OBJECTIVE: To correlate anthropometric measurements, lipid profile, cardiorespiratory fitness, and visceral adiposity index (VAI) in sedentary obese older women. METHODS: Twenty-seven insufficiently active and overweight older women were included in this cross-sectional study. We evaluated their anthropometric profile (body weight and stature, body mass index, waist and hip circumferences) and body composition (fat mass, body fat percentage, and musculoskeletal mass). Venous blood samples were analyzed for high and low-density lipoproteins (HDL-c and LDL-c), triglycerides (TG), and the LDL/HDL ratio. Peak oxygen uptake (VO2 peak) was measured using an adapted Bruce test using direct spirometry. We tested data normality and applied Pearson’s correlation, assuming a p ≤ 0.05. RESULS: The following correlations were observed: VAI and HDL (r = -0.53); VAI and LDL (r = 0.35); VAI and TG (r = 0.86); VAI and TG/HDL (r = 0.99) and VAI and VO2 peak (r = -0.55), with p < 0.01 for all analyses. CONCLUSION: The findings suggested that VAI may be used as a tool to assess cardiometabolic risk in obese older women. Future studies should evaluate the applicability of VAI as a cardiometabolic risk factor indicator in older adults.
Introduction: Overweight negatively impacts the cardiovascular system and osteomyoarticular, promoting pain in the joints of the lower limbs. Therefore, strategies have been applied to reduce overweight through lifestyle changes. Objective: to investigate the effects of two multidisciplinary intervention programs on the health-related physical fitness of obese women with pain symptoms in the knees. Methods: Women between 40 and 59 years of age with obesity (n=59) were evaluated in the pre- and post-intervention time regarding anthropometry, body composition, physical fitness, level of disability in the knee and hip, and health-related quality of life. A randomized clinical trial of parallel groups was conducted, using two resistance exercise programs and food re-education, for eight weeks. All participants received the same nutritional intervention content and for physical exercises were randomized into two groups, G1 being the "strength group" using machines (n=30), and G2 being the "functional training" group (n=29). Twenty-eight women (G1=18 + G2=10) were included in the final analyses. The groups and time were evaluated by two-way analysis of variance, with repeated measures. A p < 0.05 was assumed for all analyses. Results: a time effect was identified, with higher values for maximum isometric lumbar-traction strength (MILTS), after the intervention period in both groups (p < 0.05). However, for the other variables investigated, no significant differences were identified (p > 0.05). Conclusion: The absence of significant results for all variables, except FIMTL, may be justified by the moderate adherence of the participants to interventions (~59% to 66%) since the study was conducted during the period of social isolation (COVID-19). However, it is believed that the intervention models were positive in maintaining the variables studied.
RESUMOA falta de continência urinária, caracterizada pela perda involuntária de urina, acomete a qualidade de vida dos portadores, afetando o contato social, a higiene e a vida sexual. Assim, fazem se necessários estudos sobre o perfil sociodemográfico e clínico de pacientes acometidos por essa disfunção. O objetivo deste estudo foi analisar o perfil sociodemográfico e clínico de pacientes com incontinência urinária atendidos no setor de Fisioterapia Uroginecológica de uma clínica escola do noroeste do Paraná. Trata-se de um estudo descritivo, com dados secundários coletados de prontuários de 2013 a 2015. A maior ocorrência de incontinência urinária foi encontrada na faixa etária de 66 a 75 anos. Verificou-se que 66,67% dos participantes apresentaram Incontinência Urinária Mista, 21,21% Incontinência Urinária de Esforço e 12,12% Incontinência Urinária de Urgência. A maior prevalência de incontinência urinária nos pacientes da Clínica Escola foi encontrada no sexo feminino, em idosos, sendo que o tipo misto foi o de maior ocorrência, embora com relatos de perda com intensidade leve. PALAVRAS-CHAVE: Assoalho pélvico, Incontinência Urinária, Perfil de Saúde. DEMOGRAPHIC AND CLINICAL PROFILE OF PATIENTS WITH URINARY INCONTINENCE ABSTRACT
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