Objective: To analyze the scientific evidence on the association of physical activity with urinary incontinence in older women. Design: Searches were performed in MEDLINE, PubMed, CINAHL, Web of Science, SCOPUS, and ScienceDirect. Observational studies were included. The following search terms were used: urinary incontinence, older adult, and physical activity. Methodological quality was assessed using the checklist proposed by Downs and Black. Results: Ten articles were included. Sedentary lifestyle and <150 min/week of physical activity are at risk of developing urinary incontinence. Walking (at least 30 min) and physical activities (600–1,500 and 600 METs/min per week) prevent urinary incontinence. Seven of the 10 studies indicated a good level of methodological quality. Conclusions: Sedentary lifestyle is at risk of urinary incontinence, and walking, moderate and vigorous physical activities are associated with prevention of urinary incontinence.
Purpose To determine the diagnostic accuracy and the cutoff point of the variables conicity index, waist to height ratio and fat percentage to detect urinary incontinence in physically active older women. Method A total of 152 women were analyzed. The instruments used were the International Physical Activity Questionnaire (IPAQ [Area 4]) to check the level of physical activity, and the Diagnostic Form to obtain sociodemographic data and presence of urinary incontinence. To calculate the conicity index, waist to height ratio and fat percentage, body mass, height and waist circumference were measured. Descriptive and inferential statistics were used. Cutoff points, sensitivity (S) and specificity (SP) were determined by receiver operating characteristic (ROC) curves. A 5% significance level was adopted. Results The prevalence of urinary incontinence was of 32.2%. The cutoff point with better sensitivity and specificity for the conicity index was 1.23 (S = 87.8; SP = 35.9); for the waist to height ratio, it was 0.57 (S = 79.6; SP = 45.6); and for the fat percentage, it was 39.71 (S = 89.8; SP = 42.7). The area under the ROC curve was 0.666 for the conicity index, 0.653 for the waist to height ratio, and 0.660 for the fat percentage. Conclusions The cutoff points for the anthropometric measurements conicity index, waist to height ratio and fat percentage indicate that these measures can be used to predict urinary incontinence in physically active older women. Furthermore, fat percentage seemed to be the best measure for this population.
Introduction: Fear of falling is one of the main consequences of falls in the elderly; therefore, it is important to investigate the factors associated with the reduction of this fear. Objective: The objective of this study consisted of verifying the associated factors that best explain the low concern about falling in physically active older people. Methods: A total of 162 elderly people with a mean age of 69.95 (SD = 6.69) participated in the study. The diagnostic data sheet, the Falls Efficacy Scale-International, the Senior Fitness Test and anthropometric measurements were used to obtain data. Binary Logistic Regression was used in the data analysis to estimate the Odds Ratio (OR) and 95% confidence intervals (95% CI). The p <0.05 Omnibus Test was used to assess the quality of the adjusted model, and the Hosmer-Lemeshow test was applied to verify the explanatory power of the model. Results: In the crude analysis, normal weight elderly subjects (OR = 2.86, 95% CI = 1.32-6.20) with good levels of lower limb strength (OR = 2.64, 95% CI = 1.38-5.06), are more likely to have low fear of falling. In the adjusted analysis, the model was able to explain 75% of endpoint occurrence. Conclusion: It is concluded that among the variables analyzed, age, BMI and lower limb strength best explain the low concern about falling in the elderly. Level of Evidence III; Study of nonconsecutive patients; without consistently applied reference “gold” standard.
O objetivo foi verificar os fatores associados à desistência de idosas de um programa de atividades físicas. A amostra foi composta por 267 idosas participantes e desistentes de um programa de atividade física de extensão universitária. Para a coleta de dados foi utilizada a ficha com dados do programa. As idosas desistentes do programa (n=108) apresentaram média de idade de 69,4 (dp=5,99) anos. Na análise bruta, as variáveis, estado civil e condições de saúde influenciaram na prática de atividade física. A doença cardíaca, depressão, estado civil e escolaridade foram associadas ao desfecho (desistência). Conclui-se que condições sociodemográficas, doença cardíaca e depressão são fatores associados à desistência do programa de atividade física.
Considerada um processo interdisciplinar, educativo, cultural e científico, a extensão universitária é responsável pela troca de conhecimentos entre a universidade e a sociedade. O Grupo de Pesquisa em Atividade Física, Saúde e Envelhecimento - LAGER preocupa-se em divulgar os resultados de suas pesquisas em revistas cientificas da área. Diante disso, o presente artigo possui como objetivo, descrever a produção de conhecimento do Grupo, desenvolvidas em parceria com o programa de extensão universitária Grupo de Estudos da Terceira Idade - GETI. O estudo caracteriza-se como retrospectivo de análise documental de artigos publicados pelo GETI ou seus participantes no período de 2006 a 2016, onde foram selecionados 58 artigos científicos. Utilizou-se para tabulação de dados o programa Excel, analisados por meio de estatística descritiva. Concluiu-se que houve um aumento considerável da produção de conhecimento do LAGER nos últimos anos, desenvolvidas em parceria com o GETI, resultado da experiência e do desenvolvimento de pesquisas, aprimorando também a qualidade dos periódicos nos quais os artigos foram publicados. Além disso, a disseminação desse conhecimento contribuirá na formação e atuação profissional na área da saúde. Palavras-chave: Extensão comunitária. Idosos. Instituição de pesquisa. Revisão acadêmica.
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