Navegando por Palavras-chave "Functional capacity"

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    A efetividade da atividade física em pacientes pós-cirurgia bariátrica: uma revisão integrativa
    (Universidade Federal de São Paulo, 2024-07-05) Urbinatti, Gisele Okuda [UNIFESP]; Aveiro, Mariana Chaves [UNIFESP]; http://lattes.cnpq.br/8912160623559438; http://lattes.cnpq.br/4473094161354751; Universidade Federal de São Paulo (UNIFESP)
    Introdução: A cirurgia bariátrica tornou-se uma abordagem eficaz para a perda de peso e melhora das comorbidades associadas à obesidade. O exercício pode ajudar a manter a massa muscular, aumentar a tensão e a carga nos ossos, ativar o metabolismo, aumentar a produção de glóbulos vermelhos e o peristaltismo intestinal, melhorar a função cardiopulmonar e geral, aumentar a mineralização óssea e ajudar a manter a independência. A capacidade funcional (CF) tem diminuído nos adultos devido às mudanças tecnológicas, à falta de exercícios e à alimentação inadequada. Para ter uma vida plena e saudável, o exercício é fundamental, pois a prática regular de exercícios físicos tem sido usada para reduzir o impacto do envelhecimento sobre a capacidade funcional e a qualidade de vida. Objetivo: Este trabalho tem como objetivo sintetizar as evidências na literatura sobre a efetividade do exercício físico pós cirurgia bariátrica em adultos de 18 a 60 anos sobre a capacidade funcional e qualidade de vida. Método: O presente estudo é uma revisão integrativa da literatura que utilizou duas bases de dados (BVS/LILACS e PubMed), utilizando os descritores: cirurgia bariátrica; teste de caminhada de 6 minutos; exercício físico; capacidade funcional; qualidade de vida, nos idiomas português, inglês e espanhol sobre as evidências na literatura sobre a efetividade do exercício físico pós cirurgia bariátrica em adultos de 18 a 60 anos. A estratégia de busca final foi realizada com o auxílio de uma bibliotecária profissional da universidade e tem como desfecho primário analisar a capacidade funcional de pacientes pós bariátrica através do teste de caminhada de 6 minutos. E como desfecho secundário, a melhora da qualidade de vida. Foi utilizada a Escala PEDro, o objetivo dessa escala é assistir usuários da base de dados PEDro no que se refere à qualidade metodológica de Estudos Controlados Aleatorizados (ECA) nos quesitos validade interna (critérios de 2 a 9) e descrição estatística (10 e 11). Resultados: A base de dado foi incluída no software Rayyan para triagem e foram rastreados 469 artigos após a retirada dos duplicados, depois de eliminar 466 artigos pela divergência de objetivos, desfecho, temas e testes, sobraram apenas 3 artigos e por um deles ser um protocolo de ensaio clínico e o outro apresentar uma comparação com foco em avaliar a efetividade da cirurgia bariátrica e não do treinamento, restaram apenas 1 artigo incluído. Esse artigo apresentou a comparação intergrupos com mudanças expressivas, por exemplo, metros percorridos em seis minutos no TC6min (mudança de 30,45 ± 8,8 [p = 0,001] para a intervenção vs. mudança de 0,91 ± 0,2 [p = 0,92] para o controle). De acordo com os critérios de avaliação da Escala PEDro, o artigo incluído apresenta nota 5 considerada razoável. Conclusão: Nas duas bases de dados utilizadas, quando analisadas pelo desfecho do teste de caminhada de 6 minutos, faltam evidências para comprovar a efetividade do exercício físico pós cirurgia bariátrica em adultos de 18 a 60 anos, considerando a capacidade funcional e qualidade de vida. Podemos concluir que existe baixa evidência sobre a efetividade do exercício de intensidade moderada e vigorosa sobre a capacidade funcional, avaliada pelo teste de caminhada de 6 minutos, de pessoas pós-cirurgia bariátrica.
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    Acute effects of low-level laser therapy irradiation on blood lactate and muscle fatigue perception in hospitalized patients with heart failure-a pilot study
    (Springer London Ltd, 2016) Bublitz, Caroline [UNIFESP]; Renno, Ana Claudia Muniz [UNIFESP]; Ramos, Rodrigo Santin [UNIFESP]; Assis, Livia [UNIFESP]; Sellera, Carlos Alberto Cyrillo; Trimer, Renata; Borghi-Silva, Audrey; Arena, Ross; Guizilini, Solange [UNIFESP]
    The objective of the present study is to evaluate the acute effects of low-level laser therapy (LLLT) on functional capacity, perceived exertion, and blood lactate in hospitalized patients with heart failure (HF). Patients diagnosed with systolic HF (left ventricular ejection fraction <45 %) were randomized and allocated prospectively into two groups: placebo LLLT group (n = 10)—subjects who were submitted to placebo laser and active LLLT group (n = 10)—subjects who were submitted to active laser. The 6-min walk test (6MWT) was performed, and blood lactate was determined at rest (before LLLT application and 6MWT), immediately after the exercise test (time 0) and recovery (3, 6, and 30 min). A multi-diode LLLT cluster probe (DMC, São Carlos, Brazil) was used. Both groups increased 6MWT distance after active or placebo LLLT application compared to baseline values (p = 0.03 and p = 0.01, respectively); however, no difference was observed during intergroup comparison. The active LLLT group showed a significant reduction in the perceived exertion Borg (PEB) scale compared to the placebo LLLT group (p = 0.006). In addition, the group that received active LLLT showed no statistically significant difference for the blood lactate level through the times analyzed. The placebo LLLT group demonstrated a significant increase in blood lactate between the rest and recovery phase (p < 0.05). Acute effects of LLLT irradiation on skeletal musculature were not able to improve the functional capacity of hospitalized patients with HF, although it may favorably modulate blood lactate metabolism and reduce perceived muscle fatigue.
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    Avaliação do nível de atividade física, aptidão física e capacidade funcional de idosas participantes do programa de atividade física coordenado pelo programa de Saúde da família do município de São Caetano do Sul
    (Universidade Federal de São Paulo (UNIFESP), 2011-01-26) Silva, Leonardo José da [UNIFESP]; Lopes. Guiomar Silva [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introdução: A atividade física e/ou exercício físico têm sido uma forma não medicamentosa muito eficiente em retardar o surgimento, prevenir e tratar muitas doenças, principalmente em relação às doenças crônicas não transmissíveis que atingem grande parte da população idosa. Objetivo: Avaliar o nível de atividade física, aptidão física, capacidade funcional consumo de medicamentos de idosas participantes de programas de atividade física coordenado pelo Programa de Saúde da Família do município de São Caetano do Sul, São Paulo. Métodos: Foram avaliadas 271 mulheres idosas (63,4±13,2 anos), que representam 69,3% aproximadamente da população de usuárias e praticantes de atividades físicas no programa comunitário coordenado pelo Programa de Saúde da Família do município de São Caetano do Sul - Brasil. Para mensuração do nível de atividade física foi realizada de forma direta utilizando pedômetro (Digi-Walker SW200) sendo consideradas como ativas as mulheres idosas que acumularam uma média semanal entre 6.000 a 8.500 de passos/dia. As variáveis antropométricas (peso e estatura), de capacidade funcional e aptidão física (força muscular, flexibilidade e equilíbrio) foram mensuradas seguindo padronização sugerida por Matsudo S (2000). Para aferição do consumo de medicamentos, foram revisados os prontuários de cadastro do programa de saúde da família. Análise Estatística: análises de associação foram conduzidas mediante o teste de chi-quadrado. Para realizar análises ajustadas dos dados foram utilizados modelos de regressão de Poisson com intervalo de confiança de 95%. O nivel de significância adotado foi de p<0,05. Resultados: Na análise bi-variada somente a flexibilidade se mostrou associada com o nível de atividade física (p<0,05). Após ajuste para variáveis de confusão, o nível de atividade física não se mostrou associado à capacidade funcional e aptidão física em nenhuma das variáveis analisadas no estudo. Foi encontrado um menor consumo de medicamentos entre as mulheres ativas quando comparadas as sedentárias (RP 0,79 IC95% = 0,74 - 0,86). Conclusão: Maior nível de atividade física associou-se com melhores níveis de flexibilidade e a menor consumo de medicamentos em idosas participantes de programa de atividade física.
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    Capacidade funcional, função renal e vitamina D em idosos com idade acima de 80 anos - projeto longevos
    (Universidade Federal de São Paulo (UNIFESP), 2016-02-29) Araújo, Lara Miguel Quirino [UNIFESP]; Cendoroglo, Maysa Seabra [UNIFESP]; http://lattes.cnpq.br/6897068755022692; http://lattes.cnpq.br/4857758463570537; Universidade Federal de São Paulo (UNIFESP)
    Background: Identifying biomarkers associated with a good functional capacity can contribute to preventive and therapeutic measures. The decline in renal function and vitamin D deficiency are common in the elderly and FGF23 is associated with aging in an animal model. The aim of this study was to examine the relationship between functional capacity and renal function (by estimated glomerular filtration rate), vitamin D (25(OH)D) and FGF23 in the elderly aged 80 years and older. Methods: We evaluated 205 community-dwelling elderly independent for self-care. The performance of Instrumental Activities of Daily Living (IADL), Mini-Mental State Examination (MMSE), verbal fluency test, handgrip and time to sit and rising from a chair five times was analysed. We measured creatinine, cystatin C, 25(OH)D levels and cFGF23. The GFR was estimated by CKD-EPI equation based on creatinine and cystatin C. Results: In 205 oldest old, the mean eGFR was 51 ± 14 ml/min/1.73m2 and the mean 25(OH)D was 19.8 (± 8.1) ng/mL. The mean age of participants was 85 years, 68% were female, 66.7% were Caucasian, with mean number of 4 chronic conditions associated and were taking a mean number of 6 medications. The first tertile of eGFR (range 17-45 ml/min/1.73m2) was associated with age (p = 0.001) and a worse performance in IADL (p = 0.038), and was not associated with general health measures or cognitive performance. Individuals in the lowest 25(OH)D tertile (ranging from 5.8 to 15 ng/ml) were older (p= 0.037), was taking less vitamin D supplements (p <0.001) and had less chronic diseases (p= 0.041) and higher impaired functional capacity (AIVD, p <0.001; VF, p= 0.022 and grip strength, p= 0.008). These associations remained non-significant in the multivariate analysis, but BMI was associated with VF and IADL (p = 0.037 and 0.024, respectively). In 144 volunteers, we measured cFGF23 and it was not associated with functional performance. To each increase of 1mg / mL in cystatin C, there was an increase of 83.71 RU / mL in cFGF23. There was no association between cFGF23 with 25(OH)D.The cFGF23 first tertil group (<54.4 RU / mL) had the highest eGFR (58 ± 12 ml/min/m2, p <0.001), the highest level of hemoglobin (13.9 ± 1.2 g / dL), had less chronic conditions (3.9 ± 1.9; p = 0.018) and were taking the lowest number of medications (4.9 ± 2.1, p = 0.008). The higher cFGF23 tertile group (? 92.6 U / mL) had the higher mean age. Conclusion: The lower eGFR was associated with worse performance in IADL. Individuals in the lowest 25(OH)D tertile had more impaired functional capacity. There was no significant interaction between eGFR and 25(OH)D associated with functional capacity tests. The group with the lowest cFGF23 (<54.4 RU/mL) had better kidney function, higher hemoglobin level, less chronic conditions and were taking less medications.
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    Efeitos agudos da suplementação de oxigênio na capacidade funcional e frequência cardíaca de recuperação em pacientes com síndrome de Eisenmenger
    (Universidade Federal de São Paulo (UNIFESP), 2017-03-29) Gonzaga, Laion Rodrigo do Amaral [UNIFESP]; Gomes, Walter José [UNIFESP]; Guizilini, Solange [UNIFESP]; http://lattes.cnpq.br/1563905009199506; http://lattes.cnpq.br/9877675594064089; http://lattes.cnpq.br/4940193358689946; Universidade Federal de São Paulo (UNIFESP)
    Background: Eisenmenger syndrome (ES) precipitates the extreme manifestation of pulmonary hypertension, which leads to severe functional limitation and poor quality of life. The propose of the current study was: 1) examined the acute effects of 40% oxygen supplementation during the 6-minutewalk test (6MWT); and 2) evaluate the relation between exercise capacity and clinical cardiac parameters in patients with ES. Methods: Thirty subjects were prospectively included; all were submitted to a 6MWT with compressed air and with 40% of oxygen. Heart rate recovery at the first minute (HRR1) and perceived effort Borg scale for dyspnea and lower limb fatigue were recorded in both tests scenarios. Results: The 6MWT distance was modestly, negatively associated with pulmonary vascular resistance (PVR) [r = 0.46, p = 0.02]. Patients improved 6MWT distance (p b 0.001) and exhibited a faster HRR1 (p b 0.001) with 40% supplemental oxygen compared to compressed air.With 40% supplemental oxygen, subjects revealed lower dyspnea and lower limb fatigue compared to 6MWT without oxygen supplementation (p b 0.001). The amount of change in the 6MWT distance fromair to oxygen wasmoderate, positively associated with tricuspid annular plane systolic excursion (TAPSE) and right ventricular fractional area change (RVFAC) [r = 0.50, p = 0.03; r = 0.64, p b 0.001, respectively]. Conclusion: Acute 40% oxygen supplementation in patients with Eisenmenger syndrome led to an improvement in 6MWT distance, faster HRR1 and lower dyspnea and lower limb fatigue perception. Moreover, functional capacity was positively associated with right ventricular parameters.
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    Efeitos da fototerapia na dor, rigidez e capacidade funcional de mulheres com osteoartite de joelho
    (Universidade Federal de São Paulo (UNIFESP), 2017) Junqueira, Rheguel Grillo [UNIFESP]; Vassão, Patricia Gabrielli [UNIFESP]; Renno, Ana Claudia Muniz [UNIFESP]; http://lattes.cnpq.br/4106611304688552; http://lattes.cnpq.br/8746855238862798; http://lattes.cnpq.br/6611925185878270; Universidade Federal de São Paulo (UNIFESP)
    A osteoartrite de joelho (OA) é uma doença de caráter inflamatório, crônico e degenerativo que afeta a cartilagem articular. Sua prevalência tem crescido pelo consequente aumento da expectativa de vida da população, com destaque para indivíduos do sexo feminino. A OA é uma das causas mais frequentes de limitação funcional devido a uma atrofia do músculo quadríceps femoral, interferindo assim, não somente no sistema articular, mas no sistema muscular e tecidos adjacentes. Portanto, torna-se necessário buscar medidas que tenham impactos positivos nessas alterações. Assim, o objetivo desta pesquisa foi avaliar a atuação da fototerapia na dor, capacidade funcional e rigidez articular em pacientes do sexo feminino com idade entre 55 a 75 anos com osteoartrite de joelho. No estudo, as voluntárias foram randomizados em dois grupos: grupo controle (GC, n=6), que não receberam nenhum tipo de intervenção e o grupo fototerapia (GF, n=8), que receberam um tratamento com o laser tipo Cluster, com parâmetros futuramente apresentados. A intervenção do GF foi realizada 2x por semana, por um período de 8 semanas. O laser do tipo Cluster (850nm, 100mW, 4J por ponto, totalizando 28J) foi aplicado a cada sessão na face lateral e medial do joelho com maior acometimento. Previamente e após a intervenção da fototerapia foram feitos os seguintes questionários: Western Ontario and MacMaster Universities Osteoarthritis Index (WOMAC), Lequesne, Escala Visual Analógica de Dor (EVA) e teste de caminhada de 6 minutos (TC6). Ao final do estudo foi observado uma melhora significativa da dor, em pacientes com OA de joelho,com a aplicação isolada da fototerapia, do laser tipo Cluster (850nm). Outros quesitos avaliados não apresentaram melhora significativa. Assim concluímos que a fototerapia foi efetiva em diminuição da dor em mulheres com OA de joelho graus II e III. Porém há necessidade de mais estudos para o desenvolvimento de melhores parâmetros para aplicação da fototerapia, como também associa-la com outras intervenções, como um protocolo de exercício físico
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    Efeitos da vibração mecânica de corpo inteiro sobre parametros neuromusculares e funcionais em mulheres osteopênicas na pós-menopausa
    (Universidade Federal de São Paulo (UNIFESP), 2016-10-25) Dutra, Milena Carrijo [UNIFESP]; Castro, Marise Lazaretti [UNIFESP]; http://lattes.cnpq.br/8253870907570489; http://lattes.cnpq.br/8198122434022424; Universidade Federal de São Paulo (UNIFESP)
    Mechanical loading stimulation of bone with physical exercise has been described in the literature as an important non-pharmacological method to prevent and develop the musculoskeletal system. Mechanical stimulation with low intensity and low frequency vibration has been evaluated as a new, effective and safe way to improve muscle strength and bone mineral density (BMD). In this study, lowintensity vibration platforms were developed to evaluate the effects of mechanical vibration on neuromuscular function and functional capacity in osteopenic postmenopausal women. This was a longitudinal case-control study conducted in 122 women divided into two groups matched for age, and ethnicity: 62 in the platform group (PG - 63.24 ± 9.84 years) and 60 in the control group (CG - 62.88 ± 7.87 years). Five times a week, during 20 minutes over 12 months, the volunteers in the PG stood still and barefoot on the platform which vibrated with a frequency of 60 Hz, intensity of 0.6g and amplitude < 1mm. The volunteers in the CG were followed up and instructed to maintain their usual physical activity. At the beginning and end of the study, isometric muscle strength was assessed by dynamometry: hip flexors (HF), back extensors (BE) and right handgrip (RH) stMechanical loading stimulation of bone with physical exercise has been described in the literature as an important non-pharmacological method to prevent and develop the musculoskeletal system. Mechanical stimulation with low intensity and low frequency vibration has been evaluated as a new, effective and safe way to improve muscle strength and bone mineral density (BMD). In this study, lowintensity vibration platforms were developed to evaluate the effects of mechanical vibration on neuromuscular function and functional capacity in osteopenic postmenopausal women. This was a longitudinal case-control study conducted in 122 women divided into two groups matched for age, and ethnicity: 62 in the platform group (PG - 63.24 ± 9.84 years) and 60 in the control group (CG - 62.88 ± 7.87 years). Five times a week, during 20 minutes over 12 months, the volunteers in the PG stood still and barefoot on the platform which vibrated with a frequency of 60 Hz, intensity of 0.6g and amplitude < 1mm. The volunteers in the CG were followed up and instructed to maintain their usual physical activity. At the beginning and end of the study, isometric muscle strength was assessed by dynamometry: hip flexors (HF), back extensors (BE) and right handgrip (RH) strength. Dynamic upper limb strength was assessed with elbow flexion (EF). Additional, tests included the functional reach test (RT), mobility (TUG), and static balance, assessed with unipedal stance test (UST). The results showed that after 12 months, the PG presented significant (p < 0.05) in (HF ± 36.7 %), (BE ±36.5% and RH ± 4.4%), and dynamic (EF ± 22.8%) muscle strength. The RT improved by (9.9%) and the (UST by 6.8%). In the CG there was a significant decrease of -3.9 % in RH isometric strength. There was an improvement on the TUG reflected by a reduction of -9.2 % in execution time. We conclude that low-intensity vibration was effective in improving muscle strength in the upper and lower limbs, balance, and mobility in postmenopausal woman.rength. Dynamic upper limb strength was assessed with elbow flexion (EF). Additional, tests included the functional reach test (RT), mobility (TUG), and static balance, assessed with unipedal stance test (UST). The results showed that after 12 months, the PG presented significant (p < 0.05) in (HF ± 36.7 %), (BE ±36.5% and RH ± 4.4%), and dynamic (EF ± 22.8%) muscle strength. The RT improved by (9.9%) and the (UST by 6.8%). In the CG there was a significant decrease of -3.9 % in RH isometric strength. There was an improvement on the TUG reflected by a reduction of -9.2 % in execution time. We conclude that low-intensity vibration was effective in improving muscle strength in the upper and lower limbs, balance, and mobility in postmenopausal woman.
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    Efetividade do exercício resistido no índice de atividade motora diária e na capacidade funcional em mulheres com síndrome de Sjögren primária: ensaio clínico randomizado
    (Universidade Federal de São Paulo (UNIFESP), 2018-07-26) Minali, Paulo Alexandre [UNIFESP]; Trevisani, Virginia Fernandes Moca [UNIFESP]; Mello, Marco Túlio de [UNIFESP]; Pimentel, Carolina Frade Magalhães Girardin [UNIFESP]; http://lattes.cnpq.br/4215971444001756; http://lattes.cnpq.br/3331384826336719; http://lattes.cnpq.br/9054730236021091; http://lattes.cnpq.br/8609854833764995; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Primary Sjögren syndrome (pSS) is an autoimmune inflammatory systemic disease that affects exocrine glands and less frequently internal organs. Inflammation can affect any system, including the musculoskeletal system, resulting in reduction in physical functions with consequent decrease in muscle strength, aerobic capacity, joint mobility, and static balance. In addition, psychosocial impairment with potential worsening of quality of life and functional capacity (FC) is described. Finally, patients with pSS also present a high level of fatigue, which is a distinct physiological characteristic of this disease. Objective: Analyze the effectiveness of resistance exercise on daily motor behavior and functional capacity in women with pSS. Methods: Fifty nine patients were randomized; of which 51 completed the study (26 assigned to the exercise group - EXG and 25 to the control group - CG). The EXG participated in a 16 week supervised exercise program, including 2 sessions per week and 3 sets of 10 maximal repetitions per exercise. Both before and at the end of the intervention protocol four variables were evaluated: the daily motor activity index (DMAI) was analyzed by an actigraphy, which records body movements; the FC (Fullerton Functional Fitness Test - consists of a sequence of 6 tests that mimic the neuromotor and cardiorespiratory needs involved in the activities of daily life: upper limb (MMSS) and lower limb strength (MMII), flexibility of MMSS and MMII, aerobic capacity and motor agility, and the DASH questionnaire - estimated FC from MMSS); the disease activity (ESSDAI questionnaire); and quality of life (SF-36 questionnaire). Results: After the intervention period in the GEX group, all FC parameters showed improvement over basal and final times, except the MMSS flexibility test (p=0.896): MMSS strength (p<0.001), MMII strength (p<0.001), MMII flexibility (p=0.001), aerobic capacity (p<0.001), agility (p=0.002), and the DASH (p<0.001). A similar situation occurred with the SF-36 where all domains improved, except for the emotional aspect (p=0.710): functional capacity (p<0.001), limitation by physical aspects (p=0.005), pain (p<0.001), general condition (p=0.006), vitality (p<0.001), social aspects (p=0.001), and mental health (p<0.001). There was no change in the DMAI (p=0.2) or ESSDAI (p=0.284). However, from the perspective of the movement of patients among the categories or classification levels of the ESSDAI, the GEX showed improvement while the CTRL worsened. Conclusion: Fourteen (82,3%) of the 17 variables evaluated showed improvement after the intervention. The four-month supervised resistance exercise program with two weekly sessions did not worsen the DMAI or disease activity, suggesting a protective effect of the intervention, and was effective in improving functional capacity and quality of life in women with pSS.
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    Effects of acute oxygen supplementation on functional capacity and heart rate recovery in Eisenmenger syndrome
    (Elsevier Ireland Ltd, 2017) Gonzaga, Laion R. A. [UNIFESP]; Matos-Garcia, Bruna C. [UNIFESP]; Rocco, Isadora S. [UNIFESP]; Begot, Isis [UNIFESP]; Bolzan, Douglas W. [UNIFESP]; Tatani, Solange B. [UNIFESP]; Santos, Vinicius B. [UNIFESP]; Silva, Celia M. C. [UNIFESP]; Carvalho, Antonio C. C.; Arena, Ross; Gomes, Walter J. [UNIFESP]; Guizilini, Solange [UNIFESP]
    Background: Eisenmenger syndrome (ES) precipitates the extreme manifestation of pulmonary hypertension, which leads to severe functional limitation and poor quality of life. The propose of the current study was: 1) examined the acute effects of 40% oxygen supplementation during the 6-minute walk test (6MWT)
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    Evolução da aptidão física e capacidade funcional de mulheres ativas acima de 50 anos de idade de acordo com a idade cronológica, na cidade de Santos
    (ABRASCO - Associação Brasileira de Saúde Coletiva, 2012-01-01) Penha, José Carlos Lopes; Piçarro, Ivan da Cruz [UNIFESP]; Barros Neto, Turibio Leite de [UNIFESP]; Universidade Paulista; Universidade Federal de São Paulo (UNIFESP)
    The scope of this study was to compare the evolution of physical fitness, functional capacity and bone mineral density in active elderly women over a one-year period. The sample consisted of 78 women from 50 to 79 years of age (c:62.4 ± 7.1) participating in an aerobic program, twice a week, 50 minutes per session during 3.4 years and divided into three age groups: A: 50-59 (n:38); B: 60-69 (n:28); C: 70-79 (n:12). Results were compared using Two Way ANOVA, post-hoc Bonferroni and delta (D%) variations (*p<.o1). The velocity of rising from a chair and gait speed revealed a significant difference in the three groups ranging from -14.3% to -45.5%; there was a significant improvement in A and B groups in walking speed (-12.1% to -13.9%), and also in maximum gait speed (-15.4% to -18.5%), elbow flexion in all the groups (18.9% to 24.1%), vertical jump (22.5% to 43.9%) in groups B and C, and rising from a chair in 30 seconds (25.2% to 30.8%) in groups A and B, the flexibility test showed an increase in group A (16.2% to 33.3%) and stationary walking in the three groups of (16,4% 30.0%) and bone mineral density (BMD) presented a significant increase (3.1% to 10.2%). The results indicate the salutary effect of regular physical activity.
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    Evolução do perfil neuromotor e capacidade funcional de mulheres fisicamente ativas de acordo com a idade cronológica
    (Sociedade Brasileira de Medicina do Exercício e do Esporte, 2003-11-01) Matsudo, Sandra Mahecha; Matsudo, Victor K.r.; Barros Neto, Turibio Leite de [UNIFESP]; Araújo, Timóteo Leandro de; Centro de Estudos do Laboratório de Aptidão Física de São Caetano do Sul Projeto Longitudinal de Envelhecimento e Aptidão Física de São Caetano do Sul; Universidade Federal de São Paulo (UNIFESP)
    BACKGROUND AND PURPOSE: There are few longitudinal studies to determine the effect of aging on physical fitness and functional capacity of physically active women. The purpose of this study was to compare the evolution of neuromotor profile and functional capacity in active elderly women in one-year period as related to chronological age at the base line. METHODS: Sample consisted of 117 women from 50 to 79 years of age (: 65 ± 6.6 years) engaged in an aerobic program, twice a week, 50 minutes per session during 5.4 ± 3.0 years and divided in three age groups: 50-59 (n: 23); 60-69 (n: 60); 70-79 (n: 34). Motor function and mobility tests included: lower and upper limb strength, agility, trunk flexibility, velocity of rising from a chair, static balance, gait speed and maximum gait speed. Results at the base line and in two evaluations made at six-month interval were compared using a Two Way ANOVA, with a post-hoc Bonferroni. RESULTS: There were no differences regarding neuromotor performance, although velocity of rising from a chair and gait speed evidenced significant differences in groups 50-59 and 60-69 years, showing better results (10-20%); and for maximum gait speed there was an increase (8%) in 60-79 age groups. CONCLUSION: Present results suggest that physical fitness and functional capacity evolution had a similar pattern among physically active women, regardless of chronological age. This evolution supports the hypothesis of regular physical activity as a powerful tool to promote health, being of utmost importance to a healthy aging.
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    Influência do ângulo da bacia e do ângulo de Cobb sobre o padrão da marcha em mulheres acima de 60 anos
    (Universidade Federal de São Paulo (UNIFESP), 2018-09-05) Oliveira, Leda Magalhaes de [UNIFESP]; Roizenblatt, Suely Steinschreiber [UNIFESP]; http://lattes.cnpq.br/3666475159211385; Universidade Federal de São Paulo (UNIFESP)
    Introduction: the dynamics of the head, arms and back is vital for maintaining, balance during gait with advancing age. Hyperkyphosis, common in the elderly requires compensations for maintaining balance and, consequently, alter the quality of posture and gait, increasing the risk of falls. Objectives: primary objective: to determine the participation of the pelvic and the vertebral column angles in gait and balance parameters in women over 60 years of age. Secondary objective: to evaluate the relationships of the pelvic and the vertebral column angles with clinical tests for gait and balance. Methods: this is a transversal study of elderly women without gait dysfunction and preserved cognition (MiniMental - MMSE> 24. Berg Scale (BS), timed up and go (TUG), comfortable and fast walk in 10 m, and fall questionnaire were used. The sagittal radiological evaluation was performed for Thoracic Cobb (TC) and Lumbar (LC), Pelvic Incidence (PI), Sacral Inclination (SI) and Pelvic Inclination (PeI). The gait evaluation was assessed by accelerometry in a 30-meter walk and the parameters evaluated were: step length, Root Mean Square (RMS ) of acceleration during walking, symmetry, step and regularity of the stride in the anteroposterior (AP) and vertical (V) planes. Results: fifty-five elderly women with a mean age of 72 years (SD=6) were recruited. FES-I-Brazil was 25.2 (6.6); BS 49.4 (3.8); TUG 9.9 (2.2) seconds; Comfortable walking 1.09 (0.19) m/s, fast walking 1.38 (0.24) m/s. The radiographic angles were: TC 52 (15°), LC 55 (17°), PI 57 (11°), SI 39 (11°) and PeI 17 (8°). Correlations of BS with IS (0,377) and PeI with 10m of fast walk (0.366); LC with SI angles (0.637) and PeI with SI (0.674) were observed. Regarding accelerometry, SI was associated with step length (p = 0.082) and symmetry (p<0.001) and step regularity (p <0.001) in the AP plane. Association was found between LC and RMS in the V plane (p = 0.076), stride regularity in AP (p = 0.016) and regularity of the V-step (p = 0.02). In addition, TC was associated with stride regularity (p = 0.026), step regularity (0.026); symmetry in the AP plane (0.034) and stride regularity in V plane (p = 0.01). Conclusion: In elderly women with preservation of functional capacity the angles of the spine and pelvis interfere with gait quality, particularly in the anteroposterior plane.
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    Is the six-minute walk test appropriate for detecting changes in cardiorespiratory fitness in healthy elderly men?
    (Elsevier B.V., 2012-05-01) Santana, Marcos Gonçalves de [UNIFESP]; Lira, Claudio Andre Barbosa de; Passos, Giselle Soares [UNIFESP]; Santos, Carlos André Freitas dos [UNIFESP]; Silva, Alan Herjes Oliveira da [UNIFESP]; Yoshida, Cristina Hitomi [UNIFESP]; Tufik, Sergio [UNIFESP]; Mello, Marco Tulio de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal de Goiás (UFG)
    Objectives: the purpose of this study was to determine whether the six-minute walk test (6-MWT) can detect changes in cardiorespiratory fitness (CRF) induced by exercise training in healthy elderly men.Design: Randomized and prospective controlled trial.Methods: Thirty-two healthy untrained men, between 65 and 75 years of age, were randomly assigned to one of three groups: control (C, n=12), endurance training (E, n=10), or concurrent training (ER, n = 10). Training groups underwent 24 weeks of exercise, 3 times a week. All participants were subjected to cardiopulmonary exercise testing and the 6-MWT, before and after the training period.Results: At follow-up, the E and ER groups had significantly higher peak oxygen uptake ((V) over dotO(2) peak) (15.0 +/- 9.1 and 12.6 +/- 10.4%, respectively) and 6-MWT distances (5.5 +/- 5.3 and 4.6 +/- 2.8%, respectively) compared to the C group. in pre-intervention (n = 32), the 6-MWT distance correlated positively with ((V) over dotO(2) peak) (r = 0.51, p = 0.001) and (V) over dotO(2) at anaerobic threshold (r = 0.39, p = 0.010). On the other hand, there was no significant correlation between the changes (after before) in the 6-MWT distance and (V) over dotO(2) peak (E and ER groups: r=0.38, p=0.097).Conclusions: the 6-MWT is not appropriate to evaluate changes in CRF in healthy elderly men who performed endurance and concurrent training for 24 weeks. (C) 2011 Sports Medicine Australia. Published by Elsevier B.V. All rights reserved.
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    Limiares clínicos de capacidade funcional e recomendações de exercícios para pacientes com doenças valvares cardíacas
    (Universidade Federal de São Paulo, 2022-07-19) Paiva, Georgia Ávila de Oliveira [UNIFESP]; Guizilini, Solange [UNIFESP]; Rocco, Isadora Salvador [UNIFESP]; http://lattes.cnpq.br/0371943115335917; http://lattes.cnpq.br/1563905009199506; http://lattes.cnpq.br/1109901860837898; Universidade Federal de São Paulo (UNIFESP)
    As doenças valvares cardíacas vêm aumentando sua prevalência ao redor do mundo nos últimos anos, em decorrência do aumento da expectativa de vida e aprimoramento dos métodos diagnósticos. A evolução da doença valvar pode afetar a função cardíaca de maneira a deteriorar a capacidade funcional e influenciar negativamente a qualidade de vida. Os parâmetros obtidos durante a avaliação de aptidão física do indivíduo podem auxiliar o processo de tomada de decisão no tratamento das doenças valvares e possibilitar intervenção cirúrgica antes do agravamento da doença. A manutenção adequada do nível de atividade física pode impactar diretamente o desfecho clínico desses pacientes. O presente estudo aborda atualizações no tratamento das doenças valvares e a influência do condicionamento cardiorrespiratório sobre os desfechos clínicos nas doenças valvares cardíacas. Método: trata-se de uma revisão de escopo. Categorização dos resultados e análise da evidência: A promoção da atividade física e a RCV (reabilitação cardiovascular) baseada em exercícios nesses pacientes tem se mostrado relevante para redução de morbi-mortalidade e deve ser um dos focos do tratamento das valvopatias.
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    Neuromuscular electrical stimulation improves exercise tolerance in patients with advanced heart failure on continuous intravenous inotropic support userandomized controlled trial
    (Sage Publications Ltd, 2018) Forestieri, Patricia [UNIFESP]; Bolzan, Douglas Willian [UNIFESP]; Santos, Vinicius Batista [UNIFESP]; Moreira, Rita Simone Lopes [UNIFESP]; Almeida, Dirceu Rodrigues de [UNIFESP]; Trimer, Renata; Brito, Flavio de Souza [UNIFESP]; Borghi-Silva, Audrey; Carvalho, Antonio Carlos de Camargo [UNIFESP]; Arena, Ross; Gomes, Walter José [UNIFESP]; Guizilini, Solange [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To evaluate the impact of a short-term neuromuscular electrical stimulation program on exercise tolerance in hospitalized patients with advanced heart failure who have suffered an acute decompensation and are under continuous intravenous inotropic support. Design: A randomized controlled study. Subjects: Initially, 195 patients hospitalized for decompensated heart failure were recruited, but 70 were randomized. Intervention: Patients were randomized into two groups: control group subject to the usual care (n = 35); neuromuscular electrical stimulation group (n = 35) received daily training sessions to both lower extremities for around two weeks. Main measures: The baseline 6-minute walk test to determine functional capacity was performed 24 hours after hospital admission, and intravenous inotropic support dose was daily checked in all patients. The outcomes were measured in two weeks or at the discharge if the patients were sent back home earlier than two weeks. Results: After losses of follow-up, a total of 49 patients were included and considered for final analysis (control group, n = 25 and neuromuscular electrical stimulation group, n = 24). The neuromuscular electrical stimulation group presented with a higher 6-minute walk test distance compared to the control group after the study protocol (293 ± 34.78 m vs. 265.8 ± 48.53 m, P < 0.001, respectively). Neuromuscular electrical stimulation group also demonstrated a significantly higher dose reduction of dobutamine compared to control group after the study protocol (2.72 ± 1.72 µg/kg/min vs. 3.86 ± 1.61 µg/kg/min, P = 0.001, respectively). Conclusion: A short-term inpatient neuromuscular electrical stimulation rehabilitation protocol improved exercise tolerance and reduced intravenous inotropic support necessity in patients with advanced heart failure suffering a decompensation episode.
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    Physical exercise improves the functional capacity and quality of life in patients with heart failure
    (Faculdade de Medicina / USP, 2008-01-01) Bocalini, Danilo Sales [UNIFESP]; Santos, Leonardo dos [UNIFESP]; Serra, Andrey Jorge [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: The purpose of this study was to investigate the effects of physical exercise on the functional capacity and quality of life in heart failure patients. METHODS: Forty-two patients of both sexes with heart failure of NYHA class II and III with different etiologies were randomly divided into untrained or trained groups. The six-month exercise program consisted of aerobic training, muscle strength training, agility and joint flexibility activities. Physical fitness was evaluated by testing the performance on these trained components. Quality of life was evaluated by scored answers to a standardized questionnaire involving multiple domains. RESULTS: Baseline values did not differ between groups. Improvement in the trained group was identified in all components of functional capacity when compared to the untrained group (p < 0.001). Quality of life improved in the trained patients concerning physical, psychological, social and environmental domains (p < 0.001), whereas no significant change was found in the untrained patients. CONCLUSIONS: Guided and monitored physical exercise is safe and has the potential to improve functional capacity and quality of life in heart failure patients with multiple etiologies.
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    Profile of self-care capacity and alcohol use in elderly brazilians during the COVID-19 outbreak: an online study
    (Universidade Federal de São Paulo, 2022-08-26) Silva, Diego Ximendes da [UNIFESP]; Okuno, Meiry Fernanda Pinto Okuno [UNIFESP]; http://lattes.cnpq.br/6910164256304562; http://lattes.cnpq.br/7471381354314597
    Background: Preventive and positive online coping strategies are essential for harm reduction associated with alcohol abuse among older adults in pandemic and social isolation scenarios. The objectives were to examine the relationship between alcohol use/abuse and physical capacity/selfcare to perform the physical activities of daily living or impairment of the functional capacity of the elderly in the COVID-19 pandemic. Methods: An online cross-sectional survey was carried out. One hundred and one elderly people in the city of São Paulo, Brazil, participated in a community program. Results: Most participants (52.5%) showed excellent self-care skills. Approximately 12% of participants reported problems related to alcohol use/abuse. There was no association between selfcare ability and abuse and probable alcohol dependence. Conclusions: Although most participants have excellent self-care and functional capacity and have not evidenced alcohol use/abuse, health professionals need to systematically provide information to prevent alcohol abuse, especially in scenarios of great emotional distress, such as in a pandemic. In addition, the online meetings held by the UAPI program were shown to be opportunities for social interaction and were essential to minimize the negative effects of the possible presence of alcohol use/abuse and the deteriorating performance of physical activities of daily living during a pandemic outbreak for the elderly.
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    Sub-xyphoid pleural drain as a determinant of functional capacity and clinical results after off-pump coronary artery bypass surgery: a randomized clinical trial
    (Oxford Univ Press, 2014-09-01) Guizilini, Solange [UNIFESP]; Alves, Daniel F. [UNIFESP]; Bolzan, Douglas Willian [UNIFESP]; Cancio, Andreia da Silva Azevedo [UNIFESP]; Regenga, Marisa de Moraes [UNIFESP]; Moreira, Rita Simone Lopes [UNIFESP]; Trimer, Renata [UNIFESP]; Gomes, Walter José [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVES: the aim of this trial was to compare functional capacity, pulmonary shunt fraction and clinical outcomes between patients undergoing pleurotomy with a pleural drain inserted in the sub-xyphoid position and patients with a pleural drain placed in the intercostal position after off-pump coronary artery bypass surgery.METHODS: Patients were randomized into two groups according to the pleural drain site: Group II (n = 33 intercostal pleural drain); and Group SI (n = 35 sub-xyphoid pleural drain). Functional capacity was assessed by the distance covered on the 6-min walking test performed preoperatively and on postoperative day (POD) 5; in addition, pulmonary function test was determined preoperatively and on POD 1 and 5. Pulmonary shunt fraction was evaluated preoperatively and on POD 1, and clinical outcomes were recorded throughout the study.RESULTS: Group SI had better preservation of lung volumes and capacities in POD compared with Group II (P < 0.05). Pulmonary shunt fraction increased in both groups postoperatively; however, Group SI showed a smaller pulmonary shunt fraction (0.26 +/- 0.04 vs 0.21 +/- 0.04%; P = 0.0014). Functional capacity was significantly reduced in both groups on POD 5; however, Group SI showed better preservation of functional capacity (P = 0.0001). Group SI had better postoperative clinical results, with lower incidence of atelectasis and pleural effusion (P < 0.05), lower pain scores (P < 0.0001), and shorter orotracheal intubation and hospitalization lengths (P < 0.001).CONCLUSIONS: Sub-xyphoid pleural drain determined better functional capacity and exercise tolerance with a smaller pulmonary shunt fraction and improved clinical outcomes compared with intercostal pleural drainage after off-pump coronary artery bypass surgery.
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    Whole-body vibration improves neuromuscular parameters and functional capacity in osteopenic postmenopausal women
    (Lippincott Williams & Wilkins, 2016) Dutra, Milena C. [UNIFESP]; de Oliveira, Monica L. [UNIFESP]; Marin, Rosangela V. [UNIFESP]; Kleine, Hellen C. R. [UNIFESP]; Silva, Orivaldo L.; Lazaretti-Castro, Marise [UNIFESP]
    Objective: In this longitudinal, paired-control study, we developed special vibration platforms to evaluate the effects of low-intensity vibration on neuromuscular function and functional capacity in osteopenic postmenopausal women. Methods: Women in the platform group (PG