tend to have better mental state, by theinfluence of years of study, as well as by the practice of exercise.

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O objetivo do estudo foi comparar a relação entre diferentes práticas de atividade física e o desempenho cognitivo de idosos. Participaram do mesmo 54 indivíduos idosos sadios, com 70,7 (± 6,6) anos, subdivididos em 3 grupos: 18 idosos praticantes de caratê (GCT), 18 idosos praticantes de caminhadas sem supervisão de profissional (GCA) e 18 não praticantes de atividades físicas regulares (GNP). Foi aplicado o questionário Mini-Exame do Estado Mental (MEEM), associando-o com o período de tempo educacional e o envolvimento na prática de exercícios físicos. Os resultados mostraram que nas variáveis do MEEM, os idosos caratecas apresentaram desempenho significativamente melhor do que os idosos que praticam caminhadas e do que os idosos não treinados. Já no escore total do MEEM, foram encontradas correlações significativas nos grupos GCT e GCA. Dessa forma, conclui-se que idosos tendem a ter melhor estado mental, tanto pela influência dos anos de estudo, como pela prática de exercícios físicos.(AU)

The aim of this study was to compare the relation of different typesof physical activity with cognitive performance of the elderly. Thestudy included 54 healthy elderly individuals, 70,7 (± 6,6) years old,subdivided into 3 groups: 18 elderly practitioners of karate (GCT), 18elderly hikers without professional supervision (GCA) and 18 elderlywho do not engage regularly in exercise (GNP). The Mini Mental StateExamination (MMSE) questionnaire was administered, associating itwith the the period of education and involvement in physical exercise.The results showed that on the variables of the MMSE, the elderlykaratekas performed significantly better than the elderly who practicehiking and the untrained group. At the MMSE total score, significantcorrelations were found in the GCT and GCA groups. Thus,we conclude that the elderly tend to have better mental state, by theinfluence of years of study, as well as by the practice of exercise.(AU)

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A criação do Núcleo de Apoio à Saúde da Família (NASF) representou um importante avanço para o sistema de saúde brasileiro, bem como uma importante oportunidade de inserção profissional da Educação Física. O objetivo do estudo foi verificar o perfil dos usuários de programas de atividade física oferecidos pelo NASF de Londrina (PR). Realizou-se entrevista com todos os participantes de programas de atividade física oferecidos em 5 Unidades Básicas de Saúde (n=167). Em geral, a participação ficou restrita às mulheres, pessoas com mais de 50 anos, que já apresentam algum tipo de doença e que moram próximas aos locais onde eram realizados os programas. Faz-se necessária a criação de estratégias mais abrangentes para aumentar a chance de a população se tornar fisicamente ativa.

The creation of the Family Health Suport Centers (FHSC) represented an important advance for the Brazilian health system, and an important opportunity for Physical Education. The objective of this study was to determine the profile of users of physical activity programs offered by the FHSC in a city in southern Brazil. We conducted interviews with all participants in physical activity programs offered in five Primary health care units (n = 167). In general, participation in physical activity was restricted to women, people over 50 years, people who already have some kind of disease and who live close to where the programs are conducted. The strategies related in context to FHSC to physical activity not to be limited to the creation of practice groups. It is necessary that broader strategies are developed.

La creación del Centro de Apoyo a la Salud de la Familia (NASF) representó un importante avanzo para el sistema de salud brasileño, así como una importante oportunidad para la integración del profesional de Educación Física. El objetivo del estudio fue determinar el perfil de los usuarios de programas de actividad física que ofrecen las Unidades Básicas de Salud (UBS) de Londrina (PR). Realizamos entrevistas con todos los participantes en programas de actividad física que se ofrecen en cinco UBS (n = 167). Se observó que la participación en programas de actividad física es en gran parte restringido a las mujeres, las personas mayores de 50 años, que ya tienen algún tipo de enfermedad y que viven cerca de los sitios donde los programas se llevan a cabo. Es necesario crear estrategias más amplias para aumentar las oportunidades para que las personas sean activas físicamente.

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O propósito deste estudo foi analisar a prevalência de barreiras pessoais para a prática de atividade física percebidas em portadores de AIDS. Trinta e cinco sujeitos de ambos os gêneros participaram voluntariamente deste estudo. Três questionários foram aplicados na seguinte sequência: a) barreiras pessoais percebidas para prática de atividade física; b) nível de atividade física habitual e c) socioeconômico. A prevalência de prática de atividade física adequada nas horas de lazer (≥ 150 min/sem) foi de 23,5%. As principais barreiras pessoais percebidas para prática de atividade física identificadas foram: (1) preguiça ou cansaço (48,6%); (2) falta de companhia (45,7%); (3) possuir lesão ou doença (37,2%) e (4) falta de dinheiro e medo de se machucar (34,3%, para ambas). Os resultados sugerem que a principal barreira pessoal percebida para prática de atividade física relatada pelos participantes guarda relação com os efeitos colaterais da medicação antirretroviral utilizada para o controle da AIDS.

The purpose of this study was to analyze the prevalence of personal barriers to physical activity perceived by patients with AIDS. Thirty-five subjects, both genders, voluntarily participated in this study. Three questionnaires were applied in the following sequence: a) perceived personal barriers to physical activity, b) the level of habitual physical activity, and c) Socioeconomic. The prevalence of adequate physical activity during leisure time (≥ 150 min / week) was 23.5%. The main personal barriers perceived to physical activity were: (1) laziness or fatigue (48.6%), (2) lack of company (45.7%), (3) injury or illness (37.2 %), (4) lack of money and fear of injury (34.3% for both). The results suggest that the main barrier perceived by participants to personal physical activity is related to the side effects of antiretroviral drugs used to control AIDS.

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This study compared the profile of daily activities and variables of functional fitness between elderly men and women, as well as the relation of their time spent walking per day with the remaining study variables concerning each gender. Thirty healthy elderly (15 men; 66 ± 6 years), sedentary and physically independent, had their daily activities evaluated objectively by a multi-axial accelerometer as well as their metabolic and functional fitness variables by means of specific protocols. Both men and women presented similar time spent in walking per day, even though men had higher intensity during walking. Women spent longer time standing, and men, sitting. A better performance was achieved by men in most physical tests in regard to absolute values but not in relative values. In conclusion, despite their different patterns of daily activities, elderly men and women do not differ in time spent walking per day.

Este estudo comparou o perfil da atividade da vida diária e variáveis de aptidão funcional entre homens e mulheres idosos, bem como a relação de seu tempo de caminhada por dia com as demais variáveis estudadas em cada gênero. Trinta idosos saudáveis (15 homens, 66 ± 6 anos), sedentários e fisicamente independentes, tiveram suas atividades diárias avaliadas objetivamente por um acelerômetro multi-axial, bem como variáveis de aptidão física e funcional avaliadas por protocolos específicos. Homens e mulheres apresentaram tempo gasto andando por dia semelhantes, apesar dos homens se movimentarem com maior intensidade. As mulheres permaneceram mais tempo em pé e os homens mais tempo sentados. Os homens apresentaram melhor desempenho em valores absolutos na maioria dos testes físicos, mas não em valores relativos. Em conclusão, apesar de seus diferentes padrões de atividades diárias, os homens idosos e mulheres não diferem em tempo de caminhada por dia.

Este estudio comparó el perfil de la actividad de la vida diaria y variables de aptitud funcional entre hombres y mujeres mayores, así como la relación de su tiempo de caminata por día con las demás variables estudiadas en cada género. Treinta mayores saludables (15 hombres, 66±6 años), sedentarios y físicamente independientes, tuvieron sus actividades diarias evaluadas objetivamente por un acelerómetro multi-axial, así como variables de aptitud física y funcional evaluados por protocolos específicos. Todos presentaron tiempo gasto andando por día semejantes, a pesar de que los hombres se muevan con mayor intensidad. Las mujeres permanecieron más tiempo en pie y los hombres más tiempo sentados. Los hombres presentaron mejor desempeño en valores absolutos en la mayoría de los testes físicos, perono en valores relativos. Se concluyó que los hombres y las mujeres mayores no se difieren en tiempo de caminata por día.

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OBJECTIVE: To evaluate characteristics of physical activities in daily life in COPD patients in Brazil, correlating those characteristics with physiological variables. METHODS: Physical activities in daily life were evaluated in 40 COPD patients (18 males; 66 + or - 8 years of age; FEV(1) = 46 + or - 16 % of predicted; body mass index = 27 + or - 6 kg/m(2)) and 30 healthy age- and gender-matched subjects, using a multiaxial accelerometer-based sensor for 12 h/day on two consecutive days. We also assessed maximal and functional exercise capacity, using the incremental exercise test and the six-minute walk test (6MWT), respectively; MIP and MEP; peripheral muscle force, using the one-repetition maximum test and the handgrip test; quality of life, using the Saint George's Respiratory Questionnaire (SGRQ); functional status, using the London Chest Activity of Daily Living questionnaire; and dyspnea sensation, using the Medical Research Council (MRC) scale. RESULTS: Mean walking time/day was shorter for COPD patients than for the controls (55 + or - 33 vs. 80 + or - 28 min/day; p = 0.001), as movement intensity was lower (1.9 + or - 0.4 vs. 2.3 + or - 0.6 m/s(2); p = 0.004). The COPD patients also tended to spend more time seated (294 + or - 114 vs. 246 + or - 122 min/day, p = 0.08). Walking time/day correlated with the 6MWT (r = 0.42; p = 0.007) and maximal workload (r = 0.41; p = 0.009), as well as with age, MRC scale score and SGRQ activity domain score (-0.31 < or = r < or = -0.43; p < or = 0.05 for all). CONCLUSIONS: This sample of Brazilian patients with COPD, although more active than those evaluated in studies conducted in Europe, were less active than were the controls. Walking time/day correlated only moderately with maximal and functional exercise capacity.

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OBJETIVO: Avaliar as características de atividades físicas na vida diária de pacientes portadores de DPOC no Brasil e sua relação com diferentes variáveis fisiológicas. MÉTODOS: Foram avaliados 40 pacientes portadores de DPOC (18 homens; 66 ± 8 anos; VEF1 = 46 ± 16 por cento predito; índice de massa corpórea = 27 ± 6 kg/m²) e 30 idosos saudáveis pareados por gênero e idade quanto às atividades físicas na vida diária, utilizando-se um acelerômetro multiaxial por 12 h/dia durante dois dias consecutivos. Foram ainda avaliados as capacidades máxima e funcional de exercício através do teste incremental máximo e do teste de caminhada de seis minutos (TC6), respectivamente; PImáx e PEmáx; força muscular periférica através dos testes de uma repetição máxima e de força de preensão manual; qualidade de vida através de Saint George's Respiratory Questionnaire (SGRQ); estado funcional através do questionário London Chest Activity of Daily Living; e sensação de dispneia através da escala do Medical Research Council (MRC). RESULTADOS: Os pacientes portadores de DPOC apresentaram menor tempo de caminhada/dia quando comparados aos idosos saudáveis (55 ± 33 vs. 80 ± 28 min/dia; p = 0,001) e menor intensidade de movimento (1,9 ± 0,4 vs. 2,3 ± 0,6 m/s²; p = 0,004). Os pacientes com DPOC também tenderam a passar mais tempo sentados (294 ± 114 vs. 246 ± 122 min/dia; p = 0,08). O tempo de caminhada/dia correlacionou-se com TC6 (r = 0,42; p = 0,007), carga máxima de trabalho (r = 0,41; p = 0,009), idade, escala MRC e domínio atividade do SGRQ (-0,31 < r < -0,43; p < 0,05 para todos). CONCLUSÕES: Apesar de serem mais ativos do que pacientes europeus estudados previamente, pacientes portadores de DPOC no Brasil foram menos ativos em comparação a idosos saudáveis. O tempo de caminhada/dia desses pacientes correlacionou-se apenas moderadamente com a capacidade máxima e funcional de exercício.

OBJECTIVE: To evaluate characteristics of physical activities in daily life in COPD patients in Brazil, correlating those characteristics with physiological variables. METHODS: Physical activities in daily life were evaluated in 40 COPD patients (18 males; 66 ± 8 years of age; FEV1 = 46 ± 16 percent of predicted; body mass index = 27 ± 6 kg/m²) and 30 healthy age- and gender-matched subjects, using a multiaxial accelerometer-based sensor for 12 h/day on two consecutive days. We also assessed maximal and functional exercise capacity, using the incremental exercise test and the six-minute walk test (6MWT), respectively; MIP and MEP; peripheral muscle force, using the one-repetition maximum test and the handgrip test; quality of life, using the Saint George's Respiratory Questionnaire (SGRQ); functional status, using the London Chest Activity of Daily Living questionnaire; and dyspnea sensation, using the Medical Research Council (MRC) scale. RESULTS: Mean walking time/day was shorter for COPD patients than for the controls (55 ± 33 vs. 80 ± 28 min/day; p = 0.001), as movement intensity was lower (1.9 ± 0.4 vs. 2.3 ± 0.6 m/s²; p = 0.004). The COPD patients also tended to spend more time seated (294 ± 114 vs. 246 ± 122 min/day, p = 0.08). Walking time/day correlated with the 6MWT (r = 0.42; p = 0.007) and maximal workload (r = 0.41; p = 0.009), as well as with age, MRC scale score and SGRQ activity domain score (-0.31 < r < -0.43; p < 0.05 for all). CONCLUSIONS: This sample of Brazilian patients with COPD, although more active than those evaluated in studies conducted in Europe, were less active than were the controls. Walking time/day correlated only moderately with maximal and functional exercise capacity.

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O objetivo deste estudo foi analisar os efeitos de um programa de 19 meses de exercício físico nasvariáveis de força de membros inferiores (FMI), agilidade (AGI), índice de massa corporal (IMC) e medode cair (MCAIR) de mulheres idosas funcionalmente ativas. Participaram do estudo 28 mulheres (68 ± 7anos) inseridas em um programa de exercícios físicos desenvolvido pela Universidade Norte do Paraná(Londrina - PR). As aulas foram realizadas duas vezes por semana com 70 minutos de duração cada. Asvariáveis FMI, AGI, IMC e MCAIR foram avaliadas em três momentos (antes, no 7o. e 19o. meses doprograma), respectivamente pelos testes de levantar da cadeira em 30 segundos (RIKILI & JONES, 1999),sentar e levantar-se da cadeira e locomover-se pela casa (OKUMA & ANDREOTTI, 2004), pelas medidasantropométricas peso e estatura (MATSUDO, 2004) e por uma entrevista. Os dados foram analisados pelaestatística descritiva e testes não paramétricos com significância p < 0,05. Os resultados mostram que,durante o programa, as idosas tiveram melhoras significativas nas variáveis FMI e AGI, mas não no IMCe MCAIR, e quando separadas por níveis de IMC, as idosas com níveis normais apresentaram melhordesempenho do que as com sobrepeso. Conclui-se que a não diminuição do medo de quedas durante oprograma, apesar da melhora nas capacidades de FMI e AGI, deve-se aos objetivos do programa, quenão visou modificar as crenças das idosas sobre as quedas.

The objective of this study was to analyze the effects of a 19-month physical exercise program overlower limb strength (LLS), agility (AGI), body mass index (BMI) and fear of falling (FFALL) of functionallyactive elderly. Twenty eight elderly (68 ± 7 years) enrolled in a physical exercise program developed bythe Northern Paraná University (Londrina-Pr). Classes were held twice a week, each lasting 70 minutes.The variables LLS, AGI, BMI and FFALL were evaluated in three stages (before, 7th and 19th months intothe program), respectively by the tests of getting up from the chair in 30 seconds (RIKILI & JONES, 1999),sitting and getting up from the chair and moving around the house (OKUMA & ANDREOTTI, 2004),anthropometric measurements weight and height (MATSUDO, 2004) and an interview. Data were evaluatedby descriptive statistics and non-parametric tests with a significance p < 0.05. The results show thatduring the program, the elderly ladies had significant improvements on the variables LLS and AGI butnot on BMI and FFALL, and when separated by BMI levels, the ladies with normal levels presented abetter performance than the overweighed ones. It was then concluded that the non decrease of the fearof falling during the program, despite the improvement of LLS and AGI, is due to the objectives of theprogram which did not aim at the elderly ladies’ beliefs towards falls.

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Esta pesquisa teve como objetivo verificar a intenção de estudantes de educação física em trabalhar com idosos após a aplicaçãde um programa de intervenção específico para atendimento deste grupo etário, assim como, verificar nesta intenção, a influência da exposição dos sujeitos às questões do envelhecimento e se há diferenças entre gênero. A amostra foi constituÌda por 27 alunos de ambos os sexos com a média de 23,2 anos mais ou menos 3,85, bacharelandos em educação física de uma universidade pública de São Paulo. O programa de intervenção foi composto por duas disciplinas, Educação Física na Terceira Idade I e Educação Física na Terceira Idade II, com um semestre letivo de duração cada, nas quais ossujeitos foram submetidos a diversas estratégias de ensino. Os dados foram coletados antes e após a intervenção através de dois questionários, com questões referentes aos tipos de experiências com o envelhecimento, o interesse em trabalhar com idosos e as suas percepções sobre o contato direto com eles durante a intervenção. Para a análise dos dados foi utilizada a estatística não paramétrica, testes de McNemar e Exato de Fisher. Os resultados mostram que a intenção dos sujeitos em trabalhar com idosos aumentou significativamente (p < 0,05), passando de 33 antes da intervenção para 81,4.

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