Programa de Pós-Graduação em Ciências do Movimento Humano - PPGCMH/ICS
URI Permanente desta comunidadehttps://repositorio.ufpa.br/handle/2011/15816
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Item Acesso aberto (Open Access) Estratificação de risco de fragilidade, incapacidade e avaliação de distúrbios de sono na pessoa idosa residente da comunidade: estudo transversal(Universidade Federal do Pará, 2023-10-30) RIBEIRO, Breno Caldas; CARNEIRO, Saul Rassy; http://lattes.cnpq.br/9162153771863939; https://orcid.org/0000-0002-6825-0239; NEVES, Laura Maria Tomazi; http://lattes.cnpq.br/4235603520707156; https://orcid.org/0000-0002-3115-2571Background: Fragility is considered a state of vulnerability to health stressors, rendering elderly individuals susceptible to disability, hospitalization, and mortality. Recent studies have indicated an increase in the prevalence of frailty risk among older adults with sleep disturbances. Given that frailty is a dynamic condition with the potential for reversal, it is imperative to screen for possible modifiable factors to prevent, mitigate, or interrupt the frailty process. Consequently, there is a need for the stratification of frailty and an investigation into the potential associations between sleep quality, excessive daytime sleepiness, and the risk of sleep disorders in older adults. Objective: To stratify the risk of frailty and disability and investigate potential associations with sleep quality, excessive daytime sleepiness, and the risk of Obstructive Sleep Apnea (OSA) in community-dwelling older adults. Methods: This study employs a quantitative cross-sectional design, adhering to the recommendations of The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE). The research involves the stratification of frailty and disability using the Frail Non-disable Questionnaire (FiND) and the FRAIL Scale, along with the evaluation of excessive daytime sleepiness, sleep quality, and the risk of OSA through the Epworth Sleepiness Scale (ESE), Pittsburgh Sleep Quality Index (PSQI), and STOP-BANG questionnaire, respectively. Data normality was assessed using the Kolmogorov-Smirnov test. For binomial categorical comparisons, the Binomial Test was employed, while the Proportions Test was utilized for multiple comparisons. Correlation analysis was conducted using Spearman's Correlation Test. Results: A total of 109 older adults (61% females, p = 0.02) were evaluated, with a median age of 68, from the capital city (86%), self-identified as mixed race (68%), and in a state of preobesity (36%). According to FiND, 26% of participants were deemed frail and 32% were considered incapable. In contrast, according to the FRAIL Scale, 33% were pre-frail and 25% were frail. In addition, most patients had poor sleep quality (80%, p = 0.010), moderate risk of obstructive sleep apnea (49%, p < 0.010) and absence of excessive daytime sleepiness (62%, p < 0.010). There was a weak relationship between frailty and disability with poor sleep quality (rho = 0.39; p < 0.001) and risk of obstructive sleep apnea (rho = 0.26; p = 0.000). No relationship was observed between frailty and disability and excessive daytime sleepiness (rho = 0.04; p = 0.660). A weak relationship with sleep quality (rho = 0.33; p < 0.001) and the risk of obstructive sleep apnea (rho = 0.27; p = 0.001) was also observed in the analysis of correlation with frailty, but no relationship was found with excessive daytime sleepiness (rho = 0.05; p = 0.590). Conclusion: This study showed a weak relationship between the risk of frailty 8 and disability with sleep quality and the risk of obstructive apnea, but no relationship was observed with excessive daytime sleepiness.Item Acesso aberto (Open Access) Funcionalidade e fatores ambientais que influenciam o nível de atividade física da pessoa com deficiência física em Belém e Manaus(Universidade Federal do Pará, 2023-04-26) CAMPOS, Jamylle Silva; AMORIM, Minerva Leopoldina de Castro; http://lattes.cnpq.br/5598486262343287; https://orcid.org/0000-0002-5350-3563; SILVA, Anselmo de Athayde Costa e; http://lattes.cnpq.br/4794918582092514; https://orcid.org/0000-0001-5265-619XThe potentiation of functional capacity occurs through the insertion of the individual in physical activity, generating positive impacts on independence, autonomy, quality of life, functionality, self-esteem, social participation and greater health care, however there are facilitating factors and barriers. Objective: To identify the environmental, functional factors and level of physical activity of people with physical disabilities in rehabilitation and sports centers in the Northern Region. Method: Performed in a motor program for people with disabilities in the city of Manaus-Amazonas and at a Rehabilitation Center in Belém-Pará. Individuals with physical disabilities, of congenital or acquired origin, of both sexes, aged between 18 and 60 years, who performed physical and/or sports activity for at least 6 months, participated of this study. Where sociodemographic data were collected and three questionnaires were applied, namely: WHODAS 2.0, Physical Activity Scale for People with Physical Disabilities (PASIPD) and Measure of the Quality of the Environment (MQE). The sample consisted of 41 participants, which 61% were male, with a mean age of 43,1 (±13,1) years, mean time of injury 17,0 (±12,8) years, single, with income only social benefits or retirement, had completed high school and 26,8% had a diagnosis of spinal cord injury. All data were processed in the jamoviproject 2021 Software (version 2.2), applying the Shapiro-Wilk normality test and Pearson's Linear correlation test. Result: Regarding functionality, there was a predominance of mild difficulty in relation to cognition, self-care, interpersonal relationships, activity of daily living and participation. Noting that the mobility domain was the only one with moderate difficulty. Considering a level of metabolic equivalent physical activity below 30 MET/h/day. There was a correlation between domains related to functionality and environmental factors barriers, but there was no connection between functionality, level of physical activity and facilitating environmental factors. Conclusion: The barrier factors present in the daily lives of people with physical disabilities directly impact functionality, in the aspect of self-care, interpersonal relationships, mobility, activity of daily living and participation.Item Acesso aberto (Open Access) Influência de fatores socieconômicos na percepção de níveis de estresse, ansiedade e depressão em atlestas de futebol feminino(Universidade Federal do Pará, 2023-04-20) SOUZA, Edielen de Lima; PIRES, Daniel Alvarez; http://lattes.cnpq.br/4487383675643868; https://orcid.org/0000-0003-2163-5606Football is one of the most widespread sports in the world. The female audience is gaining greater relevance. Mental health is an integral dimension of athlete well-being and performance and cannot be separated from physical health. The effects of stress, anxiety and depression in athletes can be severe and disabling. The assessment and management of mental health in athletes should be accessible for early intervention and improvement of the quality of the sporting environment. Thus, this research aimed to analyze the influence of age, education and paid activity on the perception of levels of stress, anxiety and depression in female soccer players. Data collection took place during the Paraense Women's Football Championship with 89 athletes. The athletes answered a sociodemographic questionnaire and the Portuguese versions of the following instruments: Perceived Stress Scale (PSS), Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI). Data analysis was performed using the GraphPad Prism 9.5.1 software. To correlate age, schooling and paid activity outside football with stress levels, the Fisher's exact test was used. To correlate age, education and paid activity outside of football with levels of anxiety and depression symptoms, Pearson's chi-square test was performed. The significance index used was p<0.05. Age and education showed no correlation with the perceptions of the psychological variables analyzed in this study. The presence of paid activity outside of soccer interfered only with the perception of moderate anxiety symptoms (p= 0.0471). When analyzing perceptions of stress, anxiety and depression in female soccer players, there is no difference in variability related to age and education. The presence of paid activity is a factor that deserves attention because it influences the perception of moderate anxiety in female soccer players, despite not interfering with the perceptions of stress and depression.Item Acesso aberto (Open Access) Responsividade de parâmetros neuromusculares e capacidade funcional a dose mínima de treinamento resistido em mulheres de meia-idade e idosas(Universidade Federal do Pará, 2023-04-24) NORONHA, Ádria Samara Negrão; COSWIG, Victor Silveira; http://lattes.cnpq.br/0097939661129545; https://orcid.org/0000-0001-5461-7119Resistance training (RT) is an effective strategy to mitigate the loss of muscle strength and the risk of functional limitations that occur drastically after 55 years of age. However, there is evidence of inter-individual variations in responsiveness to resistance training, since some people can be responsive and others non-responsive to the same protocol. Thus, the objective of the present study was to verify the responsiveness of middle-aged and elderly women submitted to TR with a minimum dose approach and to verify the effect of the protocol on muscle strength and functional capacity of the participants. Twenty-two untrained women, mean age 64.3 ± 7.2 years, body mass 65.5 ± 9.2 kg, and height 152.3 ± 4.3 cm, randomly assigned to the Intervention Group (INT), submitted to the minimum dose protocol during 4 weeks, or to the Control Group (CON), who participated in two lectures and two stretching classes. The participants were evaluated for strength (1 repetition maximum in Leg Press 180º, Seated Rowing, and Straight Supine) and functional capacity (Timed Up and Go, Physical Performance Battery) before and at the end of the 4 weeks. For the statistical analysis it was performed the Analysis of Variance of repeated measures and Bonferroni post-hoc test for data with normal distribution, Mann Whitney U test for non-normally distributed data, Deltas of variation (Δ%) to present percentage of change and independent t test to compare the means of percentage of change between groups. The significance level adopted was p< 0.05. Levene's test was used to check the variance between groups. For classification of responsiveness, the standard deviation of the CON change score was multiplied by 1.96. Individuals outside this range were classified as High responders or Low responders. The results suggest 16.6% High responders in the 1RM of the straight supine and 8.4% in the estimated 1RM in the same exercise, with 25% High responders for average and peak velocity of the Sit and Stand test. Regarding the mean differences, we observed significant increases in muscle strength only for INT, with no differences between groups. Thus, it is concluded that 4 weeks of TR performed with a minimal dose approach presents a small rate of High responders for upper limb strength and lower limb speed. Furthermore, the training dose used seems to be insufficient to generate greater muscle strength and functional capacity adaptations than the control in middle-aged and elderly women.